Dr Caroline Leaf on James 1:21 – Redux

So, we’ve all heard the saying, “If at first you don’t succeed, try and try again.”  Dr Leaf has certainly done that.

Dr Caroline Leaf is a Communication Pathologist and self-titled Cognitive Neuroscientist.  Not content to completely misinterpret James 1:21 only once, she posted on social media today, “James 1:21.  Our thoughts and perceptions have a direct and overwhelmingly significant effect on the cells of our body.”

If for nothing else, Dr Leaf at least gets points for persistence.  A week and a half ago, Dr Leaf again used James 1:21 to attempt to justify a meme on perception.  I’d love to know what version of the Bible that she’s using, because it seems that in her Bible, James 1:21 can be interpreted any way that one wants.

Lets recap: James 1:21 says,

“Wherefore lay apart all filthiness and superfluity of naughtiness, and receive with meekness the engrafted word, which is able to save your souls.” (KJV)

There are too many big words there for my liking, so I went through an on-line, widely used Greek lexicon, to look at the meanings of the words.  Then I translated them into something more understandable, to make sure that I didn’t miss the bit about perception.

Using the Strong’s dictionary and concordance built in to the Blue Letter Bible site (http://www.blueletterbible.org/Bible.cfm?b=Jas&c=1&v=21&t=KJV#s=1147021) I was able to translate the original Greek into something more manageable.

“Therefore shed all the morally defiling wickedness and excess malice, and, with meekness, embrace the teaching that is implanted by your mentors, which has the power to rescue your eternal soul.”

Wait … where did James talk about perception, and how our cells react to our thoughts?  Reviewing the scripture and its translation the second time around didn’t change anything, because there is nothing in James 1:21 that is in any way remotely connected to perception, thinking and our cells biological functioning.

Scripture is the inspired word of God, and “is useful for teaching, rebuking, correcting and training in righteousness, so that the servant of God may be thoroughly equipped for every good work.” (2 Tim 3:16-17, NIV)  What James is writing about is essential, and Christians need to embrace what he was teaching.

Which is why it is so important for Dr Leaf to interpret scripture correctly.  For the second time in two weeks, Dr Leaf has completely misapplied a scripture to one of her memes.  As if that isn’t concerning enough for a woman than regularly interprets scripture to audiences in the thousands every week, there isn’t any scientific evidence to back up her claim either.  As I have written about before, there is no evidence that the mind controls the brain.  Rather, our psychology is dependant on our biology.  More on this in future posts.  But the onus is on Dr Leaf to provide evidence to back up her claim.  I encourage her to publish specific evidence that she believes justifies her claims that our thoughts alter our cellular biology.

Otherwise, I think another popular phrase would better apply: “Quit while you’re ahead”.

UPDATE (17/6/2014)

Screen Shot 2014-06-17 at 10.45.44 pm

I was reviewing Dr Leaf’s posts tonight, and I came across this response that Dr Leaf posted on the 5th of June.  Clearly I wasn’t the only person who wondered exactly how James 1:21 applied to her meme.

Dr Leaf’s explained: “By ‘implanting the word of God your soul will be saved’ (James 1:21) – so by memorizing God’s Word we build healthy thoughts into our brain that improve the health of our cells.”

I’m sure that Dr Leaf thought she was climbing out of a hole, although I think she’s only dug herself deeper.

Firstly, while I’m not a trained theologian, I can read.  Dr Leaf reinterprets this long-suffering scripture again, “By ‘implanting the word of God your soul will be saved’.”  But that’s not what it says at all.  From the KJV which I originally quoted: ” … receive with meekness the engrafted word, which is able to save your souls.” (Emphasis added)  It’s a subtle but important difference.  My understanding is that salvation comes confession and repentance (Romans 10:9-10, 2 Corinthians 7:10).  The word of God is able to save souls, but as the Parable of the Sower (Luke 8:4-15) shows, it doesn’t always bear fruit.  Satan himself knows the Bible inside out, but he certainly isn’t saved.  Perhaps someone who is theologically trained can confirm the points here.  I’d certainly appreciate it.  But for now, I propose that Dr Leaf has misinterpreted this scripture again.

Dr Leaf goes on to claim that by memorizing scripture, “we build healthy thoughts in our brain that improve the health of our cells.”  Dr Leaf is really grasping at straws here.  The “soul” that James is referring to is psyche in the Greek, translated as “the seat of the feelings, desires, affections, aversions (our heart, soul etc.); the (human) soul in so far as it is constituted that by the right use of the aids offered it by God it can attain its highest end and secure eternal blessedness, the soul regarded as a moral being designed for everlasting life; the soul as an essence which differs from the body and is not dissolved by death (distinguished from other parts of the body)”. (http://www.blueletterbible.org/lang/lexicon/lexicon.cfm?Strongs=G5590&t=KJV)  So the word that James used has nothing to do with the body.

Dr Leaf has to apply her own set of assumptions to the scripture, that a saved soul must be healthy thoughts, and that healthy thoughts leads to healthy cells.  Its a myth that healthy thoughts lead to healthy cells (more on this in a future post).  To suggest that salvation and healthy thoughts are one and the same is also an assumption on Dr Leaf’s part, which I don’t think the scripture supports in any way.

So in short, Dr Leaf’s explanation really hasn’t helped her cause.  Her meme is still scripturally and scientifically baseless.

Dr Caroline Leaf on James 1:21

Screen Shot 2014-05-26 at 10.24.24 pm

What causes you to react to things the way you do? According to Dr Leaf, we react to things because of our perceptions, because James 1:21 says so.

Dr Caroline Leaf is a Communication Pathologist and self-titled Cognitive Neuroscientist. She posted on social media today that,

“James 1:21. How you react to events and circumstances of your life is based upon your perceptions.”

Just like her other social media memes, we’re supposed to smile and nod, and accept that it must be right on face value alone. Remember, “Trust me, I’m a cognitive neuroscientist”.

Ironically, Dr Leaf is on the right track with her meme. Perception is very important to how our brains process incoming information, although it is only one small part in a much larger picture. But that is for a future post.

What made me scratch my head about her post was the scripture reference that she tags onto the meme, as if it gives her factoid some automatic level of credibility. I never knew that James made any reference to reacting to life circumstances, so I looked up the scripture.

James 1:21 says, “Wherefore lay apart all filthiness and superfluity of naughtiness, and receive with meekness the engrafted word, which is able to save your souls.” (KJV)

There are too many big words there for my liking. But I also thought it would be a useful exercise to look at the meanings of the words to translate them into something more understandable, to make sure that I didn’t miss the bit about perception.

Using the Strong’s dictionary and concordance built in to the Blue Letter Bible site (http://www.blueletterbible.org/Bible.cfm?b=Jas&c=1&v=21&t=KJV#s=1147021) I was able to translate the original Greek into something more manageable.

“Therefore shed all the morally defiling wickedness and excess malice, and, with meekness, embrace the teaching that is implanted by your mentors, which has the power to rescue your eternal soul.”

Hmmm … perhaps I mistranslated, but I missed the part where James talked about perception, and how we react to circumstances.

Or more likely, it wasn’t in this scripture at all.

Scripture is the inspired word of God, and “is useful for teaching, rebuking, correcting and training in righteousness, so that the servant of God may be thoroughly equipped for every good work.” (2 Tim 3:16-17, NIV) What James is writing about is essential, and Christians need to embrace what he was teaching.

Unfortunately for Dr Leaf, her imprecise application of scripture doesn’t help anyone. It confuses her readers who look more deeply into either the scripture or the science, and are lost as to why they don’t meet up. Or it damages her reputation as a scientist or a teacher, since it isn’t clear exactly what she is trying to say or how she arrived at her conclusions.

I have not doubt that if Dr Leaf has something to share on social media many people that would like to hear it. But it has to be referenced properly if it is going to carry any weight.

Dr Caroline Leaf and the Sound Mind Meme

Screen Shot 2014-05-11 at 5.09.04 pm

Caroline Leaf is a brave woman.

Dr Caroline Leaf is a Communication Pathologist and self-titled Cognitive Neuroscientist.  She regularly publishes memes on her social media sites like FaceBook and Instagram that are supposed to reinforce her main teaching.

