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Activlink Surgery Partner
Targeted Medical Hypnosis

Clinically proven to improve surgical outcomes with less
pain, anxiety, and medication.




Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Agenda
    About Activlink Surgery Partner

    About Targeted Medical Hypnosis

    Results of Literature Review

    Appendix A: Our Research & Patented Technology

    Appendix B: Activlink Products in Development




2               Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
About Activlink
Surgery Partner
Clinically proven to improve surgical outcomes with less
pain, anxiety, and medication.




Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
About the Product
                                                Pre-Recorded Targeted Medical
                                                Hypnosis Tracks for Surgery
                                                      Pre-Surgery Rehearsal Hypnosis
                                                      Peri-Surgery In Vivo Hypnosis
                                                      Recovery Room Wake-up
                                                      Post Surgery Healing Hypnosis
                                                      All preloaded and ready to use on a
                                                      convenient clip on MP3 player




4       Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
About Robert Speigel
                                                          Forty years experience as a psychotherapist, clinical
                                                          hypnotherapist and research scientist

                                                          Holds three US patents for bio-behavioral medical
                                                          technology

                                                          Two-time principal investigator for NIH

                                                          B.S. in experimental psychology and Master of Social
                                                          Work

                                                          Member of the ACSW, Board Certified Diplomate of
                                                          NASW, and LiCSW

                                                          Advanced Certified Clinical Hypnotherapist, Advanced
                                                          Certified Release Therapist, and Personal
                                                          Transformation Intensive instructor.


    Robert Speigel is the inventor of Targeted Medical
    Hypnosis and Activlink products


5                             Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Surgery Partner Testimonials

    ―I've been using Activlink Surgery Partner with my cardiac surgery patients on a
    regular basis. We clip it on during pre-op, and they listen all the way through to the
    recovery room. We can always interact with the patient when we need to. They take the
    device home after discharge to listen to the post surgery healing program.

    Patients report less anxiety, a more satisfying surgical experience, and quicker
    recovery. We notice a more relaxed patient, less anesthesia and pain meds, quicker
    procedures, and shortened recovery times. I recommend it for any surgery including
    general anesthesia procedures to reduce risk, improve patient experience, and reduce
    time in surgery.‖

    Gordon K, Seattle-Area Cardiac Surgeon




6                       Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
About Targeted
Medical Hypnosis
Targeted Medical Hypnosis is effective for treating many
physical disorders as well as behavioral and emotional
disturbances




Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
What is Targeted Medical Hypnosis?
- Targeted Medical Hypnosis (TMH) protocols are designed to treat
    medical conditions and can be administered live or via audio
    playback.
- Recorded hypnosis has been proven equally effective as that
    administered by a live hypnotherapist.
- Targets specific physiologic functions for pain and healing
    amelioration.
- Uses a general hypnosis protocol of relaxation sequences and trance
    induction whether the patient is conscious or not.
- The treatment of choice in immediate and emergent mind-body
    events and diseases


8                   Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
How Does it Work?
- Anchors patient resources (family resources, safety, trust of medical
    care providers, spiritual anchoring, etc.)
- Places mind/body healing suggestions

- Places post-hypnotic recovery and pain management suggestions

- Works whether the patient is conscious or under general anesthesia

- Creates a more relaxed procedure environment for both patient and
    medical personnel




9                  Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
How is TMH Different from Traditional
Hypnotherapy?
Traditional Hypnotherapy                            Targeted Medical Hypnosis
Primary target is the psyche                        Primary target is the physiology


Process is trance induction                         Process is trance induction followed
followed by suggestions related to                  by suggestions related to physical
regression                                          modulation


Goal is healing the psyche through                  Goal is ameliorating physical and
reframing past trauma                               emotional trauma as it occurs


Must be delivered by a live                         Effectively delivered via audio
hypnotherapist in real time                         recording



10                Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
What Disorders Can We Treat with Targeted
Medical Hypnosis?
Physical                                                    Behavioral & Emotional
- Surgery Amelioration                                      - Drug and Alcohol Addiction

- Violent Bodily Injury                                     - Healthy Weight Maintenance

