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Boosting the hypnotic experience. Inhibition of the dorsolateral prefrontal cortex alters hypnotizability and sense of agency. A randomized, double-blind and sham-controlled tDCS study
Abstract
Hypnotizability refers to the individual responsiveness to hypnosis, and literature shows that the greater the hypnotizability, the more effective the hypnotic suggestions. So far, few studies attempted to enhance hypnotizability, and only two adopted brain stimulation with magnetic pulses. In the present study, we aimed to boost hypnotizability through transcranial direct current stimulation (tDCS). To this aim, bilateral tDCS was applied over the dorsolateral prefrontal cortex (DLPFC) with the target electrode providing negative current (cathodal stimulation) over the left hemisphere. Twenty-nine subjects participated in the study and they were randomly assigned to the sham or the active group in a double-blind design. The hypnotic experience was assessed before and after the stimulation through a phenomenological measure of consciousness (the PCI-HAP). The main findings revealed that a single tDCS session enhanced the hypnotic depth by 11% and reduced the volitional control by 30%, while no differences emerged in the sham group. This is the first study adopting the electrical neurostimulation to produce an alteration of hypnotizability and sense of agency, and confirmed the key-role of the DLPFC and executive control in the hypnotic phenomena. If confirmed, these findings could have relevant implications as enhanced hypnotizability could be translated into better outcomes for many hypnotic interventions.
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A previous study by the authors found that cathodal (inhibitory) tDCS of the left DLPFC reduced volitional control by 30% and enhanced hypnotic depth by 11% on the HSS of the PCI-HAP.
“Findings showed that the cathodal (inhibitory) tDCS of the left DLPFC (lDLPFC) reduced the volitional control by 30% and enhanced the hypnotic depth by 11% on the Hypnoidal State Score (HSS) of the PCI-HAP”
From Alteration of hypnotic experience following transcranial electrical stimulation of the left prefrontal cortex (2023) · cites this paper as Perri et al., 2022
The intensity and effect size of the increase in hypnotizability further strengthen the results of the previous bilateral tDCS study.
“The intensity and the effect size of the increase of hypnotizability further strengthened the results of a previous study (Perri et al., 2022) where a bilateral montage was adopted to stimulate the lDLPFC.”
From Alteration of hypnotic experience following transcranial electrical stimulation of the left prefrontal cortex (2023) · cites this paper as Perri et al., 2022
Volitional control was reduced in the study where the dorsal-medial PFC was inhibited.
“It is probably not a case that the volitional control was reduced in the study where the dorsal-medial PFC was inhibited (Perri et al., 2022)”
From Alteration of hypnotic experience following transcranial electrical stimulation of the left prefrontal cortex (2023) · cites this paper as Perri et al., 2022
Bilateral stimulation of the left DLPFC spread current effects to dorsal-medial cortical areas with unpredictable consequences on the right hemisphere.
“while the bilateral stimulation of the lDLPFC spread the current effects to the dorsal-medial cortical areas (for details see Perri et al., 2022) with unpredictable consequence on the right hemisphere (DaSilva et al., 2011)”
From Alteration of hypnotic experience following transcranial electrical stimulation of the left prefrontal cortex (2023) · cites this paper as Perri et al., 2022
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Perri, R. L., & Di Filippo, G. (2023) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2022.100346 · Cited by 21
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Metadata
- Authors
- Perri, R. L., Perrotta, D., Rossani, F., & Pekala, R. J.
- Affiliations
- University Niccolò Cusano (IT)
- Coatesville Veterans Affairs Medical Center (US)
- Corresponding author
- Perri, Rinaldo L.
- Venue
- Behavioural Brain Research
- Publisher
- Elsevier BV
- Published
- 2022-05
- Volume
- 425
- Pages
- 113833
- ISSN
- 0166-4328 (ISSN-L)
- OpenAlex
- W4220956473
- Cited by
- 19
- References
- 16
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 8 · 2023: 6 · 2022: 1
- FWCI
- 1.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Behavioural Brain Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Social Sciences › Arts and Humanities › Philosophy › Free Will and Agency
- Keywords
- hypnotic susceptibility, transcranial direct current stimulation, dorsolateral prefrontal cortex, sense of agency, hypnotic depth, executive function, volitional control, hypnotic suggestion, non-invasive brain stimulation, hypnotherapy
- MeSH terms
- Dorsolateral Prefrontal Cortex, Double-Blind Method, Humans, Hypnotics and Sedatives, Prefrontal Cortex, Percutaneous Coronary Intervention, Transcranial Direct Current Stimulation
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