Her recent post declared:

“Your mind is all-powerful.  Your brain simply captures what your mind dictates. 2 Timothy 1:7”

We’re supposed to smile and nod, and accept that it must be right on face value alone.  Like, “Trust me, I’m a cognitive neuroscientist”.

But if we peel away the thin veneer of trust that covers the surface of this meme, we see that there isn’t much in the way of substance that supports it.

For a start, the only reference that Dr Leaf supplies is the scripture from 2 Timothy 1:7. She’s used this scripture in her work before, stating in her 2013 book, “For now, rest in the assurance that what God has empowered you to do with your mind is more powerful and effective than any medication, any threat, any sickness, or any neurological challenge.  The scripture is clear on this: You do not have a spirit of fear but of love, power and a sound mind (2 Tim 1:7).” [1]

So, first things first: the scripture 2 Timothy 1:7 says: “For God hath not given us the spirit of fear; but of power, and of love, and of a sound mind.”  (KJV)  But what does it actually mean?

Studying the full context and the original Greek reveals that this verse is not a reference to our mental health, but to the courage to perform the work that God has given us.

The Greek word for “fear” in this scripture refers to “timidity, fearfulness, cowardice”, not to anxiety or terror.  The Greek word that was translated “of a sound mind” refers to “self-control, moderation”, not to serenity.  So Paul is telling Timothy that God doesn’t make him timid, but full of power, love and self-control.  Paul teaches that through the Holy Spirit, we have all the tools: power, love and the control to use them, so we don’t have to be afraid.

In addition, looking at the verse in its context, and in a different translation, shows it in a completely different light to the way Dr Leaf promotes it.  From the NIV, “I am reminded of your sincere faith, which first lived in your grandmother Lois and in your mother Eunice and, I am persuaded, now lives in you also.  For this reason I remind you to fan into flame the gift of God, which is in you through the laying on of my hands. For the Spirit God gave us does not make us timid, but gives us power, love and self-discipline. So do not be ashamed of the testimony about our Lord or of me his prisoner. Rather, join with me in suffering for the gospel, by the power of God.” (2 Timothy 1:5-8)

The scripture doesn’t say that our minds are more powerful than medication, sickness or “neurological challenge”.  It clearly doesn’t say that our mind is all-powerful, and that our brains simply capture what our minds dictate.  This scripture doesn’t have anything to do with our mental health (nor is there any scientific evidence to suggest that our mind is all-powerful or that the brain captures what our mind dictates, although that is another blog entirely (see also: Dr Caroline Leaf and the Myth of Mind Domination)).

Scripture is the inspired word of God.  It’s poor form to knowingly misquote someone to support your position, but it’s a very brave person that would misquote scripture for the sake of their argument.  And the inaccuracy of Dr Leaf’s use of both scripture and science surely calls into question the accuracy of all of her other memes.  Perhaps those who follow Dr Leaf’s social media feeds should also start taking them with more than a pinch of salt.

References

1.         Leaf, C.M., Switch On Your Brain : The Key to Peak Happiness, Thinking, and Health. 2013, Baker Books, Grand Rapids, Michigan:

(New Testament Greek lexicon used for the word search was the Blue Letter Bible Strongs Lexicon, Reference: Greek Lexicon: G1167 (KJV). Retrieved from http://www.blueletterbible.org/lang/lexicon/lexicon.cfm?Strongs=G1167&t=KJV and Greek Lexicon: G4995 (KJV). Retrieved from http://www.blueletterbible.org/lang/lexicon/lexicon.cfm?Strongs=G4995&t=KJV)

Prayer Proof?

In Wisconsin, USA, Leilani Neumann is found guilty of second degree reckless homocide of her 11-year-old daughter Kara.  During her recent trial, the prosecution alleged that she ignored the worsening symptoms of Kara’s undiagnosed diabetes for two weeks, and chose prayer instead of seeking medical advice.  Even during the last hours before Kara’s death, Leilani stood with her husband and Bible study members praying for her.  Witnesses said that it was only when the comatosed girl stopped breathing that someone called paramedics.  Neumann family supporters state that the trial was misconducted, without a single witness called for the defense, and an appeal is planned.

Across the other side of the US, Billy is a graduating student of the Bethel School of Ministry, in Redding, California.   He reported on a recent trip to Ecuador where he prayed for a seven year old boy with leg deformities from birth. It was hard for the boy to walk and impossible for him to run, which made him the target of taunts when he tried to play soccer.  Despite their best efforts, doctors had failed to correct the deformities.  Billy prayed for him three times, and after the third prayer, the boy said he saw “the hand of God come down” and touch him.  He took a few tentative steps, and his legs became straighter and straighter.  His mother tearfully confirmed that her previously lame son could now walk and run.  The last thing Billy saw as he was driving away from the crusade was the boy running up and down the car park, staring in wonder at his perfectly straight legs.

Same act of prayer, same God, but two contradictory results.  It is a conundrum that has confused the church for centuries.  Why does God answer some prayer with miracles, and why are some prayers for healing seemingly unanswered?  What is the effectiveness of prayer?

There have been some attempts to measure the effects of prayer scientifically.  One of the first published clinical trials of intercessory prayer was a 1988 study by Randolph Byrd.  Almost 400 patients over a period of time were randomized to receive prayer from born-again Christians, while the other half received no prayer.  The results showed a positive outcome for prayer in six of the twenty-nine variables observed.  Unfortunately, the study was plagued by problems in the construction of the trial, and many feel that the positive results were because of study bias, not the prayer itself.

There have been better studies since then.  The “Study of the Therapeutic Effects of Intercessory Prayer” (“STEP”) was a well conducted trial that took 10 years and $US2.4 million.  1800 patients, all admitted to hospital for the same condition, were divided into three groups: one received prayer and knew they were prayed for, another group received prayer without knowing about it, and the last received no prayer.  The prayer was performed by committed Christians experienced in praying for the sick.  The results were not encouraging for intercessory prayer, with the two groups receiving prayer actually having poorer outcomes than those not prayed for.

On the surface this does little to help the dilemma of prayer for healing.  On deeper analysis, there may have been confounding factors.  Those in the control group (without prayer in the study) may have been praying themselves.  Or perhaps the answer to prayer in those studied came outside of the study’s parameters.  Perhaps God wants us to trust in him and his word, the raw power of faith, rather than in the science of a clean-cut clinical study that “proved” the benefits of prayer.  When it comes to the studying of prayer, Christians and clinicians have noted that prayer is not an easily quantifiable substance.  And neither is God for that matter.  When God works supernaturally, he works super-naturally, literally above the laws of nature.  Prayer, then, cannot be studied scientifically since the scientific method relies on observing and controlling variables within the natural order.

In fact, I personally think that God delights in performing miracles that are beyond our reasoning.  The miracles of Jesus provide many good examples – he placed mud, made out of the mixture of dirt and his saliva, onto a blind mans eyes.  He touched lepers.  He told Peter to find tax money in the mouth of a fish.  These sort of miracles perplex yet inspire us.  Scientifically quantifiable or not, they still move us to worship the greatness of God.

How do we find the wisdom to know when to choose medicine or miracle?  Two of Jesus’ miracles come to mind that might shed light on this delicate balance.  The woman with the issue of blood (Luke 8:43-48) had “spent all her living upon physicians, neither could be healed of any.”  She touched Jesus and was healed, and Jesus told her “thy faith hath made thee whole.”  The lame man at the pool of Bethesda (John 5:1-9) waited patiently near the waters edge and tried as best he could to make it into the waters to be healed but was unable to get there by himself.  When Jesus told him to walk, he got up instantly and was healed.

Both stories are of people in need who didn’t wait passively for healing.  Each did whatever was in their power to find healing, and were at the point where their effort was not enough.  The woman pursued Jesus, whereas Jesus came to the man, but in both cases their faith engaged God and they received healing.  I think the same is true in modern day life.  Healing is by the grace of God.  We do nothing to earn it.  But like many things in the kingdom of God, we also need to ask, to seek and to knock.

