What are susceptibility tests for hypnosis?

Overview — what “hypnosis susceptibility” tests measure

  • These tests assess how responsive a person is to hypnotic suggestions (i.e., capacity to enter hypnotic states and to experience suggested changes in perception, memory, motor control, or involuntariness).

  • They differ by format (individual vs. group), focus (auditory/motor/ideomotor/imagery/anaesthesia/age regression/arm levitation/sensory alteration), length, and scoring method (number of suggestions accepted or objective behavioral criteria).

  • No test is a perfect measure of a unitary trait; responsiveness can vary with context, rapport, expectation, wording of suggestions, and the administrator’s skill.

Common, established scales

  1. Stanford Hypnotic Susceptibility Scales — Forms A, B, and C (SHSS:A, SHSS:B, SHSS:C)

  • Format: Individual, standard clinical/research administration; about 12–15 suggestions (often 12).

  • Typical suggestions include: eye closure, hand lowering, arm levitation, hand levitation/lock, arm rigidity, sensory alterations (taste/weight change), amnesia for a suggested item, hallucinations (e.g., glove anesthesia or hallucinated odor), post-hypnotic suggestions and amnesia for suggestions.

  • Scoring: Each suggestion scored pass/fail (1/0) by objective behavioral criteria. Total score 0–12 (or up to 15 depending on form).

  • Advantages: Best-known, high reliability and validity, widely used for research; covers a range of motor, sensory, and cognitive suggestions.

  • Limitations: Time-consuming, requires trained administrator and quiet one-to-one setting.

  1. Harvard Group Scale of Hypnotic Susceptibility — Form A (HGSHS:A)

  • Format: Group administration (classroom-like), typically 12 suggested items delivered via tape or script.

  • Typical items: Eye closure, arm heaviness, finger lock, visual hallucination, anosmia/age regression items adapted for group use.

  • Scoring: Binary pass/fail per item; group norms available.

  • Advantages: Efficient for screening many people quickly; good for large studies.

  • Limitations: Less detailed than individual scales; some items must be modified to work in a group. Lower sensitivity for high and low ends than SHSS.

  1. Waterloo-Stanford Group Scale (WSGC)

  • Format: Group, often used for children/adolescents; items tailored for age.

  • Advantages: Efficient for educational settings.

  • Limitations: Fewer established psychometric norms compared with SHSS.

  1. Creative Imagination Scale (CIS)

  • Format: Self-report measure; participant rates their own experience of suggested items.

  • Uses: Quick screening, particularly where behavioral scoring is impractical.

  • Limitations: Relies on subjective report; more susceptible to demand characteristics.

  1. Barber Suggestibility Scale (BSS)

  • Format: Shorter, individual scale focusing on compliance-based suggestibility rather than hypnotic induction per se.

  • Notes: Emphasizes personality and compliance components.

  1. Hypnotic Induction Profile (HIP)

  • Format: Shorter clinical measure focusing on depth of trance using objective signs (eye roll, etc.) and a few test suggestions.

  • Uses: Quick clinical depth assessment rather than full suggestibility profiling.

Lemon Test

  • Purpose and focus: A short suggestibility task designed to measure sensory/olfactory hallucination-type response, plus openness to suggestion; often used as a quick screening item or as part of a battery.

  • Typical procedure:

    • Induction: brief relaxation/hypnotic induction (varies by administrator; may be as short as a focused attention induction).

    • Suggestion: Participant is told they will smell a lemon (or that a lemon has been placed nearby) and then the hypnotist suggests they can clearly smell and maybe taste lemon juice, describe its scent, and perhaps experience a puckering sensation.

    • Variants: Some versions include the participant actually being handed a lemon or asked to imagine one. The suggestion can emphasize vivid, automatic experience (olfactory, gustatory, mouth puckering).

  • Scoring:

    • Subjective self-report of smelling/tasting lemon.

    • Behavioral indicators such as facial expression (puckering), salivation, or verbal description.

    • Some structured forms ask specific questions (Did you smell lemon? Rate intensity 0–5; did mouth pucker?).

  • Strengths:

    • Simple, short, easy to include in a battery.

    • Tests sensory and gustatory suggestion and capacity for vivid imagery/hallucination.

  • Limitations:

    • Susceptible to demand characteristics (participant may report smelling because they think it’s expected).

