Stanford Hypnotic Susceptibility Scale Form A

The establishment of the report before the initial induction

Time: 5-7 minutes
It is well understood from the outset that the subject consents to being hypnotized, either to satisfy the goals of a
scientific research or because a personal service is rendered to him. Please note the terminology.
slightly different proposed for experimental subjects and for therapeutic cases. The
The subject is sitting on a chair.

We will talk a bit before we begin. I want you to be very comfortable. It will undoubtedly
easier to be if I answer a few of your questions first. I believe this is the first one
Is this your first experience with hypnosis? Is that right?

If the subject has had previous experience, take note of the details of that experience. When?
By whom? How many times? Continue, even if the subject has had previous experience, in
introducing the necessary changes.
People who come here for the first time are sometimes a little uncomfortable because they don't know
not what the experience consists of, or because they have misconceptions about what it is. It is all about
It's natural to be curious about new experiences; your curiosity will be satisfied before we
We have finished, but you can better get the answers you are looking for by simply collaborating.
to what is going to happen, and by not trying to understand what is going on. I want to reassure you about certain
First, the experience, although it is not usual, will not seem as distant from
the experience of everyday life, not as much as you might think. Hypnotism mostly depends on your
desire to listen to me and to respond to what I am going to tell you, and to let my words act on you without
you will oppose it. These words that I am going to tell you are called suggestions. Secondly, you are not
don't ask to do nothing so that you look stupid, or to do things that will make you uncomfortable.
ease. We are here to conduct serious research. Thirdly, and finally, I will not
don't try to know your personal problems, and there will be nothing personal in what you are going to
say or do while you are hypnotized.

Answer the questions by paraphrasing the following points:

You may be wondering why we are conducting an experiment. Hypnosis is being used more and more.
by the doctors: for example by dentists to relieve pain, by the doctors so that the
deliveries are easier, by psychiatrists to reduce anxiety. Everyone can
probably be hypnotized, but some people are more easily hypnotized than others, even
when the two collaborate. We study some of these differences between people. Do you
Do you have any other questions or comments before we continue?

1A- The fall backwards

Time: 2 minutes
The operator, still seated, continues (from here, read the instructions verbatim)
To start, I want to show you what it feels like when responding to a suggestion first.
hypnosis.

By saying this, the operator begins to rise and takes the position he will have for the fall in
back, continuing with:
If you would be so kind, please stand up and turn your back to me.

If necessary, the operator must guide or indicate by gestures or by instructions.

additional the position he wants the subject to adopt, which should be about a foot forward
from him. If a female subject is wearing high heels, we must ask her to take them off,
set up correctly, then we give the following instructions:
Place your feet together, hands at your sides. Keep your head straight.

The head should be at a normal level. If necessary, place it with your hands in the correct position.
Now close your eyes and relax; it's simply about relaxing.

Let thirty seconds pass and note the amount of ataxic movements that is present. To
At the end of this period, the four-part suggestion mentioned below is provided with a tone of voice
relatively uniform and with an average volume. Note the magnitude of the maximum response and when.
she occurred for the first time (i.e. in which of the four sections). If the subject falls
Immediately, the suggestion ends and one must go directly to the final section (5) of this item.
(1) "In a moment, I will ask you to think about falling backward. I don't know if you know
what to think about this movement and doing this movement, it looks very similar. Right after having
I thought about falling, you will see that you tend to fall. You will see that indeed you
lean back, more and more back, until the moment when by leaning so much, you will fall.
When this happens, let yourself fall. I am positioned behind you and I promise you that I will not
I won't let go very far. Here... This is how it's going to happen.

The act of falling only means losing balance: the operator catches the subject before it
falls very far. Being placed a foot behind the subject makes it easier to place the hands.
behind the shoulders and stop the fall of a subject even heavier than the operator. If the subject
shows some resistance to falling, point it out to him and warn him not to resist
in this way.
(2) "Well, it's okay... Listen carefully to what I am telling you and think about letting yourself go backward, to
fall backwards. Very soon, you will start to lean backwards. You will lean back
back, more and more back.
(3) You are now starting to lean back. You are leaning back. More and more back.
back. You lean back. You lean back more and more. You lean back more and more
back. You are leaving drawn back, drawn back.
You fall backwards, you lean backwards, you fall backwards, you lean backwards
back, you fall back, you fall back, you fall back... You fall, you
fall, you fall... fall!

