Irina Pollard - Meditation and Brain Activity
Irina Pollard - Meditation and Brain Activity
Irina Pollard - Meditation and Brain Activity
BIOETHICAL PERSPECTIVE
Irina Pollard, Dept Biological Sciences, Macquarie University, Sydney, NSW 2109,
Australia
e-mail ipollard@rna.bio.mq.edu.au
Abstract
1. Introduction
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The human brain’s evolution can be divided into three distinct ancestral stages.
These are; the primitive or ‘reptilian’ brain which embodies an essential core of survival
functions, the primitive mammalian brain which embodies the first layer of the cortex
responsible for the social and family behaviors of mammals, and the new mammalian
brain with its extensive cortical development making possible the reasoning and abstract
intelligence found in the primates, particularly human. The fossil record shows that
human brain size has more than doubled in the past 2 million years to a volume of some
1,500 cubic centimeters. This steady growth in brain size made possible a steady growth
in intelligence, and an increasing mastery of the world. But size isn’t everything. What
also matters is how the brain is structured, with the human brain’s uniqueness lying in its
flexibility. Flexible intelligence is demonstrated by the ability to solve problems in
surprisingly diverse and unexpected ways, which can then be shared with the rest of the
clan. It is believed that the analytical, conscious mind was born out of intellectual
flexibility helped along by an innate life-long love for learning, exploring and playing.
An early hallmark of human evolution was the capacity to reason, to reflect on actions
and to engage in sophisticated discourse. The evolution of self-consciousness presaged
consciousness of other and the development of ethics seen as the rules of adaptive
conduct (Pollard, 2002a).
Cognition is a collective term for the psychological processes involved in the
acquisition, organization and use of knowledge. It includes perception, memory,
attention, problem-solving, language, thinking and imagery. Interaction between the child
and its environment changes not only the child’s behavior and/or physiology, but also its
experience of the environment. Memory allows experience to become knowledge.
Emotion, on the other hand, deals with highly individual feelings that defy any attempt at
objective definition and, consequently, has long been ignored in human biology. Yet,
emotions have an experiential component that is an essential part of human nature and
which play a fundamental role in growth and development, social relations, and in overall
wellbeing. Because of their adaptive value, emotions evolved relatively early in evolution
with their expression being located in old parts of the brain; notably, the thalamus,
amygdala and hypothalamus. These structures lie between the brain stem (the oldest part
mainly controlling movement) and the neocortex, the most recent part, mainly related to
higher cognitive functions such as perception and thought (Figure 1). As a result an
emotional activation can travel much faster through subcortical routes to produce an
immediate response to a stimulus. In addition, emotional activation does not
automatically require cognitive mediation and may escape intellectual processing and
recognition. This implies that the origin of emotions and their attendant feelings may be
difficult to recognize and acknowledge.
In each of the brain’s two hemispheres the overlying cortex is divided into four
anatomically distinct lobes: frontal, parietal, temporal and occipital. These lobes have
specialized functions:
a) The frontal lobe is largely concerned with planning future action and
with the control of movement.
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b) The parietal lobe is largely concerned with somatic sensation, forming a
body image, and with relating one’s body image with extra-personal
space.
d) The temporal lobe is largely concerned with hearing; and through its
deep structures – the hippocampus and the amygdala – with aspects of
learning, memory and emotion.
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is the pituitary gland, which orchestrates the messenger hormones influencing the
homeostatic stability of every organ in the body including the brain itself (Pollard 2003a).
The frontal lobes, the amygdala, and the hippocampus are all extensively
interconnected with the body; particularly with the immune system, the endocrine
(hormonal) system and the autonomic (involuntary) nervous system. Understanding this
interconnectedness also provides an understanding of how the mind influences the body
and how emotions impact not just on mental health but also on our physical health and
wellbeing.
Until fairly recently the prevailing dogma in neuroscience was that the brain
contained all of its neurons at birth and their number remained unchanged by life’s
experiences. It was believed that the only changes that did occur over the course of one’s
life were alterations in synaptic (interneuronal) connections and accelerating cell death
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with aging. However, in the early 1990s, prominent neuroscientists began to discover that
new neurons are being generated throughout one’s entire lifespan (Eriksson et al, 1998;
Van Praag et al, 1999) and, contrary to popular dogma, these newly differentiated
neurons are associated with new learning and memory. Magnetic Resonance Imaging
(MRI) studies have confirmed that, for example, the brain region which controls finger
movement in the hand increases in size in string players engaged in specific ‘fingering’
exercises. Furthermore, those who start their training earlier in life and practice longer
show more pronounced changes in the brain (Elbert et al, 1995). The term which
describes this important discovery is ‘neuroplasticity’ and expresses the reality that the
brain continually changes as a result of our experiences, whether through fresh
interneuronal connections or through the generation of new neurons.
