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VOL00011
EFTA02444849
152 pages
Pages 141–152
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Page 1141 reproduce... one consequence is sterilization of mentally 'unfit' women that selfish genes evolved in the case of Buck v. Bell by writing, through individual-level selection "Three generations of imbeciles are processes to promote social enough." Sterilization rates under preferences and group processes, eugenic laws in the United States including reciprocal social increased following this ruling until the behaviors, that can extend Skinner v. Oklahoma case in 1942, after beyond kin relationships which point they declined. The concept of inclusive fitness helps to The practice of medicine explain why humans care for the young expresses more than a straightforward when they are sick, and even why they social instinct for protecting the young. care for those who when healthy are able To borrow from Browning, it may be to contribute to caring for the young. In that medicine builds on and extends the addition, it may be that hunter-gatherers dynamic of inclusive fitness much like in were more likely to survive and Catholic moral theology caritas (love) reproduce when they cared for a builds on and extends eros (desire). wounded or sickened member of the Browning writes, "[Aquinas] held — and clan—thereby establishing an Christianity has always taught — that expectation of reciprocity that would Christian love includes more than kin contribute to social cohesion, collective altruism and the care of our familial effort, and defense of other group offspring; it must include the love of members. These provide at least the neighbor, stranger, and enemy, even to rudiments of an evolutionary rationale the point of self-sacrifice." The for the practice of medicine. theological concept of God as creator and Father of all "made it possible for Yet, medicine does not involve Christians to build on yet analogically caring merely (or even primarily) for the generalize their kin altruism to all young, much less for those who are most children of God, even those beyond the genetically fit. Rather, medicine in large immediate family, their own children measure involves caring for those who and their own kin." Even those beyond either have no capacity to contribute to the reasonable hope of reproducing or the gene pool because they are aged and helping others to reproduce. otherwise infertile, or whose contributions to that pool will reduce Notably, the self-conscious population fitness because they are commitments that animate medicine do genetically predisposed to sickness and not include promoting population fitness disability. Concern about the latter led or ensuring survival of offspring to the Francis Galton and many of his point of reproduction. Rather, physicians American and European contemporaries discipline themselves to practices that to embrace social Darwinism and to make possible the commitment of champion efforts to keep the diminished medicine: to preserve and restore the and infirm from reproducing. In the health of patients, notwithstanding United States, the eugenics movement patients' other characteristics. Religions was memorialized in the infamous words ground this care for the sick in sacred of Supreme Court justice Oliver Wendell and transcendent obligations to God and Holmes, who justified the neighbor, and it is not incidental that the constitutionality of the forced hospital began when Christian monastic EFTA_R1_01 522226 EFTA02444989
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Page 1142 communities enfolded the care of the taken for granted precisely because of its sick into a communal life of liturgy and dominance, so the influence of religious prayer. This is not to say that the ideas on medical practice is often substantively irreligious lack proper invisible in those areas where motivation to practice medicine. It is to commitments are shared in common say that an animating vision for among different religions and other medicine as a good and worthy activity moral traditions. For example, we seems to require moral concepts that generally take it for granted that science alone does not provide. mending injuries, treating infections, and removing diseased organs are good How should medical science be things to do. That is because the moral deployed? commitments that undergird these Medicine is not only animated by practices are shared by virtually all something like a religious vision; it also moral communities, religious or requires a thick moral framework for its otherwise. Moral commitments that arc ongoing direction. To know how best to shared by all may not seem `moral' at care for patients, we need to know all. Yet even the idea of sickness implies something about what human flourishing a norm of and concern for health that are entails and how medicine can contribute not fully derivable from empirical to it. Medical science is less helpful here science. than one might hope. The influence of religion on Science facilitates the sort of medical practice becomes more visible religious humanism that Browning where the commitments of particular encourages, because it helps us better traditions diverge from one another or understand the empirical world and where they diverge from