Editorial
Editor: Lesley Pocock
 

Theft of Our Combined Cultural Heritage
Ethical and Sustainable Business
- the only way to survive into the future

Lesley Pocock

A Review on The Most Important Consequences of Wars and Armed Conflicts
Dr. Mohsen Rezaeian

Jordan Population Analysis
Bayan Al-Abdullat
The New Medicine
Dr Michael Ellis
Dominating Factors on Educational Deprivation of Child Labor in Bangladesh
Muhammad Shariful Islam
Music for Middle East Peace

    << back to Journal Home
     
 

The New Medicine

Author Dr Michael Ellis©2008

Abstract/ Summary

Major changes are occurring in Medical Science in terms of Consciousness research and Mind Body Medicine. This article examines the progression of Medicine in the past 100 years and examines the growth of the Complimentary and Alternative Medicine and the Wellness industry and the role of Quantum Physics in underpinning the new science of Mind Body Medicine. It also looks at healing from a new diagnostic perspective as well as looking at the social ,environmental and relational aspects of health.

Key words: Biomedical Model ,Allopathic treatment, healing, psychoneuroimmunology, Quantum physics, Mind Body Medicine, Consciousness research, general practice, person centered diagnosis, social determinants of health, Health Promotion, Relaxation Response, relationship.

__________________

We live in a time of tremendous cultural complexity. Different world views and traditional healing methods are converging on western culture creating new ways of looking at the world and enhancing new modalities in the practice of medicine.

The traditional biomedical model of western medicine stems from the Newtonian ideal of a materialistic universe where everything can be measured and quantified. Indeed the essence of materialistic science which arose in the 1800's is based on reductionism, materialism and determinism. This led to the concept that the body as a machine, whether it be composed of organs, structures or chemicals could be rectified by putting the parts together and rectifying the chemical imbalances.

In this model of the human being, society was seen as the collection of individuals molded by economic forces where health was defined as the survival of the fittest. The presupposition in the biomedical field of medicine was that human beings lived and breathed in a random universe and had illnesses which were a function of external environmental causes or due to defects in their genetic structure. This gave power to the physician who was able to rectify the situation as a parochial redeeming force and where the patient was purely a recipient of treatment for an illness which they could do nothing about.

This to an extent is still the case in modern medicine. Even though it is known that the placebo response(1) accounts for 30-40% of cure in patients, this is often considered to be only a factor taken into account when doing double blind trials to assess pharmaceutical products.

We need a profound renaissance in western medical care following Osler(2) the brilliant physician who lived 100 years ago. Osler said that medicine is an art which considered the constitution of the patient and has principles of action and reason in each case. This means that the individual patient and their uniqueness in being and constitution has to be taken into account when treating the patient.

The biomedical model which is used by most of western medicine is in fact only one modality in a multiplicity of modalities of healing which are now coming more into fashion as now more and more of the Australian population begin to use complementary and alternative medicine. These modalities include nutritional and environmental medicine, herbalism, acupuncture, homeopathy, musculo- skeletal medicine , and also mind body medicine.

Following World War 2 and the meeting of eastern and western cultures, naturopathic, herbal and nutritional medicine became more acceptable. Medicine also began to be seen as related to psychological wellbeing.

It is as if the pieces of the puzzle regarding the nature of the human being was beginning to be unraveled particularly with greater understanding of the nature of psychological development and the growth of quantum physics.

The growth of the science of psychoneuroimmunology(3) shows that our thoughts and feelings influence the body through the mechanisms of the nervous system and the circulatory system.

Candice Pert(4) showed that the neuropeptides in the brain which she calls the molecules of emotion are found throughout the body, particularly concentrated in the specific organs of the immune system. She therefore showed that our emotions and feelings are inextricably tied up with the physiology and functioning of the body. Mind body medicine focuses on the interaction of the brain, mind and body and behavior and the powerful ways in which social, spiritual and behavioral factors can directly affect health.

Disease thus becomes literally lack of ease and for many people is a wake up call to greater health. The implications of mind body medicine is that we have more control over our bodies and our minds than the biomedical model has led us to believe.

It also has tremendous implications as to the nature of consciousness. If the brain is in fact just an organ then it is highly impossible for this organ to be able to change itself through the mind which in the biomedical model is a purely epiphenomena of the functioning of the material of the brain. In order for the mind to change the brain logically this presupposes that the mind therefore exists outside the brain.

