Abstract
Research and writing at the intersection of faith and medicine by now include thousands of published studies, review articles, books, chapters, and essays. Yet this emerging field has been described, from within, as disheveled on account of imprecision and lack of careful attention to conceptual and theoretical concerns. An important source of confusion is the fact that scholarship in this field constitutes two distinct literatures, or rather meta-literatures, which can be termed (a) faith as a problematic for medicine and (b) medicine as a problematic for faith. These categories represent distinct theoretical lenses for viewing the intersection of faith and medicine. Observations about these two approaches are offered, along with insights about why the discourse on faith and medicine should become better integrated into discussions of religion and science.
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Notes
This contentiousness is probably a function of the seeming impossibility of a healing power of distant prayer due to its apparent violation of the laws of physics or the laws of science itself. This is an oft-stated critique of the literature on this topic, which has been carefully rebutted [43, 62]. Contemporary physics has evolved considerably beyond the tacit understanding of those making such critiques, who tend to date themselves as largely unfamiliar with theories related to quantum and post-quantum models of the physical universe and with empirical evidence for the nonlocal characteristics of human consciousness. Another cause of the anger sometimes elicited by these studies probably stems from a general antipathy toward religion and spirituality on the part of skeptical critics. This hostility often bleeds over, unnecessarily, into the other classes of research studies, even though significant results for such studies are readily accommodated by naturalistic explanations. Findings linking frequent public religious behavior or greater self-assessed religiousness to, say, fewer depressive symptoms or greater positive well-being are of a piece with decades of empirical social and behavioral research identifying the wide-ranging impact of religion on things like socioeconomic mobility, voting behavior, family and marital functioning, prosocial behavior, interpersonal attitudes, and myriad other outcomes—none of which elicits controversy or assertions that the sanctity of science is being violated.
References
Fetzer Institute, National Institute on Aging Working Group. 1999. Multidimensional measurement of religiousness/spirituality for use in health research. Kalamazoo, MI: John E. Fetzer Institute.
Idler, Ellen L., Marc A. Musick, Christopher G. Ellison, Linda K. George, Neal Krause, Marcia G. Ory, Kenneth I. Pargament, Lynda H. Powell, Lynn G. Underwood, and David R. Williams. 2003. Measuring multiple dimensions of religion and spirituality for health research: Conceptual background and findings from the 1998 General Social Survey. Research on Aging 25: 327–365.
Taylor, Robert Joseph, Linda M. Chatters, and Jeff Levin. 2004. Religion in the lives of African Americans: Social, psychological, and health perspectives. Thousand Oaks, CA: Sage Publications.
Summerlin, Florence A. (comp.). 1980. Religion and mental health: A bibliography. Washington, DC: United States Department of Health and Human Services.
Koenig, Harold G. 2012. Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry 2012: 278730. https://doi.org/10.5402/2012/278730.
Billings, John Shaw. 1891. Vital statistics of the Jews. North American Review 152: 70–84.
Osler, William. 1910. The faith that heals. British Medical Journal 1: 1470–1472.
Paulsen, Alice E. 1926. Religious healing: Preliminary report. Journal of the American Medical Association 86: 1519–1524, 1617–1623, 1692–1697.
Levin, Jeffrey S., and Preston L. Schiller. 1987. Is there a religious factor in health? Journal of Religion and Health 26: 9–36.
Jarvis, George K., and Herbert C. Northcott. 1987. Religion and differences in morbidity and mortality. Social Science and Medicine 25: 813–824.
Larson, David B., E. Mansell Pattison, Dan G. Blazer, Abdul R. Omran, and Berton H. Kaplan. 1986. Systematic analysis of research on religious variables in four major psychiatric journals, 1978–1982. American Journal of Psychiatry 143: 329–334.
Matthews, Dale A., David B. Larson, and Constance P. Barry. 1993. The faith factor: An annotated bibliography of clinical research on spiritual subjects, vol. 1. Rockville, MD: National Institute for Healthcare Research.
Larson, David B., James P. Swyers, and Michael E. McCullough (eds.). 1998. Scientific research on spirituality and health: A consensus report. Rockville, MD: National Institute for Healthcare Research.