the values of therefore helps all moral communities the dominant culture. For example, refine their efforts to bring about human religious measures have been found flourishing. Science elucidates a range of consistently to strongly predict technical possibilities and provides physicians' attitudes regarding ethically information about what we can controversial practices such as abortion, reasonably expect as the consequence of physician-assisted suicide, withdrawal of choosing one course over another. Yet, life-sustaining therapies, contraception, even the successes of medical science physician interaction with patients about highlight its limits. As medical science spiritual concerns and, as we have found, generates technologies that can be put to physicians' ideas about the relationship ever-wider uses, it exposes between religion and health.2 disagreements about which of those uses Yet overtly controversial issues arc worthwhile. Although medicine merely highlight the tips of proverbial proceeds in scientific ways in the care of icebergs. Disputes about practices such patients, it does so in pursuit of goals as abortion or physician-assisted suicide that science cannot set. These goals concern whether the practices are come from moral traditions and cultures, intrinsically unethical. Much more religious or otherwise. commonly physicians agree about the In the same way that the range of legitimate clinical strategies, influence of a dominant culture on but they disagree about which is to be medical practice is often invisible or recommended in a given moment. For EFTA_R1_01 522227 EFTA02444990
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Page 1 143 example, physicians may agree that the traditions have much to say, but about experience of depression can be treated which medical science remains silent. legitimately by antidepressant Caring for the patient as person medications, referral to a psychiatrist, or referral to a counselor whose practice is So far I have suggested that rooted in a specific religious tradition. religions provide a vision that animates Yet our research suggests that the care of the sick and a moral framework religious characteristics of physicians that guides the application of medical strongly influence which of these technology. Religions make another options they would recommend in a contribution by fostering practices that given cases. nurture the human capacity to care for patients as persons rather than as mere Controversies over a particular objects. medical intervention often represent deeper unspoken disagreements that, Patients commonly complain that unfortunately, science cannot settle. For their physicians treat them as mere example, controversies over the use of objects or specimens rather than stimulants to manage childhood behavior appreciating and attending to them as disorders, or the medicalization of social unique persons. This problem has always anxiety, seem to reflect disagreements plagued the profession. To learn how to about more basic questions: What brings heal, the novice physician must learn of human happiness? Which moods and patients as representing abstract general behaviors should be considered normal types and classes. She must learn about parts of human experience and which coronary artery disease and hematuria should be considered abnormal? What before she can begin to interpret Mrs. sorts of suffering should we try to Smith's chest discomfort and Mr. alleviate? What leads to disordered Jones's red urine. These abstractions behaviors? What resources (social, allow knowledge of when and how psychological, spiritual or otherwise) are things happen, and that knowledge best suited to addressing disruptions in guides technological interventions that individuals' mental and emotional may bring healing to the body. These states? How does modem medicine fit abstractions also help doctors objectify into our response to these experiences? their patients' humanity enough to Although physicians may not ask or violate social norms that operate in every answer these questions explicitly, they other social situation, such as asking implicitly answer them in their responses patients to expose their nakedness in and recommendations to patients. vulnerable positions, or cutting patients apart in hopes of making them whole. So, for all that is hoped for in 'scientific' and 'evidence-based' As long as the process does not practice, clinicians must in the end act as go too far, scientific detachment serves practical moral philosophers, making to make our concern effective. Yet the judgments about how best to pursue the collective experience of both patients goals of medicine for a particular patient and physicians suggests that such in a particular context, all things detachment usually does go too far and considered. Among those things to be occurs too easily. As a result physicians considered are moral valuations about treat patients as mere objects and which religions and other moral EFTA_R1_01 522228 EFTA02444991