Thus modern neuroscience is establishing what already seems intuitive; that the
environment constantly impacts on brain development and that the brain remains
functionally plastic throughout life, adjusting its neurophysiologic/psychologic
development to the prevailing conditions. As a rule, western medicine has considered the
child’s social development and cognitive development to be separate, but we now know
that there is an inseparable interconnectedness to these processes. To optimize adaptive
neurophysiological growth and maturation prenatally and during infancy, the brain
develops chronologically much earlier and faster than any other part of the body (Bogin,
1999). Despite the brain’s rapid overall development, it is also the last organ to mature
anatomically, allowing the prefrontal area to continuously reflect the progressive mental
and social landmarks of a child’s life. For example, children raised in nurturing
environments develop physiological responses important in the regulation of emotions,
and vice versa. Since the prefrontal area remains very plastic shaping its circuitry to
match the experiences and learning children undergo, the early years of life are windows
of opportunity for mastering helpful planning skills and emotional awareness for adaptive
living. Children equipped with good planning skills by the time they enter school at the
age of five or six, are much less likely to suffer from developing aggression and anxiety
disorders (Spring, 2000). Various lines of thought and research agree that insufficient
emotional stimulation and/or an excess of negative stimulation in the early stages of life
are likely to result in a higher risk of mental health troubles. Exposing children to an
atmosphere of genuine love and compassion within family and school environments
significantly increases overall health and wellbeing – essential if we are to look forward
to a more humane and peaceful future. However, there is also hope for those not raised
under ideal conditions because, as this review reveals, the human brain has the ability to
be rewired in the regulation of common emotions such as happiness, anxiety, fear,
sadness, depression and, therefore, spiritual wellbeing.
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evolutionary sense. However, in order to access a level of newfound freedom and
wellbeing, we may also have to break with outmoded belief systems and constraints, even
if this means losing or reworking some aspects of our valued heritage.
Research has established that individuals who have high levels of brain activity in
the left prefrontal cortex, experience feelings such as happiness, enthusiasm, joy, high
energy and alertness. When these same people are provoked or threatened, they
experience only transient amygdala activation and raised circulating cortisol, which
quickly returns to baseline levels. On the other hand, individuals with a high level of
activity in the right prefrontal cortex, relative to the left, are more prone to feelings of
sadness, anxiety and worry. An extreme rightward tilt in the ratio of activity in these
prefrontal areas predicts a high likelihood of clinical depression or an anxiety disorder at
some point in life; people in the grip of depression have the highest levels of activation in
those right prefrontal areas (Goleman, 2003). Most individuals, however, fall into a
middle ground where moment-to-moment adaptive regulation plays an important part in
the generation of physical harmony and mental balance. When emotional stability is
threatened, compensating mechanisms are activated in order to regain fitness by adapting
to the changing conditions. This adaptation is known as 'reactive homeostasis', the
‘General Adaptation Syndrome’ (GAS) or the ‘fight or flight’ response (Pollard, 1994). It
has long been known that when cortisol is present at high levels over prolonged periods,
it leads to degenerative diseases such as atherosclerosis, hypertension, diabetes, cancer,
disorders such as posttraumatic stress syndrome and depression (Pollard, 2002b; Pollard
2003a). Stress hormones such as cortisol have particular adverse morphological effects
on the hippocampus because this structure is a primary glucocorticoid target site. As a
consequence, chronic stress and resulting withdrawal from social engagement, can
damage neurons in key brain regions such as the hippocampus and its memory storage
mechanisms (Sapolsky, 2000).
Each of us has a characteristic ratio of right-to-left activation in the prefrontal
areas. This ratio represents a mean emotional set point around which our daily moods
swing. Mood is the consistent extension of emotion in time, while emotion is typically
transient and responsive to the thoughts, activities, and social situations of the day. Mood,
or the state of emotional balance, influences the way an individual interacts with and
perceives the world. It is important to appreciate, however, that when we experience
emotions we build a circuitry of neural connections by exercising that part of our brain
corresponding to those emotions. As the same emotion repeats itself, the brain circuitry
associated with that emotion strengthens (just as exercise strengthens muscles) and
becomes, over time, our default pattern of emotion or temperament. Importantly, if we
experience strong negative emotions without equally positive ones, the negative ones will
dominate, and will show up in an increased activity in the right side of the prefrontal
lobes. Alternatively, by experiencing strong positive emotions these will show up in an
increased activity in the left side of the prefrontal lobes and strengthen the parts of the
brain that calm anger and fear and elicit happiness. However, right/left brain science is
not that simple and we still have much to learn about brain configuration.
