Will God cooperate in prayer study?

Will God cooperate in prayer study?

Photo by Pedro Lima on Unsplash

Originally published 16 June 1997

Can prayer heal? That ques­tion has been get­ting increased atten­tion with­in the med­ical com­mu­ni­ty, per­haps because of the gen­er­al rise of inter­est in alter­na­tive therapies.

There are sev­er­al ways prayer might have a ther­a­peu­tic effect:

  1. The place­bo effect. If patients in clin­i­cal tri­als are giv­en sug­ar pills or oth­er imi­ta­tion treat­ment in place of real ther­a­pies, some — as many as a third — will nonethe­less get bet­ter. Physi­cians ascribe the suc­cess of place­bos to some as yet mys­te­ri­ous mind-body inter­ac­tion. Prayer might heal in the same way: If you believe it helps, per­haps it will.
  2. Stress-reduc­tion. Some physi­cians believe that relax­ation leads to low­er blood pres­sure, alle­vi­a­tion of hyper­ten­sion, pain reduc­tion, and oth­er ben­e­fi­cial phys­i­cal states. If relax­ation exer­cis­es help cer­tain pop­u­la­tions of patients, then prayer or oth­er forms of relax­ing med­i­ta­tion might pro­duce the same results.

Nei­ther the place­bo effect nor stress reduc­tion seri­ous­ly chal­lenge ortho­dox med­i­cine. Almost all sci­en­tists accept that mind and body inter­act in many com­plex ways that are as yet only poor­ly understood.

But what about:

  1. Inter­ces­so­ry prayer? Can prayer addressed to God on a some­one else’s behalf—with­out the patien­t’s knowl­edge—heal? On this mat­ter, the med­ical lit­er­a­ture is near­ly silent.

In 1988, Ran­dolph Byrd pub­lished in the South­ern Med­ical Jour­nal results of a study that has been wide­ly-quot­ed as offer­ing sci­en­tif­ic evi­dence for the med­ical ben­e­fits of inter­ces­so­ry prayer.

Over a 10-month peri­od, Byrd ran­dom­ly divid­ed near­ly 400 patients in a coro­nary care unit at the San Fran­cis­co Gen­er­al Med­ical Cen­ter into two groups. One group was prayed for by born-again Chris­tians out­side the hos­pi­tal; the con­trol group received no assigned prayer. Nei­ther physi­cians nor patients knew which group the patients had been assigned to. Accord­ing to Byrd, patients receiv­ing inter­ces­so­ry prayer required less ven­ti­la­tion ther­a­py and few­er antibi­otics and diuret­ics than the con­trol group. His ten­ta­tive con­clu­sion: Prayer works.

How­ev­er, no sig­nif­i­cant dif­fer­ences were not­ed in such vari­ables as length of hos­pi­tal stay or mor­tal­i­ty. Fur­ther­more, Byrd’s study has been fault­ed on sta­tis­ti­cal and pro­ce­dur­al counts, even by some who believe in the pow­er of inter­ces­so­ry prayer.

Also, giv­en the impos­si­bil­i­ty of know­ing who has actu­al­ly been prayed for, by whom, and how often — many prayers are offered by the faith­ful for “the sick” in gen­er­al — it is hard to imag­ine how any sci­en­tif­ic study of inter­ces­so­ry prayer can be con­clu­sive one way or the other.

These reser­va­tions are sel­dom men­tioned when the results of Byrd’s study are quot­ed, as, for exam­ple, in a 1996 Time mag­a­zine cov­er sto­ry on alter­na­tive heal­ing strate­gies. Nor do we hear much about two ear­li­er med­ical stud­ies that failed to pro­vide sta­tis­ti­cal sup­port for the suc­cess of inter­ces­so­ry prayer.

Of course, neg­a­tive results prove noth­ing to believ­ers; after all, God may sim­ply refuse to coop­er­ate with sci­en­tif­ic tests of his pow­er. But if Byrd’s osten­si­bly pos­i­tive results were some­how con­firmed in an unam­bigu­ous way, it would rep­re­sent a stun­ning chal­lenge to the sci­en­tif­ic world view, which eschews mir­a­cles of all sorts. Suf­fice it to say that the med­ical com­mu­ni­ty is high­ly skeptical.

But not uni­ver­sal­ly so.

Lar­ry Dossey is a for­mer­ly ortho­dox physi­cian and suc­cess­ful author who has made a name for him­self as a pro­po­nent of alter­na­tive heal­ing strate­gies, includ­ing prayer. He has expressed reser­va­tions about Byrd’s study but is open to the heal­ing pow­er of prayer, even if the patient does­n’t know she is being prayed for. He argues for a new kind of med­i­cine that takes account of a “col­lec­tive mind,” a mind not local­ized to brain or body.

The respect­ed Har­vard car­di­ol­o­gist Her­bert Ben­son is anoth­er tra­di­tion­al­ly-trained physi­cian who is push­ing for the sci­en­tif­ic study of alter­na­tive ther­a­pies. He also rec­og­nizes flaws in Byrd’s study, but thinks inter­ces­so­ry prayer should be stud­ied in a rig­or­ous sci­en­tif­ic way.

Ben­son and col­leagues have designed a test of inter­ces­so­ry prayer that they believe meets the strictest sci­en­tif­ic stan­dards. The study is being fund­ed by the Tem­ple­ton Foun­da­tion, a pri­vate foun­da­tion that sup­ports the use of sci­en­tif­ic evi­dence to reveal knowl­edge of God.

Like any good sci­en­tist, Ben­son is inter­est­ed in the causal mech­a­nisms at work in alter­na­tive ther­a­pies, includ­ing prayer. And cer­tain­ly, the mind-body con­nec­tion is pret­ty much unex­plored ter­ri­to­ry in science.

Nev­er­the­less, skep­ti­cism remains high among sci­en­tists. In a recent review of Ben­son’s newest book, Time­less Heal­ing: The Pow­er and Biol­o­gy or Belief, biol­o­gist Irwin Tess­man and and his physi­cist broth­er Jack take Ben­son to task for what they con­sid­er the casu­al and mis­lead­ing use of evidence.

It is unde­ni­able that the mind affects the body in many ways,” write Tess­man and Tess­man. “There­in lies a fer­tile field for rig­or­ous sci­ence; also a fer­tile field for exag­ger­at­ed claims, uncon­trolled stud­ies, flawed sta­tis­tics, mind-bog­gling illu­sions, and anec­do­tal reports.”

Ben­son, Dossey and oth­er alter­na­tive ther­a­py physi­cians can be admired for their efforts to bring mind-body inter­ac­tion with­in the fold of rig­or­ous sci­ence. And, cer­tain­ly, any­thing that leads to health­i­er lifestyles and less depen­dence upon inter­ven­tion­al med­i­cine is to be commended.

But the new alter­na­tive med­i­cine gurus should be care­ful to acknowl­edge what Dr. Ger­ald Weiss­mann writes in Democ­ra­cy and DNA: Amer­i­can Dreams and Med­ical Progress: “There is no home­o­path­ic, ayurvedic, or New Age prac­tice that can pre­vent pan­demics of plague, pro­tect the earth from decay or pol­lu­tion, or pro­long the life of a tot with a con­gen­i­tal hole in its heart.”

He might have includ­ed inter­ces­so­ry prayer among alter­na­tive ther­a­pies with scant non-anec­do­tal evi­dence for success.

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