(Scorer here)

(If the fall does not happen) That's very good. Now, you see how the simple act of
Thinking of falling produces the tendency to fall. If you let yourself do what I say, you will be
capable of being hypnotized. Now, I want you to let yourself go and actually fall,
friends wait for the trend to fall to be strong enough.

Repeat paragraphs (2), (3), and (4) above. If the subject does not fall with these suggestions,
repeat the instructions again in order to produce a voluntary fall. Each subject must
fall before moving on to the next instructions, although, obviously, such a fall is not
not recorded as a success.

(If the fall happens) "That’s very good. Now, you now know how it feels
when we accept suggestions and act in accordance with suggestions, you see how the
"The act of thinking about a movement creates a tendency to make that movement."

Seat the subject in the chair, and record the score. The score (+) if the fall occurs.
during the first reading of paragraphs (2) to (4) above.

2A- The closing of the eyes

Time: 15 minutes
A small shiny object (a button, a metal thumbtack, etc.) is placed in such a way that a subject
Assis must slightly lift his eyes to see him. A person wearing glasses must keep them on; the
contact lenses must be removed. The subject is comfortably seated in an upright chair.
well-padded, with a backrest high enough to support its head. The following is a
standard induction procedure, so the individual sections are timed to indicate
an approximate reading speed.
Look closely at this small ball located above and in front of you.
(If necessary, point to it.)

(1) "Now, I want you to sit comfortably, one hand on each arm of the chair,
and that you look straight ahead. I will soon give you instructions that will help you to
relax and gradually, they will hypnotize you. Keep a comfortable position. Now,
turn your eyes up and look at the small ball. Raise your head just enough for you
may you watch it without too much fatigue. I want you to continuously look at the ball and,
while your eyes are fixed on it, you listen to what I am telling you. Your ability to be hypnotized
depends partly on your collaboration and partly on your focus on the small ball and on my
words. You have been very kind to come here, and if you would be so kind now, I can help you to
become hypnotized. You can be hypnotized only if you want to. I think you want to and
that you do your best to collaborate by focusing on the ball, by listening to my words,
and by letting everything you feel is going to happen come. Let them come. If you
listen carefully to what I am going to tell you and think about the things I am asking you
of thinking, you can easily feel what it is to be hypnotized. It is a perfectly resulting consequence.
Normal of certain psychological principles. It is simply a very strong state of interest in something.
something special. In a sense, you are hypnotized when you watch a good show, that you
forget what is happening around you, and that you feel you are participating in the action. Many people
They tell you that being hypnotized is similar to being asleep. The difference is that a person
hypnotized continues to hear, at the same time as she experiences different sensations. To a certain
In a way, a hypnotized person is like a sleepwalker; however, hypnosis does not occur.
exactly the same way for everyone. In a sense, the hypnotized person is just like a
sleepwalker, because she can continue to do different complicated things while remaining
hypnotized. All I ask of you is to continue being attentive and interested, and to keep on
cooperate as you have cooperated until now. I will not do anything that will make you uncomfortable. The
Most people find it an interesting experience to have. (time: 2min 30)

If the eyes close, go to paragraph 2A (2) and continue until 2A (7)

(2) Just let yourself relax. Keep your eyes on the ball. Look at it too.
as much as possible. If your eyes wander away, it's nothing... just bring your eyes back
on the ball. After some time, you may find that the ball becomes tangled, or that
sometimes it moves, or again, it changes color. That's very good. If you fall into relaxation
deep, it's also very good. Whatever happens, let yourself go and keep watching the ball. At a
given moment, however, your eyes will be so tired, will be so heavy, that you will not be
unable to keep them open any longer and they will close, perhaps against your will. When
your eyes will want to close, let them do it. (time: 45 sec)

If the eyes close, go to paragraph 2A (2) and continue until 2A (7)