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Page 1 144 instances of disease; they treat patients regardless of one's social status, one's as less than the human persons they are. biological fitness or one's reproductive capacity. Epley notes that we are better Physicians, it would seem, are able to pay attention to what another is subject to a particular form of the more thinking or feeling when we are general psychological challenge of motivated to do so. Christianity seeks to paying attention to other minds. Like all stimulate such motivation by humans, physicians easily ignore the encouraging Christians to meditate on mindfulness of others. This matters, the fact that Jesus comes to us in those Epley reminds us, "because mindful who are sick and otherwise suffer°. agents become moral agents worthy of Moreover, it reminds us that we are care and compassion." As such, patients never alone. As Katherine Tanner who are seen as mindful "evoke empathy details in her chapter, God is always and concern for well-being, whereas with us. This central theological claim, agents without mindful experience can when remembered in song, prayer, be treated simply as mindless objects." liturgy, reading of Scriptures and other There are obstacles to recognizing the rituals, provides a particular form of mindfulness of patients. Illness makes a what psychologists call "mindful patient different, or deviant, from human surveillance"—our actions become more norms, and we tend to pay less attention "prosocial" (even altruistic) when we are to the minds of those who are different aware of being observed by others. All from ourselves. In addition, of these practices depend on and extend "Considering other minds requires some the capacities of the social brain. They attentional effort. It does not come are also, from the vantage of automatically." Physicians learn to go Christianity, ways in which one may through the technical motions of caring come to receive grace, the unmerited for the sick until those motions become help of God. 'automatic'—that is the mark of a skilled and effective clinician. But paying Religious practices have attention to the mindfulness of patients therefore at least the potential to requires a sustained investment of time encourage and strengthen the human and energy that physicians are often capacity for attending to the unwilling to make. mindfulness, and therefore the personhood, of those who are sick and How could religious practices diminished. As Epley suggests, "Making help? As Luhrmann notes, most people minds visible, and hence more like one's find it very difficult to pay attention to own, enables people to more readily God. To help in this difficult and follow the most famous of all ethical lifelong task, many religions have dictates—to treat others as you would developed disciplines of prayer and have others treat you." other practices that call to mind what we tend to forget—including the ideas that Conclusion motivate genuine human concern for Science and religion are invisibly those who suffer. Christians, for and inextricably intertwined in the example, practice remembering that all practice of medicine. Science has people are ultimately united as children provided modern medicine with of the one creator God, that "the ground extraordinary diagnostic and therapeutic is level at the foot of the cross" EFTA_R1_01 522229 EFTA02444992
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Page 1145 capacities that can be employed to care 3 Curlin FA, Odell S, Lawrence RE, for patients. Science gives knowledge of Chin MH, Lantos JD, Meador KG, the remarkable neurological and Koenig HG. The relationship psychological features of the social brain between psychiatry and religion that make activities like caring for the among US physicians. Psychiatr sick possible. But science can also Sery 2007;58(9):1193-1198. depersonalize the patient viewed through 4 Holy Bible. Matthew 25:40. the eyes of the physician scientist. Religions (and other moral communities) motivates an attention to the person who is the patient, providing a fuller vision for the worthiness of caring for the sick, and drawing the physician and patient closer together. Religion and moral communities can also provide a framework to guide the application of medical science in that endeavor, and practices that strengthen the human capacity for treating patients as the mindful persons they are. It is the balance of the tensions produced by the forces of science and religion that may hold a key to better medical practice and patient care. References 1 Curlin FA, Lantos JD, Roach CJ, Sellergren SA, Chin MH. Religious characteristics of U.S physicians: A national survey. J Gen Intern Med. Jul 2005;20(7):629-634. 2 See Curlin FA, Chin MH, Sellergren SA, Roach CJ, Lantos JD. The association of physicians' religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Med Care. 2006;44:446-53, and Curlin FA, Sellergren SA, Lantos JD, Chin MH. Physician? observations and interpretations of the influence of religion and spirituality on health. Archives of Internal Medicine. 2007;167(7):649-54. EFTA_R1_01 522230 EFTA02444993
