One Inner Peace I first tried to meditate during the summer of 1973, between my sophomore and junior years of college, when I was working as a research assistant for a cardiologist at Boston City Hospital. This physician, Dr. Herbert Benson, a specialist in the treatment of high blood pressure, or hypertension, was the first to publish a scientific paper about the relaxation benefits of Transcendental Meditation, made popular by the Beatles several years earlier. His coauthor, Robert Keith Wallace, was a student of Maharishi Mahesh Yogi, the Indian guru who popularized TM, and together Benson and Wallace were among the first to show that meditation had measurable physiological effects. According to their studies, meditation slowed the body''s metabolic rate, reducing both oxygen consumption and carbon dioxide output, inducing what they called a "wakeful hypometabolic state." In essence, they suggested that meditation flipped the nervous system into neutral, allowing the body to rest, digest, recuperate, and recharge. They christened these bodily effects "the relaxation response" (the antidote to the stress-induced fight-or-flight response) and suggested that its regular elicitation might actually lower blood pressure as well as relieve stress. Meditation was given scientific credence by their research.
It was a real thing, not just someone''s wishful thinking, and it had the potential to become an important tool of modern medicine. This research became the basis for The Relaxation Response, a popular book Dr. Benson published in 1975 that was among the first to suggest the health benefits of meditation. I was intrigued by this work and met with Dr. Benson at the behest of my father, who had recently taken over as chairman of the department of medicine of which Dr. Benson was a part. I think it was an effort on my father''s part to keep me in the medical fold despite my burgeoning interest in what he considered a rather esoteric pursuit. I had become intrigued by Eastern thought in general and Buddhism in particular in my first years of college and regularly perused the spiritual bookstores then popular in Harvard Square.
At the university itself Eastern spirituality was looked down upon, but I had stumbled upon two graduate students, one in the religion department and one in psychology, who quietly encouraged my nascent interests. Diana Eck, who went on to become a distinguished professor of religion, the first female "master" of a Harvard house, and the author of a comprehensive book on the Indian holy city of Banaras, was my section person in a freshman world religion class, and Daniel Goleman, who later wrote Emotional Intelligence and who had already been to India to learn about meditation, was my section leader for a second-year class in psychophysiology. They each, in their own discreet ways, supported my pursuits, while being careful to shield their own spiritual leanings from the greater Harvard milieu. Meditation was not yet something I had tried for myself, however; I was still in an exploratory phase, suspicious of cultish atmospheres and without any formal instruction. I had read books about meditation but had never tried it myself. That Dr. Benson''s influences were Hindu and not Buddhist meant little to me at the time. In the year or two since publishing his research on meditation, Dr.
Benson had broken away from the Maharishi. He concluded that there was nothing special in Transcendental Meditation''s approach, that a generic form of meditation could work just as well as the expensive training offered by the guru and his disciples, and that it was up to him to bring meditation into the medical armamentarium. Dr. Benson decided that the Sanskrit mantra at the heart of TM''s approach was not essential and that the simple act of alertly concentrating one''s attention, using whatever word, phrase, or prayer a person chose, could evoke an identical physiological response. For the patients in his hypertension clinic, he used the blandest word he could think of: the word "one." (Only later did he realize all of its potentially sacred meanings.) Needless to say, his appropriation of TM''s technique earned him the enmity of the guru and his followers. At the same time, despite the widespread media attention given to his research, his mainstream academic colleagues treated him as a rather marginal figure because of his embrace of meditation.
It might be okay for the Beatles, but a Harvard cardiologist should know better; that was the general consensus. They pressed him on the quality of his research and upbraided him for drawing sensational conclusions from preliminary findings. As a result, despite his growing fame, Dr. Benson was a rather isolated figure when I met him. He felt misunderstood and inappropriately judged by both his medical and meditative peers. None of this concerned me, however. I was happy to have a prestigious summer job with someone who was open to my abstruse interests. I knew that Dr.
Benson was doing my father a favor by taking me on, but I surprised him in our first meeting by talking at length about the placebo effect, a subject I had explored and written about during the previous semester in my psychophysiology course. Placebos have been confounding modern medicine for generations. Pills that have no active ingredients, given as part of a routine doctor-patient interaction, regularly produce meaningful, and scientifically documented, improvement in a variety of illnesses more than one-third of the time. Having grown up in a family in which academic medicine was king, and with a budding interest in the mind''s pervasive influence on the body, I was taken with the placebo effect and thought Dr. Benson might be also. He was. He put me to work in the medical library exploring and reviewing fifty years of relevant clinical research. Was there something that could be cultivated in the doctor-patient relationship that might be important for healing? Did the physician''s concern for the patient or the patient''s faith in the doctor make a difference in a person''s recovery? Might the placebo be somehow eliciting the relaxation response? Or was the relaxation response itself a manifestation of the placebo effect? Whichever way we looked at it, was there a key here to unlocking the body''s ability to heal itself? I set out to analyze all of the pertinent studies in the medical literature.
Meditation was not a big part of my summer experience. Dr. Benson was using it in his clinic for patients with borderline high blood pressure but I was not involved in that work. I was back and forth to the library and only peripherally aware of Dr. Benson''s other activities. I wondered about meditation though. I remember sitting, one sweltering August afternoon, at my paper-strewn desk in the back room of Dr. Benson''s confined hospital suite and finally trying out his technique.
"One, one, one," I repeated as my breath went in and out of my nostrils. "One, one." Nothing in particular seemed to happen. It felt like a radical thing to interrupt my work to sit there with my eyes closed, but at the same time the exercise seemed empty to me. I liked the idea in principle-the possibility of quieting my body''s tensions with a trick of the mind appealed mightily to me-but I did not feel engaged by the technique. I tried it a few more times and then put it back on the shelf. While some people found the simplicity of Dr. Benson''s instructions and their scientific credibility to be helpful, I was put off.
Even if there was such a thing as the relaxation response, and even if I could be sure I was eliciting it, the whole approach felt too mechanical to me. Somewhere in me I knew that the relaxed hypometabolic state Dr. Benson envisioned could not be the be-all and end-all of what meditation was about. In thinking about it now, I can see how my research into the placebo effect helped explain why this approach to meditation seemed so constrained. Science was of several minds about the placebo effect. Some researchers wanted to get rid of it altogether because it was impossible to know whether a new drug had anything to offer if it was no better than a placebo. Others, taking the phenomenon more seriously, wanted to tease out its active ingredient. What molecules, what neural pathways, were being stimulated by something as innocuous as a sugar pill? Yet others saw the placebo effect as inextricably bound up with the doctor-patient relationship, not as something that could be isolated from it.
Something mysterious happens when we turn our illness over to a caring physician, they concluded. Could the very act of trusting someone to heal us stimulate healing? Is there something in the human touch or in the caring human interaction or in human kindness that has beneficial medical results? In the article that I cowrote with Dr. Benson that summer, published shortly thereafter in the Journal of the American Medical Association, we came down on the latter side. The placebo effect, whatever it is derived from, is a neglected asset in the care of patients, we concluded. Modern medicine could benefit from taking it more seriously. For some people, the very medicalization of meditation, the assurance that science had proven its validity, creates a positive placebo effect. It helps them believe meditation is real. For these people, Dr.
Benson''s efforts to tease out the active ingredient in meditation and give it to them in a stripped-down form was a real gift. But for me the opposite was true. I was drawn to meditation for the same reason I was interested in placebos. The placebo effect points to the body''s capacity to heal itself, helped along by some combination of trust, faith, and human empathy. Meditation seemed to be promising something similar for.