Hypnotic Imagery and Suggestion as an Adjunctive Treatment in a Case of Coma

Hypnotic techniques were used in the treatment of a comatose young woman. Images and suggestions presented were designed 1) to cognitively stimulate the patient and possibly rehearse premotor aspects of functioning, 2) to facilitate relaxation and comfort, 3) as she improved, to suggest ideomotor production of movement if and when capable, and 4) to reduce potential negative expectations due to long-term inactivity. The woman, though comatose for a period of more than 4 months, seemed to respond very favorably. She regained consciousness and had returned to an almost complete level of functioning by 18 months follow-up.