Unfortunately consciousness has been a term which has been derided in western medicine and western psychology, particularly by the psychiatric profession who consider that the brain is purely an organ that can be changed by the use of psycho active drugs.

However the evidence is to the contrary. Not only do our states of mind influence our state of wellbeing but also our society and culture influence the way we think and the way we think has a profound affect on our biology.

Quantum science(5) shows that the consciousness of the observer influences the outcome of the experiment. Quantum science also shows that on an atomic level events occur instantly and are non linear. Dr Dean Radin(6) in his book Entangled Minds shows that experiments pertaining to realisations ESP are more robust than double blind trials used for pharmaceutical drugs.

This gives us food for thought. It is evident that the body with its trillions of cells working in coherence and harmony cannot function purely as a chemical factory but in fact works as a living quantum organism.

Quantum science has also shown that the essence of matter is information and energy expressed in the form of waves. We are not what we seem but are in fact as energetic beings connected with the total matrix of life on the planet. This conclusion which comes from the new quantum science is still viewed with perplexity by the majority of medical scientists, biologists and psychologists who are to a certain extent trapped by the methodology of their disciplines. More and more we live in a globalized interconnected world and rising on the horizon is a new science which shows how our biology is intimately related to society.

Indeed consciousness and healing is not only about ourselves but is about the larger system of which we are part. Some of these realizations are derived from the world's wisdom traditions and many of these realizations are now being calibrated through science. Tools such as truth, gratefulness, love and compassion are becoming fundamental aspects of a full healing system.

The emerging world view seems clearly to deal with whole organisms, whole human beings and a much more holistic view of everything including ecological systems where every part is related to everything else.

Dr Leo Galland(7) has created a person centered diagnosis in which for diagnosis the individuality of the patient is foremost. He seeks to integrate disease, physiology and psycho social functions. He divides the diagnosis into mediators, antecedents, triggers and effects of sickness on the individual patient. Triggers are what starts the illness and can be emotional, physical or infectious. Mediators are the biochemical processes that occur and are reinforced or decreased by the psychology of the patient and the social circumstances. Antecedents are basically the factors that predispose the person to the illness and are mainly genetic, although it must be realized that genetic determinants only make up about 5% of the population.

We see that within the context of this form of diagnosis, emotional and social stimulants may well be the greatest determinant of disease especially when we realize the body mind and spirit is an integral unit.

It is unfortunate that in western general practice the doctor hasn't got the time to understand the social and life factors affecting the patient. The consumer need for instant satisfaction and instant cure and the tremendous emphasis on the use of drugs as the cure all has demoted medicine to a pure technology. As doctors we are loosing our art and our pathway as the Australian Government has no respect for the medical professional or the life sciences, purely seeing medicine as another economic process that has to be manipulated for profit. Unfortunately doctors and their patients are not indices in a monetary gain. The healing process which is innate in a human being cannot function without appropriate education and opportunity for recuperation. This kind of intercession by a physician is only possible with an extended consultation where there has to be a greater patient centered diagnosis. In the prevailing system there is no opportunity for this to occur and this is one of the reasons why we are seeing the huge increase in degenerative disease in the overall population, which obviously impacts adversely on the GDP of the nation.

Sir Professor Michael Marmot(8) is the advisor to the World Health Organization (WHO). He has produced 10 social determinants of health for the WHO which are:

1 Social and economic circumstances strongly effect health throughout life. Stress harms health.
2 The effects of early development in the neo-natal period and infancy last a lifetime.
3 Social exclusion creates suffering and morbidity.
4 Stress in the workplace increases the risk of disease
5 Job security increases health, well-being and job satisfaction.
6 Unemployment is deleterious to health.
7 Social support, friendship, good social relations and strong supportive networks improve health at home, work and in the community.
8 Addiction to drugs and alcohol is influenced by social determinants.
9 Nutrition is a key determinant of health.
10 Transport through the use of walking and exercise in a sustainable environment.

It is evident that a healthy nation and the health of an individual in society is tied up and inextricably related to human rights, human justice, lifestyle change, reduction of stress and the fundamental conditions for resources and health including peace, shelter, education, food, income, a stable eco system, sustainable resources, social justice and equity (Ottawa Charter for Health Promotion 1986)(9).