I understand that my profession as a GP makes me a little biased, but the healing or prevention of many diseases is available simply by following modern medical advice, or by using simple therapies like vaccinations or antibiotics.  For Kara Neumann, the answer to prayer was in the insulin and fluids that doctors would have given her had they been called in time.  Perhaps it’s because we are so used to the benefits of medicine that we do not see immunizations or pharmaceuticals as miracles, or answers to prayer.  But imagine if you could go back in time one hundred years with some of todays basic medicines like penicillin.  You would be able to cure diseases like syphilis or pneumonia, in that time untreatable and fatal, and you would be labelled as a miracle worker.  Modern medicine is miraculous.

But when modern medicine cannot touch a sickness, either because of limited access to medicine or the limits of medical science itself, the “miraculous” can take place.  Like the boy in Ecuador, or the woman with the the issue of blood, physicians could not heal them, but God did, when personal faith touched his power and grace.

It would be absurd to stand outside in a thunderstorm and pray for God to shelter us when we could just walk inside our house.  In the same way, common sense dictates that we thank God for modern medicine and use it appropriately, because it is just as much a gift of God as our houses are.  Medicines sit along side the astounding phenomena of supernatural power that we define as “miraculous.”  And while the power of prayer may not be quantifiable or reproducible like modern pharmaceuticals, it is nevertheless tangible, just like the love of God that has provided them both.

(Originally published in Alive Magazine, June/July 2009)

Dr Caroline Leaf – Contradicted by the latest research

This is my most popular post by far.  I truly appreciate the support and interest in this post, but I’ve discovered and documented a lot more about Dr Leaf’s ministry in the last two years.  I welcome you to read this post, but if you’d like a more current review of the ministry of Dr Caroline Leaf, a new and improved version is here:
Dr Caroline Leaf – Still Contradicted by the Latest Evidence, Scripture & Herself

* * * * *

Mr Mac Leaf, the husband of Dr Caroline Leaf, kindly took the time to respond to my series of posts on the teachings of Dr Leaf at Kings Christian Centre, on the Gold Coast, Australia, earlier this month. As I had intended, and as Mr Leaf requested, I published his  reply, complete and unabridged (here).

This blog is my reply.  It is heavily researched and thoroughly referenced.  I think it’s fair to say that while Dr Leaf draws her conclusions from some scientific documents, there is more than enough research that contradicts her statements and opinions.  I have only listed a small fraction, and only on some of the points she raised.

In fairness, the fields of neurology and neuroscience are vast and rapidly expanding, and it is impossible for one person to cover all of the literature on every subject.  This applies to myself and Dr Leaf.  However, I believe that the information I have read, and referenced from the latest peer-reviewed scholarly works, do not support Dr Leaf’s fundamental premises.  If I am correct, then the strength and validity of Dr Leaf’s published works should be called into question.

As before, I welcome any reply or rebuttal that Dr Leaf wishes to make, which I will publish in full if she requests.  In the interests of healthy public debate, and encouraging people to make their own informed decisions on the teachings of Dr Leaf, any comments regarding the response of Mr Leaf, Dr Leaf or myself, are welcome provided they are constructive.

This is a bit of a lengthy read, but I hope it is worthwhile.

Dear Mr Leaf,

Thank you very much for taking the time out to reply to some of the points raised in my blog.  I am more than happy to publish your response, and to publish any response you wish to make public.

ON INFORMED DECISIONS

I published my blog posts to open up discussion on the statements made by Dr Leaf at the two meetings that I attended at Kings Christian Centre on the Gold Coast.  As you rightly point out, people should be able to make informed decisions.  A robust discussion provides the information required for people to make an informed choice.  Any contributions to this discussion from either yourself or Dr Leaf would be most welcome.

I apologise if you interpreted my blogs as judgemental, or if you believe there are any misunderstandings.  You may or may not have read my final two paragraphs from the third post, in which I acknowledged that I may have misunderstood where she was coming from, but that I would welcome her response.  If there were any misunderstandings, it is likely because Dr Leaf did not make any attempt to reference any of the statements she made on the day.  You may argue that she was speaking to a lay audience, and referencing is therefore not necessary.  However, I have been to many workshops for the lay public by university professors, who have extensively referenced their information during their presentations.  A lay audience does not preclude providing references.  Rather, it augments the speakers authority and demonstrates the depth of their knowledge on the subject at hand.

YOUR DEFENCE

It’s interesting that you feel the need to resort to defence by association, and Ad Hominem dismissal as your primary counter to the points I raised.

Can you clarify how attending the same university as Dr Christaan Barnard, or a Nobel laureate, endorses her arguments or precludes her from criticism?  I attended the University of Queensland where Professor Ian Frazer was based.  He developed the Human Papilloma Virus vaccine and was the 2006 Australian of the Year.  Does that association enhance my argument?

Can you also clarify why a reference from a colleague was preferred to letting Dr Leaf’s statements and conclusions speak for themselves?  Dr Amua-Quarshie’s CV is certainly very impressive, no doubt about that, although he doesn’t list the papers he’s published.  (I’m assuming that to hold the title of Adjunct Professor, he’s published peer-reviewed articles.  Is he willing to list them, for the record?)

Whatever his credentials, his endorsement means very little, since both Dr Leaf and Dr Amua-Quarshie would know from their experience in research that expert opinion is one of the lowest forms of evidence, second worst only to testimonials [1].  Further, both he and Dr Leaf are obviously close friends which introduces possible bias.  His endorsement is noteworthy, but it can not validate every statement made by Dr Leaf.  Her statements should stand up on their own through the rigors of critical analysis.

On the subject of evidence, disparaging your critics is not a substitute for answering their criticism.  Your statement, “By your comments it is obvious that you have not kept up to date with the latest Scientific research” is an assumption that is somewhat arrogant, and ironic since Dr Leaf is content to use superseded references dating back to 1979 to justify her current hypotheses.

DR LEAF’S EVIDENCE

In the blog to which you referred, Dr Leaf makes a number of statements that are intended to support her case.  These include the following.

“A study by the American Medical Association found that stress is a factor in 75% of all illnesses and diseases that people suffer from today.”  She fails to reference this study.

“The association between stress and disease is a colossal 85% (Dr Brian Luke Seaward).”   But again, she fails to reference the quote.

“The International Agency for Research on Cancer and the World Health Organization has concluded that 80% of cancers are due to lifestyles and are not genetic, and they say this is a conservative number (Cancer statistics and views of causes Science News Vol.115, No 2 (Jan.13 1979), p.23).”  It’s good that she provides a reference to her statement.  However, referencing a journal on genetics from 1979 is the equivalent of attempting to use the land-speed record from 1979 to justify your current preference of car.  The technology has advanced significantly, and genetic discoveries are lightyears ahead of where they were more than three decades ago.

“According to Dr Bruce Lipton (The Biology of Belief, 2008), gene disorders like Huntington’s chorea, beta thalassemia, cystic fibrosis, to name just a few, affect less than 2% of the population. This means the vast majority of the worlds population come into this world with genes that should enable the to live a happy and healthy life. He says a staggering 98% of diseases are lifestyle choices and therefore, thinking.”  Even if it’s true that Huntingtons, CF etc account for 2% of all illnesses, they account for only a tiny fraction of genetic disease.  And concluding that the remaining 98% must therefore be lifestyle related is overly simplistic.  It ignores the genetic influence on all other diseases, other congenital, and environmental causes of disease.  I will fully outline this point soon.

Similarly, “According to W.C Willett (balancing lifestyle and genomics research for disease prevention Science (296) p 695-698, 2002) only 5% of cancer and cardiovascular patients can attribute their disease to hereditary factors.”  Science is clear that genes play a significant role in the development of cardiovascular disease and most cancers, certainly greater than 5%.  Again, I will discuss this further soon.

“According to the American Institute of health, it has been estimated that 75 – 90% of all visits to primary care physicians are for stress related problems (http://www.stress.org/americas.htm). Some of the latest stress statistics causing illness as a result of toxic thinking can be found at: http://www.naturalwellnesscare.com/stress-statistics.html”  These websites not peer-reviewed, and both suffer from a blatant pro-stress bias.

You’ll also have to forgive my confusion, but Dr Leaf also wrote, “Dr H.F. Nijhout (Metaphors and the Role of Genes and Development, 1990) genes control biology and not the other way around.”  So is she saying that genes DO control development?

