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PHYSIO  July 2000

PHYSIO July 2000

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Subject:

THERAPEUTIC OCCULTISM (long)

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Date:

Sun, 2 Jul 2000 05:17:34 EDT

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POSTMODERNISM & THERAPEUTIC OCCULTISM

The popularity of alternative therapy now probably has reached a level 
rivalling that of medieval or primitive times.  While this phenomenon has a 
great deal to do with the gullibility of humans and the successful invocation 
of the placebo effect, the medical and pharmacological professions also have 
a great deal to do with its modern  rise to eminence.  The latter, in setting 
themselves up as the demigods on all therapeutic matters, created great 
expectations among the public, who naturally expected consistent healing 
miracles to emerge from their kingdoms of health and happiness.  

PROBLEMS IN THE MEDICAL WORLD

Instead, the spectacular general advances in medical science, surgery and 
technology have been matched almost every step of the way by an increased 
awareness that the world of  medicine is rife with iatrogenic illness and 
death; lack of understanding of some of the simplest of disorders, vast 
commercial exploitation of the sick by doctors, drug companies and insurance 
companies; unwillingness of many medical professionals to admit their 
inadequacies; proliferations on endlessly contradictory theories of major 
diseases (such as heart disease and cancer); the carrying out of many 
unnecessary procedures (such as Caesarian sections and appendectomies) and 
the dubious management of mental disorders.  

While one can appreciate that every discipline is replete with imperfections 
and incompleteness, the medical profession, in setting itself up as a virtual 
messiah of healing has created a situation in which the public eventually had 
to question the messiahs.  The medical profession generally has closed ranks 
on itself and its pharmacological partners instead of encouraging a 
‘glasnost’ or openness that would have welcomed the involvement of concerned 
members of the public.  Often the twin-pronged fork of litigation has been 
responsible for this closed-door management of medicine and pharmacology, so, 
just as companies like General Dynamics have been loath to admit errors in 
their aerospace products, the medical professionals have also been corralled 
into a similar box.

Consequently, public suspicion and dissatisfaction has led to fairly 
widespread, but often unfair, distrust of the medical profession, which has 
done little to address the sociopolitical, psychological and anthropological 
issues which are leading to an increased reliance on alternative therapies. 
The fact that increasing numbers of the medical professions themselves are 
also turning to alternative therapies reveal that the medical edifice itself 
is aware of a  need for repair.

PROBLEMS IN THE EDUCATIONAL WORLD

Part of the blame also needs to be laid on our educational systems which 
place inadequate emphasis on science education, the scientific method, 
linguistic analysis and critical thinking, in general.  This is revealed in 
the USA by studies which show that science, mathematics and language 
standards have dropped dramatically over the past few decades.  Scientists 
all too often are regarded like specially gifted or genetically endowed 
creatures who really are something different from the average person.  
Science thus tends to become the calling of some sort of earth-based alien 
elite, certainly not something for everyone.  

As a result, advertising, marketing and pseudoscience rarely are questioned, 
and personal testimonials, misinterpreted reports based on science releases 
by Reuter, and TV infomercial claims come to be accepted as accurate.  
Methods developed by public figureheads or therapeutic experts come to be 
proliferated more because of the hero status of their creators than their 
underlying science (e.g. Maitland, McKenzie, McConnell, Bobath).

PROBLEMS IN ALTERNATIVE THERAPY

Many alternative therapists tend to categorise most allopathic medicine or at 
best tolerate it for major surgical reasons, while referring to their own 
narrow world as “holistic”.  Paradoxically, this attitude reveals that their 
methods are partialistic and not holistic. All too often, diseases and 
injuries are opportunistic and need opportunistic or ad hoc approaches from 
many disciplines for their successful resolution, not just some magic 
antibiotic bullet, acupuncture technique or homeopathic potion. The term 
“alternative” is not a synonym for “holistic” or “complementary” therapy, and 
flags should always be raised when the term “holistic” is bandied about by 
medically untrained “holists”.  Holism implies the complementarity and 
adhocracy of the full spectrum of physical and mental, allopathic and 
traditional, therapeutic approaches which have emerged from valid empirical, 
theoretical or laboratory research and clinical experience.  