Relax completely. Relax each of the muscles in your body. Relax the muscles of
your legs... relax the muscles of your feet... Relax the muscles of your arms... of your fingers...
Relax the muscles of your neck, your chest… Relax all the muscles of your body…
Let yourself become soft, soft, soft. Relax more and more. Relax completely.
Relax completely. Relax completely. (time: 30 sec)

If the eyes close, go to paragraph 2A (3) and continue until 2A (7)

Your eyes are tired of staring at the ball. The heaviness of your eyelids increases. Soon you will be
unable to keep your eyes open. Soon, your eyes will close on their own. Your eyelids will be
too heavy to stay open. Your eyes are tired from staring at the ball. Your eyes are becoming moist at
cause of fatigue. You are becoming increasingly tired and drowsy. The fatigue of your eyes is becoming more and more
bigger, bigger and bigger. It would be so nice to close your eyes, to relax
completely. And just listen to my voice speaking to you while remaining relaxed. You would like to close
your eyes and completely relax, completely relax. You will soon reach your
limit. The fatigue will be so great, your eyes will be so tired, your eyelids will become so heavy, that
your eyes will close by themselves, will close by themselves. (time: 60 sec)

If the eyes close, go to paragraph 2A (4) and continue until 2A (7)

(5) Your eyelids are becoming heavy, very heavy. You are relaxed, very relaxed. There is a feeling
pleasant warmth and heaviness that spreads throughout your body. You are tired and relaxed. Tired and
relaxed. Relaxed. Relaxed. Relaxed. Listen carefully to my voice. Do not pay attention to anything else but my
voice. Your eyes become blurry. You have difficulty seeing. Your eyes are tired. Fatigue
becomes bigger and bigger, bigger and bigger. (time 30 sec)

If the eyes are closed, go to paragraph 2A (5) and continue until 2A (7)
Your eyelids are heavy, heavy as lead they are becoming heavier and heavier.
no longer heavy. They push from below, from below, from below. Your eyelids seem heavy,
as if weighed down by lead, heavy as lead... Your eyes blink, blink, blink... they
ferment… they ferment… Time: 15 sec

If the eyes are not yet closed

Soon your eyes will close by themselves, but you no longer need to tire them out. You have done well.
focus your eyes on the ball, and you have become relaxed and at ease. Now we have arrived
at the moment when you can just let them close.(If there is no answer: that's it,
now, close them.)
You are now comfortably relaxed, but you are going to relax even more, a lot.
more. Your eyes are now closed. You will keep your eyes closed until I tell you to
opposite, or until I tell you to wake up... You feel tired and relaxed. Continue
simply listen to my voice. Listen to it carefully. Focus your thoughts on what I say. You will
become much more tired and relaxed. Soon you will be deeply relaxed, but you will continue
to hear me. You will not wake up until I tell you to do so. I will now
start counting. With each digit, you will feel like you are going down, down into a
deep relaxation, comfortable, in a restful relaxation. A relaxation that will allow you to
do all sorts of things that I will ask you to do. One - you will become deeply
relaxed… Two - descending, descending into a deep relaxation. Three, four - more and more,
more and more relaxed... Five, six, seven – You are sinking, you are sinking into a deep relaxation. Nothing does
will disturb you. Listen only to my voice and the things I tell you. I want you to continue to
pay attention to my voice and the things I tell you… Eight – nine – ten – eleven – twelve – moreover
deeper and deeper relaxed. Thirteen - Fourteen - fifteen - although
You are deeply relaxed, you can hear me regardless of the depth of relaxation.
that you feel you have reached... Sixteen – seventeen – eighteen – deeply relaxed, completely relaxed.
Nothing will disturb you. You will feel several things that I will tell you to feel… Nineteen –
twenty - Deeply relaxed! You won't wake up until I tell you to do so. You are going to
desire to relax and feel the things that I am going to describe to you now. Time: 2 min

Record the score. The score (+) if the eyes close before the last paragraph (6) above,
that is to say before a specific request to close them. Go to item 3A, the lowering of the hand.

