Tuesday, November 7, 2006

Blind Faith: The Unholy Alliance of Religion and Medicine

We have all heard the various arguments that religion is good for your health in some way or another. We have all heard that there are "numerous studies that show/support this"...where is the proof?

Some time back, I took a serious look at this question, and found, with no exception whatsoever, that no study had ever established any such correlation. (Make sure to check out the comments section of that post)

The problems with all studies purporting to support this correlation are consistently demographic and sociological in nature -- for example: studies that show that older people who attend church are twice as likely to be healthy as those who don't are flawed when they do not take into account the question of whether those who do not attend are still religious, and those who physically cannot go out to church because they are sick. That is, it is cherry-picking an already-healthy group (those who can go out [at all] every week) and comparing them to a group that certainly contains some bedridden and shut-in elderly persons.

These sorts of flaws pervade the studies claimed to support the contention that I have looked at, without exception. The best-controlled studies show no statistical significant effects of prayer or religion upon health, and many show the converse. The researchers are quick to point out that many sick persons adopt more religious beliefs as their illness progresses, though, in order to "protect" cherry-picking in the opposite way from that mentioned before. Also, the newest and most comprehensive studies on intercessory prayer proved to have no good effect whatsoever upon those being prayed for. See here for serious analysis of that study.

I have also pointed out that the correlation between health and religion is one we expect, given the numerous promises to "covenant health" throughout the Bible. Dr. Richard Sloan has done more research in this field than any other medical doctor I'm aware of, and he agrees that the bottom line is, "no evidence":
When you suggest that religious activity is associated with better health, you implicitly suggest quite the opposite: that poor health is a product of insufficient devotion, insufficient faith. It's bad enough to be sick. It's worse still to be catastrophically ill. To add the burden of guilt and remorse on top of that is simply unconscionable. And that happens all the time.

So for a variety of ethical reasons, it seems clear to me, regardless of what the empirical evidence is, that bringing religion into medicine not only makes no sense, it's simply wrong to do, even if there were solid evidence--which, of course, there isn't.

So . . . there's just no solid evidence, and the ethical problems are so serious they have to be addressed. We should simply not tolerate attempts to bring religion into medicine until these matters have been resolved.

I am posting below an excerpt from the Chronicle from his new book, Blind Faith: The Unholy Alliance of Religion and Medicine, which takes the longest and most comprehensive look at the connection between medicine and religion that has ever been published. It will not help give the religious any more faith, and will instead present unequivocal evidence that their prayers are being uttered to uncaring, dead, empty space, rather than an all-loving and knowing Being. But, those I know who waste their time wailing to walls and uncaring air are somewhat unlikely to allow empirical evidence to sway their supernatural "feelings".

The Critical Distinction Between Science and Religion
By RICHARD P. SLOAN
http://chronicle.com/weekly/v53/i11/11b01301.htm

The view that all human experience can be reduced to the function of biological activity may be satisfying to scientists, but it is anathema to theologians. The researchers Marguerite Lederberg and George Fitchett recognize this problem in an interesting article with the provocative title "Can You Measure a Sunbeam With a Ruler?" In it, they explore the scientific problems with attempts to reduce the experience of religion to the measurable quantities of science. The point of their title is to reiterate a longstanding concern in science: the difficulty of quantifying human experience. By attempting to measure a sunbeam and in so doing reduce it to that which can be quantified by a ruler, we lose the character of the sunbeam itself. While such measurement may be possible, it cannot capture the essence of the sunbeam and in fact may distort it.

Trying to quantify religious experience by counting the number of times a person reports attending church, the most commonly used index of religious involvement, is like trying to measure a sunbeam with a ruler: It may be possible, but the essential character of the experience is lost in the process. It is like trying to quantify the aesthetic experience of listening to a Beethoven symphony by counting the number of times a listener smiles. No doubt we could conduct brain-imaging studies to demonstrate differences in the activity of cerebral structures while listening to the Ninth Symphony and to white noise. Would that tell us anything about the aesthetic experience? Would it mean that this experience is explained by the activity of that specific brain region? Is that all there is to it? Is the majesty of listening to Beethoven, viewing the Grand Canyon, or appreciating the vastness of the universe merely the product of increased activity of certain regions in the brain? And could we reproduce these experiences simply by administering the right medication or electrical stimulation?

