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Abstract

Phenomena such as near-death and out-of-body experiences have often been ignored or ridiculed by mainstream psychology. In this volume, leading scholars explore these areas, as well as experiences of hallucinations, lucid dreams, alien abductions, mysticism, anomalous healings, psi events, and past lives, in an effort to explain the totality of human experience. In an accessible style, contributors review and discuss current research about unusual but important events, creating a mesmerizing account of activity at the boundaries of conventional psychology. The contributors examine current research and theories, methodological issues, related psychopathology, individual and cultural differences, aftereffects, and clinical implications of anomalous experiences. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
11
ANOMALOUS HEALING EXPERIENCES
STANLEY KRIPPNER AND JEANNE ACHTERBERG
After receiving his
MD
degree from Stanford University, Lewis Mehl-
Madrona studied with various Native American medicine men and women
and shamans. One of these shamans, Paul, invited Mehl-Madrona to ac-
company him to a ceremony to be held on a Sioux reservation in North
Dakota. Mehl-Madrona helped Paul build a
tipi,
or ceremonial structure,
that would hold about
20
people who knew a young woman whose health
was dwindling away. Before entering the
tipi,
the group participated in an
afternoon sweat lodge experience, except for the patient, who was too frail
for the intense heat and whose brother “stood in” for her. That night, Paul
brought the young woman, as well as a singer, a drummer, a fire maker,
and several community members and friends into the
tipi.
As the singing
commenced, Mehl-Madrona recalls,
“A
host of other voices seemed to be
joining
. . .
the solitary singer
.
.
.
,
until there was an enormous crash. The
tipi
was shaking as Paul’s main spirit helper arrived.
A
strange grinding
noise came from somewhere underground. Blue lights flashed
on
and off
everywhere..
.
.
I
felt something furry walking over my hand.
A
long tail
brushed against me..
.
.
An icy tentacle of uneasiness wrapped around
me.
.
. .
I
found myself walking unsteadily down a long, grand corridor.
People stood grouped on either side, laughing and chattering..
.
.
In the
small room under the stairs,
I
saw someone being raped.
It
was the girl
353
who was sick.” Suddenly, Paul shouted,
“I
know what is wrong.” Pointing
his finger at the girl’s uncle, Paul said, “The spirits have told me. Confess
or you will die.” The uncle trembled and acknowledged the rape of his
niece, then collapsed on the ground. Paul put his mouth to the young
woman’s abdomen; making a loud, sucking sound, he pulled something out
and threw it in the fire. “She is well,” he proclaimed. Over the next few
days, the young woman improved remarkably; Paul stayed to counsel the
family, to prevent this taboo from being broken again and to mend the
broken pieces of the lives affected (Mehl-Madrona,
1997,
pp. 32-33). This
and similar experiences prompted Mehl-Madrona to return to his Native
American background to obtain insights that he integrated into his medical
practice. This is an example of healing experiences that Western biomed-
icine would consider “anomalous” and that have been widely reported over
millennia.
Frank and Frank (1991) described how most ailments were once at-
tributed
to
possession
by
an evil spirit, loss of one’s soul, or a sorcerer’s
curse. Suitable treatment was administered
by
shamans or other magico-
religious practitioners (p.
3).
These belief systems are still maintained
by
some groups of people, and indigenous medical practitioners still service
about three fourths of the world’s population (Mahler, 1977). Yet, in the
West and other parts of the world under Western influence, allopathic
biomedicine has become the dominant curative paradigm, bolstered
by
po-
litical, economic, and legal institutions. As a result, reported healing be-
haviors and experiences that deviate from this paradigm are regarded as
anomalous,
that is, at variance with biomedical diagnosis, prognosis, and
treatment. Indeed, the word
healing
is rarely mentioned within the context
of the biomedical model.
Western perspectives of health emanated principally from the Age of
Enlightenment and the philosophy of elementalism, which divided the
human being into
body
(soma),
mind
(psyche),
and spirit
(pneuma).
Ele-
mentalism’s assumption that sickness within one component could be
treated without regard to the other components laid the groundwork for
allopathic biomedicine, and the elevation
of
rationality, reductionism, and
materialism in 18th-century Western Europe made spiritual concerns irra-
tional and irrelevant (Westgate, 1996). What is anomalous from the West-
ern biomedical perspective might not be anomalous from an indigenous
perspective (e.g., shamanism), from a religious perspective (e.g., Christian
Science), or from the standpoint of other medical systems (e.g., Ayurvedic
medicine or Chinese medicine) that include spiritual dimensions
(O’Connor et al., 1997). However, Kleinman (1995) reminded us that
biomedicine has attained such a degree of primacy throughout the world
that the adjective
Western
is unsatisfactory (p. 25).
Anomalous healing experiences are often reported
by
people who
have undergone nothing but conventional medical treatment. Another
354
KRZPPNER
AND
ACHTERBERG
body
of
reports has been elicited from Westerners who have engaged in
procedures labeled as
complementary
(i.e., treatments used to complement
biomedicine) and
alternative
(i.e., treatments used as an alternative to bio-
medicine). Such descriptors indicate that these treatments do not adhere
to the mainstream political, economic, and legal structure of a particular
society in a given historical period. Gerber
(1988)
used the term
vibrational
medicine
and Srinivasan
(1988)
used the term
energy medicine
to refer to
such alternative and complementary practices as acupuncture, electrother-
apy, and homeopathy. (Barrett and Jarvis,
1993,
referred to the same prac-
tices as “quackery.”) In a
1993
study, these and other “unconventional”
therapies were being used
by
two out of three
US.
patients (Eisenberg et
al., 1993). Because the premises underlying these treatments (e.g., “like
cures like” and
“qi
energy balance”) depart from biomedicine, any ailments
successfully treated
by
these practices
(in
the absence
of
other treatments)
could be regarded as anomalous. (These practitioners also report anomalous
healings that are not circumscribed
by
the paradigms of Chinese medicine,
chiropractic, and
so
on, suggesting that one practitioner’s conventional
cure may be another practitioner’s anomaly.)
Some writers have attempted to recast aspects of complementary and
alternative practices in conventional biomedical or psychophysiological
terms (e.g., Chaves
&
Barber,
1975),
whereas others have accused practi-
tioners of vibrational and energy medicines (as well as the even more
exotic indigenous treatments) of “attempting to undermine the very con-
cept of rational science” (Stalker
&
Glymour,
1985,
p.
124).
In any case,
the study of experiential reports of healing, whether given
by
respondents
treated
by
conventional physicians,
by
complementary or alternative prac-
titioners, or
by
indigenous or “folk” practitioners, is well within the pur-
view of psychology.
In
1995,
a panel convened
by
the
Office
of Alternative Medicine,
U.S.
National Institutes of Health, identified
13
parameters needed to eval-
uate the theoretical infrastructure of systems of complementary and alter-
native medicine
(CAM)
and to design appropriate research protocols
(O’Connor et al.,
1997).
The parameters include the following: the lexicon
and taxonomy of the system, epistemology, theories, goals for interventions,
outcome measures, the context of the social organization surrounding the
system, specific activities and
materia medica,
the scope of the system, an
analysis of the benefits and costs, views of suffering and death, comparison
and interaction with the dominant medical system in the culture, and
responsibilities of the patient, practitioner, and others. The panel also pro-
vided a useful definition:
Complementary
and
alternative medicine
(CAM)
is
a broad domain
of
healing resources that encompasses all health systems, modalities, and
practices and their accompanying theories and beliefs, other than those
intrinsic to the politically dominant health system
of
a particular
ANOMALOUS
HEALlNG EXPERlENCES
355
society
or
culture in
a
given historical period. CAM includes all such
practices
and ideas self-defined by their users
as
preventing
or
treating
illness
or
promoting health and well-being. Boundaries within CAM and
between the CAM domain and the domain
of
the dominant system
are
not always sharp and fixed.
.
.
.