In understanding the value of any therapy, the possibility of the decisive 
role of the placebo effect must never be ruled out, so that we can always 
remain aware that the actual healing process may have little to do with our 
presumed models.  This can be exceptionally difficult for doctors, 
herbalists, chiropractors, physios, psychiatrists, chemists, religious 
healers and others to accept, because a great deal of the success in each 
case still remains scientifically unexplained and healing validity may often 
rely more on the faith of the practitioner than any known science.  

It is especially important not to regard placebos as something akin to hoaxes 
or deceipts - if and when they work they should teach us more about the more 
holistic nature of our therapies.  If something can elicit a powerful placebo 
effect to facilitate a healing, be it therapeutic touch, a sugar-coated pill, 
a spinal mobilisation or bogus surgery, then, by all means use it, but don’t 
attribute it to proven science prematurely or overcharge the trusting public!

DUBIOUS DEFINITIONS

The world of “alternative” therapy is replete with its unique collection of 
definitions and neologisms to describe the host of ostensibly innovative, 
ancient or ‘secret’ healing techniques and mysteries.  Among the most misused 
of all terms is the concept of “energy” in its many therapeutic forms, such 
as  “energy fields”, “energy balance”, “bioenergetics”, “healing energy”, 
“life energy” and so forth. Its original definition in physics is all but 
forgotten, even though most folk have some sort of vague recollection that 
energy is related to matter by Einstein’s famous equation, energy E = mass 
times the velocity of light squared (mc^2).  

Some alternative healers somehow think that energy in the mind and 
materialisations of matter follow this same equation to substantiate why 
gurus like Sai Baba allegedly can create matter out of thin air and why 
cancerous growths may appear from disruptions of  “energy fields” in the 
human aura.  They seem blissfully aware that the apparent interchangeability 
of energy and matter according to the Einstein equation refers to atomic 
fission and fusion situations and not ordinary bodily or mental  processes.  
(We could also comment at length on the huge misuse of “fields” and “energy 
fields”  by therapists, some of whom believe that they are somehow sensing 
and  orchestrating changes in the body’s “energy fields”, even though the 
stray electromagnetic fields bathing their premises undoubtedly are of far 
greater intensity).

Try telling this to Deepak Chopra and the Maharishi Mahesh Yogi of TM fame, 
who explain all human mysteries on the basis of conjectural quantum energy 
effects acting at all levels of human consciousness.  The best-selling Chopra 
self help books offer a fascinating mishmash of the same old inspirational 
and philosophical aphorisms of the East blended with his medical training and 
some impressive terminological borrowings from popular physics books (like 
the “Tao of Physics” and “The Dancing Wu-Li Masters”).  The result? - huge 
hordes of admiring educated, though uncritical,  Western followers who do not 
seem to realise that not a single method or idea that he has extolled has a 
superior track record to any other allopathic or complementary healing or 
self management technique.  No wonder he is smiling his way to fame and 
fortune!  

And he is by no means unique - he has simply exploited the truth that it is 
easy to fool most of the people most of the time - especially if many of the 
people are dissatisfied with the status quo.  Therein lies the alpha and the 
omega of controlling the minds and money of the masses - understand how they 
think, how little they really think and then apply some very much standard 
methods of persuasion and mass appeal.

SOME SPECIFIC EXAMPLES 

The following extracts from an interesting article in the Skeptical Inquirer 
(July/August 2000: 29-36) are most relevant to this issue of the 
“postmodernistic” rise of therapeutic occultism.

BA Gaudiano & JD Herbert   ‘Can We Really Tap Our Problems Away?  A Critical  
Analysis of Thought Field Therapy’

<< Abstract:   Thought Field Therapy is marketed as an extraordinarily fast 
and effective body-tapping treatment for a number of psychological problems. 
However, it lacks even basic empirical support and exhibits many of the 
trappings of a pseudoscience.

