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Human Ecology

, Volume 47, Issue 2, pp 157–163 | Cite as

Divine Placebo: Health and the Evolution of Religion

  • Patrik LindenforsEmail author
Article

Abstract

In this paper, I draw on knowledge from several disciplines to explicate the potential evolutionary significance of health effects of religiosity. I present three main observations. First, traditional methods of religious healers seldom rely on active remedies, but instead focus on lifestyle changes or spiritual healing practices that best can be described as placebo methods. Second, actual health effects of religiosity are thus mainly traceable to effects from a regulated lifestyle, social support networks, or placebo effects. Third, there are clear parallels between religious healing practices and currently identified methods that induce placebo effects. Physiological mechanisms identified to lie behind placebo effects activate the body’s own coping strategies and healing responses. In combination, lifestyle, social support networks, and placebo effects thus produce both actual and perceived health effects of religiosity. This may have played an important role in the evolution and diffusion of religion through two main pathways. First, any real positive health effects of religiosity would have provided a direct biological advantage. Second, any perceived health effects, both positive and negative, would further have provided a unique selling point for ‘religiosity’ per se. Actual and perceived health effects of religiosity may therefore have played an underestimated role during the evolution of religiosity through both biological and cultural pathways.

Keywords

Evolution Cultural evolution Health Placebo Religiosity Social support networks Lifestyle 

Notes

Funding

This study was funded by Marianne and Marcus Wallenbergs Foundation (Grant 2017.0049).

Compliance with Ethical Standards

Conflict of Interest

The author declares that he has no conflict of interest.

