
|
| Scientific
and Literature-Based Basis for The MindBodySpirit Connection Series® |
| Like
the meridians as they approach the poles, science, philosophy and
religion are bound to converge as they draw nearer to the whole. |
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The
Phenomenon of Man
Pierre
Teilhard de Chardin (scientist, mystic) |
| We
are returning to original beliefs that the mind and body cannot be
separated. |
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Timeless
Healing
Herbert Benson, MD |
| In
order to understand how healing happens, in the twenty-first century
we shall look not only at our atoms and molecules but at consciousness
as well. In so doing, we shall reinvent medicine, adding ancient wisdom
to modern science. The result will be fabulously more successful-and
fulfilling-than science alone. |
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Reinventing
Medicine
Larry Dossey, MD |
| We
must also remember that the biggest problems for the human race in
the future are those associated with our own behavior and misbehavior
and the impact of the social and physical environment on our bodies
and brains. |
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Bruce
S. McEwen, Ph.D, Neuroscientist, Rockefeller University |
Statement
The last
century has brought remarkable advances in biomedical technology and treatment.
As a society, we have come to expect that effective treatments and cure
should be available for most medical conditions. Yet, most of the symptoms,
syndromes, and illnesses that people and patients experience cannot be
explained by organic disease identifiable by currently available medical
tests. Most of these "functional" symptoms and illnesses are
related to medical labeling of symptoms as syndromes, stress and the stress
response, the emotional brain and emotional distress, negative thinking
and beliefs, and unhealthy lifestyle choices and behaviors.
Functional
conditions provide all of us – people with symptoms, patients with syndromes,
and doctors who care – with an opportunity to explore and understand the
MindBody Connection and its interrelatedness to genetics (heredity) and
the environment, both physical and social. The placebo response and capacity
for self-healing represent the intersection and convergent common ground
of ancient, traditional, complementary/alternative, and Western biomedical
approaches to health, disease, illness, and healing. Furthermore, there
is a scientific and neurobiologic basis of the MindBody Connection that
is common to all healing traditions. Scientific evidence continues to
confirm that there is a spiritual dimension to the connection and that
spirituality and religion may be beneficial to health. The appropriate
term is the MindBodySpirit Connection. It is no longer appropriate to
separate mind from body, mind from gut or mindbody from spirit.
We have
more power to heal ourselves than we may believe. MindBodySpirit Medicine
and healing can be our common language.
Bibliography
and References (annotated)
Biopsychosocial
Model Of Health, Illness, And Disease
- Ringel
Y, Sperber AD, Drossman, DA. Irritable bowel syndrome. Annu Rev Med.
2001;52:319-38. Review.
Research-generated
insights have led to the understanding of IBS as a disorder of brain-gut
regulation. The experience of symptoms derives from dysregulation
of the bidirectional communication system between the gastrointestinal
tract and the brain, mediated by neuroendocrine and immunological
factors and modulated by psychosocial factors. The biopsychosocial
model integrates the various physical and psychosocial factors that
contribute to the patient's illness. This model and the recently revised
symptom-based criteria (i.e. the "Rome II criteria") form the basis
for establishing a comprehensive and effective approach for the diagnosis
and management of the disorder.
This
site offers up-to-date information on functional GI and motility disorders
for both the professional and the patient, and provides information
on the Center and its research, training, and clinical treatment opportunities.
It is co-directed by Douglas A Drossman, MD and William E. Whitehead,
Ph.D, who are leading authorities in the field of functional gastrointestinal
syndromes.
MindBodySpirit
Medicine and Healing
- Benson,
Herbert. Timeless Healing: The Power and Biology of Belief. New York:
Scribner, 1996.
Harvard’s
Benson explores the intersection between objective science and the
mystifying power of the human spirit. He shows how affirming beliefs,
particularly belief in a higher power, makes a critical contribution
to our physical health. One of his messages is that our bodies are
"wired for God."
Harvard’s
Herbert Benson, MD, has been a pioneer in MindBodySpirit Medicine.
Numerous educational programs are available.
- Dacher,
Elliott. Intentional Healing: A Guide to the Mind/Body Healing System.
New York: Marlowe & Company, 1996.
Harvard
trained Elliott Dacher, MD presents a very sophisticated concept of
four healing systems: homeostatic, mind-body, treatment, and spiritual.
He emphasizes our power and potential to heal and provides practical
approaches to healing.
- Dacher,
Elliott. Whole Healing: A Step-By-Step Program to Reclaim Your Power
to Heal. New York: Dutton (Penguin Book), 1996.
Harvard
trained Elliott Dacher, MD presents a very sophisticated concept of
four healing systems: homeostatic, mind-body, treatment, and spiritual.
He emphasizes our power and potential to heal and provides practical
approaches to healing.