2A - Closing the eyes

For those who close their eyes very early

As soon as the eyes close, finish the sentence appropriately and then say:
You are comfortably relaxed, but you are going to be much more relaxed, much more. Your eyes
are closed now. Keep your eyes closed until I tell you to open them or until
I am telling you to wake up.

So choose the appropriate paragraph and continue with the following suggestions, which
assuming all eyes are already closed. If the eyes open again, talk about
close them.
(2) Just relax. Listen carefully to my voice. Try to listen to it attentively as much as possible.
that you can. If your attention drifts away from my voice, it doesn't matter... just bring it back to your
pay attention to my voice. After some time, you may find that my voice seems to become weak or
that she moves away from you, or that she becomes different. This is very good. If you become more
relaxed, that is also very good. Whatever happens, let it happen and just keep listening
my voice as you become more and more relaxed. Just listen and relax. Little
Whatever is going to happen, just let it happen.

(3) Completely relax. Relax each of the muscles in your body. Relax the muscles of
your legs... Relax the muscles of your feet... Relax the muscles of your hands, your fingers...
Relax the muscles of your neck, your chest... Relax all the muscles of your body. Let go...
you become soft, soft, soft. Relax more and more. Relax completely. Relax-
relax completely.

As you relax more and more, a feeling of heaviness takes hold of your body.
a feeling of heaviness takes hold of your legs and arms... spreading to your feet and into your
main... in your whole body. Your legs feel heavy and soft, heavy and soft... your arms
are heavy, are heavy... your entire body feels heavy, heavier and heavier. Like lead. You
start to feel tired, weary, and relaxed. Your breathing becomes slow and steady. You
become tired and relaxed, increasingly tired and relaxed, as your entire body becomes more and more
more relaxed, more and more relaxed.

You are relaxed, completely relaxed. But you can be even more relaxed if you...
allow it to be. You will soon reach a state of relaxation, complete relaxation. You are becoming
more and more tired and relaxed. There is a pleasant feeling of warmth and heaviness that spreads through
your body. You feel so relaxed, so relaxed. Nothing else interests you, except my
voice. Meanwhile, you continue to become more and more deeply relaxed.

You are relaxed, very relaxed. There is a pleasant feeling of warmth and heaviness, of lethargy, at
through your body. You are tired and relaxed. Tired and relaxed. Relaxed. Relaxed. You want only
listen to my voice. Do not pay attention to anything else but my voice. You have no worries, no
worry now. You are pleasantly, deeply relaxed, becoming deeper
Relaxed at every moment. Everything else but my voice becomes distant, quite distant. Nothing else.
that my voice does not seem important, nothing else is important. Nothing seems interesting to you now,
if not my voice and what I have to tell you. And even my voice may reach you as in a dream, to
as you relax more and more, as you sink deeper into this
lethargy, in this deep state of relaxation. Relax, relax... deeply relaxed. From
deeper and deeper with each passing moment.

You feel tired and relaxed. Just keep listening to my voice. Listen to it very
attentively. Focus your thoughts on what I am saying - just listen. You will become much
more tired and relaxed. Soon, you will be deeply relaxed, but you will continue to hear me.
You will not wake up before I tell you to do so. I will now start counting. To
with each number, you will feel yourself descending, descending into a deep relaxation,
comfortable, in a relaxing rest. A relaxation that will allow you to do all kinds of
things I will ask you to do. One - you will become deeply relaxed... Two -
descendant, descending into a deep relaxation. Three, four – more and more, more and more
Relaxed... Five, six, seven - You are sinking, you are sinking into a deep relaxation. Nothing is bothering you.
will disturb. Listen only to my voice and the things I tell you. I want you to continue to wear
pay attention to my voice and to the things I tell you… Eight – nine – ten – eleven – twelve – more and more
deeply, more and more deeply relaxed. Thirteen - Fourteen - fifteen - although you
be deeply relaxed, you can hear me regardless of the depth of relaxation that
you feel you have reached... sixteen - seventeen - eighteen - deeply relaxed, completely relaxed. Nothing does
you will be disturbed. You will feel several things that I will tell you to feel… Nineteen – twenty –
Deeply relaxed! You won't wake up until I tell you to. You will desire
relax and feel the things that I will describe to you now.
Record the score. The score (+) if the eyes close before the last paragraph (6) above,
That is to say before a specific request to close them. Go to item 3A, the lowering of the hand.