- Colitis and Irritable Bowel                               - Smoking Cessation

- Fibromyalgia and Chronic Pain                             - Anxiety Disorders
     Disorders
                                                            - Depression
- Chronic Fatigue Syndrome
                                                            - PTSD
- Cancers
                                                            - Fears and Phobias
- Temporomandibular Joint Disorders
     (TMJ)                                                  - And many more…


See Appendix B: Activlink Products in Development for more information



11                        Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Results of Literature Review
Meta Analysis of Surgical Hypnosis Studies




Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Significant Findings
     - No significant differences in clinical outcome between audio-recorded
          targeted medical hypnosis and a live hypnotherapist
     - Surgical patients in hypnosis treatment groups reported better
          outcomes than 89% of control group patients

     - Findings for patients who received audio-recorded targeted medical
          hypnosis:
           - Patients exhibited a 30% reduction in blood loss

           - Lower blood pressure was found in the groups that received pre- and
             peri-operative hypnosis

           - Procedures took significantly less time to perform with significant time
             and cost savings




13   13                  Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Finding: Shorter Surgeries with Less Pain
and Anxiety
                  8                                                                        7   Standard
                      Standard
                                                                                               Attention
                  7   Attention                                                            6   Hypnosis
                      Hypnosis
                  6
                                                                                           5
                  5




                                                                           Anxiety Score
     Pain Score




                                                                                           4
                  4
                                                                                           3
                  3
                                                                                           2
                  2

                  1                                                                        1

                  0                                                                        0


                             Procedure duration (min)                                                      Procedure duration (min)




These graphs show the average pain and anxiety scores reported by patients in each of the three
groups as the time of the operation went on. (The attention group received extra attention from a
health care professional).
Lang, E. V., Benotsch, E. G., Fick, L. J., Lutgendorf, S., Berbaum, M. L., Berbaum, K. S., Logan, H., Spiegel, D. (2000). Adjunctive non-
pharmacological analgesia for invasive medical procedures: a randomized trial. The Lancet, 355, 1486-1490.



14                                Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Finding: Better Results, Time & Costs
In a 2007 study in the Journal of the National Cancer Institute, researchers at the Mount
Sinai School of Medicine showed that a 15-minute hypnosis session substantially
reduced side effects including pain, nausea and emotional distress in patients undergoing
breast cancer operations.


Study Highlights
       - Reduced the side effects from surgery
       - Reduced the amount of anesthesia used during the surgery
       - Decreased the amount of time spent in the operating room by almost 11
         minutes
       - Resulted in an overall cost savings of about $770 per patient


Montgomery GH , Bovbjerg DH, Schnur JB, David D, Goldfarb A, Weltz C, et al. A randomized clinical trial of a brief hypnosis intervention to
control side effects in breast surgery patients . J Natl Cancer Inst 2007; 99: 1304 –12.




15                               Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Appendix A
Our Research & Patented Technology
Activlink’s hypnosis technology is clinically proven and
patented




Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Activlink Hypnosis is Patented
United States Patent #5,425,699
June 20, 1995


Method of modifying human behavior using signal triggered post-hypnotic
suggestion

Abstract: A method of modifying human behavior using automatically generated active signals to elicit
post-hypnotic suggestions. When a patient is in a hypnotic state, a post-hypnotic suggestion is linked
to the active signal. After the hypnotic state has been terminated, the active signal is automatically
generated by an appropriate active device in the patient's environ. In this manner, the suggested
behavior is reliably elicited without the need for patient intervention.

Inventor:        Speigel; Robert B.
Appl. No:        07/867,491
Filed:      April 13, 1992




17                      Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Targeted Medical Hypnosis is Patent-
Pending
Title: Targeted Medical Hypnosis Method and Device

A unique method of hypnosis that addresses specific body memory and physiologic
processes, and specific cellular memory and cell processes.

Abstract: With the progression of research and understanding of unique body memory and unique
cellular function that is separate and independent from the function of mind memory and function, it is
evident that body and cellular function can be addressed by languaging directed specifically these
functions separately bypassing mind memory and function. Targeted Medical Hypnosis represents
specific and unique languaging and hypnotic suggestion directed towards body memory and
function, and cell memory and function. In addition, the present invention provides a unique and novel
device for delivering targeted medical hypnosis sequences in and effective and efficient manner.