References

  1. Amanzio, M., and Benedetti, F. (1999). Neuropharmacological Dissection of Placebo Analgesia: Expectation-Activated Opioid Systems Versus Conditioning-Activated Specific Subsystems. The Journal of Neuroscience 19: 484–494.Google Scholar
  2. Atran S 2002 In gods we trust. Oxford University, Oxford.Google Scholar
  3. Barrett JL 2004 Why would anyone believe in God? AltaMira Press, Walnut Creek.Google Scholar
  4. Barrett JL 2012 Born believers: The science of children’s religious belief. Free Press, New York.Google Scholar
  5. Barsky AJ, Saintfort R, Rogers MP & Borus JF 2002 Nonspecific medication side effects and the nocebo phenomenon. Journal of American Medical Association 287: 622–627.Google Scholar
  6. Benedetti F 2009 Placebo effects: understanding the mechanisms in health and disease. Oxford University Press: Oxford.Google Scholar
  7. Boyer P 2001 Religion explained. Vintage, London.Google Scholar
  8. Branthwaite A & Cooper P 1981 Analgesic effects of branding in treatment of headaches. British Medical Journal 282: 1576–1578.Google Scholar
  9. Bulbulia J 2004 Religious costs as adaptations that signal altruistic intention. Evolution and Cognition 10: 19–38.Google Scholar
  10. Clark A & Lelkes O 2005 Deliver us from evil: religion as insurance. Papers on Economics of Religion 06/03, Dept. Economic Theory and Economic History of the University of GranadaGoogle Scholar
  11. Cohen EE, Ejsmond-Frey R, Knight N & Dunbar RIM 2009 Rowers' high: Behavioural synchrony is correlated with elevated pain thresholds. Biology Letters 6: 106–108.Google Scholar
  12. Dennett DC 2006 Breaking the spell: Religion as a natural phenomenon (Vol. 14). Penguin.Google Scholar
  13. Dworkin SF, Chen AC, LeResche L & Clark DW 1983 Cognitive reversal of expected nitrous oxide analgesia for acute pain. Anesthesia & Analgesia 62: 1073–1077.Google Scholar
  14. Ebbell B 1937 The Papyrus Ebers: The greatest Egyptian medical document. Levin & Munksgaard, Copenhagen.Google Scholar
  15. Gray JP 1998 Ethnographic atlas codebook. World Cultures 10: 86–136.Google Scholar
  16. Green, M., and Elliott, M. (2010). Religion, Health, and Psychological Well-Being. Journal of Religion and Health 49: 149–163.Google Scholar
  17. Hackett C, Grim B, Stonawski M, Skirbekk V, Potančoková M & d Abel G 2012 The global religious landscape. Washington, DC: Pew Research Center.Google Scholar
  18. Hayward RD, Krause N, Ironson G, Hill PC & Emmons R 2016 Health and well-being among the non-religious: Atheists, agnostics, and no preference compared with religious group members. Journal of Religion and Health 55: 1024–1037.Google Scholar
  19. Humphrey N 2002 Great expectations: The evolutionary psychology of faith-healing and the placebo response. Pages 225-246 in psychology at the turn of the millennium, Vol. 2: Social, developmental, and clinical perspectives. von Hofsten C & Bäckman L (eds.) psychology press, Hove.Google Scholar
  20. Humphrey N 2005 Placebo effect. In: The Oxford companion to the mind, Richard Gregory (ed.). Oxford: Oxford University Press.Google Scholar
  21. Jegindø, E-ME, Vase L, Skewes J, Juul Terkelsen A, Hansen J, Geertz AW, Roepstorff A Jensen TS 2013a Expectations contribute to reduced pain levels during prayer in highly religious participants. Journal of Behavioral Medicine 36: 413–426.Google Scholar
  22. Jegindø E-ME, Vase L, Jegindø J, Geertz AW 2013b Pain and sacrifice: Experience and modulation of pain in a religious piercing ritual. International Journal for the Psychology of Religion 23: 171–187.Google Scholar
  23. Johnson D. 2005 God’s punishment and public goods: A test of the supernatural punishment hypothesis in 186 world cultures. Human Nature 16: 410–446.Google Scholar
  24. Kaptchuk TJ 2011 Placebo studies and ritual theory: A comparative analysis of Navajo, acupuncture and biomedical healing. Philosophical Transactions of the Royal Society, Series B 366, 1849–1858.Google Scholar
  25. Katz R 1982 Boiling energy: Community healing among the Kalahari kung. Harvard University Press.Google Scholar
  26. Keeney BP (ed.) 2003 Ropes to god: Experiencing the bushman spiritual universe. Vol. 8. Leete’s Island Books.Google Scholar
  27. Kinsey SG, Prendergast BJ, & Nelson RJ 2003 Photoperiod and stress affect wound healing in Siberian hamsters. Physiology & Behavior 78: 205–211.Google Scholar
  28. Koenig HG 2008 Medicine, Religion and Health: Where Science and Spirituality Meet. Templetong Science and Religion Series.Google Scholar
  29. Koenig HG 2012 Religion, spirituality, and health: The research and clinical implications. International scholarly research network, psychiatry 1-33.Google Scholar
  30. Konvalinka I, Xygalatas D, Bulbulia J, Schjødt U, Jegindø E-ME, Wallot S, Van Orden G, Roepstorff A 2011 Synchronized arousal between performers and related spectators in a fire-walking ritual. Proceedings of the National Academy of Sciences 108: 8514–8519.Google Scholar
  31. Leeuw M, Goossens M, Linton S, Crombez G, Boersma K & Vlaeyen JWS 2007 The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence. Journal of Behavioral Medicine 30 77–94.Google Scholar
  32. Legare CH & Souza AL 2012 Evaluating ritual efficacy: Evidence from the supernatural. Cognition 124: 1–15.Google Scholar
  33. Levine JD, Gordon NC & Fields HL 1978 The mechanisms of placebo analgesia. Lancet 2: 654–657.Google Scholar
  34. Lindenfors P (2016) Evolutionära förklaringar av religion. In: Thurfjell D (ed.) Varför finns Religion? Stockholm: Molin & Sorgenfrei.Google Scholar
