• Like
  • Save
Spirituality and Medicine
Upcoming SlideShare
Loading in...5
×
 

Spirituality and Medicine

on

  • 459 views

Spirituality and Medicine

Spirituality and Medicine

Statistics

Views

Total Views
459
Views on SlideShare
457
Embed Views
2

Actions

Likes
0
Downloads
17
Comments
0

2 Embeds 2

http://www.linkedin.com 1
https://www.linkedin.com 1

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    Spirituality and Medicine Spirituality and Medicine Presentation Transcript

    • SPRITUALITY AND MEDICINE Manoj Jain M.D. M.P.H.
    • Goals
      • Exploring Spirituality through science.
      • Is religion healthy?
      • If so - what mechanisms make religion healthy?
      • Evolving model
      • Our prayer study - Research
    • Resurgence of Spirituality in Medicine
      • Surveys
      • 1993 and 1998 Eisenberg study on Alternative Medicine
      • Medical School Curriculum
      • Research by Benson, Koenig, Larson, Matthews
    • Survey Results
      • 95% of Americans believe in God
      • 76% pray regularly
      • In 1990 25% used self-prayer for healing
      • In 1997 35% used self prayer (JAMA 98)
    • Spirituality vs. Religiosity
      • Spirituality is: Core of our belief- often individual
      • Religiosity is: broader, institutional, ritualistic
      • Spirituality more compatible with science
    • What evidence is there that Spirituality/Religiosity leads to good health?
      • Survival- 91,909 men attending church
      • Netherlands -SDA men 9 yrs. increase
      • Psychiatric illness
      • YET NO GOOD RCT--biased by behavior
    • What evidence is there that Spirituality/Religiosity leads to good health?
      • 3968 California residents age 64-101 years old 6 year follow up-
      • 46% lower mortality rate if church going
      • After after correcting for behavior mortality rate 28% lower
    • Clinical Scenario
      • 1.Child falls “kiss the boo- boo”
      • 2.Patient with Shortness of Breath
      • 3.Patients with breast cancer go to social group
      • 4. Patients in CCU were prayed for
    • If religion is healthy then what is the mechanism?
      • Placebo effect
      • Psychological support
      • Social support
      • Religious practices i.e. dietary
      • Vibrational -- “devine” -- intercessory prayer
    • Placebo effect
      • Belief in Medicine
      • Belief in Doctor
      • Belied in Relationship
      • 30 percent effective (JAMA 1965)
    • Psychological/Social support
      • Clergy - priest
      • Forgiveness/Confession
      • Sunday Church visits
      • Church Socials
    • Relaxation Response
      • Prayer
      • Meditation
      • Chanting - repetition
      • Silence
    • Behavior modification
      • Less smoking, drinking or high risk activities
      • Better diet - Seventh Day Adventists
    • Vibrational or Devine intervention
      • ? By science
      • NTTE
      • Non-Tactile Transfer of Energy
    • Medical Perspective -50 yrs.ago Basic Needs: Food -Shelter
    • Medical Model - 20 yrs. ago Basic Needs Psychological Needs Social Support Needs Placebo effect Stress response Relaxation response
    • New Developing Medical Model Basic Needs Psychological Needs Social Needs Spiritual Needs Prayer- Intercessory prayer
    • Study on intercessory prayer: San Francisco - Byrd Study1988
      • Study Design : Randomized control CCU patients
      • Sample : n=393, prayed group n=192, control group n=201
      • Results : CHF 8 vs. 20 p<.03
      • pneumonia 3 vs. 13 ...
      • Conclusion : Pts. receiving prayer had favorable outcome
    • Study on the Therapeutic Effect of Prayer --1998-2001
      • Study Design : Randomized control CABG patients-multicenter
      • Intervention : Intercessory prayer - knowledge if being prayed for
      • Sample : n=2000
      • Three groups:
      • Prayed for + certain if being prayed for
      • Prayed for + uncertain if being prayed for
      • Not prayed for + uncertain if being prayed for
      • Outcomes: Complications - mortality -LOS
    • What kind of business are doctors in?
      • Healers or
      • Drug Dealers