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Page 1146 Invisible Forces Farr Curlin meditates on the puzzle of medicine—what is its evolutionary and social function, what draws individual practitioners to it, and what grounds its fundamental values. The values of scientific inquiry lead to treating the objects of inquiries in just that way: as objects. But objectifying patients and their disease would seem to work against the human values of empathy and caring for the weak that also seems to be part and parcel of what medicine is as a practice. Curlin argues that religious values inform and nurture the human side by insisting that there must be a connection between physician and patient, acting as an often unrecognized invisible force that humanizes the practice of medicine. Religion is neither necessary nor sufficient for an individual to adhere to such values. The question of what it is that grounds the fundamental values that govern our relationships, and how those values are reflected in invisible social, psychological, and biological forces, is central to the work of our network. In a concluding essay, Ronald Thisted reflects on the many threads of investigation and discussion that have made up our conversation, and how they are interwoven into a network of inquiry that sheds light on invisible forces and the social brain. EFTA_R1_01522231 EFTA02444994
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I) a g e 1147 on-going conversation that we have come to recognize as being centered on nezion 'ea tcon's1 -5 liatuals unseen forces that shape, and are shaped ai-er=s5.tr7ad.vidvan_ otatrreTo_taheikrlit . by, the social nature of human beings. 3---connectiorLatrrge t ittrat The essays that make up this volume Kgival 112449r c es v)bszoritze:7, .±..„9-Ei totivireut et give a hint as to what our conversation ...4.ffiphainan r ji S. tith en has been like, but the linear structure that a book imposes cannot fully evoke the give and take of vigorous debate, the Chapter 1616 excitement of viewing an old problem from a new perspective, or the Epilogue satisfaction that comes from sharing the Over the past six years, our search for knowledge — even when we network of scholars has engaged in an did not agree on the interpretation of what we discovered in our search. 16 The lead author is Ronald Misted, Ph.D., a We deliberately chose to describe Professor in the Departments of Health Studies, our membership as a network rather than Statistics, and Anesthesia & Critical Care at the a committee, or seminar, or task force, or University of Chicago, where he currently chairs the Department of Health Studies. Trained in club, or salon. A network is defined as philosophy and mathematics at Pomona College much by the connections between people and in statistics at Stanford University, his as it is by the individual people interests include the nature of argument and themselves. Networks can be described evidence, particularly in the context of health, pictorially as nodes (points that represent disease, and medical treatment. He has published articles on topics ranging from individuals), some of which are treatment for back pain to computational connected by edges (lines that represent mathematics, and from social determinants of links between two individuals). In our health to the size of Shakespeare's vocabulary. network, we have focused on the value He is a Fellow of the American Statistical of the edges, and have held the Association, and a Fellow of the American Academy for the Advancement of Science. conviction that much is to be gained by The question of how we come to exploring previously untested know—or to claim that we know—things, is left connections. We started with a set of unexamined all too often. The similarities and nodes having only a handful of edges, differences in modes of argument across and we ended with many more edges disciplines, and the variations in what counts for evidence supporting or refuting a position within than nodes. and across disciplines can be illuminating. As a result, our network — and Statistics, and statistical argument, provide a rich each individual in the network — has framework for thinking about such issues as measurement, learning, uncertainty, variation, been enriched as we have learned more and experiment. Statistical principles provide a about, and more from, perspectives that framework for disciplined investigation, for initially were unfamiliar to each of us, communication about the extent of and the end result being that our whole is limitations to the information at hand, and for decidedly greater than the sum of our combining information from different sources. Although there is enormous variability between parts. This illustrates a recurrent theme individuals, there are also commonalities to their in the book, that of emergent experience that transcend their differences. As a phenomena—characteristics that can be species and as individuals, we rely on these ascribed to entities at a higher level of common threads, even when they are invisible to organization that, without conscious us. EFTA_R1_01 522232 EFTA02444995
