This article introduces hypnotic principles of confusion and trance as fundamental operations in Gestalt therapy. A process is identified which utilizes perceptual shifts of reference as a method of organizing Gestalt techniques. The sequence of operations constituting the confusion process is outlined and developed in a psychotherapy session through the use of implication, dissociation, and embodiment. The development of this organization of Gestalt therapy is intended to enhance the strategic capacities of therapists.