It is nothing new to find enterprising entrepreneurs seeking to profit from 
their novel inventions, which are often claimed to produce miraculous results 
for their users. The field of mental health is no exception. In fact, there 
has recently been a surge of putatively revolutionary treatments for various 
psychological problems that claim to be far superior to standard treatments 
in both effectiveness and efficiency. Known as "Power" or "energy" therapies 
(Gist, Woodall, and Magenheimer 1999; Herbert et al. in press; Swenson 1999), 
these treatments are gaining widespread acceptance among mental health 
practitioners, despite their frankly bizarre theories and techniques, 
extraordinary claims, and absence of scientific support.

One of the most popular of these power therapies, known as Eye Movement 
Desensitization and Reprocessing (EMDR), involves a therapist waving his or 
her fingers in front of the patient's eyes while the client imagines various 
disturbing scenes that are thought to be related to the patient's problems. 
In fact, EMDR, a ‘power therapy' that alludes to neural networks instead of 
energy fields for its theoretical basis, has been described as a prototypical 
case of pseudoscience within mental health (Herbert et al. in press; Lohr, 
Montgomery, Lilienfeld & Tolin 1999; Lilienfeld 1996).

There is another treatment approach on the rise that threatens to overtake 
EMDR as the premiere power therapy for the 21st century: Thought Field 
Therapy (TFT; Callahan 1985). Roger Callahan, TFT's inventor, claims that he 
can train therapists to be over 97% effective using his Ôrevolutionary' 
procedures in treating a variety of common psychological problems including 
anxiety and depression. Since the history of psychotherapy is replete with 
treatments that failed to live up to their initial hype, it seems prudent to 
take a closer look at TFT.

Origins and Methods

Callahan (1997) states that he accidentally discovered TFT while treating a 
client named Mary, who had a severe fear of water. Inspired by an acupuncture 
class he was taking at the time, Callahan instructed Mary to firmly tap the 
area under her eye with her fingers, leading to a miraculous and immediate 
resolution of Mary’s phobia. Callahan subsequently developed the 
comprehensive set of techniques and theory that is now known as TFT. The 
therapy is based on the idea that invisible energy fields called "thought 
fields" exist within the body (Callahan and Callahan 1997). Environmental 
traumas and inherited predispositions are theorized to cause blockages, or 
what Callahan terms "perturbations" in the flow of energy in these thought 
fields.  Callahan theorizes that the commonly observed neurochemical, 
behavioral, and cognitive indicators of disorders such as depression are the 
result of these perturbations. In other words, the root cause of all 
psychological problems are blockages in energy fields.

In order to correct these perturbations, clients are directed by the TFT 
therapist to tap on the body's "energy meridians" in specific sequences, 
called "algorithms," which vary based on the particular problem being treated 
(Callahan & Callahan 1997). . . . . The tapping is theorized to add energy to 
the system, which then re-balances the overall energy flow, thereby 
eliminating the distress at the source. . . . 

TFT also borrows techniques from a procedure known as ‘Applied Kinesiology’ 
that is used to test muscles for "weaknesses" caused by certain food or 
chemical pathogens (Sampson & Beyerstein 1996). 

Applied Kinesiology is a scientifically discredited procedure. For example, 
Kenny, Clemens & Forsythe (1988) found that those using the techniques did no 
better than chance in determining nutritional status using muscle testing. 
Finally, TFT even borrows some of its concepts from quantum physics. For 
instance, the idea of active information, in which small amounts of energy 
can affect large systems, is used to support the existence of perturbations 
(Bohm & Hiley 1993). There are obvious problems with the theoretical basis 
for TFT, not the least of which is the complete lack of scientific evidence 
for the existence of "thought fields."

TFT, as with other new "energy' therapies, is based on misconceptions or 
outright distortions of the concept of energy as it is used by scientists 
(Saravi 1999). In physics, energy is defined simply as the capacity to do 
work, and energy exchanges are observable and measurable. Energy therapists, 
in contrast, use the term to describe a kind of universal life force that 
influences health, but they provide no direct data to document the presence 
of such a force. Saravi concludes that "New Agers' and psychobabblers' 
'energy has only a remote relationship with its physical, scientific 
counterpart. For them, it is just a word conveniently invoked to explain 
phenomena whose very existence is far from certain" (47) . . . . . .