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Loosely defined, meditation is a method of mental training which involves
focused attention for the purpose of spiritual development and self-actualization. It has
long been accepted that ‘tuning out’ on a regular basis reduces stress and can make one
calmer, healthier and happier. Meditation is a well recognized complementary health-
enhancing strategy whose key objectives include empowerment to cope with loss and
depression, and to sustain a sense of fulfillment in life. Decades of tests with monks and
yogis in western labs have revealed remarkable abilities to control respiration, brain
waves, or core body temperature (Delmonte, 1984). Psychologists are now beginning to
focus more on the normal rather than abnormal, by studying everyday adaptive qualities
and their effects on health and wellbeing.
Many empirical studies have shown that forms of contemplative practice, such as
meditation, are effective in overcoming and treating stress-related states. The
contemplative customs practiced in many cultures evoke decreases in heart rate,
breathing and blood pressure. Compared to controls, individuals who meditate enjoy
significantly increased alpha brain wave activity (low frequency brainwaves that occur
during relaxation), increased orderliness of brain activity (Khare & Nigam, 2000), and a
unique form of consciousness different from relaxation states (Dunn et al, 1999).
Meditation also has a positive health effect in cancer treatment (Tacon, 2003), with a
notable study showing tumor cell growth rates to be significantly decreased in prostate
cancer patients who practiced Zen Buddhist meditation (Yu et al, 2003). Other studies
have added new details of possible mechanisms by which meditation may relieve the
physiological symptoms of stress. Meditation stimulates the release of nitric oxide, which
is an antagonist of the stress hormone noradrenaline released in preparation for the fight
or flight response. Nitric oxide dilates noradrenaline-constricted vessels and restores
efficient blood flow (Moncada et al, 1991). Nitric oxide is also linked to the release of
endorphin – our natural body opiates that counter pain and produce feelings of wellbeing.
For details of the neural basis of meditation and its effects on body and brain chemistry,
see the review by Newberg and Iversen (Newberg & Iversen 2003). Further details can be
found in Daniel Goleman’s book written for the general interested reader (Goleman,
2003).
So far modern science has focused on formulating ingenious chemical compounds
to help us overcome stress and its toxic consequences but, through Buddhist meditation
and related practices, it is possible to access alternative methods. To this end a major
significant scientific investigation was planned during meetings in Dharamsala, India,
between the Dalai Lama and a group of western scientists and philosophers (Goleman,
2003). The Tibetan leader held a series of discussions with chosen authorities from
disciplines such as psychology, philosophy and neuroscience. The aim was to examine
what science could learn about the mind and body, particularly emotions, from
Buddhism’s 2,500-year tradition of meditation. As analyzed above, the mind-body
complex is intricately connected and the state of the mind has direct effects on overall
health and wellbeing – an observation acknowledged for centuries by Eastern
philosophers, particularly Buddhist. For example, in Tibetan medicine two of the most
important factors affecting a patient’s ability to heal are the mindset of the doctor and the
mindset of the patient. The Dalai Lama proposed that the medical and emotional benefits
of meditation should be investigated in controlled laboratory experiments; and, if so
established, meditation should be divorced from its religious roots and made universally
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available. Moreover, the Dalai Lama promised that should science disprove the benefits
of meditation, he would be willing to rethink thousands of years of Buddhist tradition; in
his own words “If science proves facts that conflict with Buddhist understanding,
Buddhism must change accordingly”, and “We should always adopt a view that accords
with the facts.”
The data collected in this series of experiments suggests that meditative practice is
effective in generating neuroplasticity, inhibiting destructive emotions and fostering
positive ones. Standard magnetic resonance imaging (MRI) machines are widely used in
hospitals and offer a graphically detailed snapshot of the structure of the brain. The more
sophisticated functional magnetic resonance imaging (fMRI) machines provide an
ongoing video record of how specific zones of the brain dynamically change their level of
activity from moment to moment. Conventional MRI lays bare the brain’s structures,
while fMRI reveals how those structures interact as they function.