In
the United States in the 20th century,
the dominant healthcare
system
is,
for
want
of
a
better term, biomedi-
cine. (O’Connor et
al.,
1997,
pp.
50-51;
emphasis added)
Many of the world’s societies
do
not
accept that the causal categories of
Western biomedicine (e.g., accidents, infections, and organic deterioration)
provide important explanations for illness; indeed, Murdock’s
(
1980) survey
found alternatives to Western biomedicine’s explanations
of
disease in a
majority of the
139
societies he reviewed.
The goals of biomedicine might differ from the goals of an alternative
or
complementary treatment. For example, biomedical investigators rarely
ask such questions as,
Is
there a recovery-prone personality? Cardeiia
(1996) added that there is no current diagnosis in psychology or psychiatry
for the underdevelopment of a person’s capacities for achieving an enjoy-
able quality of life (p. 94); nor is disregard for the environment looked
upon as a disorder
by
biomedical practitioners, although it would be a sign
of
imbalance and dysfunction
by
most indigenous practitioners.
It
can be
seen that the investigation of complementary and alternative procedures
needs to focus on
the
experience as well as the event
of
healing if these
systems are to be adequately fathomed and appropriately evaluated.
DEFINITION
Because health care systems are socially constructed, they are most
usefully studied in relationship to their cultural and historical contexts
(Kleinman,
1980,
pp.
33-35).
There are numerous accounts of unexpected
recoveries from serious sickness that, if veridical, have little or no explan-
atory basis in the context of biomedicine. To merely describe (much less
explain) these events, Western researchers sometimes take nomenclature
with which they are conversant and superimpose it on situations with
which
they
are unfamiliar (Gergen,
1985,
p. 266). Examples of terminology
with an obvious bias are “witch doctor,’’ “voodoo treatment,” and “magical
thinking.” Shweder (1990) made the point that such Western terminology
represents a reductionistic cultural imperialism that assumes a “psychic
unity” among humankind, disregarding the different ways that people func-
tion (and malfunction) in different times and places. There are many ver-
sions of reality a society can live
by,
and these “divergent rationalities”
demonstrate that not every rational process is universal (Shweder, 1986,
p. 191).
Glik
(
1993)
differentiated
healing
events
(i.e., treatment outcomes)
356
KRIPPNER
AND
ACHTERBERG
from
healing experiences
(i.e., the subjective aspects of treatment, including
its attributed meanings, its ritual context, and the client’s feelings).
This
chapter summarizes the literature that focuses on what
Glick
called anom-
alous healing experiences but it also cites pertinent anomalous healing
events; the latter have been reviewed and evaluated in several penetrating
chapters and books, even though the authors have not always reached the
same conclusions (e.g., Benor,
1992,
1994; French, 1996; Schouten,
1993;
Solfvin, 1984; Stalker
&
Glymour,
1985).
The study of anomalous healing
reports is in the tradition of first eminent psychologist in the United States,
William James
(1904),
who called for a
radical empiricism
that would study
any human experience, no matter how unusual it might seem at first glance.
These reports may be either in the form of events (an outcome or result)
or experiences (James’s ongoing “stream of consciousness” during an
“event”; see
Glik,
1993).
The literature contains three descriptive terms that we consider near-
synonyms of anomalous healing events: changes in unchangeable bodily
processes (Barber,
1984),
remarkable recoveries (Hirshberg
&
Barasch,
1995), and spontaneous remissions (O’Regan
&
Hirshberg,
1993;
van Baa-
len
&
DeVries,
1987).
There is an additional group of terms that refer to
the procedures held to be responsible for the alleged anomalies:
absent healing (Edwards, 1953)
bioenergotherapy (Adamenko,
1970;
Benor,
1992,
p.
44)
directed prayer (Dossey, 1993a, pp.
105-106)
faith healing (Haynes,
1977)
healing at a distance (Remen,
1996)
intercessory prayer (LeShan, 1976)
laying-on of hands (Grad,
1967)
magnetic healing (Bendit,
1958,
pp.
54-56;
Edwards,
1953)
mental healing (Solfvin, 1984)
metaphysical healing (Bird
&
Reimer,
1982)
noncontact therapeutic touch (Krieger,
1979;
Schouten,
1993)
nonlocal healing (Levin,
1996)
occult medicine (Shealy, 1975)
paranormal healing (Worrall, 1970)
psi healing (Benor,
1992,
pp. 11-12; Stetler, 1976)
psychic healing (St. Clair, 1974; Wallace
&
Henkin,
1978)
psychic surgery (Benor,
1994,
p.
53)
shamanic healing (Harner,
1980,
p.
44)
spiritual healing (Edwards,
1953;
Weston,
1991,
p.
38).
Only a few of these terms are interchangeable, and most of them are
idiosyncratic. For example, Edwards
(
1953)
proposed that (a) magnetic
healing is an innate capacity of most people and involves a laying-on of
ANOMALOUS HEALING EXPERlENCES
357
hands, (b) spiritual healing uses the assistance of discarnate entities, and
(c)
absent healing is directed toward someone at a distance. Benor (1992,
p.
13)
used spiritual healing as a synonym for psi healing, whereas Haynes
(1977) differentiated psychic healing from faith healing on the basis
of
the
purported spiritual factors that operate in the latter phenomenon.
LeShan (1974) differentiated between Type
1
healing, during which
healers enter an altered state of awareness in which they view themselves
and the client as one entity, and Type
2
healing, during which healers
describe sensing a “healing energy” (which they define in various ways),
usually during a laying-on of hands. Type
1
healers simply “unite” with
their clients; Type
2
healers deliberately try to heal their clients using a
variety of procedures. There are several other groups of healers in LeShan’s
typology, but he offered them simply as descriptions of what the healers
claim to
do.
Type
3
healers purport to work with discarnate entities
or
“spirits”; Type
4
healers perform psychic surgery, in which the healer sup-
posedly enters a client’s body with a simple instrument or with bare hands;
and Type
5
healers contend that they produce major biological changes in
a few minutes, changes beyond the capacities of their client’s self-repair
mechanisms, often in a religious shrine or natural setting. From an expe-
riential standpoint, most
of
the healers interviewed
by
LeShan fall into
the Type
1
category, the second largest group into Type
3,
and the third
largest group into Type
2.
When the term
spontaneous remission
is used, it is with the implicit
understanding that
no
cure is spontaneous in the sense that it lacks a causal
agent but, rather, that the putative cause is unknown. Indeed, relatively
little is known about the absolute course of any disease, and the rates of
remission for untreated conditions are uncertain. One can never be certain
what might constitute active interventions, especially when a variety of
treatments are used simultaneously. Simonton, Matthews-Simonton, and
Creighton
(1978)
sardonically commented that when a malady does not
proceed in ways that can be easily explained, the result is called
spontaneous
in much the same way as the term
spontaneous generation
covered medical
ignorance during the late Middle Ages.
At
that time, there was no easy
explanation for why maggots could grow out of nonliving matter, such as
rotten food, and
so
it was said that they were spontaneously generated.
Spontaneous remission is held to result from mechanisms that are not yet
understood (Simonton et al.,
1978,
p. 21).
Other terms are equally problematic. What parameters separate the
normal from the paranormal, the physical from the paraphysical, the non-
miraculous and nonremarkable from the miraculous and the remarkable?
By
definition, a
miracle
is an event that can be perceived
by
the senses but
operates outside the ordinary laws of nature and is brought about
by
some
power outside those laws (e.g., Broderick,
1956,
p. 240).
If
such events
occur, there is a limit to the extent that they can be studied scientifically
358
KRIPPNER
AND
ACHTERBERG
because science, in Popper’s
(1959)
opinion, demands that assertions made
by
investigators of these phenomena be, in principle, falsifiable.
From our point of view, the term
anomalous
carries less ideological
baggage than its alternatives. In anomalous healing
events,
people claim to
have recovered from serious conditions even though these purported re-
coveries do not seem to be the result of any obvious process, especially a
treatment regimen prescribed
by
biomedical practitioners. Examples
of
what biomedicine would consider anomalous healing events include the
documented growth of sizable pieces of new bone following healing sessions
in Great Britain (FitzHerbert, 1971), the removal of bone spurs in Brazil
(Maki,
1998,
pp.