- Mayer,
Emeran. The Neurobiology Basis of Mind Body Medicine: Convergent traditional
and scientific approaches to health, disease, and healing. International
Foundation for Functional Gastrointestinal Disorders (IFFGD).
This 22 page monograph is an excellent overview of the emerging scientific understanding of the neurobiologic basis of mind body medicine. It can be ordered for $5.00 from IFFG by calling toll free at 1-888-964-2001 or by clicking here.
- Sarno
John. The Mindbody Prescription. New York: Warner Books, 1998.
Dr. Sarno,
Professor of Clinical Rehabilitation Medicine at New York University
Medical Center, has appeared on Larry King live and the television
show, 20:20. He discusses the primary role that emotions play in illness
and emphasizes that the mind and body are one, inextricably linked.
His inspirational message is that we are stronger than we know and
have more power over our body than we may realize.
Harvard
trained Andrew Weil, MD, is considered to be a leading authority on
complementary and alternative medicine. His website can be a useful
resource of information: http://www.drweil.com/
Spirituality
- Benson,
Herbert. Timeless Healing: The Power and Biology of Belief. New York:
Scribner, 1996.
Harvard’s
Benson explores the intersection between objective science and the
mystifying power of the human spirit. He shows how affirming beliefs,
particularly belief in a higher power, makes a critical contribution
to our physical health. One of his messages is that our bodies are
wired for God. This is probably the best place to begin exploration
of MindBodySpirit Medicine.
- Dossey,
Larry. Reinventing Medicine. San Francisco: Harper, 1999.
In 1993,
Larry Dossey, MD, one of the pioneers of mind body medicine, changed
our understanding of the healing process with his New York Times bestseller,
Healing Words. Reinventing Medicine is a vision of the future of the
practice of medicine that includes the scientific and medical evidence
that the spiritual dimension works in healing.
- Keonig
HG, McCullough, ME, Larson, DB. Handbook of Religion and Health. New
York: Oxford University Press, 2000.
What
effect does religion have on physical and mental health? In answering
this question, this book reviews and discusses research on the relationship
between religion and a variety of mental and physical health outcomes,
including depression and anxiety; heart disease, stroke, and cancer;
and health related behaviors such as smoking and substance abuse.
The authors examine the positive and negative effects of religion
on health throughout the life span, from childhood to old age. Based
on their findings, they build theoretical models illustrating the
behavioral, psychological, social, and physiological pathways through
which religion may influence health. The authors also review research
on the impact of religious affiliation, belief, and practice on the
use of health services and compliance with medical treatment. In conclusion,
they discuss the clinical relevance of their findings and make recommendations
for future research priorities. Offering the first comprehensive examination
of its topic, this volume is an indispensable resource for research
scientists, health professionals, public policy makers, and anyone
interested in the relationship between religion and health.
The purpose
of the Center is to conduct research that explores the effects of
religious/ spiritual beliefs and practices on physical and mental
health. This is an exciting new area of scientific inquiry, rapidly
increasing in scope and depth.
Placebo,
Thought, and Meaning
- Brody,
Howard and Brody, Daralyn. The Placebo Response: How You Can Release
the Body's Inner Pharmacy for Better Health. New York: Cliff Street
Books, 2000.
Dr. Brody
is a professor of family practice and philosophy and director of the
Center for Ethics and Humanities in the Life Sciences at Michigan
State University. This is an excellent book on MindBody healing, and
particularly about meaning, or the way we interpret and make sense
of events.
Stress
And Stress Response
- McEwen
Bruce S. Protective and damaging effects of stress mediators. New England
Journal of Medicine (January 15, 1998);338:171-179.
This
landmark review of the human stress literature in the world’s most
prestigious medical journal explains the key concept of the protective
and damaging effects of the response of the MindBodySpirit Connection
to stress. There are many mechanisms, but among the most prominent
are the manifestations of physiological stress responses as a result
of living and working conditions, inter-personal conflict, as well
as the sense of control of one’s environment and optimism/pessimism
toward the future. "Allostatic load" refers to the cost of adaptation
to a stressful environment, which elicits repeated and sometimes prolonged
adaptive responses ("allostasis") that preserve homeostasis in the
short run but can cause wear- and-tear on the body and brain. Functional
symptoms and syndromes, decreased cognitive function during aging
as well as abdominal obesity and increased risk for hypertension and
cardiovascular disease, insulin-dependent diabetes and decreased immune
responses are all manifestations of allostatic load.
We have
powerful ways of modulating the harmful output of the stress response
systems that include belief systems and behaviors. An important quote
attributed to Dr. McEwen is, "We must also remember that the
biggest problems for the human race in the future are those associated
with our own behavior and misbehavior and the impact of the social
and physical environment on our bodies and brains."
- Sapolsky
Robert M. Why Zebras Don't Get Ulcers. New York: W. H. Freeman and Company,
1998.