As productive as this strategy of reductionism has been and as promising as it continues to be for science, we ought to question seriously what insights it yields in the study of religion. Religion and science are independent approaches to knowledge, and neither can be reduced to the other. Religion and science are fundamentally different, with the former relying on faith as a source of wisdom and the latter demanding evidence. Religious truths generally are considered to be enduring and not subject to change. Scientific truths, on the other hand, are completely dependent on evidence, and as new evidence emerges, scientific truths change accordingly.

For these reasons, attempts to understand religious experience by scientific means can never be satisfying to religion. They can satisfy only science.

Using the methods of science to examine religion has another seemingly unintended consequence: It has led to attempts to establish the relative merits of different religious traditions by scientific means. After all, if we can determine scientifically whether frequency of attendance or frequency of prayer is associated with health outcomes, then shouldn't we begin to test whether the type of service makes a difference? If we are truly interested in collecting information relevant to health outcomes, then we should want to know whether it is better for our health to attend a Catholic mass or a Quaker meeting. Are Orthodox Jewish services better for our health than Reform services? Is there a health advantage to praying five times a day, as Muslims do, as opposed to the three times of Orthodox Jews? Why is it acceptable to determine that more-frequent attendance at religious services is better for your health than less-frequent attendance, but it is not acceptable to determine that Christian services are better for your health than attending Jewish or Muslim services?

Most researchers in the field of religion and health do not address this matter. My guess is that if they were asked, they would oppose contrasting the health benefits of different religious denominations. But why should they object? Presumably, the objection to studying the different health effects of Christianity, Judaism, and Islam, for example, is that it would be offensive if we discovered that one religion was superior to the other two. The offense lies in the implication that those who practice the medically less beneficial religions would be better off converting to the medically more beneficial one.

Such a recommendation would be seen as out of bounds by most people. But why should it be? Attending services at an Orthodox synagogue or a Catholic church is a religious behavior that we can measure, just like attending services more or less frequently. Why is recommending conversion from one religious denomination to another for hypothetical health benefits more offensive than recommending that people who attend services only once per month attend more frequently because the latter, some believe, is better for their health, or recommending that people increase the amount of time spent praying?

We are on dangerous ground here, and the danger lies once again in a critical distinction between science and religion. It is a distinction that proponents of the religion-health connection obliterate, whether they intend to or not. Science permits us, in principle, to answer these questions. Without a doubt, we could conduct a study contrasting the health effects of Christianity, Judaism, and Islam, for example. It could be done in precisely the same way that researchers have examined the effects of higher versus lower frequency of attendance at religious services, or greater or lower frequency of private prayer or reading the Bible or listening to religious radio programming. From the scientific perspective, there is no fundamental difference between using religious denomination or religious attendance as the predictor variable.

Although science allows us to conduct such a study, ethics and religion ought to tell us how ridiculous such a comparison would be. In today's world (and in the past as well), we have ample evidence of religious strife. This should not diminish the value that religion has for many people, but no one can dismiss the fact that religious factionalism has been responsible for conflict at the societal and familial level for thousands of years. Even if we could, hypothetically, demonstrate that Protestant prayer is better for one's health than Catholic prayer, why would we ever want to do so?

It undoubtedly is true that we can submit religious ritual and experiences to scientific study to determine if they are associated with beneficial health outcomes. But to do so runs the risk of trivializing the religious experience, making it no different from other medical recommendations made by physicians. If attending religious services becomes no different than consuming a low-fat diet or getting regular exercise, a great deal will have been lost. Bringing religion into the world of the scientist must by definition reduce religion to measurable indices that strip it of the sense of transcendence that distinguishes it from other aspects of our lives. Doing this dumbs religion down, making it so bland and universally acceptable that it has lost all of its meaning.

Ironically, this reductionism is precisely the problem that many in the religious community have railed against. Steven Goldberg, author of Seduced by Science, wrote, "When prayer is innocuous, it is no rival to the materialistic view of the world." Bringing religion into the "laboratory" of the scientist cannot help but contribute to the inevitable comparisons of the "scientifically established" virtues of one religion, or one type of religious practice, over others. In a world riven with religious factionalism and strife, it's hard to think of a worse idea.

Richard P. Sloan is a professor of behavioral medicine at Columbia University. This essay is excerpted from Blind Faith: The Unholy Alliance of Religion and Medicine, published this month by St. Martin's Press.

The Chronicle Review
Volume 53, Issue 11, Page B13
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