176-177),
and the remission from lupus nephritis follow-
ing
treatment
by
a native Filipino healer (Kirkpatrick,
1981).
In the last
example,
a
young Filipino American woman was diagnosed with lupus, a
disease notably resistant to treatment, and conventional biomedical pro-
cedures were unsuccessful. In desperation, she went to the remote Philip-
pine village of her birth, returning with a “normal” diagnosis
3
weeks later.
She reported that the village healer had removed a curse placed on her
by
a disgruntled suitor;
23
months later she gave birth to a healthy baby girl.
Anomalous healing
experiences
are individuals’ descriptive reports
of
their sensations, feelings, thoughts, and imagery before, during, or after an
anomalous healing event. The experiences described in this chapter are
delimited to those falling outside the parameters of biomedicine, although
examples could also be given from cases directly associated
with
hypnosis,
suggestion, visualization, and other procedures that have found a place in
the repertoire of many biomedical practitioners.
Dossey
(
1993b)
contrasted anomalous healing experiences and events
with “normal” healing experiences and events, noting that the mechanisms
of the latter are proposed and accepted
by
biomedicine. What constitutes
an appropriate treatment is culturally and historically driven. For example,
a cancer patient given Coley’s toxins, believed to be a quack nonallopathic
remedy a few decades ago, and who recovered would have likely been
classified as a case of spontaneous remission
by
allopathic physicians. Since
then, these toxins have been tested in clinical trials and found to be re-
sponsible for enhancing immune response and have demonstrated effec-
tiveness against certain forms
of
the disease (DeVita, Hellman,
&
Rosen-
berg, 1991).
Many alternative and complementary practitioners, as well as indig-
enous healers, differentiate
healing
from
curing,
maintaining that a healing
can even occur in the event of death (Dossey, 1995, p.
6).
Many indigenous
practitioners consider the concept of healing to refer to the restoration of
the client’s physical, mental, emotional, or spiritual capacities, as con-
trasted with curing, which refers to surmounting a disease or dysfunction
that is primarily biologically based.
If
a client dies, curing has failed, but
ANOMALOUS
HEALING EXPERIENCES
359
if
that person has been spiritually restored before death, healing has been
successful (Krippner
&
Welch,
1992,
p.
25).
Another contrast can be made between
illness
and
disease,
the latter
term referring to a pathological or dysfunctional bodily process resulting
from injury, infection, or an ecological disequilibrium (as in environmental
diseases). In contrast, illness describes how people experience their health
and well-being, that is, how they have constructed their beliefs, behaviors,
moods, and feelings. Illness can accompany an injury, infection, or imbal-
ance, or can exist without them (French,
1996,
p.
599;
Kleinman,
1995,
pp.
31-32;
Krippner
&
Welch, 1992, p.
26).
Following a healing service,
many ardent worshippers may no longer feel
ill
but may still have a disease.
In
both the popular and the academic literature, the term
healer
is
variously applied to practitioners, such as shamans and other spiritual prac-
titioners, folk and native functionaries, and mediums and channelers, who
have reputations for restoring health, balance, and well-being to an indis-
posed client. The use of the term
healer
does not necessarily imply that
clients actually respond favorably to the practitioner’s ministrations. Nor
is the term reserved for indigenous or alternative practitioners; some phy-
sicians and psychotherapists are informally referred to as healers
by
their
satisfied patients and clients. Such terms as
healer
and
healing
are extremely
subjective, and their demonstrated effectiveness depends on the criteria
used for one’s restoration to
health,
yet another elusive concept. Pelletier
(1994), for example, defined health as an orientation of confidence in one’s
ability to control life and circumstances in such a way that meaning or
purpose is created, rather than taking the customary biomedical stance that
health is merely the absence of disease.
PHENOMENOLOGY
The phenomenology of anomalous healing experiences for both the
client and the healer has been investigated. Despite the limitations inher-
ent in small, retrospective studies of people’s experiences, these findings
bear consideration. At the same time, one must always ask if similar sub-
jective reports could have been elicited from individuals who
did
not sur-
vive their disease. Some studies have taken this group into consideration,
but others have not.
Client Descriptions
Several investigators have produced data bearing on the phenome-
nology of anomalous healing experiences. Important factors to consider in
these studies include (a) the individuals’ poor track record in making causal
attributions-their preferred attributions are more likely the reflection of
3 60
KRIPPNER
AND
ACHTERBERG
their causal schemata and “personal myths” rather than consensual reality
(Krippner
&
Winkler, 1996), and (b) the typical lack of control or com-
parison groups in most of these studies.
Knight (1994) asked
3
people who recovered unexpectedly from se-
rious medical conditions to describe the “experience of hope in your ill-
ness” (p.
57),
and then used Giorgi’s (1970) method of phenomenological
analysis to identify the description’s general structure of meaning. This
structure consisted of “immediate rupture” (e.g., a break with one’s former
concepts about the illness), a reactive phase in which this rupture was
pondered and conceptualized, an engagement of alternatives (in which the
polarity between old and new concepts was engaged), and the realization
and embodiment of such new concepts as hope, transformation, and in-
tegrat ion.
Berland
(
1995)
conducted semistructured, in-depth interviews with
33
long-term survivors who had been given less than a 15% chance of
5-
year life expectancy and yet had lived long after this limit. He also ad-
ministered the Health Attribution Test (Achterberg
&
Lawlis, 1989),
which taps belief about one’s responsibility for the control over health and
illness, and the Pie Chart (Achterberg
&
Lawlis, 1989), an informal mea-
sure in which the participants divided circles into “pie slices” that repre-
sented factors to which they attributed their recovery. When asked what
they personally believed accounted for their longevity, the participants
cited psychosocial factors (attitudes, behaviors, spiritual beliefs and prac-
tices, social support) twice as often as medical treatment. Berland found
that they did not attribute their longevity to chance
or
to any spontaneous
events, but rather to causal events about which they had clear and steadfast
opinions (even though these opinions may not have been shared
by
med-
ical practitioners).
Hawley (1989) also conducted in-depth interviews with
16
cancer
survivors whose recovery was considered unlikely, finding that almost all
had paradoxical responses to their diagnoses. They did not deny that they
had cancer and that it is often a fatal disease, but they did not accept that
it was fatal for them. Nor were most of them “good patients” who lacked
initiative or were just obedient. Instead, they assumed appropriate control,
feeling .that they were active participants in their own health care team.
In
general, they regarded their diagnosis as a challenge to be overcome and
their conditions as signals that they had to take charge of serious and very
challenging life events.
Psychosocial and spiritual experiences were investigated in some
45
individuals who were deemed to have made remarkable recoveries (Hirsh-
berg
&
Barasch, 1995). Activities practiced
by
more than
50%
of the group
were prayer, meditation, exercise, guided imagery, walking, music, and stress
reduction (p.
332).
Other items cited most frequently as important in re-
covery were believing in a positive outcome, having a fighting spirit, ac-
ANOMALOUS
HEALING EXPERIENCES
361
cepting the disease, seeing the disease as a challenge, having the will to
live, taking responsibility, displaying positive emotions, retaining faith, re-
newing a sense of purpose, making changes in lifestyle and behavior, elic-
iting a sense of control, nurturing oneself, and seeking social support (p.
333).
Greenfield
(1997)
interviewed
32
clients of Mauricio Magalhaes, a
Brazilian practitioner of Spiritist religious persuasion who claimed to “in-
corporate”
the
spirit of a deceased German physician, who allegedly di-
rected Magalhaes’s hands while he performed minor and major surgery.
Only
14%
of these patients claimed to have experienced pain during the
intervention, despite the lack of anesthetics, even though all but one said
they had been subjected to the insertion of needles
or
cutting with a scal-
pel. Only one of the respondents reported complications; 88% claimed to
have been helped
by
the treatment, and 64% pronounced that
they
had
been “cured.”
