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International Journal of Health Promotion and Education
ISSN: 1463-5240 (Print) 2164-9545 (Online) Journal homepage: http://www.tandfonline.com/loi/rhpe20
Yoga-nidra and hypnosis
Scott Hoye & Svathi Reddy
To cite this article: Scott Hoye & Svathi Reddy (2016) Yoga-nidra and hypnosis,
International Journal of Health Promotion and Education, 54:3, 117-125, DOI:
10.1080/14635240.2016.1142061
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International Journal of Health Promotion and Education, 2016
Vol. 54, No. 3, 117–125, http://dx.doi.org/10.1080/14635240.2016.1142061
© 2016 Institute of Health Promotion and Education
Yoga-nidra and hypnosis
Scott Hoyea,b* and Svathi Reddyc
aCenter for Pain Management, Rehabilitation Institute of Chicago, Chicago, IL, USA; bDepartment
of Clinical Psychology, Chicago School of Professional Psychology, Chicago, IL, USA; cLead
Psychiatrist, Compass Psychiatry LLC, 1640 Powers Ferry Rd Se, Building 17, Suite 100, Marietta,
GA, USA
(Received 09 September 2013; accepted 21 October 2015)
Trance states have long been used within a healing context in India. The use of chant,
evocation of trance through ritual, and altered states achieved through meditation has
been a means for self-realization, psychological well-being, and increasing health. In-
digenous psychologies have elucidated various types of states of consciousness. Folk
healing traditions often utilize trance as a means to invoke health, and exist concurrently
with modern, western forms of psychiatry and psychotherapy. Comparisons have been
made between techniques such the western modality of hypnosis and meditation and
yoga. Yoga-nidra (the yoga of sleep) is one of these practices. It is similar to hypnosis
and other techniques of mind-body methods of healing used in psychotherapy. Yoga-ni-
dra has been introduced as a contemporary, systematic process of healing by various
schools of yoga, both on the subcontinent and in Western countries. These methods are
purportedly developed from ancient yogic texts. This article will provide an overview
of yoga-nidra, both its origins and current form of practice, as well as a short review of
the literature on its efcacy. It will be compared to hypnosis, a systematic, mind-body,
trance-inducing technique, used as an adjunct with western forms of psychotherapy.
Suggestions will be presented for using these modalities to integrate indigenous con-
cepts of spirituality and psychology and the western models of mental health delivery in
contemporary India, and populations of Indian cultural origin living abroad.
Keywords: yoga-nidra; hypnosis; meditation; psychotherapy; India
Indigenous healing practices in India utilize altered states as a means to facilitate healing
(Campion and Bughra 1998). The transmission of the spontaneous, hypnotic-like state of
samadhi has been attributed to gurus, such as Ramakrishna and Neeb Karori Baba (Shar-
ma 1981; Pande 2003). Meditation and yoga, practices considered similar to hypnosis and
other western, mind-body techniques, are described from antiquity (Hovec 1975; Ham-
mond 2013). Yoga and meditation are still among the main healing modalities sought in
contemporary India, along with talismanic cures, exorcisms, ayurvedic medicines, and mu-
sic, despite western paradigms of mental health being practiced there for approximately
100 years (Prasadarao and Sudhir 2001; Blanche 2004; Hogan and Vaccaro 2007). Hypno-
sis is a well-known technique of eliciting trance states that has its origins in Europe, and
has been used therapeutically for at least 400 years (Hammond 2013). Franz Anton Mes-
mer is generally acknowledged as the progenitor of hypnosis, though similar techniques
are attributed to ancient Greek and Egyptian sleep temples. Paracelsus developed a theory
of magnetism predating Mesmer’s, and he is believed to have studied ritual healing, in part
*Corresponding author. Email: shoye@ric.org
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118 S. Hoye and S. Reddy
from traveling to India (Hammond 2013). A considerable body of evidence regarding its
efcacy is apparent (Mendoza and Capafonz 2009; Barabasz et al. 2010). Similar to hyp-
nosis in some respects is yoga-nidra.
