Steven Gurgevich, PhD

DrStevenGurgevich (Psychologist (Verified) )
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Member Since: Jan. 2012  
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Professional Statement
Dr. Steven Gurgevich is a licensed psychologist specializing in mind-body medicine for more than 39 years. He is Clinical Assistant Professor of Medicine at the University of Arizona College of Medicine, within Dr. Andrew Weil’s Arizona Center for Integrative Medicine. He has trained thousands of professionals as an Approved Consultant, Fellow, and faculty member of the American Society of Clinical Hypnosis.

Dr. Gurgevich is the author of over 75 audio programs and books, including the The Self-Hypnosis Diet, The Self-Hypnosis Home Study Course, and Hypnosis House Call. In addition to his virtual home, http://www.HealingWithHypnosis.com , he maintains a private practice at Behavioral Medicine Ltd, in Tucson, Arizona.
Professional Info

Credential: PhD

Licenses: LP

State Licenses: Arizona

Specialty: Health

Languages: some Spanish... more English

Gender: Male
Age: 66

School / University: Purdue University, University of Arizona

Professional memberships: American Psychological Association, American Society of Clinical Hypnosis, Society for Clinical and Experimental Hypnosis, International Society of Hypnosis, Arizona Psychological Association

Areas of expertise: Integrative Behavioral Medicine, Pain Management, Medical Psychotherapy, Clinical Hypnosis, Worker’s Compensation, Consultations to Business/Industry

Research interests: Mind-Body Medicine

Hospital or other affiliation: Clinical Assistant Professor of Medicine, University of Arizona College of Medicine, Arizona Center for Integrative Medicine


City: Tucson
State: AZ
Zip: 85750
Country: USA
DrStevenGurgevich Activities
Self hypnosis is a self induced form of hypnosis where a person in a calm, relaxed state makes self suggestions with the goal of making improvements in a specific area of their life. Self talk is the constant inner monologue or running commentary that goes on in our heads.

Awareness of these thoughts are very important in our healing. First in order to be aware of the incessant self talk a level of mindfulness must be achieved. Being present is an important part of mitigating mind made stressors, or stressors that arise from living in the past or in the future. Secondly, our bodies react to this self talk. If we have a chaotic mind, it creates a chaotic body. So we need to become aware of the thoughts and if they are inherently negative, they need to be changed. A good way to change our ideas about ourselves is through the practice of self hypnosis.
DrStevenGurgevich (Psychologist (Verified)) voted for answer by HestiaHealth (Complementary Care Expert (Verified))
In teaching my patients self-hypnosis, I remind them that they have two parts of consciousness listening to their thoughts, ideas, and what others say to them. The conscious or “thinking mind” is the part of us that has thoughts, asks questions, and formulates our beliefs. But there is a more powerful and potent consciousness we call “subconscious” that is “the mind of the body.” I also refer to this ‘mind of the body’ as simply “mind-body” because it is the part of consciousness that runs the community of 50-70 trillion cells within us, our breathing, digestion, pulse and circulation, immune responses, nervous system… basically all of us, without our having ‘to think it to happen.” That being said, please note that your “mind-body” hears everything you say, everything you think or imagine, everything you read and watch and everything that is said to you. And the power of the subconscious or mind-body is that it cannot tell the difference between what is real and what you imagine. So whether you are doing hypnosis or simply talking to your self, the quality of your thoughts have an impact upon you. If your self-talk or self-suggestion (when doing hypnosis) is negative… expect negative results. If your self-talk or self-suggestion is positive… expect positive results. Your question about self-awareness of where our negative thoughts come from and whether they play an important part in our healing is well worth remembering. For when you are aware of hearing yourself thinking or expressing a negative thought, you can cancel it and replace it with a positive thought or image. I like to remember Henry Ford’s statement that, “If you believe you can, or believe you can’t… you’re right.” That is, our beliefs are powerful messages and internal programs within us. A large part of learning and doing self-hypnosis is gaining the skills and tools to recognize, modify, create and control the beliefs for positive outcomes. I recall someone once saying, “You don’t always get what you want, but you always get what you expect.” This plugs right in to using hypnosis for the basic vital ingredients that make hypnosis successful are one’s motivation, belief, and expectation.

