We've all heard about placebos. You know, those inactive substances, such as sugar pills, that are used as controls in research designed to determine whether a genuine drug has positive bodily effects.
Most of us also are familiar with the frequent finding that placebos turn out to be as effective as genuine drugs, or even surgical procedures. This is perplexing if we assume that the mind and body are separate entities.
But not at all perplexing given the obvious fact that the mind is the brain in action, and the brain is an organ of the body. So if someone believes that a placebo will benefit them in some physical way, that's one part of the body — the mind/brain — affecting another part of the body, such as pain receptors.
In her book, The Mindful Body, psychologist Ellen Langer speaks about the fallacy of mind-body dualism. That's been part of our worldview for thousands of years, in both Western (think Descartes) and Eastern (think Hinduism) forms.
Langer writes:
Any change is virtually simultaneously occurring in every cell of our bodies. If I lift my arm, there are differences in my brain from before I lifted it. If I have a thought about my dog, my brain has changed from before the thought.
Rather than assume that while our minds are engaged, our physiology is inactive, or vice versa, seeing it as one implies that thought and bodily responses occur simultaneously. One might ask, "If I lose a limb or weight, does that mean I lose part of my mind?"
The argument is mind-body unity, not mind-body equality; your mind is certainly affected by your lost limb or change in weight, it's just not one-for one. One might also ask, "If my mind keeps changing, does that mean my body does so as well." The simple answer is yes. The body regenerates all the time.
So again, recognizing the truth of mind-body unity makes it easy to understand how placebos can be so effective.
Whether people are given sugar pills, saline injections, or sham surgery, when someone believes the treatment will produce a cure, a cure often follows. Among the more striking examples is one in which the patient was told ipecac would stop vomiting and it did stop vomiting, even though ipecac is a medication that induces vomiting.
Langer describes many other examples of placebo research conducted by her team at Harvard and other investigators. She notes that even when pills are labeled as a placebo, they still have a positive effect: "I believe this shows that as long as patients are induced to have positive expectations, an open-label placebo approach should work."
Reading about placebos in Langer's book this morning got me to thinking about how supposed supernatural experiences are almost certainly another manifestation of the placebo effect.
Of course, with rare exceptions religions and mystical practices don't openly say, "What we're offering doesn't have any proven ability to experience supernatural phenomena, but if you believe they do, there's a good chance you'll have that sort of experience."
In other words, as Langer said, there's plenty of research showing that positive expectations lead to the expected result, even if there's no direct causal connection between what someone is doing — like meditating — and a result — like seeing divine light, hearing divine sound, or otherwise experiencing the presence of a divine being such as God.
A Christian fervently believes that the Bible is true. Jesus is the Son of God sent by Heavenly Father to save souls and take them to heaven. That belief can easily lead the Christian to feel that Jesus is a living presence. They sense Jesus guiding them, loving them, protecting them.
Jesus isn't actually there. But the benefit they derive from this religious placebo effect is as genuine as if Jesus truly was a force in their life. That's wonderful, even though in no way does it prove that God, heaven, and such are objectively real. They're simply subjective perceptions brought into being by fervent belief.
Or to offer another example from my own brand of religiosity, Eastern mysticism variety, that I embraced for thirty-five years: a guru is believed to be God in Human Form, a divine being who places his supernatural form in the consciousness of a disciple at the time of initiation.
If this belief is strong enough, and persistent enough, a disciple of the guru may have a vision of the guru, either during meditation or at some other moment. This supernatural vision can seem absolutely real, in the same sense as a sham surgery can cause a patient's knee pain to go away just as a genuine surgery would have.
Placebos work because the human mind is a powerful force. It's absurd to discount placebos by saying, "They're just in the mind." Actually, everything is in the mind. Without a mind, without consciousness, we can't experience anything.
So I'm not discounting the value of placebos, whether of a religious nature or otherwise. I use them all the time. A physical therapist told me recently that the SalonPas and Biofreeze patches I've been putting on my right leg and butt to relieve sciatica pain during sleep don't do very much, if anything, given the nature of nerve pain.
Okay. I accept that. And I still use the patches. I visualize them reducing pain. I expect they'll reduce pain. I realize that my belief may not be founded in actual fact. That doesn't matter to me. What matters is that I feel a benefit from the patches.
That's the beauty of placebos. They work because we believe they will.
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“Religion is the earliest form of science fiction.” — Philip Jose’ Farmer
If it’s true that nothing in religion is objectively real, the same must be said for the conclusions of hard determinism theory. If everything is just “the mind” and we have absolutely no free will, then nothing is really real. Including your neighbor’s — and your — human rights.
At this point, I confidently expect “Oh but you don’t understand because Sapolsky says…” I don’t buy his qualifications. One either believes in a religion or philosophy or he doesn’t. And if he lives contrary to the religion or philosophy that he declares is absolutely true, then I question whether he truly believes what he’s preaching.
Sant Mat I guess is one of the more absurd religions. It teaches things like initiation by a Godman and hours of daily meditation for the sake of overcoming karma. We can call followers of Sant Mat credulous believers in fairy tales. But, we have to admit they are living their lives as if Sant Mat is true, and in that respect their convictions are sound. Moreover, their philosophy has strong moral components; any philosophy that doesn’t is suspect.
In contrast, I don’t see any hard determinists living their lives as if that philosophy is true. You know what I mean — living life as if they actually had no free will, living life as if it had zero meaning, living as if all moral impulses were just a trick of biology.
The hard determinist can’t live his philosophy, and that’s hard evidence there’s something fundamentally wrong with it.
I’m okay with Brian’s statements that “. . . the mind is the brain in action” and that “. . . it is absurd to discount placebos by saying, “They’re just in the mind.” Actually, everything is in the mind.” – all quite true I believe. It’s refreshing to hear about mind-body unity as Ellen Langer states as there is such a lot of thinking and assumptions as to what the mind is.
Science and psychology usually say the mind is ‘that which manifests itself in mental phenomena like sensation, perception, thinking, reasoning, memory, belief, desire, emotion and motivation’ or that it has three basic functions, ‘thinking, feeling and wanting.’ True, but to the layman, such statements could give the impression that the mind is a ‘thing’ – which is all too quickly utilized by some religious and mystical interpretations.
It is usual, somewhat natural and convenient to talk of ‘something on my mind’: ‘I’ve changed my mind’ or, ‘I’m seeking peace of mind – all innocently said yet continually compounding the idea of a ‘me’ having a mind. It is said to be an important aspect of meditation to be aware of such habitual thinking.
Personally, I believe that the mind is a myth, a myth in the sense that the self and free will is a myth – inasmuch that both are the product of naïve assumptions. The brain almost certainly produces the above cognitive phenomenon and it is convenient to refer to such as the mind. But as with the self or an entity that has free will, a mind cannot be found. In watching the mind what appears are – the emotions, thoughts, reasoning, memory etc. – a continuous flow of information, information derived from past experiences – and all pertaining to a very natural mind/body unity.