Yoga-nidra
Yoga-nidra is a meditative practice that reportedly dates to antiquity (Panda 2003; Parker,
Bharati, and Fernandez 2013). References to yoga-nidra are considered implied in descrip-
tions of the god Vishnu in classical Hindu prayers (Panda 2003). Descriptions in ancient
texts are generally considered to be vague, and describe the state obtained by the practi-
tioner, rather than the process (Parker, Bharati, and Fernandez 2013). Traditions associated
with yoga-nidra, or describing similar states of consciousness through meditative practice,
are Mahayana and Vajrayana Buddhism, Kashmiri Shaivism, Patanjali’s Yoga Sutras, and
Shankaracharya’s Yoga Taravali (Parker, Bharati, and Fernandez 2013). Contemporary de-
scriptions equate it with a kind of lucid dream state, in which dream imagery takes place
for the practitioner, but they do not identify or become attached to them, but remain an ob-
jective observer (Miller 2005). Swami Satyananda Saraswati, founder of the Bihar School
of Yoga, is credited with the current popularization of yoga-nidra (Panda; Henry 2005;
Parker, Bharati, and Fernandez 2013).
Parker, Bharati, and Fernandez (2013) report that several studies have referred to
relaxation and guided imagery techniques as yoga-nidra, and call for an operationaliza-
tion based on physiological markers; i.e. EEG readings of brainwaves produced by the
practitioner during meditation. They equate yoga-nidra as corresponding to the dreamless
sleep cycle of the brain, or non-activity of the mind (manas) and equate Delta brainwaves
as a neurological indicator for having achieved the state. These researchers describe the
above-mentioned Bihar School techniques, or Miller’s IRest program (1995) as merely
relaxation techniques, not yoga-nidra because studies facilitated with them indicated sub-
jects only produced Alpha and Theta waves and not the slower Delta waves. Nonetheless,
for the purpose of this paper, the Bihar School method will be referenced in this article due
to its clearly systematic method and its popularity and inuence on yoga-nidra practice in
India and abroad.
Yoga-nidra practice consists of the practitioner lying supine on the oor, and focusing
on body parts, breath awareness, and suggested imagery (Panda 2003). Eight stages are in-
dicated: (1) Preparation, (2) Relaxation, (3) Resolve, (4) Rapid Shifting of Consciousness,
(5) Mental Channel Purication, and (6) Moving Visualization of Scenarios, (7) Resolve
(repetition), and (8) Finish.
Preparation consists of settling the body into the corpse pose (savasna), and focusing
intention to practice without losing consciousness while remaining still (Panda 2003). Re-
laxation consists of relaxing the body via various breath exercises (pranayams), with or
without the use of mantras. Resolve elicits the sankalpa or intention; a kind of autosugges-
tion to be placed in the practitioner’s unconscious as a ‘seed in the mind.’ Rapid Shifting of
Consciousness includes the process of External Rotation of Consciousness. This is similar
to a body scan technique used in Buddhist mindfulness and relaxation where the individual
places their attention in various parts of the body. However, it is also done more swiftly
compared to the mindfulness meditation practice. Internal Rotation of Consciousness fo-
cuses on suggestions for visualizing chakras or energy vortices within the subtle or etheric
body. It is the internal balance of focus on the external and internal, imaginal body. Men-
tal Channel Purication includes the use of reverse counting while imagining breathing
through opposite nostrils. Moving Visualization of Scenarios consists of the visualization
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International Journal of Health Promotion and Education 119
of religious and nature images. Panda (2003) states that the rotation of consciousness, or
nyasa, is a tantric technique extrapolated from earlier methods of meditation by Saraswati.
It is used to bring about a state ‘… which is neither awake nor sleeping. In yoga-nidra the
yogi stays somewhere between the waking and the sleeping states …’ (Panda 2003, 271).