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Page 1148 design or intent, seem to arise from shaped to release creative energy and behaviors and interactions at a lower shared purpose. level of organization. How this can Bemtson notes that "beliefs and come about is a puzzle, but it is a puzzle emotions have consequences, both that is amenable to thoughtful behavioral and physiological." The investigation, both scientific and network starts from the premise that one philosophical. What forces are at play, can learn about such apparently invisible we might ask, that makes such a phenomena as beliefs by studying and collection cohesive? Just what reasoning about their consequences. chemistry can transform a collection of individuals into something both more In his essay, Browning advocates than and different from what in starting with a critical hermeneutic aggregate they bring to the table? We phenomenology, a "careful description" seek to understand more fully the bonds of our instruments, our observations, and of marriage, family, friendship, or the stories we use them to tell. Clearly membership—invisible forces that bind articulating our assumptions and starting and simultaneously transform the points has been of immense value. After underlying nature of their constituents doing so for the benefit of colleagues no less than chemical bonds transform outside our disciplines, those colleagues atoms of hydrogen and oxygen into in turn have helped us become aware of water. unarticulated assumptions implicit in our approaches or in our experiments. Our origin was rooted in distaste These observations have led in turn to for the unproductive and unenlightening better science and more convincing shouting matches between proponents of evidence. Our colleagues in the network views of science that denigrate religious have helped each of us to see more belief and views of religion that are anti- facets of the same elephant that scientific. We started from the individually we are too blind to assumption that scholars from the appreciate fully. sciences and from religion and philosophy could have fruitful Revising our thinking and our conversations about what is known, what research to take those observations into counts for knowledge, what can be account has increased the rigor of our observed, and what can be tested thought and broadened the scope of our through experiment and observation. conclusions. The presence of a rich And we all believe in the value of the variety of disciplinary perspectives has scientific method as a means for helped us to weave the nets of Sir Arthur expanding our knowledge. Internal Eddington's parable more tightly, tension is needed for the structural enabling us to see for the first time some integrity of buildings and bridges, and of the "smaller fish" that earlier would that is no less true of social structures have escaped our notice. such as our network. Through Shedding light on invisible forces (a appropriate construction, deep tensions koan) between theology and science (or even Invisible forces of culture, between scientific disciplines or connection, and curiosity bind us theological perspectives) that have the together and define us as a species that is potential to drive us apart can instead be EFTA_R1_01 522233 EFTA02444996
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Page 1149 at once both individual and social. we are not fooling ourselves into seeing Because both individuality and sociality only what we hope to see. are fundamental to the human species, Humans have a deep need to we are fundamentally interdependent, create meaning in their interactions with connected by invisible, yet powerful, the world and with each other. We also threads. In exploring these threads, we have a deep need for making have also been led to questions about connections beyond ourselves. The how social forces can have effects on biological structure we call our brain has individuals, how the meaning that evolved to reward social connection, just individuals (and groups) apply to as it rewards the satisfaction of hunger particular phenomena or relationships or thirst. The human biology that directs affect both behavior and biology, and and reflects these human needs is what how our biology makes social we have termed the "social brain." connection possible. We have used the phrase "invisible forces" to describe the It is worthwhile to reflect on the mechanisms that account for these range of invisible forces that we have effects that we essentially take for considered here. These forces operate at granted, and to suggest by analogy that several different levels, from the they can be investigated rigorously just molecular, to individual bodily as other phenomena, such as gravity or functions, to social groups, to societies, autonomic regulation, that also are not to species. They include such disparate immediately present to our visual or ideas as evolutionary selective pressure other senses can be studied. favoring social connectedness, anthropomorphism, loneliness, social Human minds are unparalleled at connection, emergent phenomena, discerning patterns in what they see connection to a higher being, against a background of noise and transcendence, empathy, language as variation, and they are equally adept at carrier for meaning, belief, collective attributing meaning to them. As the will, group synchrony, autonomic essays in this volume demonstrate regulation, and neural resonance. These repeatedly, we readily ascribe patterns forces interact with one another, too: we encounter (or seek to encounter) to loneliness, for instance, acting as an invisible forces of nature, of God, of internal signal of the inadequacy of kinship, of genes, of culture, of love, of one's bonds of social connection, with social connection. A common premise consequent effects on health, mediated underlying the work of the network is through autonomic regulation, or the role that what we know (or what we think we of belief in mediating scientific know), and how we come to know it, arc objectivity and empathy. social endeavors embedded in a shared view of both the world and how one It is tempting to view individuals, talks meaningfully about the world. And both souls and bodies, as arising from mindful of our human facility to see lower-level forces within, such as the patterns (even where none exist!), we are operation of specialized neurons and acutely aware that constant rigorous regulatory biological processes. And it testing of assumptions, methods, and is tempting to view social structures and arguments is necessary to make sure that the forces that tend to maintain them as arising, perhaps emergently, from the EFTA_R1_01 522234 EFTA02444997