Despite these miraculous assertions, no controlled studies have been 
published in peer-reviewed scientific journals to provide evidence for TFT's 
claims. Instead, testimonials and uncontrolled case studies are offered to 
support these astonishing declarations of success (Callahan 1995). The vast 
majority of these claims are made via Internet postings (Lohr, Montgomery, et 
al. 1999). Such anecdotes, however, do not constitute probative data on the 
question of TFT's efficacy. Callahan often claims that his public 
demonstrations of TFT on television shows such as The Leeza Gibbons Show (aire
d October 12, 1996) provide dramatic proof of success, thereby circumventing 
the need for empirical research. . . . . . 

Serious psychotherapy innovators go to great lengths to conduct studies to 
demonstrate that the hypothesized active ingredients of their procedures 
outperform these so-called "nonspecific" effects. No such effort has been 
made by the promoters of TFT.   Callahan, however, dismisses the possibility 
that TFT could be explained by such mechanisms. He asserts that "clinical 
evidence" has ruled out the possibility of nonspecific or placebo effects 
accounting for TFT's results, but fails to support this claim (Callahan and 
Callahan 1997). He frequently states that placebo effects cannot be operative 
in TFT because some clients express skepticism that the tapping will work 
(Hooke 1998a). This argument demonstrates a misunderstanding of the placebo 
concept, which does not necessarily require the individual to fully believe 
in the practitioner's explanation for why a procedure works (Bootzin 1985; 
Dodes 1997). . . . . . . 

Since the emergence of TFT, several therapists have recently developed 
offshoot therapies based on treating the body's energy fields. The most 
successful of these TFT derivatives was developed by Gary Craig. Craig 
(1997), who has a degree in engineering and formerly studied under Callahan, 
created what he calls Emotional Freedom Techniques (EFT). EFT is very similar 
to TFT, except that it employs one simplified and ubiquitous tapping 
procedure instead of applying different algorithms to treat different 
problems. . . . . 

The objective of a pseudoscience is often persuasion and promotion, in lieu 
of responsible investigation of claims (Bunge 1967). Web sites advertise 
courses and multilevel training in TFT techniques for thousands of dollars. 
The highest level of training in TFT is called Voice Technology (VT), which 
supposedly allows the therapist to diagnosis perturbations and treat clients 
entirely over the telephone by analyzing their voices. The effectiveness of 
VT is said to approach 100 percent (Callahan 1998). Callahan sells this 
technique for $ 100,000, and trainees must sign nondisclosure contracts that 
forbid them from discussing or revealing any aspects of the technique. . . . 

 . . . . .  thousands of therapists from various professional disciplines 
continue to pay for TFT training courses. Much of TFT's marketing success can 
be attributed to the prevalence of pro-TFT Web sites that promote strong 
claims of its effectiveness. TFT therapists, some of whom have no traditional 
training in psychology or psychotherapy, appear to be satisfied with TFT's 
vivid anecdotal stories of success, and are not aware of or not bothered by 
the overwhelming lack of empirical support for the procedure. Englebretsen 
(1995), among others, points to the alarming rise of postmodernist attitudes 
currently permeating the mental health field, exemplified by the willingness 
of some clinicians to value compelling anecdotal stories over controlled 
empirical data. This postmodernist mindset promotes the notion that all truth 
is relative and contextual; science is only one of many modes of thinking, 
each of which is equally valid. Such attitudes render the mental health field 
fertile breeding ground for pseudoscientific therapies such as TFT and its 
derivatives. Healthy skepticism competes head-to-head with extraordinary 
claims and, as is often the case, many mental health clinicians choose to 
ignore the facts in favor of miraculous possibilities. >>

The following website of the Skeptical Inquirer is well worth referring to:  
http://www.csicop.org/si/
The following web page also provides links to many sites (right at the end of 
this page) that can be invaluable in the realm of the scientific method and 
critical thinking: http://24.16.71.95/SPORTSCI/JANUARY/archives2.html

Mel Siff

Dr Mel C Siff
Denver, USA
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