From monotonous excitations which, whatever their part in inducing hypnosis, are, at any rate, such as can sensibly affect the organism, I come down to the trivial monotonies of watch-tickings, "passes," etc., which are still by a certain school regarded as capable of producing a profound change in the nervous condition of the person before whose face the hypnotiser's hands are slowly waved for ten or twenty minutes. I regard this as a much exaggerated view. The clock's ticking, for instance, if it is marked at all, is at least as likely to irritate as to soothe; and the constant experience of life shows that continued monotonous stimuli, say the throbbing of the screw at sea, soon escape notice and produce no hypnotic effect at all. It is true, indeed, that monotonous rocking sends some babies to sleep; but other babies are merely irritated by the process, and such soporific effect as rocking may possess is probably an effect on spinal centres or on the semicircular canals. It depends less on mere monotony than on massive movement of the whole organism. I think, then, that there is no real ground for supposing that the trivial degree of monotonous stimulation produced by passes often repeated can induce in any ordinary physiological manner that "profound nervous change" which is recognised as the prerequisite condition of any hypnotic results. I think that passes are effectual generally as mere suggestions, and must _primâ facie_ be regarded in that light, as they are, in fact, regarded by many experienced hypnotisers (as Milne Bramwell) who have employed them with good effect. Afterwards, when reason is given for believing in a telepathic influence or impact occasionally transmitted from the operator to the subject at a distance, we shall consider whether passes may represent some other form of the same influence, operating in close physical contiguity. First, however, let us consider the point which we have now reached. We have successively dismissed various supposed modes of physiologically inducing hypnotic trance. We stand at present in the position of the Nancy school;--we have found nothing but _suggestion_ which really induces the phenomena. But on the other hand we cannot possibly regard the word suggestion as any real answer to the important question _how_ the hypnotic responsiveness is induced, on _what_ conditions it depends.[63] It must be remembered that many of the results which follow upon suggestion are of a type which no amount of willingness to follow the suggestion could induce, since they lie quite outside the voluntary realm. However disposed a man may be to believe me, however anxious to please me, one does not see how that should enable him, for instance, to govern the morbidly-secreting cells in an eruption of erysipelas. He already fruitlessly wishes them to stop their inflammation; the mere fact of my expressing the same wish can hardly alter his cellular tissue.