3A- The lowering of the hand

Now that you are relaxed and at ease, and you are listening to my voice, effortlessly, I will
show how your ideas can influence your actions, in this state. Not everyone feels everything
has done the same things, and maybe you won't feel everything I'm going to tell you. This
it will be very good. But you will at least feel some of the experiences and you will find them
interesting. You will simply feel what you can. Pay close attention to what I
Say and watch what happens. Let everything that is going to happen occur, even if it is not what you
wait.

Specific instructions
Please extend your left arm straight out, with the palm of your hand facing down.
The operator places the subject's arm in the required position.) That's it. I want you to pay close attention.
to your hand, to what it feels, to what is happening to it. As you focus on your hand,
you are more aware of it than you have ever been – you notice if it is hot or
cold, if she feels a slight tingling, if your fingers tend to contract, even slightly...
This is good, I want you to pay close attention to this hand because something very interesting is going to happen.
is going to happen to him. She is starting to become heavy... heavier and heavier... as if something
heavy pulled your hand and your arm down... you can imagine something heavy on
your hand... and as it feels heavier and heavier, it begins to move... just like
if something was pulling her down... a little bit from below... more and more... down... and as I
count, it becomes heavier and goes lower and lower. One - down... Two - down...
Three - down... Four - down, lower and lower... Five - down... Six - down... Seven... Eight... of
heavier and heavier, lower and lower... Nine... Low... Ten... heavier and heavier... more and more
more...
Unless the hand is completely down, allocate ten seconds, note the range of movement.
so continue:
(If the hand is not quite at the bottom):
It's good... now just let your hand drop lower to its normal position on
the arm of your chair, and relax. You have surely noticed how your arm and hand
felt heavy and tired - much more than they normally would be if you held them of this
way for a while; you probably noticed that something seemed to pull them by
down. Now, just let yourself relax... your hand and your arm are now
completely new and comfortable. There, it's done... just relax.
(if the hand is all the way down):
that's good... just let your hand rest there on the arm of the chair and relax. Your
your hand and arm are now completely comfortable again. There, it's done... just do it.
to relax.
Record the score (+) if the hand has lowered by at least 15cm at the end of the ten period.
seconds. Go to item 4A, the immobilization of the arm.

4A- The immobilization of the arm (right arm)

Time:1min20

You are very relaxed. The general heaviness that you have felt from time to time; you...
Feel it now throughout your body. Now, I want you to pay close attention to your hand.
right and your right arm... Your hand and your arm feel heavy... Your right hand feels so much
heavy... and notice, while you think of this heaviness in your hand and in your arm,
how the heaviness seems to increase even more... Now your arm becomes heavy, very heavy.
Now that your hand is becoming heavy... so heavy... like lead... maybe a bit more
later you would like to notice how heavy your hand is... it seems much heavier for
to be lifted, but maybe you can lift it a little, even though it is so heavy, although
Already she may be too heavy, even to try that... Why don't you see for yourself?
How heavy it is... Just try to lift your hand in the air, just try. Try.
simply raise your hand in the air, try it. (Allocate 10 sec)

(If the hand raises):

That's good. You can see how to lift it, you encountered some resistance.
because of the state of relaxation you are in. Now, place your hand back on the arm of
the chair and relax. Your hand and arm are back to normal. They are no longer heavy.
Just relax, completely unwind.

(If the hand does not rise):

That's good... stop trying... Your hand and arm are now in their normal state. They are not
heavier. You can lift them if you wish, but don’t try now. Just do
you relax... completely relax yourself.

Record the score. The score (+) if the arm rises less than 2cm during the ten period.
seconds. Go to item 5A, the closing of the fingers.

5A – The closing of the fingers

Time: 1min
Now, let's try something else. Place your fingers together. Join your fingers. That's it. Squeeze your
main firmly together. Notice how your fingers become tightly intertwined... if
tightly intertwined that you wonder if it is possible to separate your fingers and your hands... Your
fingers are tightly intertwined, securely interlaced... and I want you to try to separate your hands...
try now... (Allocate 10 seconds)

(If the hands separate):

It's very good. You noticed how difficult it was to start separating them. Now,
Place your hands in a resting position and relax... just allow yourself to relax.