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Page 1150 individuals that make up societies. On paired systems of biological checks and this view, the social level of organization balances; when one system is activated, arises out of the interaction of lower- the other tends to restore equilibrium. level entities. But invisible forces For instance, one set of muscles flexes operate in both directions; one's degree the arm, and an opposing set extends it. of social integration or isolation (at the We have seen that the sympathetic and higher level) can have profound parasympathetic components of the influence on one's mental and physical autonomic nervous system—the system health (at the lower level). Just how that makes us breathe and that makes our these forces operate—in both heart pump—operate in this way, and directions—is one of the main themes of that chronic stimulation of some this book. systems, like overstretched elastic bands, lose their ability to spring back. The A recurring theme is the human notions of observing a behavior and need for connection. As we have performing that behavior not only arc explored this fundamental need, it has conceptually similar, they may be rooted become clear that it can be satisfied in in a common set of neurological part by connections not necessarily to structures which may, in turn, help us to other human persons, but to other minds. understand how we can perceive another Since the minds of others are in part of human being as being like us, but not us. our own construction, connections to a Anthropomorphism is the belief that higher being, or to our pets, or even to a other minds mirror our own; this colors transcendent order underlying the world, the way we perceive the world and the can fulfill part of what we strive to other actors in it, a mechanism that attain. Indeed, such non-human allows us to simulate getting under the attachments can share the character of skin of the other person. human connection: we can feel valued by our pet (just as we can feel validated Happiness and loneliness are in a social relationship), we can have an perceptions about our place in the world intimate dyadic relationship with God that profoundly affect our physical (just as we can be intimate with a close bodies and our social relationships. friend), and we can feel a sense of Religious beliefs, too, can have profound belonging to the universe (just as we can effects on health and physical well- feel that we belong to social group). being, working through the same This explains how different, even biological mechanisms that in health contradictory, notions of a relationship maintain equilibrium. to God, for instance, can lead different Unseen, yet powerful, forces people each to find meaning in such a regulate social behavior. Empathy, for relationship: finding God on the instance, contributes to the regulation of downtown bus versus encountering God social interactions. Synchronous in the purposeful unfolding of the natural behavior points to a phenomenon that order. makes the individual feel subsumed by The ideas of symmetry, the group, feeling part of a larger, complementarity, coordination, and co- organic whole. These behaviors can be regulation also run through several of as disparate as "the wave" at a sports our essays. Regulation of biological stadium or congregational prayer at a systems is often maintained through church service. Shared feelings of EFTA_R1_01 522235 EFTA02444998
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Page 1151 transcendence and belonging can Our relationship to it comes into play in simultaneously lead to greater fitness of conceptualizing loneliness, the individual and increased cohesion anthropomorphism, spirituality, group and sustainability of the social behavior, empathy, and inclusive fitness. organization—another indication of When we speak of loneliness, this positive selection associated with the boundary seems to be an impenetrable social brain. barrier. When we speak of empathy or anthropomorphism, however, the self- The notion of resonance with other boundary is defined by the another appears repeatedly through the similarity and congruence of individuals book. Our connections to others derive to one another, providing a transparent in part from being able to see what they window through which we perceive and see, to hear what they hear, to know interact with others (who must be like what they know, to feel what they feel. us). And when we speak of group Or we have to be able to believe not only synchrony, the