Of
the clients, 95% said that they preferred Magalhaes’s
treatment
to
conventional medical treatment. When asked
if
their expe-
rience had influenced their point of view about religion,
56%
answered
that they were more positively inclined toward Spiritism after treatment.
Westerbeke and Krippner
(1980)
obtained data from
88
tourists who
visited one
or
more Filipino healers and completed standardized forms im-
mediately after their healing session and
6
and
12
months later. Degree of
confidence
in
mental healing both before and after seeing the healer and
perceived amount of energy and vitality change were significantly corre-
lated with reported long-term physical, mental, and spiritual improvements.
Willingness to change one’s behavior was significantly correlated with pos-
itive long-term mental and spiritual, but not physical, improvement. Be-
cause not all
of
the tourists completed the questionnaires, self-selection
must be considered when evaluating the results.
The same questionnaire was used
by
Krippner (1990) in a study of
25
North Americans visiting a Brazilian healer. He found that willingness
to change behavior was positively correlated with spiritual improvement,
whereas energy and vitality were positively related
to
mental improvement.
Responses to the open-ended questions in
both
studies confirmed the im-
portance for recovery of the clients’ attitudinal shifts.
The results of these studies reflect, of course, the perceived causal
association of the participants. In this regard, Gilovich
(1991)
described
various ways in which everyday reasoning can be attenuated
by
cognitive
errors and personal heuristics. Krippner and Winkler (1996) described how
the
need
to
believe affects rational judgment, critical thinking, and evi-
dence assessment.
In the Netherlands, van Baalen and collaborators compared interview
data from
6
people whose recovery from cancer had been attributed to
spontaneous remission, with that from
6
patients with advanced progressive
cancer collaborators (van Baalen, DeVries,
&
Gondrie, 1987). The inves-
362
KRlPPNER
AND
ACHTERBERG
tigators found that members of the former group were more likely to report
enhanced sensory acuity, with life events being more vivid, detailed, and
magnified.
In
addition, they were more likely to report profound fluctua-
tions in mood around the time of the remission, shifting from experiencing
depression and hopelessness to experiencing a profound sense of autonomy.
One of these individuals was transported to a hospice while in a coma. On
awakening, she was angry to discover that she was expected to die, pulled
out her urinary catheter, and cursed continuously and sang filthy songs for
3
weeks. After a few weeks, the fluid from her belly disappeared; her liver,
which had grown into her pelvis, returned to a normal size. She was still
in remission a year later (van Baalen, et al.,
1987).
Numerous case reports indicate that during the time the anomalous
healing takes place, it
is
not unusual to see religious figures
or
balls of great
white light, to have special dreams
or
visions, and to feel heat and tingling
in the location of the problem (e.g., Gowan,
1980;
McClenon,
1997).
In
this regard, LeShan
(1974)
observed that the sensation of “heat” is simply
the expected response when someone’s hands are held on someone else’s
body (pp. 112-1
13);
there is a phenomenological difference between the
perception
of
“heat” and heat as measured in degrees. Instrumentation has
not shown a difference in degrees, even when both healer and healee
strongly reported such a perception.
Poloma and Hoelter
(1998)
obtained questionnaire data from
918
individuals in the United States, most of whom identified themselves as
“charismatic, Pentecostal,
or
full
gospel” (p. 264); all had experienced the
same structured healing ritual at two international conferences held in
1995.
Prayer during these rituals was significantly related to bodily mani-
festations such as deep weeping, uncontrolled shaking, rolling and thrash-
ing on the floor, dancing
or
jumping, glossolalia, “holy laughter,” or (‘roar-
ing like a lion.” These experiences were significantly related to positive
affect. Positive affect, prayer during the ritual, and bodily manifestations
were in turn significantly related to purported spiritual healings.
The phenomenological experiences of those exposed to both “official”
and “unofficial” cures at the shrine at Lourdes, France, include mention of
a sense of unawareness, of being absorbed in thought, dazed, transported
beyond themselves, and exhibiting such physical sensations as “red hot
heat” permeating the body (Cranston, 1955/1957).
There are few research studies that have attempted to identify the
degree to which psychological processes contribute to anomalous healing
experiences,
but
one of the most ingenious is that of McClenon
(1997).
He supervised an ethnographic research study in which anthropology stu-
dents at a North Carolina college obtained reports of over 1,000 anomalous
experiences from their relatives, friends, neighbors, and acquaintances.
Of
these transcribed narratives,
85
pertained to folk-healing practices.
To
de-
termine the role that suggestion and placebo processes played in the re-
ANOMALOUS
HEALlNG EXPERIENCES
363
ported experiences, two independent judges coded the narratives
on
11
dimensions, for example, “Does the person being healed report an instan-
taneous reduction of pain attributed to the healing activity?”
“Is
belief
mentioned as a factor influencing either behavior
or
the outcome of treat-
ment?” and
“Is
there a person
. .
.
regarded as able to perform healing?”
Belief was cited as a factor in healing in 13% of the narratives, sup-
porting the hypothesis that hypnotic and placebo processes are shaped and
enhanced
by
a person’s beliefs.
In
addition, 39% of healings
by
preachers
and healers, 25% of church healings, and 26% of prayer healings included
anomalous perceptions, sensations, or bodily movements (e.g., unusual heat
or “energy”). The frequency of unusual experience motifs in the narratives
supported McClenon’s hypothesis that folk healing and hypnotically facil-
itated therapy use parallel methods, involving a special person who pro-
vides therapeutic suggestions through ritual procedures. However, the ex-
perimenters were students with a minimum degree of training, and the
questions asked admitted variable interpretations; thus, these results can
be best considered as suggestive and as a stimulus for future research.
Irwin
(
1994) summarized the anomalous healing experiences of cli-
ents from several studies
in
a number
of
Western cultures, noting that many
clients are at a low ebb when they first visit an alternative practitioner.
The practitioner attempts to encourage rapport, expectation, and relaxa-
tion. During the treatment session, such physical sensations as heat and
increased vitality are typically reported; following the session, conviction
in the treatment’s efficacy
is
usually stronger, and a commitment is made
to take a greater sense
of
responsibility for one’s life (pp. 40-41). However,
the clients’ improvement after a low ebb can be interpreted as a regression-
to-the-mean effect. Over time, one would expect a sizable percentage of
clients using conventional or nonconventional treatment to show improve-
ment as their health status returns to average status. Irwin emphasized that
research efforts would be facilitated if care were taken to ensure that the
healer’s language and concepts were understood
by
clients, who often rep-
resent a wide range of occupations, ages, and cultural backgrounds (see
Harvey,
1983).
Practitioner Descriptions
A
major contribution to standardizing the terminology
of
healing
practitioners has been made
by
Winkelman
(
1992), who studied the rec-
ords of spiritual practices in
47
societies, past and present. He found doc-
umentary evidence identifying several categories of practitioners. Their
healings practices include access to spiritual entities (e.g., deities, ghosts,
and spirits), direction of their society’s healing activities (e.g., prayer and
sacred ceremonies), and employment of special powers (e.g., casting spells,
bestowing blessings, and exorcising demons).
3
64
KRZPPNER
AND
ACHTERBERG
Winkelman
(
1992)
found that practitioners’ roles changed as societies
became more complex. For example, shamans (i.e., practitioners who claim
to access and interact with the “spirit world”
by
deliberately changing their
ordinary modes of perceiving, thinking, and feeling through drumming,
dancing, ingesting psychoactive drugs, etc.) were typically found
in
groups
with no formal social classes, such as hunting-and-gathering tribes and
fishing societies. Once a society began to practice agriculture, social and
economic stratification accelerated. Concomitant with this development,
priests and priestesses emerged who controlled a society’s religious rituals;
the political power and social status
of
shamans were reduced, and they
became “shaman/healers” (or “shamanic” healers) because healing became
their major function. The shamanic healer typically engaged in more self-
regulatory activities, such as changed states of awareness, than
did
priests
and priestesses.
