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PROFILE:
Dr. Harold Koenig
July 1, 2005    Episode no. 844
Read This Week's November 7, 2008
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KIM LAWTON, guest anchor: Now, the continuing debate about whether the many compelling stories of healing by faith can be confirmed by science. Bob Abernethy visited one of the country's leading researchers on the relationship between religion and health.

VELMA MOORE: In seven years, he's almost died 12 times.

BOB ABERNETHY: At the Duke University Hospital in Durham, North Carolina, Benjamin Moore is recovering from kidney failure, and his wife has no doubt about why he is getting better.

Ms. MOORE: I knew that if the prayers went up, the blessings would come down.

ABERNETHY: Near Raleigh, North Carolina, Andy Delbridge is convalescing from surgery to remove a brain cancer so advanced he was given just a year to live.

ANDY DELBRIDGE: There is no growth. There is no evidence of cancer. I think I'm cured. I think God has given me time.

Photo of ANDY and NANCY DELBRIDGE ABERNETHY: Andy and his wife, Nancy, credit God, their prayers, and the prayers of their church. I asked Nancy, with two young sons to raise and her husband terminally ill, was she ever angry at God?

NANCY DELBRIDGE: How could I be angry with the one who was carrying me? You know, no.

ABERNETHY: Moving as personal testimonies can be, many scientists consider them anecdotes, not evidence. Nevertheless, in recent years there has been a surge of interest in finding a provable connection between religion and health. One of the leaders of the research is Duke psychiatrist Harold Koenig.

Dr. HAROLD KOENIG (Co-director, Center for Spirituality, Theology and Health, Duke University Medical Center): The enormous number of studies all suggest that religious involvement and practices actually result in better health.

Photo of woman praying People who are more religious have greater well-being, lower anxiety, more purpose and meaning in life, so that religious people tend to have lower blood pressure, tend to have stronger immune systems and, oftentimes, will live longer.

ABERNETHY: But correlation does not mean cause.

Dr. KOENIG: You cannot say that it's proven beyond a shadow of a doubt that religion makes you healthy; that's correct, but where there is a lot of smoke, there's probably some fire.

ABERNETHY: Koenig says many doctors who used to dismiss a role for religion in medical practice are becoming more open to a connection. But in New York, psychologist Richard P. Sloan at Columbia Presbyterian Hospital brands most of the new research "bad science."

Photo of RICHARD P. SLOAN Dr. RICHARD P. SLOAN (Psychologist, Columbia Presbyterian Hospital): The evidence is, by and large, extremely weak and inconclusive. We can't say for sure that religious involvement causes better health. We may be able to say that there's an association, but we don't understand it.

ABERNETHY: Professor Sloan also questions whether science can ever measure spirituality.

Dr. SLOAN: Medical science deals in facts -- observable facts, testable hypotheses. Religion deals in faith. Faith doesn't require proof.

ABERNETHY: Koenig partly agrees.

Photo of Dr. Harold Koenig Dr. KOENIG: You cannot prove, in my opinion, anything about God or that God answers prayer or anything that is supernatural. What we can show, though, is what impact does believing in God, in going to church, reading the Bible, going to synagogue, mosque -- what impact do those beliefs and practices have on a person's mental and physical health? That we can study.

ABERNETHY: But, Sloan says, the studies must be broad.

Dr. SLOAN: There are lots of cases in which people pray devoutly and don't get better. And there are lots of cases in which people do get better and they don't pray. And only a systematic evaluation of that can lead to conclusions that are definitive.

Photo of worshipers ABERNETHY: Sloan argues that it may be the healthy lifestyle of many religious people that enhances health, not religion itself. He says any kind of social engagement helps, not just belonging to a faith community. He also asks, if religious belief produces healing, what does that imply if there is no healing? That a patient's faith was inadequate?

Dr. SLOAN: It's bad enough to be sick; it's worse still to be gravely ill. But to add to that the burden of remorse or guilt over some supposed failure of devotion is simply unconscionable.

Dr. KOENIG: You can never conclude that a person is sick because of a weak faith.

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ABERNETHY: According to Koenig, it's the combination of strong faith and a strong faith community that makes people healthier. So he advises people who are already religious to attend services more often, join a prayer group, and pray more. But he stops short of recommending religion as a means to health.

Dr. KOENIG: You cannot tell patients to go out and get religion, like you should stop smoking and exercise more and lose weight. Genuine religious faith is not a faith that is based on seeking health. It's a faith that is based on seeking God. Kind of a side effect of that is better health. It's the frosting on the cake, not the cake.

ABERNETHY: Koenig does favor a particular view of God.

Photo of priest giving Communion Dr. KOENIG: In this culture, people who believe in a loving, merciful, compassionate God who is present with us and who helps us bear our burdens -- that is probably healthier than people who believe in a God that is a punishing God, is a vengeful God, is a judgmental God.

ABERNETHY: Koenig says doctors should ask their patients about their spiritual history, but never proselytize. He also says, most controversially, that doctors should pray with them if the patients want it.

Dr. KOENIG: The impact that has on a patient sometimes is greater than anything else that I've done, any medication that I've prescribed, any psychotherapy I've done. Saying a prayer for a person, with a person who is under real distress -- the doctor saying the prayer just makes a huge difference to patients. I don't know why, but it just does.

Photo of patient and counselor praying ABERNETHY: There is general agreement that because most doctors are untrained in spiritual care, they should refer patients with spiritual needs to a chaplain or pastoral counselor just the way they would to any other specialist.

Reverend Deborah Morgan, a United Methodist, is senior clinical chaplain at Duke Hospital.

Reverend DEBORAH MORGAN (Senior Clinical Chaplain, Duke University Hospital) (To Ms. McDougal): You've been through a lot.

JOYCE MCDOUGAL: I got three fingers on this hand.

ABERNETHY: This patient, Joyce McDougal, a severe diabetic, told the chaplain her faith is strong even though her prayers were not answered.

Ms. MCDOUGAL: I got a half a finger here, so I got four and a half here, and one leg here. And, you know, through it all, I still thank God. You know, you learn that everything [is] not going to be the way we want it to.

ABERNETHY: Chaplain Morgan says patients often find their faith strengthened even if they are not cured.

Photo of DEBORAH MORGAN Rev. MORGAN: I take seriously the healing power of prayer. But I would broaden that healing to include not just curing, which is what we want -- it's what I want if it's my leg -- but sometimes healing goes beyond that. And it means that a person is empowered to keep moving, to get on with their life even though they don't have a leg, and to feel that God was present with them in a way that made it tolerable.

You can be awfully healed and still have an illness. And I've seen that many times -- people who were joyful, who managed to have a life in the midst of a chronic illness, an openness to what there might be that God would have for us, if not the thing that we are most asking for.

ABERNETHY: Dr. Koenig says he has learned the same thing from his own 30-year struggle with arthritis. He can stand or walk only a short time without needing his wheelchair.

Photo of the Moores praying Dr. KOENIG: My prayer is that God would heal me miraculously, completely -- so I could run and play with my kids and sleep at night. But, "Thy will be done" -- that sense of humility that I don't know everything. It's okay that I'm not in control, because I trust that God is in control and God will take care of things. And healing may not be physical healing. Healing may be social, it may be emotional, it may be spiritual. And God may decide that we need that more than we need the physical healing.

ABERNETHY: However they define healing, Koenig at Duke and many others around the country continue their search for measurable evidence of what many patients and their bedside caregivers are sure is true.

Rev. MORGAN (Praying): This day, may your healing power continue to be at work in Benjamin's body, Lord, not just his body but his mind and spirit as well.

Ms. MOORE: Thank you so much.

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