New answer by DrStevenGurgevich (Psychologist (Verified)) in topic(s) Mental Health's Impact On General Health, Self-Hypnosis, Hypnosis, Mental Health
Up until recently, the “official” answer from NIH and others has been that there is not been any study that conclusively links stress as a direct cause of cancer. The National Cancer Institute fact sheet says,

“Although the results of some studies have indicated a link between various psychological factors and an increased risk of developing cancer, a direct cause-and-effect relationship has not been proven.” Here is a link to that source:http://www.cancer.gov/cancertopics/factsheet/Risk/stress

An article in the New York Times regarding the link between stress and cancer says,

“What has emerged is a tenuous connection between stress, the immune system and cancer, with a surprising new insight that is changing the direction of research: it now appears that cancer cells make proteins that actually tell the immune system to let them alone and even to help them grow. As for whether stress causes cancer, the question is still open.” Here is the link to this source:http://www.nytimes.com/2005/11/29/health/29canc.html?pagewanted=all

An article in PychCentral regarding this matter says,

“Currently, there is no evidence that stress is a direct cause of cancer. But evidence is accumulating that there is some link between stress and developing certain kinds of cancer, as well as how the disease progresses. Hundreds of studies have measured how stress impacts our immune systems and fights disease. At Ohio State University, researcher Dr. Ron Glaser, Ph.D., found that students under pressure had slower-healing wounds and took longer to produce immune system cells that kill invading organisms. Renowned researcher Dr. Dean Ornish, M.D., who has spent 20 years examining the effects of stress on the body, found that stress-reduction techniques could actually help reverse heart disease. And Dr. Barry Spiegel, M.D., a leader in the field of psychosomatic medicine, found that metastatic breast cancer patients lived longer when they participated in support groups.

Other studies have gone as far as to show those women who experienced traumatic life events or losses in previous years had significantly higher rates of breast cancer.

Still, the National Cancer Institute reports, “Although studies have shown that stress factors, such as death of a spouse, social isolation, and medical school examinations, alter the way the immune system functions, they have not provided scientific evidence of a direct cause-and-effect relationship between these immune system changes and the development of cancer.”

Nonetheless, some medical experts say therein lies the link between cancer and stress — if stress decreases the body’s ability to fight disease, it loses the ability to kill cancer cells.” Link to source:http://psychcentral.com/lib/2006/stress-a-cause-of-cancer/

However, a study in 2010 published in Nature was reported by Newsmaxhealth saying,

“Stress is a killer and is implicated in numerous deadly conditions including high blood pressure and heart attacks. Now scientists have biological evidence that common, everyday stress can trigger cancer.

A new study by Yale University School of Medicine and Fudan University in China shows that stress causes signals to be sent to mutant genes that make them turn cancerous.” Source:http://www.newsmaxhealth.com/headline_health/stress_cause_cancer/2010/01/28/312526.html