Brigham, Amariah. 1835. Observations on the influence of religion upon the health and physical welfare of mankind. Boston: Marsh, Capon and Lyon.
Maimonides, Moses. 1964. Moses Maimonides’ two treatises on the regimen of health: Fī Tadbīr al-Sihhah and Maqālah fi Bayān Ba’d al-A’rād wa-al-Jawāb ‘anhā. Trans. Ariel Bar-Sela, Herbel E. Hoff, and Elias Faris. Transactions of the American Philosophical Society 54: 3–50.
Wesley, John. 2003 [1791]. Primitive physic: An easy and natural method of curing most diseases. 22nd ed. Eugene, OR: Wipf and Stock.
Rahman, Fazlur. 1987. Health and medicine in the Islamic tradition: Change and identity. New York: Crossroad.
Epstein, Gerald. 1987. Hebraic medicine. Advances 4: 56–66.
Abu-Asab, Mones, Hakima Amri, and Marc S. Micozzi. 2013. Avicenna’s medicine: A new translation of the 11th-century canon with practical applications for integrative health care. Rochester, VT: Healing Arts.
Trotter II, Robert T., and Juan Antonio Chavira. 1997. Curanderismo: Mexican American folk healing. 2nd ed. Athens: University of Georgia Press.
Hall, Manly P. 1972 [1944]. Healing: The divine art. Los Angeles: Philosophical Research Society.
Kelsey, Morton. 1995 [1973]. Healing and Christianity: A classic study. Minneapolis: Augsburg.
Levin, Jeff. 2008. Esoteric healing traditions: A conceptual overview. Explore: Journal of Science and Healing 4: 101–112.
Kim, Daniel T., Farr A. Curlin, Kelly M. Wolenberg, and Daniel P. Sulmasy. 2014. Back to the future: The AMA and religion, 1961–1974. Academic Medicine 89: 1603–1609.
Levin, Jeff. 2009. “And let us make us a name”: Reflections on the future of the religion and health field. Journal of Religion and Health 48: 125–145.
Levin, Jeff. 2017. “For they know not what it was”: Rethinking the tacit narrative history of religion and health research. Journal of Religion and Health 56: 28–46.
Hall, Daniel E., Harold G. Koenig, and Keith G. Meador. 2004. Conceptualizing “religion”: How language shapes and constrains knowledge in the study of religion and health. Perspectives in Biology and Medicine 47: 386–401.
Levin, Jeff. 2015. Health. In Vocabulary for the study of religion, vol. 2, ed. Robert A. Segal and Kocku von Stuckrad, 142–146. Leiden: Brill.
Jonas, Wayne B., and Cindy C. Crawford (eds.). 2003. Healing, intention and energy medicine: Science, research methods and clinical implications. Edinburgh: Churchill Livingstone.
Levin, Jeff. 2004. Prayer, love, and transcendence: An epidemiologic perspective. In Religious influences on health and well-being in the elderly, ed. K. Warner-Schaie, Neal Krause, and Alan Booth, 69–95. New York: Springer.
Benson, Herbert, Jeffery A. Dusek, Jane B. Sherwood, Peter Lam, Charles F. Bethea, William Carpenter, Sidney Levitsky, et al. 2006. Study of the Therapeutic Effects of Intercessory Prayer (STEP) in cardiac bypass patients: A multicenter randomized trial of uncertainty and certainty of receiving intercessory prayer. American Heart Journal 151: 934–942.
Dossey, Larry. 2008. Healing research: What we know and don’t know. Explore: Journal of Science and Healing 4: 341–352.
Benor, Daniel J. 2001. Spiritual healing: Scientific validation of a healing revolution. Southfield, MI: Vision.
Krause, Neal. 2011. Religion and health: Making sense of a disheveled literature. Journal of Religion and Health 50: 20–35.
Cadge, Wendy. 2012. Possibilities and limits of medical science: Debates over double-blind clinical trials of intercessory prayer. Zygon 47: 43–64.
François, Bernard, Esther M. Sternberg, and Elizabeth Fee. 2014. The Lourdes medical cures revisited. Journal of the History of Medicine and Allied Sciences 69: 135–162.
Oschman, James L. 2015. Energy medicine: The scientific basis. 2nd ed. New York: Elsevier.