EVIDENCE CONTRADICTING DR LEAF

Influence Of Thought On Health

Dr Leaf has categorically stated that “75 to 98% of all illnesses are the result of our thought life” on a number of occasions.  She repeated the same statement in her most recent book so it is something she is confident in.  However, in order to be true, this fact must be consistent across the whole of humanity.

And yet, in a recent peer-reviewed publication, Mara et al state, “At any given time close to half of the urban populations of Africa, Asia, and Latin America have a disease associated with poor sanitation, hygiene, and water.” [2]  Bartram and Cairncross write that “While rarely discussed alongside the ‘big three’ attention-seekers of the international public health community—HIV/AIDS, tuberculosis, and malaria—one disease alone kills more young children each year than all three combined. It is diarrhoea, and the key to its control is hygiene, sanitation, and water.” [3]  Hunter et al state that, “diarrhoeal disease is the second most common contributor to the disease burden in developing countries (as measured by disability-adjusted life years [DALYs]), and poor-quality drinking water is an important risk factor for diarrhoea.” [4]

Toilets and clean running water have nothing to do with stress or thought.  We live in a society that essentially prevents more than half of our illnesses because of internal plumbing, with additional benefits from vaccination and population screening.  If thoughts have any effect on our health, they are artificially magnified by our clean water and sewerage systems.  Remove those factors and any effects of thought on our health disappear from significance.  Dr Leaf’s assertion that 75 to 98% of human illness is thought-related is a clear exaggeration.

Let me be clear – I understand the significance of stress on health and the economy, but it is not the cause of 75-98% of all illnesses.  I’m not sure if there is a similar study in the US, but the latest Australian data suggests that all psychological illness only counts for 8% of visits to Australian primary care physicians [5].

In terms of cancer, I don’t have time to exhaustively list every cancer but of the top four listed in the review “Cancer Statistics 2013” [6] , here are the articles that list the gene x environment interactions:

  1. PROSTATE – There are only two risk factors for prostate cancer, familial aggregation and ethnic origin. No dietary or environmental cause has yet been identified [7].  It is most likely caused by multiple genes at various loci [8].
  2. BREAST – Genes make up 25% of the risk factors for breast cancer, and significantly interacted with parity (number of children born) [9].
  3. LUNG/BRONCHUS – Lung cancer is almost exclusively linked to smoking, but nicotine addiction has a strong hereditary link (50-75% genetic susceptibility) [10].
  4. COLORECTUM – Approximately one third of colorectal cancer is genetically linked [11].

So the most common cancer is not linked to any environmental factors at all, and the others have genetic influences of 25% to more than 50%.  This is far from being 2% or 5% as Dr Leaf’s sources state.

Also in terms of heart disease, the INTERHEART trial [12] lists the following as significant risk factors, and I have listed the available gene x environment interaction studies that have been done on these too:

  1. HIGH CHOLESTEROL – Genetic susceptibility accounts for 40-60% of the risk for high cholesterol [13].
  2. DIABETES – Genetic factors account for 88% of the risk for type 1 diabetes [14].  There is a strong genetic component of the risk of type 2 diabetes with 62-70% being attributable to genetics [15, 16].
  3. SMOKING – nicotine addiction has a strong hereditary link (50-75% genetic susceptibility) [10].
  4. HYPERTENSION – While part of a much greater mix of variables, genetics are still thought to contribute between 30% and 50% to the risk of developing high blood pressure [17].

So again, while genes are a part of a complex system, it is clear from the most recent evidence that genetics account for about 50% of the risk for cardiovascular disease, which again is a marked difference between the figures that Dr Leaf is using to base her assertions on.

Atrial Natriuretic Peptide

I am aware of research that’s studied the anxiolytic properties of Atrial Natriuretic Peptide.  For example, Wiedemann et al [18] did a trial using ANP to truncate panic attacks.  However, these experiments were done on only nine subjects, and the panic attacks were induced by cholecystokinin.  As such, the numbers are too small to have any real meaning.  And the settling is completely artificial.  Just as CCK excretion does not cause us all to have panic attacks every time we eat, ANP does not provide anxiolysis in normal day to day situations.  Besides, if ANP were really effective at reducing anxiety, then why do people suffering from congestive cardiac failure, who have supraphysiological levels of circulating ANP [19] , also suffer from a higher rate of anxiety and panic disorders than the general population? [20]

The Heart As A Mini-Brain

As for Heartmath, they advance the notion of the heart being a mini-brain to give themselves credibility.  It’s really no different to an article that I read the other day from a group of gut researchers [21] – “‘The gut is really your second brain,’ Greenblatt said. ‘There are more neurons in the GI tract than anywhere else except the brain.’”  The heart as a mini-brain and the gut as a mini-brain are both figurative expressions.  Neither are meant to be taken literally.  I welcome Dr Leaf to tender any further evidence in support of her claim.

Hard-Wired For Optimism

As for being wired for optimism, the brain is likely pre-wired with a template for all actions and emotions, which is the theory of protoconsciousness [22].  Indeed, neonatal reflexes often reflect common motor patterns.  If this is true, then the brain is pre-wired for both optimism and love, but also fear.  This explains the broad role of the amygdala in emotional learning [23] including fear learning.  It also means that a neonate needs to develop both love and fear.

A recent paper showed that the corticosterone response required to learn fear is suppressed in the neonate to facilitate attachment, but with enough stress, the corticosterone levels build to the point where amygdala fear learning can commence [24].  The fear circuits are already present, only their development is suppressed.  Analysis of the cohort of children in the Bucharest Early Intervention Project showed that negative affect was the same for both groups.  However positive affect and emotional reactivity was significantly reduced in the institutionalised children [25].  If the brain is truly wired for optimism and only fear is learned, then positive emotional reactivity should be the same in both groups and the negative affect should be enhanced in the institutionalised cohort.  That the result is reversed confirms that neonates and infants require adequate stimulation of both fear and love pathways to grow into an emotionally robust child, because the brain is pre-wired for both but requires further stimulation for adequate development.

The Mind-Brain Link

If the mind controls the brain and not the other way around as Dr Leaf suggests, why do anti-depressant medications correct depression or anxiety disorders?  There is high-level evidence to show this to be true [26-28].  The same can be said for recent research to show that medications which enhance NDMA receptors have been shown to improve the extinction of fear in anxiety disorders such as panic disorder, OCD, Social Anxiety Disorder, and PTSD [29].

If the mind controls the brain and not the other way around as Dr Leaf suggests, why do some people with acquired brain injuries or brain tumours develop acute personality changes or thought disorders?  Dr Leaf has done PhD research on patients with closed head injuries and treated them in clinical settings according to her CV.  She must be familiar with this effect.

One can only conclude that there is a bi-directional effect between the brain and the stream of thought, which is at odds with Dr Leaf’s statement that the mind controls the brain and not the other way around.

FURTHER CLARIFICATION

One further thing.  Can you clarify which of Dr Leaf’s peer-reviewed articles have definitively shown the academic improvement in the cohort of 100,000 students, as you and your referee have stated?  And can you provide a list of articles which have cited Dr Leaf’s Geodesic Information Processing Model?  Google Scholar did not display any articles that had cited it, which must be an error on Google’s part.  If her theory is widely used as you say, it must have been extensively cited.

I understand that you are both busy, but I believe that I have documented a number of observations, backed by recent peer-reviewed scientific literature, which directly contradict Dr Leaf’s teaching.  I have not had a chance to touch on many, many other points of disagreement.

For the benefit of Dr Leaf’s followers, and for the scientific and Christian community at large, I would appreciate your response.

I would be grateful if you could respond to the points raised and the literature which supports it, rather than an Ad Hominem dismissal or further defense by association.

Dr C. Edward Pitt

REFERENCES

1. Fowler, G., Evidence-based practice: Tools and techniques. Systems, settings, people: Workforce development challenges for the alcohol and other drugs field, 2001: 93-107.

2. Mara, D., et al., Sanitation and health. PLoS Med, 2010. 7(11): e1000363.

3. Bartram, J. and Cairncross, S., Hygiene, sanitation, and water: forgotten foundations of health. PLoS Med, 2010. 7(11): e1000367.