Yoga-nidra & hypnosis
Contemporary practice of yoga-nidra has some similarities to modern hypnotic and classi-
cal hypnotic techniques. These are not unlike those discerned between mindfulness medi-
tation and hypnosis as adapted for psychotherapeutic uses (Yapko 2010).
The administration of yoga-nidra is often provided by an instructor or yogi, and can
also be performed in an autohypnosis fashion (Panda 2003). As with hypnotic suggestions,
instructions for yoga-nidra practice are provided with the subject/recipient’s eyes closed,
and with an inner focus of awareness. Hypnotic induction, however, often includes formal
or informal testing for hypnotizability, and use of ratication techniques, such as arm levi-
tation, catalepsy, and time distortion (Yapko 2003). Ratication is used in hypnosis to cre-
ate awareness that the hypnotic state is special, and thus act as a convincer for the subject
as having entered into it. It demarcates a more intensied liminal space for healing than
psychotherapy; the boundaries between the therapist and the patient are further removed
from the typical, psychotherapeutic environment, and the therapist participates more in-
tensely in the patient’s phenomenological eld. Yoga-nidra operates within the realm of an
indigenous spirituality and psychology, for those born into or adhering to a Hindu cultural
or spiritual paradigm. Phenomena that can be labeled hypnotic, such as time distortion,
primary process imagery, dream imagery, and catalepsy may take place, but are not neces-
sarily utilized as a convincer for ratication of the special, meditative state (Bowers 1978;
Yapko 2003). The special quality of awareness evoked is held as an a priori, cultural, and
spiritual assumption within the context of the procedure.
The yoga-nidra practice of sankapla, or resolution before and after the exercise, is
similar to a post-hypnotic suggestion. However, one chooses the resolution on one’s own,
rather than with the help of an operator or therapist giving the suggestions (Panda 2003).
The mind is xed on a thought or willed resolution that is planted and cultivated at the
beginning and end of the meditation. Hypnotic suggestions are typically delivered by an
outside source, and there is an attempt to bypass the conscious mind and implant them in
the unconscious (Yapko 2003). Yoga-nidra differs in that amnesia and other hypnotic phe-
nomena may be apparent, but the practitioner attempts to remain alert with non-attachment
to any imagery, sensations, or experiences (Panda 2003).
This cultivation of awareness is described as a means to produce a witness state of
consciousness, between waking consciousness, jagrata, and dream consciousness, svapna
(Panda 2003; Henry 2005). Panda makes a connection between this and Ernest Hilgard’s
idea of the hidden observer in the neo-dissociation theory of hypnosis. The hidden observ-
er is considered be a part of the psyche that is consistently aware, regardless of the level of
conscious control of the subject. Panda states that they are one in the same.
The rst author (SH) has had the experience of working with guided imagery tech-
niques, mindfulness-meditation, and extensive use of hypnosis in clinical practice, as well
as personal use. I have also used a Bihar School variant of yoga-nidra (Janakananda 2012).
My experience is that yoga-nidra differs from the former techniques, especially hypnosis,
in that suggestions for rotation of consciousness and imagery, as mentioned above, are
given quickly. This swift attentional function does indeed have a tendency to keep the prac-
titioner more alert through various internal experiences. In hypnosis, the opposite is often
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120 S. Hoye and S. Reddy
produced. Various techniques, such as fractionation (brief re-alerting and re-entrance to
the trance state) and pauses in the hypnotic induction are a means for deepening the sense
of trance, and the conscious mind of the patient is bypassed precisely to inuence uncon-
scious cognitive sets and inuence behavior (Erickson, Rossi, and Rossi 1976; Erickson
and Rossi 1989).
Research on yoga-nidra
Several psychological and physiological cures are attributed to yoga-nidra (Panda 2003).
Among the ailments it is described as having curative factors for sleep disorders, anger
management, obsessive-compulsive disorder, various digestive disorders, such as colitis
and peptic ulcers, cardiovascular disease, arthritis, osteoporosis, dementia, and immune
system function (Panda 2003). These claims are not entirely ascertained, and appear to
be largely anecdotal at this point. But a small body of literature suggests generally efca-
cious results for some ailments, and some indications of yoga-nidra’s physiological effects.