Social and economic differentiation became even more complex with
the appearance of separate judicial, military, and legislative institutions. As
the competition between (and within) these groups took place, the role of
the malevolent practitioner (e.g., sorcerer or witch) appeared. Both sha-
mans and sorcerers claimed to enter changed states of awareness, as
did
another type of healing practitioner, diviners or mediums, who claimed to
“incorporate” spirits, allowing them to speak and act through their voices
and bodies. The shamans’ remaining functions included such specialized
healing capacities as the performing of healing songs and dances, dispensing
herbal medicines, diagnosis, bone-setting, midwifery, and surgery. Winkel-
man
(1992)
referred to these practitioners as healers (i.e., shamanistic heal-
ers), for whom a changed states of awareness was not longer a defining
characteristic.
Winkelman’s
(
1992) classification system was remarkably accurate
when cross-societal comparisons were made; with only two exceptions, sha-
mans never were found in tribal groups displaying an administrative polit-
ical organization beyond the local level, and no shamans were found in
sedentary agricultural societies
in
which the nomadic way of life was ab-
sent. These distinctions have important research implications; Rouget
(
1980/198S)
pointed out that shamanism and mediumship “are products
of two quite different ideologies
of
trance” (p.
25;
see also Cardefia,
1996).
The role played
by
social context and personal intention in constructing
experience requires research methodologies that do justice to the com-
plexity of the phenomena they hope to describe and understand.
The experiences of contemporary healing practitioners have been the
topic
of
several investigations. Cooperstein (1992) read
10
first-person ac-
counts
by
well-known healers and interviewed an additional 10 healers
who had participated in laboratory experiments. An analysis of their cog-
nitive styles indicated that their attention tended to become diffuse, nei-
ther exclusively focused externally or internally, but simultaneously encom-
ANOMALOUS HEALING EXPERIENCES
3
65
passing both the outer and inner environment. There was a tendency for
healers to use mental imagery and become absorbed in the process, often
to the point
of
feeling that they were “merging” with the client. The types
of imagery reported
by
the healers included mythic symbols that supported
the healers’ belief systems, diagnostic information, and treatment process.
Appelbaum
(
1993)
conducted a participant/observation research
study, combined with psychological testing, involving
26
self-described
healers who claimed to heal their clients through touch. There were many
individual differences among the healers:
3
demonstrated psychiatric
dis-
turbances,
12
were “psychologically sound,” and
11
were inclined to “shape
reality according to their wishes.” In general, Appelbaum’s test results in-
dicated “expansiveness, grandiosity, and a belief in limitless possibilities”
(p.
37)
among the healers. They enjoyed “being the center
of
attention”
(p.
37)
and had great confidence in their capacities. Appelbaum concluded
that “the typical healer basically tests reality accurately, but is open to self-
delusion through being less interested in checking ideas with reality than
in having wishes supported
by
like-minded people” (p.
37).
Although pro-
fessing humility, the healer resents rules and structure and is committed to
finding his or her own path. “Healers are aided in this pursuit
by
sublime
self-confidence
. .
.
,
and are drawn, in fact or in fantasy, to center stage”
Appelbaum
(1993)
conjectured that people who benefit most from
such healing may have similar or complementary personalities. They, too,
may be people who tend to suspend disbelief, who submit easily to awe
and admiration
of
others, who are oriented toward having their needs met
by
others, and who are confident that others have the power to help them.
Some of the healers Appelbaum worked with told him they experienced
conducting “God’s healing power,” whereas others experienced transferring
“energy” from their bodies to those of their clients.
McClelland
(
1989)
personally tested his hypothesis that healers were
most successful when they elicited what he thought
of
as “affective trust.”
Feeling a horrible cold coming on, McClelland decided to visit a charis-
matic Boston healer who called himself Karmu, known for his utilization
of herbal concoctions, massage, and humor. When McClelland arrived,
Karmu took one look at him, realized his condition, and sent his other
clients away. Much to McClelland’s surprise, Karmu held him like a baby
for
30
minutes; his cold was gone the following day. McClelland then
conducted a study with university student volunteers, finding that those
who felt the symptoms of a cold were more likely, at statistically significant
levels, to demonstrate an abatement of cold symptoms and an increase in
IgA antibodies after a session with Karmu. For McClelland, these results
were largely a function of the establishment of feelings of trust between
client and caregiver (see Borysenko, 1985). There are research data sug-
(P.
38).
366
KRlPPNER
AND
ACHTERBERG
gesting that such variables as hypnotizability and absorption might have
played a crucial role as well (e.g., Wickramasekera,
1989).
BIOLOGICAL
MARKERS
Biological markers of anomalous healing have been inadequately in-
vestigated, in part because of the prevailing skepticism about anomalous
healing, the difficulty in determining what is anomalous and what is not,
and the difficulty of studying a person’s psychophysiology in nonlaboratory
settings. The most thorough collection
of
unusual recoveries from cancer
was drawn from a medical database of
3,500
references collected from
800
journals (O’Regan
&
Hirshberg,
1993).
This collection also includes ac-
counts of unusual recoveries from other conditions, predominantly infec-
tious, parasitic, endocrine, nutritional, and metabolic diseases. This worthy
effort, the largest
of
its kind
in
the world, contains little information on
the patients themselves, and we know nothing of their experience or the
related biological correlates.
Medical anthropologists have identified unusual recoveries from de-
pression, anxiety, and addictive behavior as the apparent result of tribal
ceremony and dance (Achterberg,
1985).
A
few studies (e.g., Jilek,
1982)
have proposed that shamanic drumming has an
acoustic driving
effect on
brainwaves, in which the rhythm of drumming “drives” brainwaves into
the low-frequency, high-amplitude theta range. However, Rouget
(
1980/
1985, pp.
172-176)
noted that native drumming rituals use a wide variety
of rhythms, producing stimuli that constantly vary. In addition, the concept
of
photic
driving
by
means of light stimulation is backed up
by
a considerable
experimental and clinical literature; both are lacking in the case of
so-
called acoustic driving.
An investigation of a therapeutic-touch practitioner showed electro-
encephalographic
(EEG)
changes in the healer (Krieger,
1979,
pp.
153-
163),
with
a preponderance
of
rapid
EEG
activity, suggesting what Krieger
called “an attentive meditation style.” This report needs to be replicated
to ascertain its generalizability and validity.
Benson
(1996)
attempted to translate the spiritual factors of anom-
alous healing experiences into psychological and psychophysiological
terms. He found that patients who report the intimate presence of a “higher
power” have more rapid recoveries than those who do not. Benson pro-
posed that prayer and the relaxation response affect epinephrine and other
corticosteroid messengers (i.e., stress hormones), leading to lower blood
pressure and a more relaxed heart rate and respiration. He suggested that
spirituality may be “hard-wired” into humanity’s genetic makeup and that
the power of belief may have had survival value previously. Tessman and
Tessman
(
1997),
although tolerant of Benson’s reconceptualization of the
ANOMALOUS HEALING EXPERIENCES
367
placebo effect, claimed to have discovered exaggerations and simplifications
in his review of the pertinent research in this area.
In this literature review on the biological correlates of anomalous
healing experiences, it is apparent that this inquiry has barely been initi-
ated. The few research studies that exist are fragmentary, and the variety
of healers and clients
in
different parts of the world prevent generalizations
from being made on the basis of research that ignores cross-cultural con-
siderations.
INDIVIDUAL
DIFFERENCES
Are there predisposing factors to anomalous healing experiences and
events? Given the problems noted earlier
in
determining what qualifies as
an anomalous healing, it is not surprising that little research has been
conducted on this important question, especially in the case of healing
practitioners. The exceptions are case studies and autobiographies (e.g.,
Cardefia,
1991;
Some,
1994).