4. Hunter, P.R., et al., Water supply and health. PLoS Med, 2010. 7(11): e1000361.

5. FMRC. Public BEACH data. 2010  16JUL13]; Available from: <http://sydney.edu.au/medicine/fmrc/beach/data-reports/public&gt;.

6. Siegel, R., et al., Cancer statistics, 2013. CA Cancer J Clin, 2013. 63(1): 11-30.

7. Cussenot, O. and Valeri, A., Heterogeneity in genetic susceptibility to prostate cancer. Eur J Intern Med, 2001. 12(1): 11-6.

8. Alberti, C., Hereditary/familial versus sporadic prostate cancer: few indisputable genetic differences and many similar clinicopathological features. Eur Rev Med Pharmacol Sci, 2010. 14(1): 31-41.

9. Nickels, S., et al., Evidence of gene-environment interactions between common breast cancer susceptibility loci and established environmental risk factors. PLoS Genet, 2013. 9(3): e1003284.

10. Berrettini, W.H. and Doyle, G.A., The CHRNA5-A3-B4 gene cluster in nicotine addiction. Mol Psychiatry, 2012. 17(9): 856-66.

11. Hutter, C.M., et al., Characterization of gene-environment interactions for colorectal cancer susceptibility loci. Cancer Res, 2012. 72(8): 2036-44.

12. Yusuf, S., et al., Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet, 2004. 364(9438): 937-52.

13. Asselbergs, F.W., et al., Large-scale gene-centric meta-analysis across 32 studies identifies multiple lipid loci. Am J Hum Genet, 2012. 91(5): 823-38.

14. Wu, Y.L., et al., Risk factors and primary prevention trials for type 1 diabetes. Int J Biol Sci, 2013. 9(7): 666-79.

15. Ali, O., Genetics of type 2 diabetes. World J Diabetes, 2013. 4(4): 114-23.

16. Murea, M., et al., Genetic and environmental factors associated with type 2 diabetes and diabetic vascular complications. Rev Diabet Stud, 2012. 9(1): 6-22.

17. Kunes, J. and Zicha, J., The interaction of genetic and environmental factors in the etiology of hypertension. Physiol Res, 2009. 58 Suppl 2: S33-41.

18. Wiedemann, K., et al., Anxiolyticlike effects of atrial natriuretic peptide on cholecystokinin tetrapeptide-induced panic attacks: preliminary findings. Arch Gen Psychiatry, 2001. 58(4): 371-7.

19. Ronco, C., Fluid overload : diagnosis and management. Contributions to nephrology,. 2010, Basel Switzerland ; New York: Karger. viii, 243 p.

20. Riegel, B., et al., State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association. Circulation, 2009. 120(12): 1141-63.

21. Arnold, C. Gut feelings: the future of psychiatry may be inside your stomach. 2013  [cited 2013 Aug 22]; Available from: http://www.theverge.com/2013/8/21/4595712/gut-feelings-the-future-of-psychiatry-may-be-inside-your-stomach.

22. Hobson, J.A., REM sleep and dreaming: towards a theory of protoconsciousness. Nat Rev Neurosci, 2009. 10(11): 803-13.

23. Dalgleish, T., The emotional brain. Nat Rev Neurosci, 2004. 5(7): 583-9.

24. Landers, M.S. and Sullivan, R.M., The development and neurobiology of infant attachment and fear. Dev Neurosci, 2012. 34(2-3): 101-14.

25. Bos, K., et al., Psychiatric outcomes in young children with a history of institutionalization. Harv Rev Psychiatry, 2011. 19(1): 15-24.

26. Arroll, B., et al., Antidepressants versus placebo for depression in primary care. Cochrane Database Syst Rev, 2009(3): CD007954.

27. Soomro, G.M., et al., Selective serotonin re-uptake inhibitors (SSRIs) versus placebo for obsessive compulsive disorder (OCD). Cochrane Database Syst Rev, 2008(1): CD001765.

28. Kapczinski, F., et al., Antidepressants for generalized anxiety disorder. Cochrane Database Syst Rev, 2003(2): CD003592.

29. Davis, M., NMDA receptors and fear extinction: implications for cognitive behavioral therapy. Dialogues Clin Neurosci, 2011. 13(4): 463-74.

Mac Leaf responds to “Dr Caroline Leaf – Serious Questions, Few Answers”

Mr Mac Leaf, the husband of Dr Caroline Leaf, kindly took the time to respond to my series of posts on the teachings of Dr Leaf at Kings Christian Centre, on the Gold Coast, Australia, earlier this month.  As I had intended, and as Mr Leaf requested, here is his reply, complete and unabridged.  My further response is posted here.

In the interests of healthy public debate, and encouraging people to make their own informed decisions on the teachings of Dr Leaf, any comments regarding the response of Mr Leaf or my reply are welcome provided they are constructive.

Hi Dr C. Pit,

It is a pity you did not seek to clarify the comments you have posted above with us before you posted them. We hope you allow our comments to be displayed so that your readers can make informed decisions and not to judge Dr Leaf as you have done without getting accurate information. By your comments it is obvious that you have not kept up to date with the latest Scientific research.

Dr Leaf can call herself a Cognitive Neuroscientist because of her field research (published in peer evaluated Journals) …see the Science articles in the media/downloads section at drleaf.com. If you require, we can also send letters from her peers in the field of Neuroscience

She also developed the Geodesic Information Processing model theory.

Yes she does read a lot as the field of Neuroscience is constantly evolving and one has to be as informed as possible.

Some research links re the correlation between illness and thought are presented in Dr Leaf’s November the 30th blog at drleaf.com…blog. There are many more statistic correlation research links.

Dr Leaf has listed references differently in the different books and has a full list of references in the ‘thought life’ section at drleaf.com. The references were listed simply in that book for the lay person. This is an accepted literary format for the lay person. Subsequent books have fuller references.

The mini brain in the heart research can be found at Heartmath.org

Heartmath and Dr Don Colbert both reference the effect of ANF

The wired for optimism bias research has been evidenced by various scientific researchers
For easy access to this research please see the Google links to TED talks and Time Magazine’s article.

Please send us your E-mail address so that we can send you further documentation.

BELOW IS A LETTER OF REFERENCE FROM A MEDICAL PROFESSIONAL ENDORSING DR CAROLINE LEAF
My name is Dr Peter Amua-Quarshie and I am presently a full-time Adjunct Professor (lecturer) at the University of Wisconsin-Stout in Menomonie, Wisconsin. I have a B.Sc (Hons) in Medical Sciences (specializing in Neuropathology) and a Masters of Public Health (MPH), both degrees from the University of Leeds (UK). Additionally I have a medical degree (MB ChB) from the University of Ghana Medical School, Accra, Ghana, and a Master’s of Science (MS) in Behavioral and Neural Sciences from Rutgers University, Newark, New Jersey. I started teaching anatomy in the University of Leeds Medical School in 1996. I have taught Neurochemistry to graduate students and Neuroscience to undergraduates at Delaware State University and the University of Wisconsin respectively. I have known Dr. Caroline Leaf since 2006 and have worked closely with her since 2008 on various projects in the field of cognitive neuroscience.
Caroline Leaf received her training in Communication Pathology (BSC Logopaedics) at the University of Cape Town, South Africa. The University of Cape Town has produced many outstanding graduates, including Max Theiler, a Nobel Prize laureate in Physiology or Medicine and Christaan Barnard, the first person to successfully transplant a human heart. Caroline Leaf was a contemporary to the eminent neuroscientist Henry Markram, director of the Blue Brain Project and the new one billion Euro European Union Flagship Project, the Human Brain Project. As well having to study the cognition, she had to endure the rigor of the first 2 years of the medical course, in which she had to study neuroanatomy and neurophysiology. Dr. Leaf also holds a Master’s degree and PhD in Communication Pathology from the University of Pretoria, South Africa. In her Master’s degree her dissertation concentrated on cognitive neuroscience of Traumatic Brain Injury (Closed Head Injury). In developing her groundbreaking Geodesic Learning™ Theory (brain-compatible learning) in her ground breaking PhD thesis, she examined cognition and neurobiology of thinking. The Geodesic Learning™ Theory has been implemented among approximately 100,000 students in South Africa with great success. I have personally helped implement her Geodesic Learning™ Theory in a School District in the USA and was able to demonstrate quantitative improvement in scholastics across the board among the students. She is widely published in journal, book, DVD, television and the internet in the field of cognitive neuroscience in South Africa, USA and other parts of the world.
I have discussed neuroscientific subjects with her for multiple hours many times and have been thoroughly impressed with her knowledge and insight in neurobiology. However what really thrills me is revelation God gives her about the brain. She is an example to me of a neuroscientist who glorifies God in her pursuit of understanding the brain, and who is able to demonstrate that we are truly fearfully and wonderfully made (Psalm 139:14).