Barnes, Linda L., and Susan S. Sered (eds.). 2004. Religion and healing in America. New York: Oxford University Press.
Koenig, Harold G., Dana E. King, and Verna Benner Carson. 2012. Handbook of religion and health. 2nd ed. New York: Oxford University Press.
Morgan, Peggy, and Clive A. Lawton (eds.). 2007. Ethical issues in six religious traditions. 2nd ed. Edinburgh: Edinburgh University Press.
Levin, Jeff. 2016. Partnerships between the faith-based and medical sectors: Implications for preventive medicine and public health. Preventive Medicine Reports 4: 344–350.
Sloan, Richard P. 2006. Blind faith: The unholy alliance of religion and medicine. New York: St. Martin’s Griffin.
Dossey, Larry, and David J. Hufford. 2005. Are prayer experiments legitimate? Twenty criticisms. Explore: Journal of Science and Healing 1: 109–117.
Levin, Jeff. 2008. Scientists and healers: Toward collaborative research partnerships. Explore: Journal of Science and Healing 4: 302–310.
Krause, Neal. 1997. Religion, aging, and health: Current status and future prospects. Journal of Gerontology: Social Sciences 52B: S291–S293.
Levin, Jeff, Linda M. Chatters, and Robert Joseph Taylor. 2011. Theory in religion, aging, and health: An overview. Journal of Religion and Health 50: 389–406.
VanderWeele, Tyler J., John W. Jackson, and Shanshan Li. 2016. Causal inference and longitudinal data: A case study of religion and mental health. Social Psychiatry and Psychiatric Epidemiology 51: 1457–1466.
Flannelly, Kevin J., Christopher G. Ellison, and Adrienne L. Strock. 2004. Strock. Methodologic issues in research on religion and health. Southern Medical Journal 97: 1231–1241.
Miller, William R., and Carl Thoresen. 2003. Spirituality, religion, and health: An emerging research field. American Psychologist 58: 24–35.
Dein, Simon, Christopher C.H. Cook, and Harold Koenig. 2012. Religion, spirituality, and mental health: Current controversies and future directions. Journal of Nervous and Mental Disease 200: 852–855.
Roe, Chris A., Charmaine Sonnex, and Elizabeth C. Roxburgh. 2015. Two meta-analyses of noncontact healing studies. Explore: Journal of Science and Healing 11: 11–23.
Levin, Jeff. 2018. The epidemiology of religion. In Religion and the social sciences: Basic and applied research perspectives, ed. Jeff Levin, 259–286. West Conshohocken, PA: Templeton Press.
Rosmarin, David H., Devora Greer Shabtai, Steven Pirutinsky, and Kenneth I. Pargament. 2013. Jewish religious coping and trust in God: A review of the empirical literature. In Judaism and health: A handbook of practical, professional and scholarly resources, ed. Jeff Levin and Michele F. Prince, 265–281, 377–382. Woodstock, VT: Jewish Lights.
Koenig, Harold G. 2015. Religion, spirituality, and health: A review and update. Advances in Mind Body Medicine 29: 19–26.
Schiller, Preston L., and Jeffrey S. Levin. 1988. Is there a religious factor in health care utilization?: A review. Social Science and Medicine 27: 1369–1379.
Engebretson, Joan, and Diane Wind Wardell. 2012. Energy therapies: Focus on spirituality. Explore: Journal of Science and Healing 8: 353–359.
Murphy, Michael, and Steven Donovan. 1997. The physical and psychological effects of meditation: A review of contemporary research with a comprehensive bibliography, 1931–1996. 2nd ed., ed. Eugene Taylor. Sausalito, CA: Institute of Noetic Sciences.
Bennett, Richard G., and W. Daniel Hale. 2009. Building healthy communities through medical-religious partnerships. 2nd ed. Baltimore: Johns Hopkins University Press.
Fitchett, George, and Steve Nolan (eds.). 2015. Spiritual care in practice: Case studies in healthcare chaplaincy. London: Jessica Kingsley.
Dossey, Larry. 2014. Spirituality and nonlocal mind: A necessary dyad. Spirituality in Clinical Practice 1: 29–42.
Levin, Jeff. 2010. Religion and mental health: Theory and research. International Journal of Applied Psychoanalytic Studies 7: 102–115.