These include of the impact of yoga-nidra on stress and anxiety (Kumar 2008); increasing
alpha output on electroencephalograph and galvanic skin response measurement (Kumar
and Joshi 2009); the reduction of illness-related stress in multiple sclerosis and cancer
outpatients (Pritchard, Elison-Bowers, and Birdsall 2009); reduction of menstrual-related
difculties (Rani et al. 2013); inammation reduction (Kumar and Panya 2012); and posi-
tive effects on heart rate variability (Markil et al. 2012). The ndings are promising, but in
the early stages of investigation, and further, more robust studies need to be conducted to
provide stronger evidence of its efcacy and effectiveness.
Hypnosis in India
Hypnosis as a therapeutic and medical modality is no stranger to India. Esdaile introduced
Mesmerism to the subcontinent in his use of it as an analgesic in surgery, and, as stated
earlier, hypnosis may have some historic connections to India via Paracelsus (Hammond
2013). A survey of websites and a discussion with a master’s level psychotherapist who
resides in Mumbai for this article indicated that many lay hypnosis institutes provide train-
ings, and are often a clinician’s rst contact with it. The practitioner, who chose to remain
anonymous (personal communication with the rst author (SH) of this paper, 12 December
2010), discussed their general training from a lay-hypnosis organization loosely afliated
with a similar organization in the USA. This included various basic hypnotic techniques,
and Neurolinguistic Programming techniques (Hall and Belnap 2000), integrated with
cognitive-behavioral therapy. These techniques are similar to those taught in professional
societies in the USA, which are responsible for consistent, scientically sound trainings
(Hammond and Elkins 2005). Indeed, the rst author (SH) has attended lay hypnosis train-
ings in the USA, as well as those offered by the professional societies, and served as faculty
for professional societies. I am of the opinion that they are remarkably similar in content
for preparation of practice, and have found that many lay hypnotists are quite competent
technically, and as limited clinicians. However, there is a lack of scientic rigor, and no
real repercussions for any potential ethical deviances by lay hypnotists, nor protection of
the general public from potential negligence or malecence. Licensed or degreed mental
health professionals offer some training courses to clinicians in India. The Indian Society
of Clinical and Experimental Hypnosis, a component section of the International Society
for Hypnosis (2009), offers conferences and training. But psychotherapy largely goes un-
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International Journal of Health Promotion and Education 121
regulated, even with an ofcial licensing board (Hogan and Vaccaro 2007), and there is no
regulation of the practice of hypnosis India.
Mental health care in India
Mental health services in the subcontinent are primarily offered in urban areas, with larger
populations. However, most of the population of the subcontinent still live in towns and
villages outside of the major urban areas (Chatterjee 2009). It is largely due to this that
mental health services in India are lacking (Chatterjee 2009). This is in spite of the intro-
duction of community psychology in the 1970s and 1980s and over 100 clinical psycholo-
gy departments (Prasadarao and Sudhir 2001; Bhatia and Sethi 2007; Hogan and Vaccaro
2007; Chatterjee 2009). The majority of the population does not have access to counseling
and psychotherapy services. A very small portion of the westernized population in urban
areas that may be amenable to them actually uses them (Laungani 2004). There is a move-
ment to foster professionalism in psychology, but many individuals practice unlicensed,
and without degrees (Hogan and Vaccaro 2007).
Western psychology in India
Psychology is in many ways a foreign concept in India, despite its academic and clinical
presence for more than 100 years (Laungani 2004). Indian culture, by and large, has been
dominated by a sense of inferiority since colonization by the British, and western modes
of science and philosophy were upheld as superior to indigenous ways (Sinha 1994; Pras-
adarao and Sudhir 2001; Bhatia 2002; Blanche 2004; Laungani 2004; Hogan and Vaccaro
2007). Nonetheless, they are still practiced throughout much of the country. Some psy-
chologists have attempted to recreate or cross-pollenate western psychology with Hin-
du ideas that were indigenous to the subcontinent, giving rise to Indian Psychology (IP)
(Sinha 1994; Bhatia 2002; Laungani 2004). However, there is still little academic and clin-
ical acceptance of IP in India, and most practitioners continue to use Western paradigms of
mental health and dysfunction for the provision of services (Bhatia 2002).