DR LEAF’s BIOGRAPHY

Since 1985, Dr Caroline Leaf, a Communication Pathologist and Audiologist, has worked in the area of Cognitive Neuroscience. She holds a Bsc Logopaedics with focus on in Neuroscience, Neuronanatomy and anatomy, Communication Pathology, Psychology, linguistics and audiology) , Masters in Communication Pathology She specialized in Traumatic Brain Injury and PhD in Communication Pathology (TBI) and Learning Disabilities focusing specifically on the Science and neuroscience of Thought as it pertains to thinking and learning. She developed a Cognitive Neuroscientific theory called the Geodesic Information Processing Theory for her PhD research and did some of the initial research back in the 1990’s showing how using non-traditional techniques, based on neuroscientific principles of neuroplasticity and neuropsychological principles, that the mind can change the brain and can effect behavioural change as seen academically, behaviorally and emotionally. A large part of her research in recent years has been to link scientific principles with scripture showing how science is catching up with the bible.

She applied the findings of her statistically proven research in clinical practice for nearly 20 years and now lectures and preaches around the world on these topics. She is a prolific author of many books, articles and scientific articles. She has been a featured guest of Enjoying Everyday Life with Joyce Meyer, and LIFE TODAY with James and Betty Robison, Marilyn Hickey, Sid Roth and TBN Doctor to Doctor, amongst many others. She has her own show on TBN called Switch on Your Brain.

Her passion is to help people see the link between science and scripture as a tangible way of controlling their thoughts and emotions, learning how to think and learn and finding their sense of purpose in life.

Caroline and her husband, Mac, live in Dallas, Texas with their four children.

Dr Leaf’s Qualifications

Web page: http://www.drleaf.com has my full qualifications and links to the Universities where I studied

Dr Leaf’s Reference list

1. Leaf, C.M. 1985. “Mind Mapping as a Therapeutic Intervention Technique”. Unpublished workshop manual.

2. Leaf, C.M. 1989. “Mind Mapping as a Therapeutic Technique” in Communiphon, South African Speech-Language-Hearing Association, 296, pp. 11-15.

3. Leaf, C.M. 1990. “Teaching Children to Make the Most of Their Minds: Mind Mapping” in Journal for Technical and Vocational Education in South Africa, 121, pp. 11-13.

4. Leaf, C.M. 1990. “Mind Mapping: A Therapeutic Technique for Closed Head Injury”. Masters Dissertation, University of Pretoria.

5. Leaf, C.M. 1992. “Evaluation and Remediation of High School Children’s Problems Using the Mind Mapping Therapeutic Approach” in Remedial Teaching, Unisa, 7/8, September 1992.

6. Leaf, C.M., Uys, I.C. and Louw, B. 1992. “The Mind Mapping Approach(MMA): A Culture and Language-Free Technique” in The South African Journal of Communication Disorders, Vol. 40, pp. 35-43.

7. Leaf, C.M. 1993. “The Mind Mapping Approach (MMA): Open the Door to Your Brain Power; Learn How to Learn” in Transvaal Association of Educators Journal (TAT).

8. Leaf, C.M. 1997. “The Mind Mapping Approach: A Model and Framework for Geodesic Learning”. Unpublished D.Phil Dissertation, University of Pretoria.

9. Leaf, C.M. 1997. “The Development of a Model for Geodesic Learning: The Geodesic Information Processing Model” in The South African Journal of Communication Disorders, Vol. 44, pp. 53-70.

10. Leaf, C.M. 1997. “The Move from Institution Based Rehabilitation (IBR) to Community Based Rehabilitation (CBR): A Paradigm Shift” in Therapy Africa, 1 (1) August 1997, p. 4.

11. Leaf, C.M. 1997. ‘”An Altered Perception of Learning: Geodesic Learning” in Therapy Africa, 1 (2), October 1997, p. 7.

12. Leaf, C.M., Uys, I. and Louw. B., 1997. “The Development of a Model for Geodesic Learning: the Geodesic Information Processing Model” in The South African Journal For Communication Disorders, 44.

13. Leaf, C.M. 1998. “An Altered Perception of Learning: Geodesic Learning: Part 2” in Therapy Africa, 2 (1), January/February 1998, p. 4.

14. Leaf, C.M., Uys, I.C. and Louw, B. 1998. “An Alternative Non-Traditional Approach to Learning: The Metacognitive-Mapping Approach” in The South African Journal of Communication Disorders, 45, pp. 87-102.

15. Leaf. C.M. 2002. Switch on Your Brain with the Metacognitive-Mapping Approach. Truth Publishing.

16. Leaf, C.M. 2005. Switch on Your Brain. Understand Your Unique Intelligence Profile and Maximize Your Potential. Tafelberg, Cape Town, SA

17. Leaf, C.M. 2008. Switch on Your Brain 5 Step Learning Process. Switch on Your Brain USA, Dallas.

18. Leaf, C.M. 2007. Who Switched Off My Brain? Controlling Toxic Thoughts and Emotions. Switch on Your Brain USA, Dallas.

19. Leaf, C.M. 2007. “Who Switched Off My Brain? Controlling Toxic Thoughts and Emotions”. DVD series. Switch on Your Brain, Johannesburg, SA.

20. Leaf, C.M., Copeland M. & Maccaro, J. 2007. “Your Body His temple. God’s Plan for Achieving Emotional Wholeness”. DVD series. Life Outreach International, Dallas.

Dr Caroline Leaf – Serious questions, few answers (Part 3) – “Flirting with heresy”

Following on from the last 2 posts discussing the various teaching points of Dr Caroline Leaf at Kings Christian Church, here is my final post on the points that she raised.  Tonight, I conclude by proposing that in equating ‘toxic’ thoughts with sin, she seriously weakens her own argument, or she flirts with heresy.

TOXIC THOUGHTS ARE SIN

Probably the most disturbing of all she discussed was her point blank statement that, “Toxic thoughts are sin.”

This is an astounding claim, and it was said in such an off-handed manner. It was like she threw a grenade and calmly moved on. Her claim not only has psychological ramifications, but deep theological connotations.

Her statement has the effect of ADDING to the stress response of her audience. Indeed, it sets up a feedback loop of self-perpetualising existential distress – the spiritual struggle switch. Crum et al (2013) showed that negatively framing the concept of stress leads to an increase in the subjects stress response. What could be more stressing that telling a christian that they have sinned every time that have had a persistent stress?  More stress is then equated with more ‘sin’ which then gives rise to even more stress. And so the cycle continues.

She then attempted to redeem her statement by declaring that we can transcend the guilt from the sin of stress, because her 21-day brain detox program would fix it. But on the surface, it seems an arbitrary premise. Inducing guilt to then offer to fix it is like a supermarket marking up a price so they can claim to offer a discount when they reduce it again.

More importantly though, in making the link between stress and sin, she brings herself undone. She either unravels her entire argument, or she flirts with heresy. Because if a thought process which results in prolonged or severe fear/stress is a sin, then Jesus himself sinned.

In the Garden of Gethsemane, the gospels record that Jesus, the spotless lamb of God, about to be crucified for the sins of all mankind, was “overwhelmed with sorrow to the point of death” (Mark 14:34, Matthew 26:38), and became so distressed by the ordeal he was about to endure that he literally sweat drops of blood (Luke 22:44).