All the above being said regarding the “evidence” linking stress and cancer; my own experience is that I frequently see patients with cancer seeking help with hypnosis to boost their immune system, overcome side-effects of treatment, control pain, and make changes to a healthier lifestyle. And in the majority of these cases it is most common to see where prolonged and chronic stress (along with lifestyles with poor stress coping skills) have existed prior to the diagnosis of cancer. There are cases also where I have seen individuals experience ‘better healing’ responses by adding the mind-body tools available through hypnosis and lifestyle changes. I think that anyone diagnosed with cancer would benefit from learning many varieties of stress management, including hypnosis to access and use the mind-body connection for positive messages, images, and intentions for healing and stress-resiliency.
New answer by DrStevenGurgevich (Psychologist (Verified)) in topic(s) Health, Emotional Trauma, Stress, Mental Health, Cancer
I am in favor any therapy that has demonstrated a track record of success. And what might be best for one individual might not be the best for another person. That being said, when my colleague and friend, Dr. Andrew Weil, and I are asked, “For what conditions does hypnosis work best?” we usually respond, “Gut and skin conditions”. Dr. Weil feels that both the digestive system and skin have a greater abundance of nerve and blood supply that can be activated by hypnosis. I do not know all of the exact mechanisms that are activated anatomically, but in almost 40 years of practice experience, I have seen the best and most rapid results when hypnosis is used or added to the treatment of digestive disorders like irritable bowel, hyperacidity, inflammatory bowel, nausea… and for skin conditions like urticaria (hives), itching, burn recovery, acne, and even cases of psoriasis.
Yes, your question makes excellent sense and is commonly asked question by those using mind-body methods to help them through the healing process with cancer. I think that once one learns to use positive imagery, suggestion, and self-talk to deal with cancer, these tools remain valuable and available following the treatment as well. However, following the treatment for cancer, it would be appropriate to change the imagery from destroying cancer cells to instead imagining a vital and powerful immune system that remains on duty to allow only healthy cells, tissues, organs, and body to thrive… actively patrolling to remove any “uninvited guests” if they appear. By removing the words “cancer cells” we replace the language and intention with words of vitality, greater immune responses, and healthy cells that may now thrive with the support of an immune system that now has greater experience or “mind-body wisdom” to identify the cells to remove.
New answer by DrStevenGurgevich (Psychologist (Verified)) in topic(s) Mind - Body Connection, Complementary And Alternative Medicine, Mind - Body
I think I pretty much described “What is hypnosis…” in the first five question answered and would refer you to read those responses. You’ll see that I favor the definition of hypnosis described by the professional association, The American Society of Clinical Hypnosis, which is:

“Hypnosis is a state of inner absorption, concentration, and focused attention. It’s like using a magnifying glass to focus the rays of the sun and make them more powerful. Similarly, when our minds are concentrated and focused, we are able to use our minds more powerfully. Because hypnosis allows people to uses more of their potential learning self-hypnosis is the ultimate act of self-control.”

Hypnosis offers several benefits in application for individuals dealing with cancer. On of my audio programs “Cancer Support: Chemotherapy and Radiation” (available at www.healingwithhypnosis.com) addresses many of these benefits. And there are many other excellent audio programs offered by my colleagues in clinical hypnosis as well. Although there is a wide range of cancers and cancer treatments, I would list the following as ways in which hypnosis can help:

• Lessening anxiety – Although “cancer” is only a word and not a sentence, many experience anxiety about the diagnosis, the treatment they will undergo, and the worry or anxiety about what the outcomes may be and how they affect one’s life and the lives of their loved ones.
• Preparation for surgery and recovery after surgery – The research is consistent in showing that hypnosis helps patients achieve better outcomes from the following aspects of surgery: less pre-surgical anxiety, greater pain management ability (less pain), less pain medication required, shorter operating time, more rapid recovery with less discomfort and rates of infection, faster wound healing, and shorter hospital stays.
• Reducing and managing pain – Some cancers cause more pain than others, and hypnoanalgesia is term used to describe greater comfort (less pain) due to hypnosis. With greater pain control the need for narcotic medications are reduced and the individual is more alert and attentive to interacting with activities of life and family.
• Less side effects of chemotherapy and radiation therapy – Hypnosis has a very good track record for helping individuals undergoing chemotherapy and radiation therapy to experience less nausea and emesis, less pain, reducing hot flashes (e.g., associated to Luprin treatment for prostate cancer patients).
• Improving sleep – Hypnosis in and of itself is not the same as sleep, for individuals using hypnosis are awake, but so well relaxed that it helps improve going to sleep, staying asleep, being able to return to sleep when awakened during the night, and experiencing a greater restorative quality of one’s sleep.
• Reducing stress – When hypnosis is learned (remember, ALL hypnosis is self-hypnosis) it naturally helps lessen our emotional and physical stress responses, and helps to better insulate us to the stresses we are exposed to in life.
• Improving positive outlook and mood – Hypnosis is a valuable tool for many aspects of medical conditions, and with a sense of greater control, we also acquire an improved or more positive outlook. That means a cancer patient has more resistance to depression that might accompany the stresses that tax one’s emotional and physical endurance during the cancer experience.
I would recommend learning: to effectively relax, better comfort management, imagery and visualization for rapid and effective healing, improved confidence, and knowing what behavioral and mind-body steps they can implement for greater healing and recovery. I published a paper on the subject of hypnosis and surgery which is available for download at this link -http://www.healingwithhypnosis.com/AZCIM/Gurgevich_SurgeryHypnosis.pdf. I also have an audio program available from my website called “Surgery and Recovery” -http://www.healingwithhypnosis.com/mm5/merchant.mvc?Screen=PROD&Product_code=000033.
To me, mind-body healing is the use of one’s mind to affect a therapeutic response. Sometimes ‘healing’ means ‘curing’, but not always, for healing may also mean easing suffering, limiting pain, or bringing emotional and/or physical comfort even though the disease or condition persists.