The disparity between rural and metropolitan India is not just economic, but also cul-
tural (Laungani 2004). Rural India has been less Westernized, and provision of therapy
needs to be delivered in a culturally specic manner. This poses a problem, as most ther-
apists in India prefer western models. Training supervisors generally frown upon the use
of existing models of indigenous Indian therapies (Van Hoecke 2006). Wig (1999) used
the analogy ‘Indian Made Foreign Doctor’ to describe the perceived conundrum that faces
university-trained psychiatrists when they enter work in communities after medical school.
Laungani (1997, 2004) was critically aware of how training in western models of psycho-
therapy causes south Asian clinicians to adopt this paradigm, and to superimpose a Western
perspective on the collectivist and spiritual paradigm they have been raised in. Specically,
Western modes of psychotherapy and counseling are at odds with the native models of
therapies and healing. Typically an expert is sought with instructions for a cure, not a hori-
zontal relationship with a therapist more typical in Western models.
From a reverse perspective, i.e. culturally Indian patients in the US seeking treatment,
we also see the impact of interacting with a cultural divide. The second author (SR) has
found that the lack of the Western practitioner’s knowledge of cultural issues can create a
divide between patient and practitioner. In considering factors inuencing patient decisions
in seeking treatment as well as compliance to treatment, one must take into consideration
the issues related to feelings of guilt vs. shame regarding the illness, the opinion of a larger
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122 S. Hoye and S. Reddy
family structure, and reliance on ceremony/ritual, be it religious or simply a part of the
family cultural lore. The interface of Western medicine and more traditional methods is a
crucial piece in accessing this population. Attending to these issues translates into utilizing
the extended family and members of the community, and potentially enhancing the provi-
sion of services to the patient.
Cross-cultural issues often play into the inadequacy of the now usual ‘medication
check’ approach to treatment in psychiatry. A more complex approach that integrates more
ceremonial or physically palpable techniques is required. For example, giving a more rit-
ualistic type of regimen (i.e. breathing techniques, visualization exercises, and prescribed
exercises) in addition to medication can be perceived as more valuable.
Many of my (SR’s) patients present with more somatic complaints, or somatic meta-
phors of psychic pain. Two examples are of patients with conversion disorder; young, new-
ly married Indian females from lower middle class upbringing. Their presented complaints
are faintness, dizziness, and odd descriptions of symptoms like ‘tongue keeps clicking in
mouth’ or ‘prickly sensation in head.’ The description of anxiety was teased out from ini-
tial descriptions of ‘something trying to get out of the head,’ or ‘heavy feeling in the heart/
chest.’ They clutched the symptomatic area as though the sensation was physical. With
these patients, a concrete method of asking them to place right hand over heart and left
hand over the belly and do breathing exercises in through nose, was more helpful, and they
were compliant. Patients of more ‘American’ background, having been more assimilated
into the dominant culture, are more apt to turn to medication. I (SR) often have to spend
quite some time convincing Indian patients that a medication is likely indicated. On multi-
ple occasions, they have only utilized the relaxation techniques.
Another technique these patients seem open to use for insomnia is what I call a ‘touch-
stone.’ For example, the patient will place one palm on the headboard while lying in bed
and allow their mind to wander to a place they register as safe and calming. I often give
them the personal example of my own, that I would imagine I am in the bed I had in med-
ical school in my apartment and I could hear ocean waves. This use of imagery for a psy-
chiatric condition points to potential integration of yoga-nidra into Western medicine for
this population. Yoga-nidra’s ceremonial, Indian approach could be more readily adapted.