This
is a good book about the science of stress, how the body handles it,
and what to do about it. The book is easy to read and explains how
our bodies are not designed for the constant stresses of modern day
life. Rather, they seem more built for the kind of short-term stress
faced by a zebra when outrunning a lion.
- Salt WB II. Stress. in Encyclopedia of Gastroenterology. Leonard R. Johnson, Editor-in-Chief. San Diego: Elsevier Academic Press, November, 2003.
Emotional
Brain
- LeDoux,
Joseph. The Emotional Brain: The Mysterious Underpinnings of Emotional
Life. New York: Touchstone Books, 1998.
This
book provides a lucid discussion of the emotional stress response
systems of the MindBodySpirit Connection. A very important observation
made by Joseph LeDoux, a neuroscientist at New York University, is
that the expression of stress and emotion in the body is not necessarily
accompanied by cognitive and conscious awareness of anxiety or of
fear. In other words, when stress triggers an emotional fear response
expressed in the digestive tract as pain, cramping, and disturbances
of bowel function, or in the muscles as pain and discomfort, the gastrointestinal
and bodily distress may or may not be accompanied by a mental sense
of fear or of anxiety. This makes it easier to understand how depression
can be associated with many different bodily symptoms, and how these
bodily symptoms may not be associated with much if any sadness or
depression of mood. Dr. LeDoux’s website is www.cns.nyu.edu/home/ledoux/.
- Mayer,
EA, Naliboff B, Munakata J.The evolving neurobiology of gut feelings.
Prog Brain Res. 2000;122:195-206. Review.
The bi-directional
communication between limbic regions and the viscera play a central
role in the generation and expression of emotional responses and associated
emotional feelings. The response of different viscera to distinct,
emotion-specific patterns of autonomic output is fed back to the brain,
in particular to the cingulofrontal convergence region. Even though
this process unfolds largely without conscious awareness, it plays
an important role in emotional function and may influence rational
decision making in the healthy individual. Alterations in this bi-directional
process such as peripheral pathologies within the gut or alterations
at the brain level may explain the close association between certain
affective disorders and functional visceral syndromes.
- Sarno
John. The Mindbody Prescription. New York: Warner Books, 1998.
Dr. Sarno,
Professor of Clinical Rehabilitation Medicine at New York University
Medical Center, has appeared on Larry King live and the television
show, 20:20. He discusses the primary role that emotions play in illness
and emphasizes that the mind and body are one, inextricably linked.
His inspirational message is that we are stronger than we know and
have more power over our body than we may realize.
Models
Of Functional Illness
Gastrointestinal
- Mayer
EA. Emerging disease model for functional gastrointestinal disorders.
Am J Med 1999 Nov 8;107(5A):12S-19S.
In response
to perceived or experienced change that is considered threatening
to the individual, the central nervous system mounts a stereotypic
response that decreases the sensitivity to pain, modulates the autonomic
nervous system outflow, and activates the hypothalamic-pituitary-adrenal
(HPA) axis. This response of the "emotional motor system" may or may
not be associated with the conscious experience of feelings of fear
or anxiety. Alterations in these response systems (either up- or downregulation)
may produce symptoms, such as viscero-somatic hypersensitivity, altered
bowel habits, or increased anxiety.
A multidisciplinary program dedicated to the practice, teaching and science of mind, brain and body interactions and women's health.
Fibromyalgia
- Clauw
DJ, Chrousos GP. Chronic pain and fatigue syndromes: overlapping clinical
and neuroendocrine features and potential pathogenic mechanisms. Neuroimmunomodulation.
1997 May-Jun;4(3):134-53. Review.
Patients
with unexplained chronic pain and/or fatigue have been described for
centuries in the medical literature, although the terms used to describe
these symptom complexes have changed frequently. The currently preferred
terms for these syndromes are fibromyalgia and chronic fatigue syndrome,
names which describe the prominent clinical features of the illness
without any attempt to identify the cause. This review delineates
the definitions of these syndromes, and the overlapping clinical features.
A hypothesis is presented to demonstrate how genetic and environmental
factors may interact to cause the development of these syndromes,
which we postulate are caused by central nervous system dysfunction.
Various components of the central nervous system appear to be involved,
including the hypothalamic pituitary axes, pain-processing pathways,
and autonomic nervous system. These central nervous system changes
lead to corresponding changes in immune function, which we postulate
are epiphenomena rather than the cause of the illnesses.
The Chronic Pain and Fatigue Research Center brings together nationally renowned clinicians and investigators dedicated to the research and mechanisms of Chronic Multi-symptom Illnesses (CMI), such as Fibromyalgia (FM) and Chronic Fatigue Syndrome (CFS). The Center uses a multidisciplinary approach to examine the role that central nervous system dysfunction plays in chronic pain and fatigue syndromes.
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