To best help their executives, companies need to draw on the expertise of both psychotherapists and executive coaches with legitimate skills. At a minimum, every executive slated to receive coaching should first receive a psychological evaluation. By screening out employees not psychologically prepared or predisposed to benefit from the process, companies avoid putting executives in deeply uncomfortable—even damaging—positions. Equally important, companies should hire independent mental health professionals to review coaching outcomes. This helps to ensure that coaches are not ignoring underlying problems or creating new ones, as Nelson did.
The Federal Dictionary of Occupational Titles describes the job of the hypnotherapist: "Induces hypnotic state in client to increase motivation or alter behavior patterns: Consults with client to determine nature of problem. Prepares client to enter hypnotic state by explaining how hypnosis works and what client will experience. Tests subject to determine degree of physical and emotional suggestibility. Induces hypnotic state in client, using individualized methods and techniques of hypnosis based on interpretation of test results and analysis of client's problem. May train client in self-hypnosis conditioning. GOE: 10.02.02 STRENGTH: S GED: R4 M3 L4 SVP: 7 DLU: 77"
There are certain times when executives are most likely to benefit from coaching. Executives should seek coaching "when they feel that a change in behavior—either for themselves or their team members—can make a significant difference in the long-term success of the organization," says Marshall Goldsmith, a high-profile executive coach and author of eighteen books, including The Leader of the Future (Jossey-Bass, 1996).
As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass. Around 25% experience moderate to severe weight loss, and most others have some weight loss. Greater weight loss is associated with poorer prognosis. Theories about contributing factors include appetite loss related to reduced activity, additional energy required for breathing, and the difficulty of eating with dyspnea (labored breathing).
Hypnosis is not a psychotherapeutic treatment or a form of psychotherapy, but rather a tool or procedure that helps facilitate various types of therapies and medical or psychological treatments. Only trained health care providers certified in clinical hypnosis can decide, with their patient, if hypnosis should be used along with other treatments. As with psychotherapy, the length of hypnosis treatment varies, depending on the complexity of the problem.