Integration
This brief overview of psychology and delivery of mental health in India points to a need
for integration of indigenous and Western models of healing to best meet the needs for a
Hindu population. Since both yoga-nidra and hypnosis are taught and utilized in India, it
would appear apropos to call for their further integration. Yoga-nidra is consistent with the
goals and aspirations of IP in that it draws from Hindu spirituality and psychology. The
similarities between the two should be further explored, and an understanding and practice
of both could inform clinical and research efforts.
The Hindu concepts of mind and spirit are readily adaptable to psychotherapy for their
emphasis on altering consciousness for healing. The systematic yoga-nidra practice from
the Bihar school displays commonalities with clinical hypnosis, mindfulness meditation,
guided imagery, and relaxation training. The study of yoga-nidra may inform the practice
of Western forms of psychotherapy. It is important that other systems of yoga-nidra be
further studied and considered for integration into practice. Continued study of the physi-
ological state elicited by yoga-nidra practice could add to the greater operationalization of
this meditative state from an empirical perspective (Parker, Bharati, and Fernandez 2013).
Further efcacy studies of yoga-nidra can help to bridge the gap between Western and in-
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International Journal of Health Promotion and Education 123
digenous Indian systems of healing, and add support for it as a system of healing. Training
programs, run by clinical faculty, for both yoga-nidra and hypnosis could provide standard-
ized, evidence-based, training and practice. This could potentially add more respect from
academic circles for, and further application of IP within the subcontinent, and as a means
to work cross culturally with the immigrant Indian populations in other countries.
A specic application of yoga-nidra integration with Western psychiatry could poten-
tially be with transcranial magnetic stimulation for depression (TMS) (George et al. 1999).
TMS therapy is an FDA-approved treatment that uses direct electromagnetic stimulation
to areas of the brain that are hypoactive in depression. The patients must remain awake
for the 37 min of treatment and they preferably need to do something that is engaging the
brain in a positive, uplifting manner. Yoga-nidra training with or without the integration
of hypnosis as a pre-procedure could provide this, especially with patients from the Indian
population.
It should not be forgotten that yoga-nidra is foremost a spiritual practice. It is impor-
tant to keep from providing a merely reductionist approach to it, as has happened in many
respects to the use of Eastern methods of mind/body healing in the Western paradigm
(Goldberg 2010). Keeping this in mind while proceeding with the previously mentioned
suggestions can perhaps add more of a means for spiritual growth as well; a potential end-
game in long-term psychotherapy as opposed to mere symptom removal.
India is a pluralistic society. The Hindu faith, though the majority, is only one of several
religious and cultural paradigms mental health providers interact with. It is hoped that other
suggestions for psychotherapy integration can be envisioned for Moslem, Jain, Buddhist,
and other belief systems. Finding further commonalities may well be a step in providing
a better understanding of mental health concepts across cultures and spiritual paradigms.
This article also brings into focus India’s rich tradition of spiritual science that the west
has beneted from, and continues to do so in many ways. Western scientic paradigms
are, in many ways, still in their infancy by comparison. A best-case scenario would be to
cultivate a ‘mutual admiration society,’ where both Western and Eastern cultures marvel at
their differing perspectives, rather than scenarios of Westernization supplanting indigenous
perspectives (Watters 2010). In the worst-case scenario, India would continue to hold its
cultural, philosophical, and spiritual history in lower esteem, and Western science as a pin-
nacle of intellect and achievement. If Indian mental health practitioners continue with hy-
bridization of indigenous conceptions of yoga and spirituality with Western psychology, it
may not only bolster India’s sense of self-understanding as a culture, but also assist individ-
uals and families on its own, and other shores. Seeking further commonalities between the
techniques of yoga-nidra and hypnosis may yield continued, benecial results in this area.
Disclosure statement
No potential conict of interest was reported by the authors.
ORCID
Scott Hoye http:\\orcid.org.0000-0003-0057-2693
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