In my practice of health psychology, mind-body healing is implemented by first assessing the person’s needs, personality, learning style, and then offering a combination of clinical hypnosis, psychotherapy, and counseling with an emphasis on instructing the individual on the many ways they can help themselves and benefit from learning more about the exquisite interaction of mind, body, and spirit.
Fortunately, there are few risks with hypnosis as the patient is only exposed to learning methods that will help them access their mind-body connection and discovering that all hypnosis is really self-hypnosis. However, I believe the two greatest risks of hypnosis and hypnotherapy are:

1. using hypnosis to remove pain that is still serving a vital purpose, and
2. hypnosis or hypnotherapy being offered by a person that is not trained or qualified to be treating a patient with it.

My rule of thumb is that one should not use hypnosis to treat a condition unless they are qualified and competent to treat the condition without hypnosis as well. This does not mean that only a surgeon can use hypnosis in helping a person prepare for surgery and recovery with hypnosis, but that the clinician should have the training and qualifications for the application being offered to the patient.

There is little legislation, laws or rules governing who can do hypnosis. And there are many programs offering ‘certification’ or a certificate to become a ‘certified hypnotherapist’. Sometimes only a fee is required, or it could be a weekend workshop open to anyone, or it may be a well-designed and supervised training. You just do not know unless the clinician is certified by the American Society of Clinical Hypnosis (http://www.ASCH.net), a member of a professional association representing their field of expertise, licensed by their state board for professional practice, and has had appropriate supervision and training. The only bona-fide professional association I am aware of that has developed standards of training, supervision, and certification is the American Society of Clinical Hypnosis and their affiliate organizations.

I like to use the example or comparison to becoming a ‘certified injectionist’. One can take a weekend workshop and become quite adapt at giving intramuscular, subcutaneous, and even intravenous injections. However, when one needs professional help, they should seek someone qualified to treat their condition, and not just know how to give an injection. And unfortunately, there is little to protect the consumer from anyone saying they are a hypnotherapist. A professional psychologist, Steve Eichel PhD, sent applications to many organizations that offered a certificate as a certified hypnotherapist. He put the applicant’s name as Zoe D. Katz (German for Zoe the cat, his cat). He even listed Zoe’s occupation as ‘feline’… and by submitting a fee; he collected many certificates showing Zoe D. Katz as a certified hypnotherapist. To me, the use of hypnosis for clinical applications by untrained individuals is a risk of hypnosis.
If you have seen it in the movies, TV, or a night club, you are probably watching “stage hypnosis” which is the non-professional use that employs many of the techniques of persuasion, influence and hypnotic methods for the purpose of entertainment. Many stage hypnotists, although quite skilled in the techniques of hypnosis, are performers or entertainers first and foremost. These individuals are not trained in medicine, psychology, nursing, social work or counseling. They are entertainers. Which means that “the act” or performance may include illusion, deception, trickery, social pressure, and at times even a hired confederate to be part of the act. Stage hypnotist prey upon the myths and misconceptions commonly held about hypnosis (and portrayed in their performance), such as: hypnosis is something done to someone (this is the greatest myth and misconception), or one goes under another’s control or loses consciousness, or might do something out of their character or values. These are all false. Hypnosis is not done to someone. No one ‘gets hypnotized’ or loses consciousness. I have treated well over 15,000 patients with clinical hypnosis, in sessions that number over 40,000; and I have never ‘hypnotized’ anyone anymore than I could have ‘meditated’ them. But I have taught a great number how to use hypnosis and that all hypnosis is really self-hypnosis.