There is a
body
of investigative data on exceptional survivors of usu-
ally catastrophic fatal diseases. Psychological testing on cancer patients who
survived significantly longer than predicted, as compared with those who
died within the median life expectancy, indicates they were more creative,
flexible, had greater ego strength, and were more argumentative, even
or-
nery (Achterberg, Simonton,
&
Simonton, 1976).
A
10-year follow-up
study of women with breast cancer showed that those whose test responses
paradoxically showed either a fighting spirit
or
denial toward the disease
had a more favorable outcome than
did
those who were either stoic
or
who exhibited
helplessness/hopelessness
(Greer, Morris, Pettingale,
&
Hay-
bittle,
1990;
Pettingale, Greer, Morris,
&
Haybittle, 1985).
Hirshberg and Barasch
(1995)
enlisted the aid
of
several research
psychologists and psychiatrists to determine the psychosocial characteristics
of the individuals whom they considered to have made remarkable recov-
eries. Although the research was not systematic, the results provide clues
that can be useful to future investigators.
For
example,
77%
of the
43
individuals studied tended to prefer, at least consciously, “to confront their
problems directly, rather than avoiding them” (p.
331),
and 80% were
deemed
to
be capable of positive mood states. However, there were many
individual differences, and on some of the tests the group fell within the
range of scores characterizing the general population (pp. 326-330).
Berland (1995), in his study of long-term survivors, used his interview
data to classify the participants, finding
5
who were “determined fighters”
who attributed their recovery to their determination to get well;
10
who
were “attitudinally and behaviorally focused” who took an active role in
promoting change in their attitudes toward themselves and their life situ-
368
KRlPPNER
AND
ACHTERBERG
ations; and
18
who were “spiritually and existentially oriented.” Berland
concluded that ‘(people approach their illness in distinct ways and must be
helped to achieve their own specific goals” (p.
15).
Solomon and his associates (Solomon, Kemeny,
&
Temoshok,
199
1
;
Solomon, Temoshok, O’Leary,
&
Zich,
1987)
studied long-term survivors
of
AIDS,
finding that they were more likely than nonsurvivors to view
their physicians as partners, accept the diagnosis and take some degree of
personal responsibility for their disease, feel they had unfinished goals or
business to which they needed to attend, and find new meaning and pur-
pose in life as a result of their diagnosis.
Glik
(1993)
compared
93
members of charismatic Christian healing
groups with
83
members of metaphysical New Age healing groups on sev-
eral standardized health status protocols.
Glik
found that the former tended
to attribute their condition to sin, weakness, lack of belief, and loss of
faith, whereas the latter tended to associate their condition to imbalances
and blockages between soma and psyche, self and society, or conscious and
unconscious material. Neither rejected biomedical explanations of causa-
tion and cure but framed them within broader definitions of health and
sickness. Recovery was often phrased symbolically, for example, in terms
of
surrender
by
the charismatic group and
inner
peace
by
the metaphysical
group; changed states of awareness were associated with recovery
by
mem-
bers of both groups.
Glik
proposed that Fischer’s
(1971)
model of cortical
hyperarousal (common among charismatics) typified the former group,
whereas cortical hypoarousal (common among meditators) was more typi-
cal of the latter group. People in both
of
Glik’s groups who reframed or
redefined their health problems “had significantly higher levels of reported
healing experiences
.
.
.
than those who
did
not” (p.
211).
The role of fantasy proneness in spontaneous healing experiences has
been explored
by
a few investigators. No11
(1986),
for example, suggested
that shamans might demonstrate this proclivity. Barber
(1984;
Wilson
&
Barber,
1978)
proposed that fantasy-prone individuals are characterized
by
a psychosomatic plasticity that facilitates extraordinary bodily changes. For
example, the most fantasy-prone individuals had a profound imagination
ranging from daydreaming to out-of-body experiences (OBEs) to sexual
orgasm produced purely through fantasy. In addition, Cardeiia, (1996), in
dispelling the notion that hypnosis is a unitary state of awareness, found
that highly hypnotizable people can fantasize without dissociating, can dis-
sociate without fantasizing, can display during hypnosis only mild to mod-
erate losses in rationality, or can report considerable loss
of
rationality and
memory (pp.
88-89).
According to him, the characteristics
of
some highly
hypnotizable individuals (high imagery, traumatic history, talent for the
arts) parallel those of some traditional healers.
Irwin’s
(
1994)
summary of practitioner experiences indicates several
commonalities: a period of preparation; a period of initial absorption in
ANOMALOUS
HEALING EXPERIENCES
369
the process; a period
of
engagement with the client; and a concluding
period in which practitioners may or may not feel depleted, depending on
their efforts and their belief as to the source of their healing power (e.g.,
Harvey,
1983,
p. 114). Some of the accounts cited
by
Irwin describe in-
dividual differences in these factors (e.g., Krippner
&
Villoldo,
1986).
In
reviewing research studies in this area, one must consider the lim-
itations of the research methodology. For example, Hirshberg and Barasch
(1995) admitted that the at-risk personality features that marked their
remarkable-recovery group probably existed before their cancers developed.
These traits may have contributed to the disease process and, if reversed,
might have contributed to the healing process. Because no before-and-after
tests were given, it is impossible to assess the reported scores.
In
the same
study, there were several traits (e.g., social extraversion and positive cop-
ing) that seemed to be associated with recovery; yet if these qualities were
present before the cancer occurred, why did they not play a preventive
role?
PSYCHOPATHOLOGY
There is very little direct research on whether healers or patients who
have anomalous healing experiences also have a predisposition to some
forms of psychopathology (see also the section on Clinical Issues and Risks
below). For many decades, Western social scientists observed the links be-
tween shamanic experiences and changed states of awareness, concluding
that shamanism involved some type of psychopathology.
J.
Silverman
(1967) postulated that shamanism is a form of acute schizophrenia because
the two conditions have
in
common “grossly non-reality-oriented ideation,
abnormal perceptual experiences, profound emotional upheavals, and bi-
zarre mannerisms” (p.
22).
Indeed, Silverman reported that the only dif-
ference between shamanic states and contemporary schizophrenia in West-
ern industrialized cultures was “the degree of cultural acceptance of the
individual’s psychological resolution of a life crisis” (p. 23). Silverman
claimed that the social supports available to the shaman are “often com-
pletely unavailable to the schizophrenic in our culture” (p. 29). Devereux
(1961) described shamans as neurotics and hysterics, whereas Radin (1937)
equated them with epileptics and hysterics (p.
108).
Boyer, Klopfer, Brawer, and Kawai
(1964)
gathered data on this issue
by
administering Rorschach inkblots to 12 male Apache shamans, 52 non-
shamans, and
7
“pseudoshamans” who claimed to possess special powers
but who had not been accorded shamanic status
by
members
of
their tribe.
Rorschach analysis demonstrated that the shamans showed as high a degree
of reality-testing potential as
did
members of the nonshamanic group. Pseu-
doshamans, however, were more variable on this dimension and demon-
3
70
KRIPPNER AND ACHTERBERG
strated “impoverished personalities” (p.
179).
The shamanic group ap-
proached ambiguous stimuli similarly to nonshamans but showed a higher
degree
of
ability to “regress in the service of the ego,” a keener awareness
of peculiarities, more theoretical interests, and more “hysterical” tendencies
(p.
179).
The shamans were distinguished
by
the high frequency of ana-
tomical and sexual responses to the Rorschach inkblots, as well as the
mention
of
color. Even
so,
Boyer et al.
(1964)
stated, “In their mental
approach, the shamans appear less hysterical than the other groups” (p.
176). The study concluded that the shamans were “healthier than their
societal co-members..
.
.
This finding argues against [the] stand that the
shaman is severely neurotic or psychotic, at least insofar as the Apaches
are concerned”
(p.
179).
No11
(1983)
compared the experiential reports of both people with
schizophrenia and shamans to the criteria for schizophrenia
of
the 3rd
edition of the
Diagnostic
and
Statistical Manual
of
Mental Disorders
(Amer-
ican Psychiatric Association,
1980).