Leder, Drew. 2005. “Spooky actions at a distance”: Physics, psi, and distant healing. Journal of Alternative and Complementary Medicine 11: 923–930.
Idler, Ellen L. (ed.). 2014. Religion as a social determinant of public health. New York: Oxford University Press.
Pellegrino, Edmund D., and David C. Thomasma. 1997. Helping and healing: Religious commitment and health care. Washington, DC: Georgetown University Press.
Hauerwas, Stanley. 1990. God, medicine, and suffering. Grand Rapids, MI: William B. Eerdmans.
Jakobovits, Immanuel. 1975 [1959]. Jewish medical ethics: A comparative and historical study of the Jewish religious attitude to medicine and its practice. Rev. ed. New York: Bloch.
Dorff, Elliot N. 1998. Matters of life and death: A Jewish approach to modern medical ethics. Philadelphia: Jewish Publication Society.
Numbers, Ronald L., and Darrel W. Amundsen (eds.). 1986. Caring and curing: Health and medicine in the Western religious traditions. New York: Macmillan.
Sullivan, Lawrence E. 1989. Healing and restoring: Health and medicine in the world’s religious traditions. New York: Macmillan.
Good, Charles M. 1991. Pioneer medical missions in colonial Africa. Social Science and Medicine 32: 1–10.
Wall, Barbra Mann, and Sioban Nelson. 2003. Our heels are praying very hard all day. Holistic Nursing Practice 17: 320–328.
White, Barbara. 2013. Nursing Christian Fellowship International: Partners in care. Journal of Christian Nursing 30: 97–99.
Finkel, Avraham Yaakov. 1995. In my flesh I see God: A treasury of rabbinic insights about the human anatomy. Northvale, NJ: Jason Aronson.
Preuss, Julius. 1993 [1911]. Biblical and Talmudic medicine. Trans. and ed. Fred Rosner. Northvale, NJ: Jason Aronson.
Yoon, John D., Jiwon H. Shin, Andy L. Nian, and Farr A. Curlin. 2015. Religion, sense of calling, and the practice of medicine: Findings from a national survey of primary care physicians and psychiatrists. Southern Medical Journal 108: 189–195.
Gunderson, Gary R., and James R. Cochrane. 2012. Religion and the health of the public: Shifting the paradigm. New York: Palgrave Macmillan.
Puchalski, Christina M., and David B. Larson. 1998. Developing curricula in spirituality and medicine. Academic Medicine 73: 970–974.
Puchalski, Christina M., David B. Larson, and Francis G. Lu. 2001. Spirituality in psychiatry residency training programs. International Review of Psychiatry 13: 131–138.
Nickell, Cathey Graham. 2012. Uniting faith, medicine, and healthcare: A 57-year history of the Institute for Spirituality and Health at the Texas Medical Center. La Vergne, TN: Lightning Source.
Westberg, Jane, and Jill Westberg McNamara. 2015. Gentle rebel: The life and work of Granger Westberg, pioneer in whole person care. Memphis: Church Health.
Post, Stephen G., Christina M. Puchalski, and David B. Larson. 2000. Physicians and patient spirituality: Professional boundaries, competency, and ethics. Annals of Internal Medicine 132: 578–583.
Burford, Barbara, Eileen Worrow, and Almut Caspary. 2009. Religion or belief: A practical guide for the NHS. London: National Health Service, Department of Health.
Puchalski, Christina M., Betty Ferrell, Rose Virani, Shirley Otis-Green, Pamela Baird, Janet Bull, Harvey Chochinov, et al. 2009. Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. Journal of Palliative Medicine 12: 885–904.
Orr, Robert D. 2015. Incorporating spirituality into patient care. AMA Journal of Ethics 17: 409–415.
Committee on Religion and Psychiatry. 1990. Guidelines regarding possible conflict between psychiatrists’ religious commitments and psychiatric practice. American Journal of Psychiatry 147: 542.
Curlin, Farr A. 2008. Conscience and clinical practice: Medical ethics in the face of moral controversy. Theoretical Medicine and Bioethics 29: 129–133.
Sulmasy, Daniel P. 2008. What is conscience and why is respect for it so important? Theoretical Medicine and Bioethics 29: 135–149.