  35. Littlewood R & Dein S 2001 Cultural Psychiatry & Medical Anthropology: An introduction and reader. Athlone.Google Scholar
  36. McCauley RN 2012 Why religion is natural and science is not. Oxford University Press, Oxford.Google Scholar
  37. McClenon J 1997 Spiritual healing and folklore research: Evaluating the hypnosis/placebo theory. Alternative Therapies in Health and Medicine 3: 61–39.Google Scholar
  38. McClenon J 2002 Wondrous healing: Shamanism, human evolution, and the origin of religion. DeKalb, Illinois: Northern Illinois University Press.Google Scholar
  39. McClenon 2011 Evolutionary theories of schizophrenia: An experience-centered review. Journal of Mind and Behavior 32: 135–150.Google Scholar
  40. McQuay H, Carroll D, Jadad AR, Wiffen P & Moore A 1995 Anticonvulsant drugs for management of pain: A systematic review. British Medical Journal 311: 1047–1052.Google Scholar
  41. Moberg J & Ståhle G (eds.) 2014 Helig hälsa: Helandemetoder i det mångreligiösa Sverige. Dialogos, Stockholm.Google Scholar
  42. Norenzayan A 2013 Big gods: How religion transformed cooperation and conflict. Princeton University Press.Google Scholar
  43. Ockene JK, Barad DH, Cochrane BB, Larson JC, Gass M, Wassertheil-Smoller S, Manson JE, Barnabei VM, Lane DS, Brzyski RG, Rosal MC, Wylie-Rosett J & Hays J 2005 Symptom experience after discontinuing use of estrogen plus progestin. Journal of the American Medical Association 294: 183–93.Google Scholar
  44. Oftedal G, Straume A, Johnsson A & Stovner LJ 2007 Mobile phone headache: A double blind, shamcontrolled provocation study. Cephalalgia 27: 447–55.Google Scholar
  45. Paldam, E., and Schjoedt, U. (2016). Miracles and Pain Relief. Archive for the Psychology of Religion 38: 210–231.Google Scholar
  46. Powell LH, Shahabi L & Thoresen CE 2003 Religion and spirituality: Linkages to physical health. American Psychologist 58: 36–52.Google Scholar
  47. Printz C 2001 Spontaneous regression of melanoma may offer insight into cancer immunology. Journal of the National Cancer Institute 93: 1047–1048.Google Scholar
  48. Pronin E, Wegner DM, McCarthy K & Rodriguez S 2006 Everyday magical powers: The role of apparent mental causation in the overestimation of personal influence. Journal of Personality and Social Psychology 91: 218–231.Google Scholar
  49. Rice WR 2012 The evolution of an enigmatic human trait: False beliefs due to pseudo-solution traps: (Sewall Wright award address). The American Naturalist 179: 557–566.Google Scholar
  50. Roberts L, Ahmed I, Hall S & Davidson A 2009 Intercessory prayer for the alleviation of ill health (review). The Cochrane Library 2: 1–71.Google Scholar
  51. Sachs L 2004 Tillit som bot. Placebo i tid och rum. Studentlitteratur, Lund.Google Scholar
  52. Sachs L 2012 Sjukdom som oordning. Natur & Kultur, Stockholm.Google Scholar
  53. Schnall E, Wassertheil-Smoller S, Swencionis C, Zemon V, Tinker L, O’Sullivan MJ, Van Horn L & Goodwin M 2010 The relationship between religion and cardiovascular outcomes and all-cause mortality in the Women’s health initiative observational study. Psychology and Health, 25: 249–263.Google Scholar
  54. Seeman TE, Dubin LF & Seeman M 2003 Religiosity/spirituality and health: A critical review of the evidence for biological pathways. American Psychologist 58: 53–63.Google Scholar
  55. Seybold KS & Hill PC 2001 The role of religion and spirituality in mental and physical health. Current Directions in Psychological Science 10: 21–24.Google Scholar
  56. Sibley CG & Bulbulia J 2014 Charity explains differences in life satisfaction between religious and secular new Zealanders. Religion, Brain & Behavior 5: 91–100.Google Scholar
  57. Sloan RP 2006 Blind faith: The unholy Alliance of religion and medicine. Macmillan, New York.Google Scholar
  58. Sloan RP, Bagiella E & Powell T 1999 Religion, spirituality, and medicine. Lancet 353: 664–667.Google Scholar
  59. Sosis R 2007 Psalms for safety: Magico-religious responses to threats of terror. Current Anthropology 48: 903–911.Google Scholar
  60. Sosis R & Handwerker HP 2011 Psalms and coping with uncertainty: Religious Israeli women's responses to the 2006 Lebanon war. American Anthropologist 113: 40–55.Google Scholar
  61. Stavrova O 2015. Religion, self-rated health, and mortality: Whether religiosity delays death depends on the cultural context. Social Psychological and Personality Science 6: 911–922.Google Scholar
  62. Stavrova O & Meckel A 2017 The role of magical thinking in forecasting the future. British Journal of Psychology 108: 148–168.Google Scholar
  63. Svensson E, Råberg L, Koch C & Hasselquist D 1998 Energetic stress, immunosuppression and the costs of an antibody response. Functional Ecology 12: 912–919.Google Scholar
  64. Waber RL, Shiv B, Carnom Z & Ariely D 2008 Commercial features of placebo and theraputic effiacy. Journal of the American Medical Association 299: 1016–1017.Google Scholar
  65. Wade N 2010 The faith instinct: How religion evolved and why it endures. Penguin Books, LondonGoogle Scholar
  66. Wilson DS 2010 Darwin's cathedral: Evolution, religion, and the nature of society. University of Chicago Press, Chicago.Google Scholar
  67. Wootton D 2007 Bad Medicine. Oxford University Press, Oxford.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Institute for Future StudiesStockholmSweden
  2. 2.Centre for the Study of Cultural Evolution & Department of ZoologyStockholm UniversityStockholmSweden

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