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Excerpts

The Healing Power of Love

From Love and Survival: Eight Pathways to Intimacy and Health by Dean Ornish, M.D. Copyright (c) 1998 by Dean Ornish. Reprinted with permission of HarperPerennial, New York, New York.

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Love and Survival

What do they have to do with each other?

This book is based on a simple but powerful idea: Our survival depends on the healing power of love, intimacy, and relationships. Physically. Emotionally. Spiritually. As individuals. As communities. As a country. As a culture. Perhaps even as a species.

Most people tend to think of my work as being primarily about diet. It's gotten to the point where it's hard for me to go out to dinner with people without them apologizing for what they're eating or making comments about my food -- even though I make it clear that I'm not the food police.

Many stories have appeared in the media about the research I have directed for the past twenty years that has demonstrated, for the first time, that comprehensive lifestyle changes may begin to reverse even severe coronary heart disease without drugs or surgery. Almost always, these articles focus on my diet: "What do people eat?" "Isn't this diet too strict for most people?" "Are they going to live longer or is it just going to seem longer?" And so on.

I have no intention of diminishing the power of diet and exercise or, for that matter, of drugs and surgery. There is more scientific evidence now than ever before demonstrating how simple changes in diet and lifestyle may cause significant improvements in health and well-being. As important as these are, I have found that perhaps the most powerful intervention -- and the most meaningful for me and for most of the people with whom I work, including staff and patients -- is the healing power of love and intimacy, and the emotional and spiritual transformation that often result from these. While I have written about these themes in my earlier book, the emotional and spiritual aspects of disease tend to get overlooked -- so I decided to write an entire book on the subject.


The most powerful intervention ... is the healing power of love and intimacy, and the emotional and spiritual transformation that often result from these.

In this book, I describe the increasing scientific evidence from my own research and from the studies of others that cause me to believe that love and intimacy are among the most powerful factors in health and illness, even though these ideas are largely ignored by the medical profession. As I review the extensive scientific literature that supports these ideas, I will describe the limitations of science to document and understand the full range of these implications -- not only in our health and illness, but also in what often brings the most joy, value, and meaning to our lives. I give examples from my life and from the lives of friends, colleagues, and patients.

Medicine today tends to focus primarily on the physical and mechanistic: drugs and surgery, genes and germs, microbes and molecules. I am not aware of any other factor in medicine -- not diet, not smoking, not exercise, not stress, not genetics, not drugs, not surgery -- that has a greater impact on our quality of life, incidence of illness, and premature death from all causes.

Cholesterol, for example, is clearly related to the incidence of illness and premature death from heart disease and stroke. Those with the highest blood cholesterol levels may have a risk of heart attack several times greater than those with the lowest levels, and lowering cholesterol levels will reduce the risk of heart disease and stroke. However, cholesterol levels are not related to such diseases as complications during pregnancy and childbirth, the incidence of illness and premature death from infectious diseases, arthritis, ulcers, and so on, whereas loneliness and isolation may significantly increase the risk of all these. Something else is going on.

Smoking, diet, and exercise affect a wide variety of illnesses, but no one has shown that quitting smoking, exercising, or changing diet can double the length of survival in women with metastatic breast cancer, whereas the enhanced love and intimacy provided by weekly group support sessions has been shown to do just that, as I will describe in chapter 2. While genetics plays a role in most illnesses, the number of diseases in which our genes play a primary, causative role is relatively small. Genetic factors -- even when combined with cholesterol levels and all of the known risk factors -- account for no more than one-half the risk of heart disease.


Love and intimacy are at a root of what makes us sick and what makes us well, what causes sadness and what brings happiness, what makes us suffer and what leads us to healing.

Love and intimacy are at a root of what makes us sick and what makes us well, what causes sadness and what brings happiness, what makes us suffer and what leads us to healing. If a new drug had the same impact, virtually every doctor in the country would be recommending it for their patients. It would be malpractice not to prescribe it -- yet, with few exceptions, we doctors do not learn much about the healing power of love, intimacy, and transformation in our medical training. Rather, these ideas are often ignored or even denigrated.

It has become increasingly clear to even the most skeptical physicians why diet is important. Why exercise is important. Why stopping smoking is important. But love and intimacy? Opening your heart? And what is emotional and spiritual transformation?

I am a scientist. I believe in the value of science as a powerful means of gaining greater understanding of the world we live in. Science can help us sort out truth from fiction, hype from reality, what works from what doesn't work, from whom, and under what circumstances. Although I respect the ways and power of science, I also understand its limitations as well. What is most meaningful often cannot be measured. What is verifiable may not necessarily be what is most important. As the British scientist Denis Burkitt once wrote, "Not everything that counts can be counted."

We may not yet have the tools to measure what is most meaningful to people, but the value of those experiences is not diminished by our inability to quantify them. We can listen, we can learn, and we can benefit greatly from those who have had these experiences. When we gather together to tell and listen to each other's stories, the sense of community and the recognition of shared experiences can be profoundly healing.

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Dr. Rachel Naomi Remen, author of the best selling Kitchen Table Wisdom: Stories that Heal, discusses a holistic approach to healing from her perspective as a medical doctor, a patient, and a story teller. Forum.

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