Where do you think Jesus was on the stress spectrum according to those accounts? I’d wager that it wasn’t “healthy stress”.Rev Bob Deffinbaugh wrote that,

“Jesus spent what appears to be at least three agonizing hours in prayer.” He also noted that, “Never before have we seen Jesus so emotionally distraught. He has faced a raging storm on the Sea of Galilee, totally composed and unruffled. He has faced demonic opposition, satanic temptation, and the grilling of Jerusalem’s religious leaders, with total composure. But here in the Garden, the disciples must have been greatly distressed by what (little) they saw. Here, Jesus cast Himself to the ground, agonizing in prayer.” (https://bible.org/seriespage/garden-gethsemane-luke-2239-46)

There is no other way to explain it – Jesus suffered severe and prolonged mental anguish to the point that it had physical effects. By Dr Leaf’s definition (Leaf 2009, p19), Jesus had “toxic” thoughts. So the crux is: either toxic thoughts and emotions are sinful, in which case Jesus was a sinner and our salvation is invalid, or toxic thoughts and emotions are not sinful, which directly contradicts her teaching.

There is at least one further example from the life of Jesus that significantly weakens Dr Leafs definition of ‘toxic’ thoughts. In her book, Dr Leaf states, “hostility and rage are at the top of the list of toxic emotions”, and that “Stress is the direct result of toxic thinking.” (Leaf 2009, p29-30)

In John 2:13-17, it says, “When it was almost time for the Jewish Passover, Jesus went up to Jerusalem. In the temple courts he found people selling cattle, sheep and doves, and others sitting at tables exchanging money. So he made a whip out of cords, and drove all from the temple courts, both sheep and cattle; he scattered the coins of the money changers and overturned their tables. To those who sold doves he said, “Get these out of here! Stop turning my Father’s house into a market!” His disciples remembered that it is written: “Zeal for your house will consume me.”

So Jesus saw the sellers and the money exchangers, then in a pre-meditated way, took small cords and fashioned a whip out of them, then proceeded to use that whip to violently and aggressively overturn the tables of the merchants and spill the money of the money changers. John adds a post-script – “Zeal for your house will consume me.”  So Jesus wasn’t mincing words. He drove them out of the temple in a rage.

Again, was Jesus acting in sin?  Of course not.  Instead, perhaps God has designed normal human beings to experience rage, anger and stress – emotions that are not curses passed down in genetic material and are not learned behaviours as a result of our sin nature.

Further, God himself displayed anger.  God also made us in his image, and in his likeness. Dr Leaf stated that we were designed to function in optimism and love, and again, negative emotions like anger and fear are learnt from living in sin. Yet it is interesting that God the Father regularly kindled his wrath, and smote Israelites or their enemies (Numbers 11:33, Deuteronomy 11:16-17, and in 2 Kings 23:25-27, “Notwithstanding the Lord turned not from the fierceness of his great wrath, wherewith his anger was kindled against Judah, because of all the provocations that Manasseh had provoked him withal.”)

If God regularly displayed anger throughout the Old Testament, and Jesus displayed it in the New Testament, then anger and rage can not be the perversion of God’s ultimate design as Dr Leaf proposes.

Therefore, ‘toxic’ thought is NOT sin, because Jesus suffered prolonged mental stress and anguish and he did not sin.  Emotions that are deemed to be toxic by Dr Leaf and her definition are not toxic, since both God and Jesus displayed them and they did not and do not sin. Such a suggestion is incongruent with the Christian faith.

We were made in the image of God, so therefore we mirror all the emotions of God, which includes anger.  This shows that Dr Leaf’s proposals and the assumptions on which they are based, are incongruent with a logical interpretation of scripture.

In conclusion, Dr Leaf has been gathering quite a following.  From the pulpit at least, her claims of evidence of studies from peer-reviewed sources have been lacking. From what I saw on Sunday last, her reputation is excessive, her arguments unsupported and her theology is questionable at best, dangerous at worst.

Personally, I would welcome Dr Leaf’s response to these posts.  I have written these posts over a few days from her teaching at one church, so perhaps I have misunderstood her.  I have not been able to go through all of her books in such a short time, so she may have references to her teaching.  But she needs to clarify each question that I’ve raised and respond with current peer-reviewed science and sound theological resources.

References

Crum, A. J., P. Salovey and S. Achor (2013). “Rethinking stress: the role of mindsets in determining the stress response.” J Pers Soc Psychol 104(4): 716-733.

Karatsoreos, I. N. and B. S. McEwen (2011). “Psychobiological allostasis: resistance, resilience and vulnerability.” Trends Cogn Sci 15(12): 576-584.

Leaf, C. (2009). Who Switched Off My Brain? Controlling toxic thoughts and emotions. Southlake, TX, USA, Inprov, Ltd.

Dr Caroline Leaf – Serious questions, few answers (Part 2)

Yesterday I published the first part of an essay discussing the presentation of Dr Caroline Leaf, Audiologist, Communication Pathologist, and self-titled cognitive neuroscientist, at Kings Christian Church, Gold Coast.

Tonight I want to continue dissecting some of the more pertinent statements that she made, including her view of the mind-brain connection, a smattering of smaller issues, her over-reliance on case studies, and her opinion on the cause and treatment of ADHD.

Tomorrow I will publish the last, and most important part of my essay – That Dr Leaf believes that ‘toxic’ thoughts are sinful, and why this single statement unravels her most fundamental premise.

THE MIND IS IN CHARGE OF THE BRAIN

A large part of her sermon was based on her next premise, that the mind changes the brain, and not the other way around. That is half true. The mind influences the brain, and how we think will have effects on neural pathways within the brain. But for a cognitive neuroscientist to state that the brain does not influence the mind is somewhat concerning.

There are several reasons why her assertion is deeply flawed. For starters, where else does the mind or thought come from other than our neural networks? Thought is built on our neural connections. To say that the brain does not influence thought is like saying that the foundation of a building doesn’t influence the bricks.

There are clinical reasons as well. These come from a few areas – firstly the research that showed that newborn babies (who do not have thought like we have thoughts) are pre-wired for emotions which are refined as we learn. There is no time for neonates to have enough stimulation to form those emotions and reactions if it was from our mind.

Secondly, people with brain injuries or tumours can have personality or mood changes. The most famous was a man in the 1800’s called Phineas Gage, who on 13 September 1848 was packing explosives into rock with a tamping iron (a long, tapered, smooth crow-bar). History says that the explosives sent the tamping iron through his left face and skull, taking a fair chunk of his frontal lobe with it. Depending on who you believe, Gage’s personality changed after his physical recovery, reportedly from a moral, respectful man into a cursing, angry one (Kihlstrom 2010). Some reports of his story were that Gage made an almost full recovery, but assuming that some of the historical record is true, changes to his brain changed his mental function, ie: his thoughts.

Further, I have personally seen two patients with personality changes secondary to brain tumours. The first was a woman in her late 20’s who had six months of worsening anxiety, who did not seek help despite my referrals, until she had a seizure and the diagnosis was made. Then there was the sad case of a girl in her pre-teens who had only two weeks of rapidly escalating sullenness then aggression then violence. Her parents initially thought she was moody, and when they brought her into the Emergency Department they thought she was perhaps in the middle of a psychotic episode. It turned out that she had a very aggressive tumour near her frontal lobe.

It is clear from these cases, and from a basic understanding of the concept of thought, that changes to the brain result in changes to thoughts and the mind, and vice versa.

SOME MISCELLANEOUS ISSUES

If I had the time I would like to look at many others issues that she raised, but this isn’t a book. Suffice it to say that she claimed that stress prunes our “thought trees” although the evidence is only in animal models and only related to severe stress (Karatsoreos and McEwen 2011). She also stated that EVERY thought we EVER have is stored in ALL of our cells (so some random fibroblast in my big toe is somehow affected by my thought about tonights dinner), and that ALL our thoughts are stored in our gametes (our sperm and eggs) and are passed down to our 4th generation (but packed, like in a metaphysical zip-lock bag, and only opened if we choose to have the same thoughts.) And here I was thinking that nurture had something to do with learned behaviour.

ASD/ADHD – MORE OPINION THAN FACT?

She also claimed that 55-70% of ASD/ADHD cases are over-referred and the problem is in educational modeling. This one made me mad.

Not even professorial level researchers know exactly what’s going on in ASD/ADHD, so her statement is a brave one to make, especially without referencing her evidence.