The scientific explanation for this is now forthcoming through the field of mind body medicine. By enhancing each persons capacity for self knowledge and self care it emphasis techniques which contribute towards a more coherent and healed society.

Since the 1960's mind body interactions(10) have become an extensively researched tool and include such techniques as meditation, imaging, the physiology of expectancy (placebo response), cognitive behavior intervention, stress management, relaxation therapy and yoga.

Once it is understood that a human being is not just an assembly of human parts but contains emotional, mental and spiritual dimensions that cannot be reduced to material processes, then what exactly does healthy mean in such a multi dimensional being? How many levels of being - physical, emotional, mental, spiritual - should a doctor treat? Can I be healthy if I am spiritually malnourished? (Reference Ken Wilbur(11).

Dr Herbert Benson,(12) Harvard physician and the inventor of the Relaxation Response has stated that 60-90% of visits to doctors are in the mind body stress related realm.He views health as being akin to a 3 legged stool-- The first being pharmaceuticals, the second being surgery and procedures and the third leg he defines as relaxation response, nutrition, exercise, stress management and above all else the belief system of the patient.

Indeed, the key to healing is relationship. Being loved is about being seen and being able to express yourself in a situation where you can be heard. Social isolation doubles death rates and social relationships impact on our physiology. The most famous mind body medical trials are the increases survival time in patients with breast cancer attending support groups (David Spiegel(13)) and stress reduction techniques healing malignant melanoma (Fauzey and Fauzey(14)) and reduction of heart disease with physical confirmation of widening of the coronary arteries through a comprehensive lifestyle program treating the mind and body (Dr Dean Ornish)(15)).

Perhaps one of the greatest things we can say as regards the new form of integrative healing is that once the individual knows that their life matters to someone then it cannot be taken back(16). Once we know that our life is important and treasured and others feel this way about us then this has huge effect on our survival and health.

__________________

References:

  1. the placebo response.
    The placebo effect - a neglected asset in the care of patients. JAMA 1975;232: 1225-7. Benson H, McCallie DP Jr. Angina pectoris and the placebo effect.
  2. Osler Sir William Osler, 1st Baronet (July 12, 1849 - December 29, 1919) was a Canadian physician. He has been called the Father of Modern Medicine Osler was a physician, clinician, pathologist, teacher, diagnostician, bibliophile, historian, classicist,essayist, conversationalist, organizer, manager and author.
  3. Psychoneuroimmunology By Robert Ader
    Contributor Robert Ader Published by Academic Press, 2007 ISBN 0120885778, 9780120885770
  4. Candace Pert Molecules Of Emotion: The Science Behind Mind-Body Medicine, Scribner, 1999, ISBN 0-684-84634-9.
  5. Quantum science Ervin Laszlo Quantum Shift in the Global Brain: How the New Scientific Reality Can Change Us and our World [Rochester VT: Inner Traditions, 2008].
  6. Entangled Minds: Extrasensory Experiences in a Quantum Reality by Dean Radin.
  7. The Four Pillars of Healing: How Integrated Medicine Can Cure You by Leo Galland M.D.
  8. Marmot MG, on behalf of the Commission on Social Determinants of Health (2007). Achieving health equity: from root causes to fair outcomes. Geneva: Commission on Social Determinants of Health. 76p.
    Marmot M, Social determinants of health inequalities Lancet 2005; 365:1099-1104.
    Marmot M. Status Syndrome - how your social standing directly affects your health and life expectancy. London: Bloomsbury & Henry Holt New York, 2004.
    Marmot MG, Davey Smith G, Stansfeld S, Patel C, North F, Head J, White I, Brunner E, Feeney A. Health inequalities among British civil servants; the Whitehall II study.. Lancet, 1991; 337: 1387-1393.
    Marmot MG, Shipley MJ, Rose G Inequalities in death - specific explanations of a general pattern? Lancet 1984; i: 1003-6.
  9. The first International Conference on Health Promotion, meeting in Ottawa on the 21st day of November 1986, presented a CHARTER for action to achieve Health for All by the year 2000 and beyond.
    This conference was primarily a response to growing expectations for a new public health movement around the world. Discussions focused on the needs in industrialized countries, but took into account similar concerns in all other regions. It built on the progress made through the Declaration on Primary Health Care at Alma-Ata, the World Health Organization's Targets for Health for All document, and a recent debate at the World Health Assembly on intersectoral action for health.
  10. Effects of mind/body therapy techniques.
    Treatment of ischemic heart disease with relaxation response [30]. Benson, H., Alexander S., & Feldman C. Decreased premature ventricular contractions through the use of the relaxation response in patients with stable ischemic heat disease. Lancet, 1975, 2, pp. 380-2. hypertension [31]. Leserman J., Stuart E., Mamish M., Deckro J., Beckman R., Friedman R., Benson H. Nonpharmacologic intervention for hypertension: long-term follow-up. Journal of Cardiopulmonary Rehabilitation, 1989, 9, 316-24.
    Patients receiving several kinds of elective surgery who were trained in relaxation
    [32]. Wells, J., Howard G., Nowlin W., Vargas, M. Pre-surgical anxiety and post-surgical pain and adjustment: effects of stress inoculation procedure. Journal of Consulting and Clinical Psychology, 1986, 57, pp. 831-5. patients receiving angioplasty procedures [34]. Leserman, J., E. Stuart, M. Mamish, and H. Benson. The efficacy of the relaxation response in preparing for cardiac surgery. Behavioral medicine, Fall, 1989, 111-17.
    Meditation
    TM 108 scientific journals, authored by scientists at 211 research institutions and universities, in twenty-three countries mind/body research. [38]. Benson, H. Systemic hypertension and the relaxation response. New England Journal of Medicine, 1977, 296, pp. 1152-6.
    Imagery
    breast milk production in mothers of infants [40]. Feher, S.K., L.W. Berger, J.D. Johnson, and J.B. Wilde. Increasing breast milk production for premature infants with relaxation and imagery. Advances, summer 1989, 6(2):14-16.
    metastatic cancer patients [41]. Gruber B, Hall N. Immune system and psychological changes in metastatic cancer patients using relaxation and guided imagery: A pilot study. Scandinavian Journal of Behavior Therapy, 1988; 17:25?45.
  11. (Foreword Ken Wilbur) Integral Medicine: A Noetic ReaderContributions by: Larry Dossey, Roger Walsh, Michael Murphy, Ivan Illich, Eugene... Lawrence LeShan, Caroline Myss, Rachel Naomi Remen, Arthur Deikman, ... http://wilber.shambhala.com/html/misc/integral-med.pdf.
  12. Benson, H., J. Beary, and M. Carol. The relaxation response. Psychiatry, 1974, 37:37-46.
    Benson H. The Relaxation Response, New York: Avon Books, 1975, and Beyond the Relaxation Response, New York: Berkley Books, 1985.
  13. Spiegel D, Bloom JR, Kraemer HC, Gottheil E. Effects of psychosocial treatment on survival of patients with metastatic breast cancer. The Lancet October 14, 1989, pp. 888-91.
  14. Fawzy, F., N. Fawzy, C. Hyun et al. Malignant melanoma: effects of an early structured psychiatric intervention, coping, and affective state on recurrence and survival 6 years later. Archives of General Psychiatry, 1993, 50:681-9.
  15. Ornish, D., Brown, S.E., Scherwitz, L.W., Billings, J.H., Armstrong, W.T., Ports, T.A., McLanahan, S.M., Kirkeeide, R.L., Brand, R.J., & Gould, K.L. (1990). Can life-style changes reverse coronary heart disease? The Lancet, 336, 129-33.
  16. Chapters by Dr. Rachel Naomi Remen
    "As a Physician...," in Stories of the Spirit, Stories of the Heart, Feldman, C and Kornfield, J. (eds.), San Francisco, CA: Harpers, 1991.
    "Beyond Physical Well-Being: The New Health Perspective," in The Complete Guide to Your Emotions and Your Health, Padus, E. (ed.), Emmaus, PA: Rodale Press, 1986
    "Educating for Mission, Meaning and Compassion," in The Heart of Learning, Glazer, S. (ed.), New York: Tarcher, 1998.
    "Humanistic Patient Care: Towards a Contemporary Synthesis of the Art and Science of Medicine," in Dimensions of Humanistic Medicine, San Francisco, CA: The Institute for the Study of Humanistic Medicine Press, 1975.