During the meditative state the brain shows very high levels of activity in the left
prefrontal cortex region. This was first demonstrated by fMRI in the meditating mind of
Lama Öser in his role as test subject whilst in the ‘compassion’ meditative state
(Goleman, 2003). In compassion meditation, the meditator focuses on compassionate
thoughts for specific individuals, other species or for all of humankind. This Tibetan
Buddhist monk’s left prefrontal brain lit up to a level indicating a very high level of
‘happiness’. Even when he was not meditating, the left prefrontal cortex showed
unusually high activity. Such investigations provide support for practical neuroplasticity
– the ability of the brain to be molded by experience – and force scientists to rethink their
understanding of the human brain and it ability to be rewired for health. Importantly,
these preliminary tests show that as well as helping people manage destructive emotions
like anger, hatred and jealousy, meditation may also have profound effects on promoting
happiness. Not long ago the prevailing scientific dogma was that people have a preset
capacity for happiness being determined by biology and changing little whether a person
wins the lottery or experiences a debilitating accident. The thinking was that if someone
was prone to unhappiness and has more activity in their right prefrontal cortex, winning
the lottery might temporarily spike activity in the left cortex, but it will not tip them into
the company of happier, left-brain people in the long run. It now seems that happiness is
not as static as previously believed. The human community at large can benefit from
classical mental techniques which produce greater self-control and help cultivate an
internal calmness and happiness. This may even be our natural state if only we can shut
out layers of emotional turmoil and redundant mind chatter.
It is possible, however, that a naturally happy temperament, a monk’s stress-free
ordered lifestyle, or the result of a disciplined rigorous meditation protocol was
responsible for the shift in Öser’s emotional temperament. That years of meditation in a
closed community are not needed to experience positive effects, was shown with a series
of studies (Davidson et al, 2003) with employees at Promega - a biotech firm in
Wisconsin. Prior to the study, it was established that the workers exhibited high levels of
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right-brain activity and reported feeling ‘stressed-out’ and unhappy with their jobs. After
eight weeks of meditation training and practice, the activity in the left side of their brains
increased significantly, and the workers reported feeling happier, with a renewed sense of
enthusiasm for their life and work. The control group showed no change. While more
long-term research is required to eliminate confounding factors, the findings are very
optimistic in that meditation practice can alter an individual’s emotional setting towards
the positive, which may then become the mind’s default state.
The next set of tests utilized the electroencephalogram or EEG machine which
measures brain activity waves. Most EEG studies use 32 sensors on the scalp to pick up
electrical activity in the brain – and some may use as few as six. But in this unique set of
experiments, Öser’s brain was monitored using two different EEG caps - 128 sensors and
256 sensors. The first cap captured data while Lama Öser went into the meditative state;
the second was used synergistically with the earlier fMRI data (Goleman, 2003). While
the fMRI can detect brain changes within a millimeter, the computerized EEG can detect
changes in the brain in a thousandth of a second. The various brain readings acquired
with the powerful EEG sensors were analyzed using software called source localization
which pinpoints the neural location of a signal. Specifically, source localization can
penetrate sites deep within the brain, unlike ordinary EEG measures which can monitor
only the topmost layer of the brain. The strength of the EEG is speed – just as the MRI’s
is spatial precision.
The EEG findings reinforced the previous data in that Öser’s brain shift during
compassion reflected extreme wellbeing, reinforcing scientifically a general
acknowledgement that volunteer work or assisting friends in need, benefits not only the
receiver but also the person giving it. The very act of concern for others’ wellbeing, it
seems, creates a greater state of wellbeing within oneself. Likewise, it seems, that the
person doing a meditation on compassion for others is also the immediate beneficiary
(see section ‘Meditation and the Immune System). It is surprising therefore, that
compassion is an emotional state which is, for the most part, ignored by modern
psychologists - we may be well served to focus less on what can go wrong and highlight
physiological states when things go right. Psychology’s negative spin may reflect the lead
of medicine, which has traditionally focused on disease rather than on health.
If the main motivation for the practice of compassion is self-interest – then this is
an important evolutionary insight. Another insight comes from the realization that
individuals who use humor to cope with stress have a more resilient immune system and
age more gracefully. Moreover, psycho-immunologists have confirmed what we all know
instinctively, that the immune system is boosted by helping others and, ingeniously, just
hearing about other people’s good work appears to boost our immunity. The scientific
evidence again confirms the point that not only are we physiologically constructed to
need others, we are also constructed to want to be needed (Pollard, 2003b). That is,
during critical periods in our evolution, Homo sapiens’ social drive for personal survival
became interdependent with our collective survival. Put in anthropomorphic terms ‘our
immune system knows that helping others ultimately helps our own wellbeing’ – the
result ‘I feel less fear, more happiness’ (Pollard, 2002b). This biological insight also
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seems to be the common substance of all religious faiths, whether Hindu, Muslim,
Christian, Jewish, Buddhist or any other. In all cases, religious faith is preoccupied with
rendering service to the Deity and fellow human beings. And in the final analysis, we do
know that people who score high on measures of positive emotions also report engaging
in more altruistic actions.
