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The Healing Mind

The Power of Positive Expectant Faith

I noticed with interest how many people began to feel better the instant they took the first dose of a medication known to take hours, days, or even weeks to begin working pharmacologically — not to mention how many times people began to feel better as soon as I wrote their prescriptions! No one knows exactly how these effects come about, but they are everyday occurrences in medicine. It has been determined that the placebo effect is responsible for over half the action of some of our most powerful and trusted drugs and much of the action of any therapy — alternative or conventional, medical, surgical, or psychological.


Belief can not only draw positive reactions from neutral substances, it can even cause people to react in opposition to the pharmacologic effects of a medication. A physician reported giving syrup of ipecac to two patients with severe nausea and vomiting. Ipecac is a very powerful emetic (it induces vomiting) and is usually given to people who have swallowed poison in an effort to clear their stomachs. In this case, the patients were told that the ipecac was a very strong medicine that would soothe their stomachs and stop their vomiting — and it did.


The power of expectation and faith affects even surgical outcomes. In the 1950s there was a good deal of enthusiasm in the medical community about an operation that was quite successful in relieving chest pain (angina pectoris) and improving heart function in men with blockage in their coronary arteries. The operation involved making an incision next to the breastbone and tying off a relatively superficial artery, which theoretically shunted more blood to the arteries supplying the heart. Most of the patients who underwent this procedure improved dramatically, experiencing both relief of pain and an improvement in heart function. Then a controlled study was done on the operation. A matched group of men with similar angina were brought to the operating room, they were anesthetized, and a surgical incision was made. Half of these men, however, were sewn up again without having anything else done. After surgery, they experienced the same dramatic relief of anginal pain and enjoyed the same improvement in heart muscle functioning as the men who underwent the real operation.


To call an effect “placebo” does not mean that the patient’s response stems from the patient’s belief in the therapy rather than from the therapy itself. What is important about the placebo response is that it demonstrates beyond a doubt that thoughts can trigger the body’s self-healing abilities.


Somehow, under certain conditions, our intentions, desires, and beliefs in recovery are translated into physical healing. What are the conditions that allow this to happen? If we can be “tricked” into healing, why couldn’t we learn to heal “on purpose”?


From Guided Imagery for Self-Healing

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