Elshtain, Jean Bethke. 2008. Why science cannot stand alone. Theoretical Medicine and Bioethics 29: 161–169.
Tomkins, Andrew, Jean Duff, Atallah Fitzgibbon, Azza Karam, Edward J. Mills, Keith Munnings, Sally Smith, et al. 2015. Controversies in faith and health care. Lancet 386: 1776–1785.
Kuhn, Thomas S. 1970 [1962]. The Structure of Scientific Revolutions. 2nd ed. Chicago: University of Chicago Press.
Eckberg, Douglas Lee, and Lester Hill Jr. 1979. The paradigm concept and sociology: A critical review. American Sociological Review 44: 925–937.
Levin, Jeff. 2009. Restoring the spiritual: Reflections on arrogance and myopia—allopathic and holistic. Journal of Religion and Health 48: 482–495.
Otto, Rudolf. 1950 [1917]. The idea of the holy: An inquiry into the non-rational factor in the idea of the divine and its relation to the rational. 2nd ed. London: Oxford University Press.
Geertz, Clifford. 1973 [1966]. Religion as a cultural system. In The interpretation of cultures: Selected essays, 87–125. New York: Basic Books.
Eliade, Mircea. 1959. The sacred and the profane: The nature of religion. Trans. Willard R. Trask. Orlando: Harcourt.
Durkheim, Emile. 1915 [1912]. The elementary forms of religious life. Trans. Joseph Ward Swain. London: George Allen and Unwin.
Stark, Rodney, and William Sims Bainbridge. 1987. A theory of religion. New York: Peter Lang.
Smart, Ninian. 1996. Dimensions of the sacred: An anatomy of the world’s beliefs. Berkeley: University of California Press.
Eckstein, Gustav. 1970. The body has a head. New York: HarperCollins.
Vaux, Kenneth L. 1978. This mortal coil: The meaning of health and disease. New York: Harper and Row.
Engel, George L. 1977. The need for a new medical model: A challenge for biomedicine. Science 196: 129–136.
Krieger, Nancy. 1994. Epidemiology and the web of causation: Has anyone seen the spider? Social Science and Medicine 39: 887–903.
Ader, Robert, David L. Felten, and Nicholas Cohen (eds.). 1991. Psychoneuroimmunology. 2nd ed. San Diego: Academic Press.
Selye, Hans. 1973. The evolution of the stress concept. American Scientist 61: 692–699.
Porterfield, Amanda. 2005. Healing in the history of Christianity. New York: Oxford University Press.
Cadge, Wendy. 2013. Paging God: Religion in the halls of medicine. Chicago: University of Chicago Press.
Ferngren, Gary B. 2014. Medicine and religion: A historical introduction. Baltimore: Johns Hopkins University Press.
Vanderpool, Harold Y. 1980. Religion and medicine: A theoretical overview. Journal of Religion and Health 19: 7–17.
Harrison, Peter. 2015. The territories of science and religion. Chicago: University of Chicago Press.
Mendelsohn, Robert S. 1979. Confessions of a medical heretic. Chicago: Contemporary Books.
Conrad, Peter, and Joseph W. Schneider. 1992. Deviance and medicalization: From badness to sickness. Philadelphia: Temple University Press.
Conrad, Peter. 1992. Medicalization and social control. Annual Review of Sociology 18: 209–232.
Newberg, Andrew, Eugene D’Aquili, and Vince Rause. 2001. Why God won’t go away: Brain science and the biology of belief. New York: Ballantine Books.
Shuman, Joel James, and Keith G. Meador. 2003. Heal thyself: Spirituality, medicine, and the distortion of Christianity. New York: Oxford University Press.
VandeCreek, Larry (ed.). 1998. Scientific and pastoral perspectives on intercessory prayer: An exchange between Larry Dossey, M.D. and health care chaplains. New York: Haworth Pastoral.
Clayton, Philip. 2005. The religion-science discussion at forty years: “Reports of my death are premature.” Zygon 40: 23–32.
Burhoe, Ralph Wendell. 1970. Potentials for religion from the sciences. Zygon 5: 110–129.
Acknowledgements
The author would like to thank the two reviewers for their very helpful comments and suggestions.