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Mary Robinson Reynolds' Column This Week
Levity Improves Health! Excerpt from The Levity Effect by Adrian Gostick and Scott Christopher
According to William T. Jarvis, Ph.D., Norman Cousins, a former editor of The Saturday Review , revitalized a popular belief in the power of the mind on the body in his book Anatomy Of An Illness (Norton, 1979). Cousins recounted his own 1976 New England Journal of Medicine article describing a self-healing experience alleged to have happened in 1964.
Upon returning from a trip to the Soviet Union, Cousins said that he was experiencing stiffness in his limbs and nodules on his neck and hands, and that he was given a tentative diagnosis of ankylosing spondylitis, a degenerative disease of the connective tissue.
After suffering adverse reactions to most of the drugs he was given, Cousins decided, with the cooperation of his doctor, to take matters into his own hands. Recalling various accounts he had read about the power of positive emotions, and the value of vitamin C, Cousins checked out of the hospital and into a hotel, discontinued his medications except for intravenous injections of vitamin C, arranged for showings of laugh provoking films, and read humorous books.
In time, he experienced a gradual withdrawal of symptoms and eventually regained most of his lost freedom of movement. Cousins' account gave no evidence of a confirmed diagnosis, or that his fortunate recovery was any more than a normal resolution of his symptoms over time. Nevertheless, he reported receiving some 3,000 letters from doctors praising his decision to pursue self-treatment and supporting his mind over matter healing ideas.
Cousins' story has become a modern urban legend among believers in the power of the will and seems to be generally accepted as authentic, but such a conclusion is unwarranted.
The one thing that the Cousins case did illustrate, according to New York City University sociologist Florence Ruderman, PhD, is "a strange readiness" on the part of doctors "to abandon the canons of science" as well as "an eagerness for easy answers" and "a desire for gurus and celebrities who pretend to criticize but pander to medicine's worst features." [2] Ruderman wrote a penetrating critique of Cousins' testimonial under the title "A placebo for the doctor" that appeared in Commentary [3]. Sidney Kahn, MD, also published a detailed, critical evaluation of Cousins' story in "The Anatomy of Norman Cousins' Illness" in The Mount Sinai Journal of Medicine [4].
Cousins' writings have inspired a humor therapy movement. The biblical statement says that "a merry heart doeth good like a medicine," would likely be universally judged to be true purely on the basis of common experience - and, to paraphrase Paul Milvy, "when observations drawn from subjective experience and reality are the same, there is no need for science."
Heartfelt laughter surely must be the best remedy for depression which is one of mankind's most debilitating maladies, but the notion that laughter can overcome the biology of cancer, AIDS, infectious diseases, parasitic infestations, or other physical disorders is quite another matter.
The idea that emotions can control serious diseases is an enduring human hope, especially among people with a strong need to assert their individuality. In the 19th Century, the mind-cure notion was the establishing principle of Mary Baker Eddy's cult, Christian Science.
In the 1950s, Norman Vincent Peal's "power of positive thinking" became a part of common language. More recently, Gilda Radner's It's Always Something and Bernie Siegel's Love, Medicine and Miracles presented persuasive rhetoric on the alleged benefits of positive thinking, but sadly, Gilda died.
A 10-year follow-up study of Siegel's patients found no benefit [5]. Spiegel alleged to have found a beneficial effect for psychosocial intervention in breast cancer patients turned out to be a case of a false positive caused by an atypical control group [6].
Another favorite of the mind-over-body clique is a branch of medical inquiry called psychoneuroimmunology (PNI) . That PNI is ideology-driven is revealed in its name which pretends to know the mechanism of action even before the clinical data has established that a true healing phenomenon actually occurs.
The normal progression of scientific inquiry is to establish through clinical studies that something more than variations in the natural history of a disease or a placebo response is occurring before pursuing an explanation of the mechanism of action -- aspirin, for instance, was used for more than 70 years before its mechanism was determined.
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