ABSTRACT

Free will is a complex construct that includes critical reasoning, sense of ownership, and agency. The whole history of hypnosis has been linked to suggestibility. Little agreement has been reached, however, on exactly what we mean by suggestibility, and its role in hypnosis, despite the abundance of studies, hypotheses, and theories published to date.

We report on a highly hypnotizable patient with a previous allergy to lidocaine and paradoxical reactions to pharmacological sedation, who underwent oral surgery with mepivacaine for local anesthesia, and hypnosis for sedation. During the procedure, she felt some pain and the hypnotist recommended bupivacaine to ensure lasting anesthesia. While remaining under deep hypnosis, the patient refused to change anesthetic and decided autonomously to continue with mepivacaine (for which she had previously been tested for allergy). Our case clearly shows a preserved, exemplary reasoning and ability to make autonomous decisions diverging from the hypnotist’s advice while under deep hypnosis.

摘要

自由意志是一个复杂的结构，包括批判性推理、主人翁意识和能动性。催眠的整个历史都与暗示性有关。然而，尽管迄今为止发表了大量的研究、假设和理论，但对于我们所说的可暗示性的确切含义及其在催眠中的作用，几乎没有达成一致。

我们报告了一个高度可催眠的患者，他既往对利多卡因过敏，对药物镇静有反常反应，他接受了局部麻醉用甲哌卡因口腔手术和镇静催眠。在手术过程中，她感到有些疼痛，催眠师建议使用布比卡因以确保持续麻醉。在保持深度催眠状态下，患者拒绝更换麻醉剂并自主决定继续使用甲哌卡因（她之前曾接受过过敏测试）。我们的案例清楚地表明，在深度催眠状态下，我们保留了一种模范的推理能力，以及做出与催眠师建议不同的自主决定的能力。