He concluded that important phe-
nomenological differences exist between the two groups and that the
“schizophrenic metaphor” of shamanism is untenable (p.
455).
In fact,
Murphy (1976) noted that indigenous people generally differentiate be-
tween shamans and those who Westerners would consider as having schizo-
phrenia, adding that similar kinds of disturbed behavior are identified as
aberrant in diverse cultures.
Indeed, some social scientists (e.g., Peters
&
Price-Williams,
1983)
have claimed that such altered states as spirit possession and
OBE
can be
therapeutic. Indeed, there is an anthropological literature indicating that
these altered states can be socially adaptive and empowering, especially in
the case of female healers, who have few other means in many cultures for
asserting their capabilities (Krippner,
1994,
p.
358).
As mentioned above, Appelbaum
(1993)
found that only a small
proportion
of
self-described Western healers showed psychiatric distur-
bances. This finding
is
consistent with cross-cultural studies but requires
replication. Heber, Fleisher,
Ross,
and Stanwick
(1989)
studied 12 alter-
native healers
in
a Canadian city and reported that although, as compared
with a control group, they expressed a number of unusual experiences, these
experiences were not indicative of psychopathology.
OUTCOMES
Several writers (e.g., Achterberg, Simonton,
6r
Simonton, 1976; Cun-
ningham,
1984)
have described the outcomes of anomalous healing expe-
riences and unexpected responses to particular diagnoses and treatments.
In his literature review, Schouten
(1993)
found no evidence that patients’
contacts with complementary and alternative medical systems had any
ANOMALOUS
HEALING EXPERIENCES
371
strong negative effects; indeed, there were several indications that these
experiences were associated with positive effects. However, psychological
variables had “a much stronger effect than the effect of the method itself”
(p.
394),
and many methodological shortcomings of the studies were noted
(e.g., lack of comparison groups and absence of normative data). For ex-
ample, Kleijnen, ter Riet, and Knipschild’s (1991) overview of the effect
of acupuncture on asthma reported a positive effect of the method
but
found that the rate of success decreased as the quality
of
the investigation
increased. Even
so,
“There is not much to be gained
by
calling the results
of
complementary treatment just ‘placebo’ or ‘suggestion.’ This would
merely mean replacing one term with another and would contribute little
to the explanation of the phenomenon” (Schouten,
1993,
p.
397).
Appelbaum
(1993)
observed that most of the favorable outcomes
from healers rest on anecdotal reports and are subject to considerable error.
Healers may report only seemingly successful cases, patients are often
loathe to report that the healing was ineffective, something other than
the laying on of hands could have brought about the cure, and-given
the fallibility of some medical diagnoses, the person may not have had
the alleged ailment in the first place. (p.
33)
French
(1996)
added that many ailments are self-limiting, and others show
a natural variability (pp.
598-599).
Furthermore, in discussing healing out-
come research, even briefly, one must distinguish between an effect (e.g.,
a decrease in gastric secretion) and effectiveness (e.g., cessation of pain
and other symptoms). Few studies of alternative medical treatments have
made this differentiation (Ernst
&
White,
1997).
For example, in a study
of
2
1
therapeutic-touch practitioners (Rosa, Rosa, Sarner,
&
Barrett,
1998),
the practitioners were unable, under masked conditions, to perceive a “hu-
man energy field” (i.e., an effect); on this basis, Rosa et al. claimed that
“no well-designed study demonstrates any health benefit from [therapeutic
touch]. These facts, together with our experimental findings, suggest that
. . .
further use
of
[therapeutic touch]
by
health professionals is unjustified”
(p.
1010).
Rosa et al. reached this conclusion even though they themselves
had not collected data regarding therapeutic touch’s possible effectiveness,
and despite the fact that their literature review unearthed no harmful ef-
fects of the procedure (see also Leskowitz, 1998).
THERAPEUTIC
POTENTIALS AND EFFICACY
Various instances of the reputed efficacy of complementary and al-
ternative techniques have been described in previous sections.
A
literature
review conducted
by
McClenon
(
1997)
found evidence that indigenous
treatments ‘‘have a high degree of efficacy, particularly for disorders with a
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AND
ACHTERBERG
psychological basis” (p. 61). For example, Kleinman
(
1980) observed that
Taiwanese shamans were regarded as more successful when dealing with
acute, self-limited sicknesses, secondary somatic manifestations of psycho-
logical disorders, and chronic ailments that were not life-threatening. Fink-
ler
(
1985) observed that diarrhea, simple gynecological disorders, somatic
manifestations of distress, and psychological disorders were most amenable
to treatment
by
Mexican spiritists. Thong (1993) surveyed clients of tra-
ditional Balinese healers, reporting that most of those with self-limiting
ailments improved over time.
Also,
according to self-reports, 58% of the
clients with chronic physical conditions and 60% of those with psychiatric
problems claimed to have improved
or
to
have been cured. Those not
claiming improvement were those with mental retardation, severe psycho-
ses,
or
repetitive antisocial behavior. The latter findings suggest that the
efficacy of indigenous treatments may reflect therapeutic rapport, other psy-
chological variables, and a regression-to-the-mean effect and that the term
anomalous
is inappropriate in these cases unless conventional healing var-
iables can be explained away.
In regard to controlled research, Schouten (1993) concluded that
“few experimental studies on the effect of psychic healing
. . .
are available
which fulfill basic requirements such as matched groups and a double-blind
design” (p. 389); as for case histories
in
which alternative practices are
successful, “there hardly exists a case which is well-documented” (p.
378).
However, after examining the same body of evidence, Benor (1992) con-
cluded that “there is highly significant evidence for healing effects on en-
zymes, cells in the laboratory, bacteria, yeast, plants, animals and humans”
(p.
11).
An
intermediate conclusion has been offered
by
Solfvin (1984):
The studies reviewed here show a rather high rate
of
success
for
ob-
serving, with varying degrees
of
control, apparent influences on living
matter in mental healing contexts.
This
is
very encouraging in that
it
represents a solid first step toward building a science
of
mental healing,
or mental intention to heal.
It
is clear, too, that it is only a first step.
(p.
63)
Intriguing, but controversial, results reported
by
Grossarth-Matticek,
Bastiaans, and Kanazir (1985) suggest that therapy that emphasizes such
issues as a healthy lifestyle, relaxation, positive self-suggestions, hope, trust,
problem-solving, “natural piety,” and an examination of one’s beliefs and
expectations results in extended survival rates from cancer, heart disease,
and strokes as compared with comparison groups treated with standard
procedures. In addition, a prospective, randomized study of
86
women with
metastatic breast cancer by Spiegel, Bloom, Kraemer, and Gottheil (1989)
indicated that women who received group therapy with an emphasis on
social support survived about twice as long as those who were not in the
therapy groups. Fawzy et al. (1993) reported similar results with persons
ANOMALOUS HEALING EXPERIENCES
373
diagnosed with melanoma, who underwent an intervention that included
education, stress management, enhancement of coping skills, and psycho-
social support.
Various elements of rituals and ceremonies, such as drumming, danc-
ing, chanting, expressive arts, and practices such as fasting and sensory
deprivation, have been associated with reports of healing in various cultural
contexts (Achterberg, 1985; Krippner, 1996; Lawlis, 1996; Rebman et al.,
1995).
To
the extent that they can be integrated into a belief system (with-
out violating the cultural underpinning of the traditions), these elements
may link anomalous healing experiences with clinical and research inter-
ventions. Indeed, Fuller
(
1989)
regarded unorthodox medical treatment as
an initiatory rite for many Americans for whom a secularized culture has
led to a desacralization of life (pp.
120-121).
These studies indicate that there may be substantial health benefits
associated with relatively simple interventions. The use of behavioral and
relaxation approaches in the treatment
of
chronic pain and insomnia was
advocated
by
a
U.S.
National Institutes
of
Health
(NIH)
panel (Richmond
et al., 1996), and another
NIH
panel supported the utility of mind-body
interventions in the treatment of various health problems (Achterberg
et
al., 1994). Social support may be a contributing factor to the reported
healings that take place in shamanic societies, indigenous cultures, and
even religious settings that emphasize family and community nurturance
(Kleinman,
1995).