Inventor: Robert B. Speigel




18                      Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Our Own Published Research
The Integration of Heart-Centered Hypnotherapy and Targeted Medical
Hypnosis in the Surgical/Emergency Medicine Milieu

Abstract: This paper reviews an impressive body of knowledge regarding Targeted
Medical Hypnosis, and specifically digital audio delivered medical
hypnosis, demonstrating its effectiveness in directly intervening with specific physiologic
processes and modifying important physical responses during traditional medical
intervention. The author differentiates the use of Heart-Centered Hypnotherapy and
Targeted Medical Hypnosis in the treatment of mind-body injury and disease, and
proposes a specific, convenient, efficient and low cost technology for the use of Targeted
Medical Hypnosis interventions in the surgical/emergency medicine milieu.

Speigel, Robert. The Integration of Heart-Centered Hypnotherapy and Targeted Medical Hypnosis in the Surgical/Emergency Medicine Milieu.
Journal of Heart-Centered Therapies, 2011, Vol. 14, No. 2, pp. 87-106.




19                             Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Phase I NIH Grant Award
Signal-Triggered Post-Hypnotic Suggestion Device

Project Number:                1R43MH055407-01

Source:                        National Institutes of Health

Principal Investigator:        Robert B. Speigel

Organization:                  Speigel And Associates

Project Duration:              04/01/1996 – 09/30/1996

Fiscal Year:                   1996



Funding Institution:           National Institute of Mental Health

Activity:                      Small Business Innovation Research Grants (SBIR) - Phase I

Years of Support:              1



20                        Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Phase II NIH Grant Award
Triggered Suggestion Device To Treat Nicotine-Dependence

Project Number:                2R44MH055407-02A1

Source:                        National Institutes of Health

Principal Investigator:        Robert B. Speigel

Organization:                  Progenesis, Inc.

Project Duration:              01/01/1996 – 03/31/2000

Fiscal Year:                   1998



Funding Institution:           National Institute of Mental Health

Activity:                      Small Business Innovation Research Grants (SBIR) - Phase II

Years of Support:              2



21                        Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
Appendix B
Activlink Products in Development
All Activlink products use Targeted Medical Hypnosis to
help people through physical and emotional
experiences



Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
The Activlink Product Line
                                                                        PARTNER PROGRAMS
                                                                        Because Partner Programs are used during more significant
                                                                        and uncommon medical events, they generally have three
                                                                        parts: preparing for the event; while the event is taking
                                                                        place; and recovery.




RELEASE PROGRAMS
Release Programs are used when a
specific—and often chronic—condition is
negatively affecting the patient’s life. The
goal of these programs are relief and
ultimately, remission.




                                                                        MANAGER PROGRAMS
                                                                        Manager Programs are used for maintaining health in
                                                                        common areas such as stress and weight.




23                              Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com