(If the hands have not separated):

Stop trying and relax... Your hands are no longer tightly clenched together... you
Can you separate them… Separate them, place them back on the arms of the chair and relax… do it
Simply relax.

Record the score. The score (+) if the fingers are not completely separated after ten
seconds. Go to item 6A, the rigidity of the arm.

6A - The rigidity of the fat (left arm)

Time: 1 min
Please extend your left arm straight out and clench your fist... the arm extended straight, the fist clenched. I
I want you to pay attention to this arm and imagine that it is becoming hard… harder and harder…
very hard... and now you notice that something is happening to your arm... you notice that a
a sensation of hardness takes hold of him... he becomes hard... harder and harder... rigid... like a bar of
iron... and you know how difficult it is... how impossible it is to bend a piece of iron like
your arm... Notice that your arm is like a bar of iron... check how hard and stiff it is...
try to fold it... try. (Allocate 10 sec)
(If the arm bends):
It's good. I want you to feel several things. You felt the overwhelming hardness... you
you have spent a lot of effort to bend your arm. Put your arm back in its
resting position. It is no longer hard now... As your arm relaxes, let your body
the whole relax too.

(If the arm does not bend):

Now, relax... stop trying to bend your arm... It's not hard anymore... let it go
relax and reposition yourself on the arm of the chair... Just allow yourself to relax.

Record the score. The score (+) if the arm does not bend more than ten cm in ten seconds. Go to
item 7A, the movement of the hands.

7A - The movement of the hands

Time: 1 min
Please hold your two hands in front of you, palms facing inward, leaving about 20cm between them.
the two. Here, I will help you (take the subject's hands and place them about a foot apart from each other)
the other)
Now, I want you to imagine that a force is pulling your hands towards each other, drawing them together.
As you think about this force that pulls your two hands together, slowly at first, but they
will come closer to each other, closer and closer, as if a force were acting upon them...
They get closer... get closer... closer, closer... (Allocate ten seconds without others
suggestions, and observe the magnitude of the movement

(If the hands did not touch):

That's good. You notice again how thinking about a movement creates a tendency.
to make this movement. Let me show you how far your hands should have moved to join
together.
Take the subject's hands and bring them together quite quickly.

(If the hands have touched)

That's good. Now, place your hands on the arms of the chair and relax.

Record the score. The score (+) if the hands are no more than 5cm apart at the end of the
ten second period. Go to item 8A, verbal inhibition.

8A - Verbal inhibition (of the noun)

Time: 50 sec
You are now relaxed... deeply relaxed... think about how difficult it would be to
talking while you are so deeply relaxed... perhaps as difficult to speak as when you
you are asleep. I wonder if you can say your name: I really think you can't
not... but I think you will find that it is very difficult... why don't you try saying
your name now... just try to say it...
(Allouez 10 sec)

(If the name is given):

It's very good. You still see how you have to make an effort to do something that easy,
Normally, just say your name. You can say it much more easily now. Say it.
Again... that's very good, now relax.

(If the name is not pronounced):

It's very good... stop trying and relax... you can now easily say your name...
Come on, say it... It's very good. Now, relax.
→ Record the score. The score (+) if the name is not given within ten seconds. Go to item 9A,
the hallucination.

9A - The Hallucination
Time: 55 sec
I am sure that you have focused so well on what we just did that you haven't
I noticed the fly buzzing around you... but now that I draw your attention to it,
you are becoming more and more aware of this fly buzzing around your head… more and more
near you… buzzing in an annoying way… Listen to the buzzing that gets louder as
that she rushes towards you... you don't worry much about this fly... you would like her to
hunting far away... get rid of it. It disturbs you. Go ahead and get rid of it if you do.
want... (Allouez 10 sec)
Here, she's leaving... she's gone... and she won't bother you anymore... there are no more flies. Do it.
just relax, completely relax.