She then espoused the party line of ADHD ignorance – that Ritalin is evil and all you need to do is stop their sugar intake and feed them organic foods and give them supplements. Ritalin isn’t perfect, to be sure, but it is the most effective treatment that’s currently available. If dietary measures and educational measures were effective, then ritalin wouldn’t be prescribed. I have never met a parent that has wanted their child on ritalin. Most of them have tried educational/psychological measures or dietary controls first. The reason why ritalin is prescribed is because dietary and psychological interventions on their own do not adequately control the symptoms, or fail altogether.

To confirm that I’m not just having a rant, there is published scientific literature to back me up. In their recently published meta-analysis, Nigg et al (2012) state, “An estimated 8% of children with ADHD may have symptoms related to synthetic food colors.” Eight percent. That’s all! That’s ninty-two percent of children with ADHD (real ADHD, not just rambunctious children with lots of energy) DID NOT have symptoms due to food colourings. Their conclusions: “A restriction diet benefits some children with ADHD. Effects of food colors were notable but susceptible to publication bias or were derived from small, nongeneralizable samples.” In terms of sugar, Kim and Chang (2011) note that, “children who consumed less sugar from fruit snacks or whose vitamin C intake was less than RI was at increased risks for ADHD (P < 0.05).” (emphasis added) The study was only of about 100 children, but the result was statistically significant. It wasn’t a chance effect.

The misinformation she stated as fact from the pulpit promotes scare-mongering and ignorance throughout the church, which has flow on effects. Church members with children with ADHD or ASD will avoid standard medical treatment on Dr Leaf’s advice. When her treatments fail in the majority of cases, those parents will either live with unnecessarily heightened stress because of their child’s poorly controlled condition, or the guilt of using ritalin, all the while believing that they are ruining their childs brain.

This also places the hosting church in a bind. Do they stand behind their guest speaker, or do they support the advice of the medical community? Is their duty of care to the reputation of the guest speaker or to the congregation under their protection? What would happen if Dr Leaf’s advice lead to the death or disability of a person in their congregation? Would they be libel?

CASE STUDIES – INSPIRATIONAL STORIES, BUT POOR SCIENTIFIC EVIDENCE

Dr Leaf also told a lot of stories of how everyone afflicted came to her and how she healed them all. If you took her at face value, she would have you believe that people with ASD, ADHD, anorexia, OCD, depression etc, just needed a glimpse of their self-worth and their inner gift and they would be cured. While her stories were inspirational, the world of scientific research demands more. If Dr Leaf’s insights are worth more than the hot air she produces when espousing them, then they should be put to the wider research community so they can pass through the fire of peer review. If peer review prove her insights to be valid, I would be happy to apply them and promote them.

Tomorrow, I will publish the last, and probably the most important part of my essay – that Dr Leaf believes that ‘toxic’ thoughts are sinful, and why this single statement unravels her most fundamental premise.

REFERENCES

Crum, A. J., P. Salovey and S. Achor (2013). “Rethinking stress: the role of mindsets in determining the stress response.” J Pers Soc Psychol 104(4): 716-733.

Karatsoreos, I. N. and B. S. McEwen (2011). “Psychobiological allostasis: resistance, resilience and vulnerability.” Trends Cogn Sci 15(12): 576-584.

Kihlstrom, J. F. (2010). “Social neuroscience: The footprints of Phineas Gage.” Social Cognition 28: 757-782.

Kim, Y. and H. Chang (2011). “Correlation between attention deficit hyperactivity disorder and sugar consumption, quality of diet, and dietary behavior in school children.” Nutr Res Pract 5(3): 236-245.

Leaf, C. (2009). Who Switched Off My Brain? Controlling toxic thoughts and emotions. Southlake, TX, USA, Inprov, Ltd.

Nigg, J. T., K. Lewis, T. Edinger and M. Falk (2012). “Meta-analysis of attention-deficit/hyperactivity disorder or attention-deficit/hyperactivity disorder symptoms, restriction diet, and synthetic food color additives.” J Am Acad Child Adolesc Psychiatry 51(1): 86-97 e88.

Dr Caroline Leaf – Serious questions, few answers (Part 1)

Caroline Leaf. The name is popping up more and more around Christian circles. I was curious to hear her speak, since as a Christian and a (family) physician, I like to know how people integrate science and spirituality. So I took the opportunity to drive down to Kings Christian Church on the Gold Coast to hear what she had to say.

I left with more questions than answers.  And some serious concerns.

The following blog posts are a discussion on some of the points that she raised. I simply don’t have the time to go through all of them, although I’m seriously considering whether to do a formal review and response to her teaching.

I had to divide up the original post into three parts to make it more manageable. Here’s part 1, in which I review her academic qualifications, her link of thoughts and illness, our innate wiring, and the myth of the mini-brain.

Part 2 of this post will look further at the pecking order of the mind and brain, some miscellaneous issues, and her ‘professional’ opinion on ADHD.

Part 3 will examine her claim that “Toxic thoughts are sin” and why such a statement is incongruent with the Christian faith.

IS SHE A COGNITIVE NEUROSCIENTIST?

For a start, she was introduced as a cognitive neuroscientist. Her CV lists her degrees as a Bachelor of Science, Masters in Speech Therapy and Audiology, and a PhD in Communication Pathology. She did not advise where she has tenure or does her research. Her CV lists guest lectures at a few Universities (Wits, University of Pretoria, University of Cape Town, University of Western Cape Annual Education Conference, SASHLA, Rotary Foundation), but no tenure.

Admittedly, the definition of a cognitive neuroscientist is somewhat vague (http://careersinpsychology.org/becoming-a-cognitive-neuroscientist/) but the term ‘cognitive neuroscientist’ confers the idea that one is actively involved in cognitive neuroscientific research, or at least in the recent past.

So the question remains: is she really a cognitive neuroscientist, or is she just a woman with a PhD that reads a lot?

THE CORRELATION OF ILLNESS AND THOUGHT

The next thing to grab my attention was her statement: “75 to 98% of ALL illness is related to our thought life.” Somehow I doubt that. The influence of stress is high.  But I am a GP – I see sick people everyday, on the coal face, before they are collected in subspecialist clinics, or improve spontaneously. It’s a real stretch to ascribe stress to more than 30%. Looking at her book ‘Who Switched Off My Brain’ (Leaf 2009, p15), she says that 80% of all diseases are the result of our thought lives. So her own figures are conflicting. (The other thing is that, for a PhD recipient, she has poorly referenced her book!)

Besides, stress causes illness, but I’m not yet satisfied she’s proven that ‘negative’ thought and stress are the same thing.

THE MINI-BRAIN

She also claimed that the brain and the heart connect to every cell in your body. Again, it’s a bit of a stretch. Every cell needs to be bathed in nutrients from the blood which in turn is connected to the heart, and nerves are every where.  But there are many cells that are not innervated directly.

The only way that the brain or the heart are connected to every cell is simply because, technically, every cell is connected to every other cell. Like if everyone in a church stood up and held hands, the man in the front row would be “connected” to the woman in the back.

But she went further on her theory, by claiming that the heart has a mini-brain that directly influences the real brain – by making moral decisions on its own, and that it is part of our conscience. She justified her statement by saying that the heart has 40,000 interconnected nerve cells, and the heart is directly connected to the brain. But on that same logic, my rectum could be a mini-brain and be part of my conscience.

She alluded to the effect of ANF, atrial natriuretic factor. There are actually three natriuretic peptides. ANF, produced by the top two chambers of the heart, actually regulates blood pressure (http://www.cvphysiology.com/Blood%20Pressure/BP017.htm). If it has an effect on thought, it is secondary, not primary.

WIRED FOR OPTIMISM?

She also states that we are wired for optimism, and that emotions like fear are learned. That doesn’t make sense since I have seen research that shows a newborn baby is wired for pleasure and emotions like disgust. These pathways are developed and refined during childhood, but we are born with built-in templates for basic emotion.

I will have more in the next 24 hours, including her statement on the pecking order of the mind and brain, some miscellaneous issues, and her ‘professional’ opinion on ADHD.

REFERENCES

Leaf, C. (2009). Who Switched Off My Brain? Controlling toxic thoughts and emotions. Southlake, TX, USA, Inprov, Ltd.