boundary vanishes that this is possible, but that it happens. completely: self and other are one. The social brain, in which the same regions arc activated by our own Successful engagement with experience of pain and by our perception others requires work. It is the work of of others in pain, makes both aspects attending to something, and it is work possible. There is a close connection that often is needed to resolve competing between being able to "feel for" another forces. Thinking about other minds is a (empathy) and to "see into" another demanding task and requires attentional mind (anthropomorphism). effort. It is this effort that allows us to manipulate the transparency of the self- Language has the potential to other boundary by what we put in affect people and groups in part because through learning, attending, seeking, and it is tied to meaning. Language is the projecting. In effect, we can tune the medium through which we convey, degree of resonance we have with preserve, and transmit meaning from one members of different groups. Similarly, individual to another, and from one consistent attentional effort is also social generation to another. Language required for the physician to attend to is powerful because it can activate the mindfulness of patients, for the belief, which in turn can activate Vineyard church member to experience physical responses. Words can bind; God as present in one's life, and for words can terrify; and words can cause another to find connection to an physical pain and death. The power of omnipresent yet invisible God who words comes from the meanings they works through the very workings of the entail about our connections to one world. another. What it means to feel a Paradox connection to a higher being is a theme Our investigation of invisible that several essays explore. As is forces involving the social brain has led evident in these essays, the Network has us repeatedly to factors that considered very different, even fundamentally conflict. An important divergent, pictures of what such invisible force is the respect we pay to connection might entail. These apparent the boundary between self and other. inconsistencies that can be found in EFTA_R1_01 522236 EFTA02444999
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Page 1152 these portrayals are rooted in the mind, purpose, or intention." Our different aspects of human connections, network sidestepped this question from and each is grounded in a social context. the beginning, focusing instead on Social connection can be intimate, related matters such as the consequences relational, or collective. For the member of believing in such a mind, and of of the Vineyard Church, connection with seeing into that mind, for the one doing God is an intimate two-way relationship, the divining. while in Jonathan Edwards's sermon in Those arc questions amenable to the Great Awakening, the connection is empirical investigation, and it is at that relational and involves the coherence (or juncture that we can see benefit from our lack of it) of the individual with God's discussions. As Berntson says, "beliefs approval. And the Christian theological color the way we perceive the world, view of connection as a higher order can they direct and shape our actions, and be conceived in terms of one's belonging define our personalities." Studying and within a whole that God's constancy debating about how they do so has been makes larger than oneself. gratifying and immensely enjoyable. While religion certainly speaks to We have engaged in no theological individual connection to others and to debate, but have focused on questions the divine, religious practices can also about human beings, their beliefs, their serve an evolutionary and social function behaviors, and how those things affect by strengthening the human capacity for and are affected by multiple levels of attending to the personhood of those human connection. who are sick and diminished. The How we conceptualize our objectivity of medical science all too relationships to persons and things often leads to an objectification of the outside our selves has implications for patient or, more frequently, the patient's our health and well-being. Specifically, disease. The social brain's capacity to we have seen that viewing our see others as minds rather than objects relationships in terms of meaningful makes it possible to assign meaning to connections with other minds can have patients and the ways in which they lack positive implications for individual — as wholeness. well as social — health and function. The Crescat scientia; vita excolatur more that we can learn about those implications, the more our increase in The possibility that religion and knowledge has the potential to enrich science can enrich one other, even as one human life. sets aside truth claims about such matters as the existence of a deity, is by no means obvious. But we have come to see that science can describe what religion does in rigorous ways that benefit religion, and religion can serve a meaning-making function that science itself disclaims. Gilpin notes that rifts between science and religion "have centered on whether one can make scientific sense of the notion of divine EFTA_R1_01 522237 EFTA02445000
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