Record the score. The score (+) for any grimace, any movement, for
any acknowledgment of an effect. Go to item 10A, the catalepsy of the eyes.

10A – The catalepsy of the eyes

Time: 35 sec
Your eyes have remained closed for a long time while you stayed relaxed. At this moment, they
are firmly closed, firmly closed... If you tried to open them now, you would have everything
probably the feeling that your eyelids are stuck together... firmly stuck together... Can you...
To be that soon you would like to try to open your eyes despite the fact that they seem so heavy and so
completely... so tightly shut. Just try... try to open your eyes. (Allow 10 sec)

(If the eyes open):

It's good, close your eyes. You were lucky to see how tightly they were closed.
Now, relax... just keep your eyes closed and relax.

(If the eyes remain closed):

Now relax... Stop trying. Your eyes are normal again, just keep them that way.
close your eyes and relax.

→ Record the score. The score (+) if the eyes remain closed at the end of the ten-second period.
seconds. Go to item 11A, the post-hypnotic suggestion.

11A and 12A - The post-hypnotic suggestion to change chairs; of amnesia

2 minutes 30 seconds
Stay deeply relaxed and pay close attention to what I am about to tell you now. In a
Now, I will start counting down from 20 to 1. You will gradually wake up,
but for most of the time I will be counting, you will still remain in the state you are in
now. At the moment I say five, you will open your eyes, but you will not be completely
Awake. When I say one, you will be perfectly awake, in your normal state of wakefulness. You will have
probably the impression that you have slept because you will have difficulty remembering all
the things I told you and all the things you did or felt. In fact, you will
to realize that the effort required of you to remember any of these things is so great
that you won't feel like doing it. It will be much easier to just forget everything until
that I tell you that you can remember. You will remember nothing of what happened until
what I tell you: "Now, you can remember everything!". You will remember nothing
until this moment. After opening your eyes, you will feel good. You will not have any headaches.
ne other effects. I will now start counting down from twenty, and at five, step
First, you will open your eyes, but you will not be fully awake until I say one. At one,
you will be awakened...

A little later, I will hit the table with a pencil. When I do this, you will stand up from
your chair and go towards the chair that is directly in front of you, and sit down. You will do this,
but you will forget that I told you to do it, just like you will forget the other things,
until I tell you: 'now, you can remember everything!'

You are ready now: 20-19-18-17-16-15-14-13-12-11-10 – We have now covered half

the numbers 9-8-7-6-5-4-3-2-1.

(If the subject has opened their eyes):

How do you feel? Do you feel completely awake? (If the subject is drowsy):
This feeling will go away soon. You feel perfectly awake now.

(If the subject keeps their eyes closed):

Wake up! Wake up completely! How do you feel? (If the subject is drowsy): This
sentiment will leave soon. You feel perfectly awake now.

The operator briefly taps the table with his pencil. (Allocate 10 sec)
(If the subject remains seated):
Please sit in the chair that is directly in front of you. I want to ask you a few questions.
about your experiences.

(If the subject changes chair):

While you are sitting in this chair, I want to ask you some questions about your
experiences.

→ Record the score for the post-hypnotic response. The score (+) for the post-response
Hypnotic is any partial movement made in response to the sound of the pencil.

The experience is now over, you regain your usual alertness and all your sensations.
Now, you can remember everything!
 Stanford Hypnotic Susceptibility Scale A

Subject :
Date :

SUGGESTIBILITY TESTS EVALUATION

Induction
Activator Motor
Fall backward
2. Activator Motor
Induction through Eye Closure and Relaxation
3. Actuator Motor
Lowering of the hand
4. Inhibitory Motor
Catalepsy of the arm
Inhibitory Motor
Catalepsy of the fingers
Inhibitory Motor
Stiffness of the arm
7. Activator Motor
Movement of the hands
Cognitive Inhibitor
verbal inhibition
9. Sensory Activator
Visual hallucination (fly...)
10. Inhibitor Motor
Eye catalepsy
Cognitive Activator
Post-Hypnotic Suggestion:
Action (get up to change chair)
12. Cognitive Inhibitor
Post-Hypnotic Amnesia
Amnesia of the session