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Activlink Surgery Partner

  • 1. Activlink Surgery Partner Targeted Medical Hypnosis Clinically proven to improve surgical outcomes with less pain, anxiety, and medication. Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 2. Agenda About Activlink Surgery Partner About Targeted Medical Hypnosis Results of Literature Review Appendix A: Our Research & Patented Technology Appendix B: Activlink Products in Development 2 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 3. About Activlink Surgery Partner Clinically proven to improve surgical outcomes with less pain, anxiety, and medication. Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 4. About the Product Pre-Recorded Targeted Medical Hypnosis Tracks for Surgery Pre-Surgery Rehearsal Hypnosis Peri-Surgery In Vivo Hypnosis Recovery Room Wake-up Post Surgery Healing Hypnosis All preloaded and ready to use on a convenient clip on MP3 player 4 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 5. About Robert Speigel Forty years experience as a psychotherapist, clinical hypnotherapist and research scientist Holds three US patents for bio-behavioral medical technology Two-time principal investigator for NIH B.S. in experimental psychology and Master of Social Work Member of the ACSW, Board Certified Diplomate of NASW, and LiCSW Advanced Certified Clinical Hypnotherapist, Advanced Certified Release Therapist, and Personal Transformation Intensive instructor. Robert Speigel is the inventor of Targeted Medical Hypnosis and Activlink products 5 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 6. Surgery Partner Testimonials ―I've been using Activlink Surgery Partner with my cardiac surgery patients on a regular basis. We clip it on during pre-op, and they listen all the way through to the recovery room. We can always interact with the patient when we need to. They take the device home after discharge to listen to the post surgery healing program. Patients report less anxiety, a more satisfying surgical experience, and quicker recovery. We notice a more relaxed patient, less anesthesia and pain meds, quicker procedures, and shortened recovery times. I recommend it for any surgery including general anesthesia procedures to reduce risk, improve patient experience, and reduce time in surgery.‖ Gordon K, Seattle-Area Cardiac Surgeon 6 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 7. About Targeted Medical Hypnosis Targeted Medical Hypnosis is effective for treating many physical disorders as well as behavioral and emotional disturbances Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 8. What is Targeted Medical Hypnosis? - Targeted Medical Hypnosis (TMH) protocols are designed to treat medical conditions and can be administered live or via audio playback. - Recorded hypnosis has been proven equally effective as that administered by a live hypnotherapist. - Targets specific physiologic functions for pain and healing amelioration. - Uses a general hypnosis protocol of relaxation sequences and trance induction whether the patient is conscious or not. - The treatment of choice in immediate and emergent mind-body events and diseases 8 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 9. How Does it Work? - Anchors patient resources (family resources, safety, trust of medical care providers, spiritual anchoring, etc.) - Places mind/body healing suggestions - Places post-hypnotic recovery and pain management suggestions - Works whether the patient is conscious or under general anesthesia - Creates a more relaxed procedure environment for both patient and medical personnel 9 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 10. How is TMH Different from Traditional Hypnotherapy? Traditional Hypnotherapy Targeted Medical Hypnosis Primary target is the psyche Primary target is the physiology Process is trance induction Process is trance induction followed followed by suggestions related to by suggestions related to physical regression modulation Goal is healing the psyche through Goal is ameliorating physical and reframing past trauma emotional trauma as it occurs Must be delivered by a live Effectively delivered via audio hypnotherapist in real time recording 10 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 11. What Disorders Can We Treat with Targeted Medical Hypnosis? Physical Behavioral & Emotional - Surgery Amelioration - Drug and Alcohol Addiction - Violent Bodily Injury - Healthy Weight Maintenance - Colitis and Irritable Bowel - Smoking Cessation - Fibromyalgia and Chronic Pain - Anxiety Disorders Disorders - Depression - Chronic Fatigue Syndrome - PTSD - Cancers - Fears and Phobias - Temporomandibular Joint Disorders (TMJ) - And many more… See Appendix B: Activlink Products in Development for more information 11 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 12. Results of Literature Review Meta Analysis of Surgical Hypnosis Studies Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 13. Significant Findings - No significant differences in clinical outcome between audio-recorded targeted medical hypnosis and a live hypnotherapist - Surgical patients in hypnosis treatment groups reported better outcomes than 89% of control group patients - Findings for patients who received audio-recorded targeted medical hypnosis: - Patients exhibited a 30% reduction in blood loss - Lower blood pressure was found in the groups that received pre- and peri-operative hypnosis - Procedures took significantly less time to perform with significant time and cost savings 13 13 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 14. Finding: Shorter Surgeries with Less Pain and Anxiety 8 7 Standard Standard Attention 7 Attention 6 Hypnosis Hypnosis 6 5 5 Anxiety Score Pain Score 4 4 3 3 2 2 1 1 0 0 Procedure duration (min) Procedure duration (min) These graphs show the average pain and anxiety scores reported by patients in each of the three groups as the time of the operation went on. (The attention group received extra attention from a health care professional). Lang, E. V., Benotsch, E. G., Fick, L. J., Lutgendorf, S., Berbaum, M. L., Berbaum, K. S., Logan, H., Spiegel, D. (2000). Adjunctive non- pharmacological analgesia for invasive medical procedures: a randomized trial. The Lancet, 355, 1486-1490. 