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5. Meditation and the Immune System
Spirituality is the way humans find meaning, hope, comfort and inner peace in
their lives. Some find spirituality through religion; others find it through science, music,
art or a connection with Nature, while still others find it in their personal values and
principles. Exactly how spirituality relates to health is unclear but since the body, brain,
mind and spirit are connected, the health of any one affects the health of the others. The
experiments described in this review demonstrated in scientific terms that a spiritual life,
whether gained from religion, meditation, prayer or other positive ideology, can provide
comfort and strength which contributes to healing and a sense of overall wellbeing.
Spiritual health may not cure advanced illness, but it may slow its progression, help you
to feel better, prevent certain illnesses and provide the means to cope with illness or
death. Thinkers have repeatedly emphasized that spirituality is a construct that, although
related to religion, is a distinct phenomenon (Benjamin & Looby, 1988). On the other
hand, opinion polls indicate that religion is part of the lives of many, so understanding the
role of religious beliefs in life’s coping processes is very important (Pargament et al,
1994). What is certain is that spirituality, however expressed, provides a significant
moderating effect for both depression and anxiety (Young et al, 2000) and is an integral
component of recovery from a variety of psychological difficulties such as substance
abuse, gambling or other self-destructive behavior (Le et al, 1995). Thus in practical
terms, spirituality provides a buffer from stressful life events that are perceived as
negative, particularly in providing protection against organic disease and depression.
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Spirituality also provides the relationship between ethical development and purpose in
life.
Technological advances have offered humans, especially those living in
industrialized communities, innumerable opportunities to enjoy a more comfortable,
healthier and efficient lifestyle. The rapid expansion of scientific knowledge and medical
skills has provided options that could not have been anticipated by those living one or
two generations ago. It’s appropriate, while enjoying the modern biomedical revolution,
to reassess both ancient and modern insights with a view to integrating the essentials of
healing and wellbeing. In biological terms, health and ill-health are not alternative states;
rather they are part of the same continuum. Traditional wisdom is supported by a rapidly
growing research-based literature, particularly that of stress physiology. Researchers,
since the early 1950s, have identified key factors in the generation and maintenance of
physical, psychological and social wellbeing. The early ground-breaking studies paved
the way for more recent wisdom, the most notable being that a sense of control over our
lives promotes wellbeing more powerfully than an appropriate command over lifestyle
behaviors such as smoking, diet and exercise (Pollard, 2002b).
However, when it comes to the commitment to transform society, it will not come
through some fixed ideology but through general education with a scientific basis – and
this is where bioscience ethics can assist. By linking scientific endeavor and its
application into adaptive forms of bioethical consensus, bioscience ethics has become the
practical interface between science and bioethics. Its major elements are increased
understanding of biological systems, responsible use of technology, and reassessment of
ethnocentric debate in tune with new scientific insights (Pollard, 2002c). Bioscience
ethics does not displace bioethics; rather it wishes to democratize major scientific
advances to promote the development of informed secular ethics free from out-of-date
constraints. Analysis of the scientific evidence free from any specific morals or religion is
important when trying to effectively engage the public. In science, new data can at any
time overturn established theory, law or dogma. This is how scientific research provides a
self-corrective mechanism. New understanding gained from research generates ethical
maturity which, in turn, increases justice and freedom, demonstrating that the truth
requires more than mindless conformity to extant moral consensus or following the
‘right’ dictates of the time. Bioscience and bioethics involve not only respect for rights
and responsibilities, but also includes abstract qualities such as truth, gratitude, guilt,
love, communication, consensus and compromise – effective mechanisms for dealing
with ethical pluralism. Fundamental to this process, if the bioethical discussion is to be
relevant to our knowledge-based lives, is the expectation of high biological standards.
I would like to end this review with a quote from the foreword of Daniel
Goleman’s book ‘Destructive Emotions and How We Can Overcome Them: A Dialogue
With the Dalai Lama’ Page xiv:
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Primary Acknowledgement
This is the text of my article as presented at the inaugural meeting of the ‘Eco
Conference 2003 – Nature, Science, Technology and Religions: Our Common Bioethical
Issues’ held in Chennai November 25-29. The conference was organized by the ‘Eco
Vision Department (CSI Madras Diocese)’ and Professor J. Azariah from ‘All India
Bioethics Association’.
I am grateful to Roger Hiller and Morgan Pollard for their interest and
constructive evaluation of the manuscript.
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