NBC Nightly News wants you to know this:
“Hypnotherapy can be an effective treatment for heartburn and other stomach conditions. It’s a powerful alternative treatment, backed with plenty of scientific evidence”
What other conditions?
Apparently, gastroesophageal reflux disease (GERD), Crohn’s disease, ulcerative colitis, and irritable bowel syndrome to name a few.
How does it work?
“Hypnosis optimizes the brain depth function.”
What scientific evidence?
an anecdotal account of one patient with “a genetic condition that is associated with many GI symptoms” whose abdominal pain and weight loss improved with hypnotherapy.
assurance by a hypnotherapist that this “brain-gut therapy” is based on “a robust amount of literature behind hypnotherapy beginning in the 1980’s”
the above phrase …”backed with plenty of scientific evidence” … actually links to an abstract by the aforementioned hypnotherapist in the text version of the story. She describes a single case study involving the use of hypnotherapy for esophageal symptoms (“While the pathophysiology is likely multifactorial, two critical factors are believed to drive esophageal symptoms—visceral hypersensitivity and symptom hypervigilance”)
What’s wrong here? Several things.
First, we are promised hypnotherapy is “a science-based system that can work wonders treating a variety of stomach problems” but no scientific studies are offered. We are led to believe that hypnosis “optimizes the brain depth function” but have no idea where that phrase comes from, or what it means. Instead, we are given the anecdotal testimony of a single psychologist — obviously a supporter of this approach — and a single patient. We are told nothing about the patient’s condition, only that her symptoms improved. No other expert sources are called upon to corroborate or challenge the framing.
Second, we are told “studies show more than three quarters of patients experience at least 50 percent reduction in symptoms”. No reference is cited. What conditions? What symptoms? Most of the studies I found looking at hypnotherapy and gastrointestinal symptoms are based on small numbers of patients using questionnaires to track their symptoms.
Third, the words used by the reporter are confusing — “tummy … gut … stomach … intestines” — all of which are alleged to be targeted by “brain-gut therapy.” Yet no effort is made to distinguish which conditions affect which parts of the gastrointestinal system, nor is there any discussion about what functional symptoms are; that is, physical complaints thought to have a strong psychological component.
Finally, taken as a whole, the variety of gastrointestinal conditions we’re told hypnosis can help, are ubiquitous and affect millions of people. To promise “hypnosis might be the answer,” and provide no evidence to back this up, is irresponsible.
Addendum: NBC News, unfortunately, is not an outlier in its shoddy coverage of health care interventions. We’ve spent more than 10 years and many thousands of words cataloging the sorry state of most TV health journalism. Take a look here.
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