14 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 15. Finding: Better Results, Time & Costs In a 2007 study in the Journal of the National Cancer Institute, researchers at the Mount Sinai School of Medicine showed that a 15-minute hypnosis session substantially reduced side effects including pain, nausea and emotional distress in patients undergoing breast cancer operations. Study Highlights - Reduced the side effects from surgery - Reduced the amount of anesthesia used during the surgery - Decreased the amount of time spent in the operating room by almost 11 minutes - Resulted in an overall cost savings of about $770 per patient Montgomery GH , Bovbjerg DH, Schnur JB, David D, Goldfarb A, Weltz C, et al. A randomized clinical trial of a brief hypnosis intervention to control side effects in breast surgery patients . J Natl Cancer Inst 2007; 99: 1304 –12. 15 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 16. Appendix A Our Research & Patented Technology Activlink’s hypnosis technology is clinically proven and patented Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 17. Activlink Hypnosis is Patented United States Patent #5,425,699 June 20, 1995 Method of modifying human behavior using signal triggered post-hypnotic suggestion Abstract: A method of modifying human behavior using automatically generated active signals to elicit post-hypnotic suggestions. When a patient is in a hypnotic state, a post-hypnotic suggestion is linked to the active signal. After the hypnotic state has been terminated, the active signal is automatically generated by an appropriate active device in the patient's environ. In this manner, the suggested behavior is reliably elicited without the need for patient intervention. Inventor: Speigel; Robert B. Appl. No: 07/867,491 Filed: April 13, 1992 17 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 18. Targeted Medical Hypnosis is Patent- Pending Title: Targeted Medical Hypnosis Method and Device A unique method of hypnosis that addresses specific body memory and physiologic processes, and specific cellular memory and cell processes. Abstract: With the progression of research and understanding of unique body memory and unique cellular function that is separate and independent from the function of mind memory and function, it is evident that body and cellular function can be addressed by languaging directed specifically these functions separately bypassing mind memory and function. Targeted Medical Hypnosis represents specific and unique languaging and hypnotic suggestion directed towards body memory and function, and cell memory and function. In addition, the present invention provides a unique and novel device for delivering targeted medical hypnosis sequences in and effective and efficient manner. Inventor: Robert B. Speigel 18 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 19. Our Own Published Research The Integration of Heart-Centered Hypnotherapy and Targeted Medical Hypnosis in the Surgical/Emergency Medicine Milieu Abstract: This paper reviews an impressive body of knowledge regarding Targeted Medical Hypnosis, and specifically digital audio delivered medical hypnosis, demonstrating its effectiveness in directly intervening with specific physiologic processes and modifying important physical responses during traditional medical intervention. The author differentiates the use of Heart-Centered Hypnotherapy and Targeted Medical Hypnosis in the treatment of mind-body injury and disease, and proposes a specific, convenient, efficient and low cost technology for the use of Targeted Medical Hypnosis interventions in the surgical/emergency medicine milieu. Speigel, Robert. The Integration of Heart-Centered Hypnotherapy and Targeted Medical Hypnosis in the Surgical/Emergency Medicine Milieu. Journal of Heart-Centered Therapies, 2011, Vol. 14, No. 2, pp. 87-106. 19 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 20. Phase I NIH Grant Award Signal-Triggered Post-Hypnotic Suggestion Device Project Number: 1R43MH055407-01 Source: National Institutes of Health Principal Investigator: Robert B. Speigel Organization: Speigel And Associates Project Duration: 04/01/1996 – 09/30/1996 Fiscal Year: 1996 Funding Institution: National Institute of Mental Health Activity: Small Business Innovation Research Grants (SBIR) - Phase I Years of Support: 1 20 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 21. Phase II NIH Grant Award Triggered Suggestion Device To Treat Nicotine-Dependence Project Number: 2R44MH055407-02A1 Source: National Institutes of Health Principal Investigator: Robert B. Speigel Organization: Progenesis, Inc. Project Duration: 01/01/1996 – 03/31/2000 Fiscal Year: 1998 Funding Institution: National Institute of Mental Health Activity: Small Business Innovation Research Grants (SBIR) - Phase II Years of Support: 2 21 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 22. Appendix B Activlink Products in Development All Activlink products use Targeted Medical Hypnosis to help people through physical and emotional experiences Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com
  • 23. The Activlink Product Line PARTNER PROGRAMS Because Partner Programs are used during more significant and uncommon medical events, they generally have three parts: preparing for the event; while the event is taking place; and recovery. RELEASE PROGRAMS Release Programs are used when a specific—and often chronic—condition is negatively affecting the patient’s life. The goal of these programs are relief and ultimately, remission. MANAGER PROGRAMS Manager Programs are used for maintaining health in common areas such as stress and weight. 23 Robert B Speigel, LiCSW, ACHT | ActivlinkHypnosis.com