Clinical or medical hypnosis is quite different from stage hypnosis. The purpose is to achieve a therapeutic outcome, the therapist is a licensed professional trained and qualified in a clinical specialty, and the therapist is using hypnosis as a tool to help the patient. It is used as one of the modalities of mind-body medicine to access the mind-body connection in order to elicit healthy and beneficial (therapeutic) responses in the patient. This can cover the range from medical conditions, psychological conditions, behaviors and habits, and sometimes to improve performance (like with a professional athlete, musician, dancer, etc).
First, let me say that I believe all hypnosis is self-hypnosis. And I do not believe anyone has a precise definition of hypnosis, but I favor the definition provided by the American Society of Clinical Hypnosis: (source,http://www.asch.net)

“Hypnosis is a state of inner absorption, concentration, and focused attention. It’s like using a magnifying glass to focus the rays of the sun and make them more powerful. Similarly, when our minds are concentrated and focused, we are able to use our minds more powerfully. Because hypnosis allows people to uses more of their potential learning self-hypnosis is the ultimate act of self-control.”

While the American Society of Clinical Hypnosis definition refers to it as a “state” of inner absorption, some other definitions refer to it as “a process” or as “a procedure” that involves a therapist and a subject. I do not think anyone has an absolute definition of hypnosis and prefer to think of it as a combination of a procedure, a process, and a state of inner absorption, with the emphasis on ‘a state of inner absorption’. That is, hypnosis is a type of relaxed or passive concentration where we are so absorbed and focused on our own ideas, we are able to exclude or minimize the energy we give to the other things going on around us. I particularly like the example of using our mind as a magnifying glass to focus and concentrate our ideas and thoughts so that our subconscious mind receives them clearly and accepts them.

You probably do not realize it, but you often put yourself into hypnotic trances every day. You often become so inwardly absorbed and focused on your thoughts that you can ignore many of the things going on around you, even as you know they are happening. One common example is becoming so caught up in a good book or a powerful movie that you react as if it were real. But I think the best example of this kind of everyday trance is a day dream.

Think about the times when you were in a classroom as the teacher was lecturing at one end of the room and you were staring out a window. Your eyes were open and you were seeing, yet you weren’t looking at what you were seeing. Your ears were also open and recording the changes in air pressure we call sound waves, so you were hearing but you weren’t listening to what you were hearing. This daydream-like state is what a hypnotic trance feels like. And in this state of relaxed or passive concentration we are more accepting of suggestions that may be offered to us by a therapist, an audio program, or simply by our own self-talk, imagination or visualization of what we desire.

I think there that the major difference between hypnosis and meditation involves intention. That is, when we are in the meditative state of inner absorption and using it with a very deliberate purpose or intention of offering suggestions to our mind-body (aka subconscious) to elicit a therapeutic response, then I call that hypnosis. If we are enjoying the meditative state purely for the many benefits inherent in mediating alone, then I call that meditation. Bottom line is that I see the ‘trance state’ as a meditative state of inner absorption, and when that state of inner absorption is being intentionally used to effect a therapeutic outcome, then I call it hypnosis as opposed to just meditation.

PS: And I like Miraval too… in fact, our Arizona Center for Integrative Medicine plays a role at Miraval, and the current medical director, James Nikolai MD, is one of our Fellowship graduates.
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