The authors present a bio-psycho-social-spiritual paradigm for understanding the phenomenon of hypnosis in psychotherapy . Two case vignettes are described to illustrate the spiritual core of the psychotherapeutic process . The first author (E .H .) relates a clinical case of the hypnotherapeutic process where a patient with psychosomatic symptoms obtained insight and cure in spontaneous hypnotherapeutic abreaction . This case illustrates the very spiritual and human experience of guilt . The second author (L .D .) relates the case of a woman suffering from PTSD and depression who was able to negotiate several spiritual conflicts including grief, loss, guilt and hopelessness and transform her life by developing a sense of meaning, purpose and hope . The authors discuss the contribution of the great philosophers and thinkers and conclude by offering a new definition of hypnosis that embraces the essence of the spiritual dimension of human functioning.
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