    • Single-item measures capture only one domain; should be interpreted alongside other items.

    • Cultural/expectation effects (lemon familiarity, explicit cues) can influence results.

  • Practical notes:

    • For better objectivity, record facial signs (puckering) and salivation; ask sensory-rating scales rather than yes/no.

    • Best used as part of a multi-item battery, not as sole measure of hypnotizability.

Kappasinian Suggestibility Test

  • Note: The Kappasinian test is less familiar in mainstream research literature than SHSS or Harvard scales; descriptions vary across sources.

  • Purpose and focus: A structured suggestibility test focused on layered suggestions (progressive complexity) to gauge depth and breadth of responsiveness, often including motor, sensory, and post-hypnotic elements.

  • Typical procedure:

    • Pre-induction briefing: brief explanation and consent; neutral expectations to reduce compliance bias.

    • Induction: standardized induction script (progressive relaxation, focused attention).

    • Test items: A sequence of suggestions increasing in complexity. Items often include:

      • Eye closure and heaviness (basic compliance).

      • Arm levitation/float (ideomotor).

      • Motor inhibition (hand lock).

      • Sensory alteration (e.g., lemon smell/taste, numbness).

      • Hallucination (visual or auditory).

      • Post-hypnotic suggestion and subsequent amnesia for it.

    • Scoring: Objective pass/fail for each item, sometimes with graded levels (none/partial/full). Composite score and categorical classification (low/medium/high) commonly used.

  • Strengths:

    • Structured progression allows assessment of response pattern (e.g., strong motor but weak sensory responsiveness).

    • Useful for both clinical screening and research if standardized carefully.

  • Limitations:

    • Because it’s less standardized in published literature, norms may be limited and psychometric properties less established than SHSS or HGSHS.

    • Requires a consistent script and clear behavioral scoring criteria to be reliable.

  • Practical notes:

    • If using the Kappasinian test clinically or in research, develop and pilot a clear scoring rubric, and combine it with a validated scale for triangulation.

    • Report administration details (exact script, induction length) so others can interpret and compare results.

Other specific item examples and what they measure

  • Eye closure/hand lowering: simple behavioral signs of absorption/relaxation; often early items to create rapport and screen for basic responsiveness.

  • Arm levitation (ideomotor): measures involuntary movement response to suggestion; often early, easier pass for many subjects.

  • Arm immobilization/lock: tests ability to experience motor inhibition and sense of involuntariness; correlated with deeper suggestibility.

  • Anesthesia/glove anesthesia: tests suggestion-induced sensory anesthesia (tactile) and can demonstrate strong sensory-cognitive integration.

  • Hallucinations (olfactory, taste, visual): measure capacity for suggested perceptual experience—useful diagnostically because hallucination items often discriminate higher from moderate suggestibility.

  • Post-hypnotic suggestion and amnesia: tests whether a suggestion given in hypnosis can affect later behavior and memory; sensitive to deeper responsiveness and to expectation/demand.

  • Age regression and time distortion: higher-complexity cognitive suggestions about memory/identity; useful clinically but more variable.

Scoring and interpretation

  • Binary scoring (1 = observable/credible response; 0 = no response) is most common and objective.

  • Some researchers use graded scoring (0–2 or 0–3) to capture partial responses.

  • Norms: For established scales like SHSS and HGSHS, normative distributions exist (e.g., many people cluster in low-moderate; very highly hypnotizable individuals are a minority).

  • Typical cutoffs: Often defined as low (0–3), medium (4–8), high (9–12) on a 12-item scale — adjust by scale used.

  • Use caution: Don’t equate a low test score with inability to benefit from hypnotic techniques clinically—context, motivation, rapport and tailored suggestions matter.

Practical guidance for choosing and using a test

  • For research needing validated, comparable results: use SHSS (individual) or HGSHS (group) with published norms.

  • For clinical screening where time is limited: short tests (Lemon Test as part of a brief sensory battery, HIP, or short-item scales) can help, but interpret cautiously.

  • For groups: use the Harvard Group scale or Waterloo-Stanford Group scale.

  • Combine multiple domains: motor, sensory, cognitive, and post-hypnotic items to better profile an individual’s pattern of suggestibility.

  • Reduce demand bias: use neutral language, avoid leading cues, and record behavioral indicators where possible.

  • Train administrators: consistent wording, pacing, and behavioral scoring rules improve reliability.


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