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Mind-body approaches to cancer –  Current evidence and what lies ahead Eugene Ahn MD April 26th, 2011 Well Being Well Conference Assistant Professor Hematology/Oncology  Sylvester Comprehensive Cancer Center “ Education” (1890) by Louis Comfort Tiffany Chittenden Hall, Yale
Overview ,[object Object],[object Object]
An aging paradigm of western medicine ,[object Object],[object Object],[object Object],[object Object]
Observable effects on health care ,[object Object],[object Object],[object Object],[object Object]
Growth of integrative medicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Frenkel et al.  Integrative Cancer Therapies  9 (2010)
What is the placebo response? ,[object Object],[object Object],[object Object],[object Object],1 L Cobb et al NEJM 1959, EG Diamond et al 1960 2 JB Mosley et al NEJM 2002 3 B Klopfer et al  Journal of Prospective Techniques  1957 4 TJ Kaptchuk et al  PLoS One  2010 5 DW   Blumhagen  Ann Intern Med  1979 6 EH Uhlenhuth et al  Psychopharmacologia  1966 7 H Brody et al  J Fam Pract  1980
Placebo or “meaning response” pervades everything we do?
The evolving “integrative” paradigm ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dysregulation of stress due to allostatic load Domain of mind Domain of mind Domain of mind Domain of mind Domain of mind All modifiable except age/gender!
Current evidence for mind-body approaches ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trials looking at overall survival impact of mind-body interventions in cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 D Spiegel et al  Lancet  1989 3 RL Osborn et al  Int’l J Psych Med  2006 2 D Spiegel et al  Cancer  2007 4 G Smedslund et al  J Psychosom Res  2004
What is spontaneous remission? ,[object Object],[object Object],[object Object]
Optimization of a comprehensive  mind-body approach to cancer  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Basic anatomy of consciousness ,[object Object],[object Object],[object Object],[object Object],[object Object],Conscious mind Subconscious
Framework of why clinical studies have not yet been able to detect survival benefit in cancer Always filtered by the subconscious mind Conscious intention, visualization, prayer or medical treatment Negative result
spiritual mental emotional physical spiritual mental emotional physical Paradigm of true healing “ to be whole again” shadow ego/conscious Materialist paradigm
Perspectives on true healing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Recommended mind-body approaches ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evolutionary Healing TM  developed by Dr. Paul Canali ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Framework of how consciousness contributes to healing Subconscious mind Conscious intention, visualization, prayer or medical treatment True healing Remove all resistances If framework is correct, both complementary and western medicine should work more effectively
Closing thoughts on an integrative approach to cancer ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],“ Nothing in life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less.” Marie Curie

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Mind-Body Approaches to Cancer - Dr. Ahn

  • 1. Mind-body approaches to cancer – Current evidence and what lies ahead Eugene Ahn MD April 26th, 2011 Well Being Well Conference Assistant Professor Hematology/Oncology Sylvester Comprehensive Cancer Center “ Education” (1890) by Louis Comfort Tiffany Chittenden Hall, Yale
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Placebo or “meaning response” pervades everything we do?
  • 8.
  • 9. Dysregulation of stress due to allostatic load Domain of mind Domain of mind Domain of mind Domain of mind Domain of mind All modifiable except age/gender!
  • 10.
  • 11.
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  • 15. Framework of why clinical studies have not yet been able to detect survival benefit in cancer Always filtered by the subconscious mind Conscious intention, visualization, prayer or medical treatment Negative result
  • 16. spiritual mental emotional physical spiritual mental emotional physical Paradigm of true healing “ to be whole again” shadow ego/conscious Materialist paradigm
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  • 21. Framework of how consciousness contributes to healing Subconscious mind Conscious intention, visualization, prayer or medical treatment True healing Remove all resistances If framework is correct, both complementary and western medicine should work more effectively
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