Social support and a concomitant reduction in loneli-
ness and anxiety have been associated with significant hormonal changes
that could facilitate healing (Melnechuk, 1988). The associations among
health and hope, optimism, and relief from distress (Knight, 1994; Peter-
son, Seligman,
&
Vaillant, 1988) suggest that psychosocial clinical inter-
ventions, if appropriately selected and wisely applied, can be safe, cost-
effective, and efficacious in healing.
CLINICAL
ISSUES
AND
RISKS
Writers have disagreed on the risk factors involved
in
anomalous
healing. Critics have identified what they consider to be serious fallacies
in the decision-making processes of people who invest their time and
money searching for an anomalous healing rather than accepting conven-
tional medical care. Wikler (1985) saw a pernicious danger in the behavior
of
health practitioners who claim that individuals should “be accountable”
for their own health and that “health care is a matter of individual re-
sponsibility” (e.g., Pelletier,
1977,
p.
302).
For Wikler, the debate is not
over the concept of accountability itself, but over what actions lead to
what consequences and how clients’ responsibility can be most effectively
discharged.
Practitioners can hardly be faulted
if
they encourage and assist
374
KRIPPNER
AND
ACHTERBERG
clients to adopt healthy lifestyles and attitudes. The danger arises when a
practitioner suggests that it is one’s unconscious resistances, lack of faith,
or self-destructive tendencies that prevent recovery.
Various observers have linked the behavior of some groups devoted
to anomalous healing with such factors as psychopathology and irrational
risk-taking. Brenneman
(1990)
observed that the doctrine of Christian
Science holds that its practitioners cannot treat anyone undergoing med-
ical care, unless the patient is a Christian Scientist undergoing involuntary
medical care (e.g., the unconscious victim of an automobile accident). He
documented several cases in which patients, including children, have died
as a result of this harsh dictum. This type
of
world view is not limited to
Christian Science; at least
22
other religions have been implicated in
religion-motivated medical neglect and about
140
instances of
U.S.
fatal-
ities have been documented in which treatment
by
religious rituals was
implemented instead of medical care in which the expected survival rate
exceeds
90%
(Asser
6r
Swan,
1998).
Radner and Radner
(1985)
warned against accepting an irrational
cognitive style that would place one at risk and identified several examples
of such styles. These include (a) anachronistic thinking (e.g., dependency
on ancient modes of treatment);
(b)
argument from spurious similarity
(e.g., attempts to gain scientific status for a controversial mode of treatment
on the grounds of its alleged resemblance to a recognized scientific theory);
(c) a grab-bag approach to evidence (e.g., dependence on anecdotes about
anomalous healing rather than rigorously conducted studies); and
(d)
re-
fusal to correct in light of criticism (e.g., finding excuses when accounts of
anomalous healing do not measure up to standard criteria of verification).
Many investigators who are sympathetic to the consideration of healing
anomalies agree that critical thinking is important to evaluating them (e.g.,
LeShan,
1982,
p. 130).
There is the constant risk of gullible people spending time and money
with so-called healers of questionable ethics and dubious effectiveness in-
stead of seeking prompt medical attention. The responsible advocates of
alternative approaches recognize this danger. St. Clair
(
1974),
for example,
in his attempts to identify exceptional healers around the world, found
several practitioners whom he considered fraudulent and who “know that
ill
people are easy targets” (p.
321).
Even at their best, psychic healers
“cannot take care of a ruptured appendix,
do
not handle emergency cases
like drowning, shootings and automobile accidents,” and “are not infalli-
ble” (p.
321).
The magician James Randi
(1987)
investigated several con-
temporary faith healers, concluding that they were performing sleight of
hand disguised as healing miracles. Randi’s debunking activities have trig-
gered controversy, but an editorial in the
American Society for Psychical
Research Newsletter
remarked, “We are united on this front and should work
ANOMALOUS HEALING EXPERIENCES
375
together to help protect the desperate and the credulous against those who
would exploit their deepest needs” (McCormick, 1986, p.
23).
For any model of healing to be taken seriously, it must take the pla-
cebo effect into account in the evaluation of healing events in conven-
tional biomedical practices. At its best, this effect is a simple nontoxic,
nonmutilating, and often effective method of stimulating and facilitating
the client’s own intrinsic healing process. Technically speaking, a biomed-
ically inert substance given in such a manner to produce relief is known
as a
placebo,
and the resulting patient effect is called the
placebo effect.
In
other words, the effect is a response to the act of being treated, not to the
administered treatment itself (Dodes, 1997).
Frank and Frank (1991) reviewed data indicating that the placebo
effect is often
so
strong that it has produced salutary effects even when
patients are told that the substance they are taking is a sugar pill (pp.
144-154). They concluded that the patient’s state of mind is a critical
variable. This point is underscored
by
Rehder (1953, who asked a cele-
brated faith healer to perform three at-a-distance healings with three se-
riously ill patients who were not told about his intervention; no
change was noted
in
their condition. Later, the patients were told about
the healer and for several days they prepared for his distant treatment, but
the healer was told to do something else at the time. Nevertheless, one
patient was cured permanently, and the other two made dramatic improve-
ments.
However, a placebo can actually increase the recipient’s discomfort if
he
or
she has been led to expect such results (French,
1996,
p. 600). Dodes
(1997) noted ways in which placebos can be harmful: Various allergic re-
actions have resulted from placebo therapy; patients can be led to believe
that their sickness is only amenable to treatment from a specific practi-
tioner; and placebo effects can mask serious disorders, resolving subjective
symptoms while allowing the objective ones to remain. Finally, the use of
placebos can undermine the practitioner-patient relationship
by
requiring
deception on the part of a caregiver (pp. 44-45).
Psychotherapists and other professional practitioners may be called
upon to counsel people about their purported anomalous experiences; ob-
viously, these cases may reflect patients’ needs and motives. Irwin
(1999,
pp.
295
-300)
divided them into the hoaxers, the seekers of reassurance,
and those in need of psychotherapy. The hoaxers frequently seek attention
and will magnify or fabricate extravagant tales of anomalous healing to
serve their purposes. This behavior calls for a noncommittal and noneval-
uative stance, at least in the first stages of counseling. The reassurance-
seekers may report healing experiences that are
so
uncanny that they dare
not confide in friends
or
family for fear of ridicule or because they suspect
they are suffering from a delusion. Again, a nonevaluative approach is
appropriate until more information is forthcoming.
If
the account seems
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KRIPPNER AND ACHTERBERG
plausible, reference may be made to the fact that many other people report
similar experiences. The psychotherapist may also help the client work
through the experience to establish its personal significance, leaving its
veridicality open unless medical records are available for verification. There
are some cases in which clients will confide experiences that appear to be
part of an ongoing pathological condition, often frankly delusional in na-
ture.
A
client might claim to have God-given healing powers, to have
been healed
by
a “spiritual implant,” or to have been chosen to “suffer for
humanity’s benefit.”
In
these cases, the psychotherapist should determine
the needs being satisfied
by
the delusion and to place the experiential
report in the broader context of the client’s presenting problem, diagnosis,
and treatment plan.
THEORIES
Theories and explanatory models attempt to provide verbal or pic-
torial representations of reality. They often serve as heuristic devices, as
tools for thinking, investigating, and constructing testable hypotheses.
Weston (1991), in his book on so-called healing miracles, stated that “both
religion and science describe reality” (pp.
37-38).
We suggest that the
former yields models that are closed-ended, whereas the latter (at its best)
provides open-ended models that build on accumulated data and search for
ways in which new data can be added.
Psychophysiological Models
There are any number of possible psychophysiological explanations
that might underlie anomalous healing experiences.
In
offering an expla-
nation for his collection of instances of “changes in unchangeable bodily
processes,” Barber (1984, p. 104- 105) identified several po