1 00:00:03,429 --> 00:00:02,470 not exist it really precludes doing any 2 00:00:05,590 --> 00:00:03,439 kind of 3 00:00:08,230 --> 00:00:05,600 ambitious or reasonable work looking at 4 00:00:10,790 --> 00:00:08,240 mechanisms and the data's not clear does 5 00:00:12,790 --> 00:00:10,800 intercessory prayer actually influence 6 00:00:14,390 --> 00:00:12,800 positive health health outcomes we're 7 00:00:16,390 --> 00:00:14,400 just not certain 8 00:00:18,790 --> 00:00:16,400 let's assume that it does influence 9 00:00:21,510 --> 00:00:18,800 positive health outcomes there is still 10 00:00:23,990 --> 00:00:21,520 no accepted biomedical explanation for 11 00:00:26,550 --> 00:00:24,000 ip's alleged healing effects 12 00:00:28,230 --> 00:00:26,560 there's very little data for example in 13 00:00:30,390 --> 00:00:28,240 say the bird study or the harris study 14 00:00:32,389 --> 00:00:30,400 where there were positive findings we 15 00:00:34,150 --> 00:00:32,399 have the outcomes but we don't have any 16 00:00:36,150 --> 00:00:34,160 of the pathways we don't have any of the 17 00:00:37,590 --> 00:00:36,160 physiological data that may indicate 18 00:00:38,470 --> 00:00:37,600 that there are shifts within these 19 00:00:40,709 --> 00:00:38,480 people 20 00:00:42,310 --> 00:00:40,719 that would help justify why in fact they 21 00:00:43,990 --> 00:00:42,320 had a better course so we're lacking 22 00:00:46,150 --> 00:00:44,000 data 23 00:00:48,310 --> 00:00:46,160 ip's healing effects if they do exist 24 00:00:51,350 --> 00:00:48,320 appear to be non-local 25 00:00:54,069 --> 00:00:51,360 so are the mechanisms naturalistic 26 00:00:56,150 --> 00:00:54,079 is there some latent force or energy 27 00:00:58,709 --> 00:00:56,160 that's actually being tapped through ip 28 00:01:00,630 --> 00:00:58,719 that influences healing and perhaps 29 00:01:02,310 --> 00:01:00,640 there is something that exists and 30 00:01:04,869 --> 00:01:02,320 science just simply isn't able to 31 00:01:07,350 --> 00:01:04,879 measure it yet or to verify verify it in 32 00:01:09,750 --> 00:01:07,360 a way that would satisfy mainstream 33 00:01:11,190 --> 00:01:09,760 science perhaps the mechanisms are 34 00:01:14,070 --> 00:01:11,200 supernatural 35 00:01:17,109 --> 00:01:14,080 perhaps it is god who underlies the 36 00:01:19,109 --> 00:01:17,119 benefits of prayer but god can god be 37 00:01:21,030 --> 00:01:19,119 tested 38 00:01:23,270 --> 00:01:21,040 we would also have to consider that if 39 00:01:26,230 --> 00:01:23,280 prayer can indeed 40 00:01:28,230 --> 00:01:26,240 provide positive effects then are there 41 00:01:29,749 --> 00:01:28,240 no sibo effects or are there negative 42 00:01:31,990 --> 00:01:29,759 effects that could come from prayer 43 00:01:33,670 --> 00:01:32,000 there's data that indicates uh 44 00:01:35,590 --> 00:01:33,680 approximately five percent of people at 45 00:01:38,230 --> 00:01:35,600 least admit that they pray for harm for 46 00:01:40,950 --> 00:01:38,240 someone else that something befalls some 47 00:01:42,950 --> 00:01:40,960 negative consequence before someone else 48 00:01:45,510 --> 00:01:42,960 so if there's a positive and potentially 49 00:01:47,429 --> 00:01:45,520 negative consequence to prayer 50 00:01:50,069 --> 00:01:47,439 what does that mean in terms of our own 51 00:01:53,030 --> 00:01:50,079 ethics about subjecting patients to an 52 00:01:55,030 --> 00:01:53,040 intervention that may actually harm them 53 00:01:57,670 --> 00:01:55,040 there is a range of methodological 54 00:02:00,230 --> 00:01:57,680 criticism directed at trials um the 55 00:02:02,069 --> 00:02:00,240 standards of which uh seem to be at 56 00:02:03,990 --> 00:02:02,079 times somewhat higher 57 00:02:05,510 --> 00:02:04,000 than the criticism that's levied towards 58 00:02:07,670 --> 00:02:05,520 more traditional kinds of medical 59 00:02:09,830 --> 00:02:07,680 research but it's out there 60 00:02:11,510 --> 00:02:09,840 that studies essentially lack scientific 61 00:02:13,750 --> 00:02:11,520 rigor with a number of problems 62 00:02:16,150 --> 00:02:13,760 depending on what the study may be 63 00:02:18,790 --> 00:02:16,160 uh there's also an argument that we 64 00:02:21,030 --> 00:02:18,800 cannot have true uh controls in these 65 00:02:23,830 --> 00:02:21,040 studies because there's no way to 66 00:02:26,309 --> 00:02:23,840 control for off protocol prayer 67 00:02:28,710 --> 00:02:26,319 humans are likely to be prayed for by 68 00:02:30,790 --> 00:02:28,720 family or friends as well as receiving 69 00:02:32,949 --> 00:02:30,800 the intercessory prayer 70 00:02:36,630 --> 00:02:32,959 we certainly can't ask people to not be 71 00:02:38,630 --> 00:02:36,640 prayed for so can we really actually 72 00:02:41,350 --> 00:02:38,640 capture the effects of in 73 00:02:43,670 --> 00:02:41,360 additional intercessory prayer 74 00:02:46,309 --> 00:02:43,680 and there's also a range of criticism 75 00:02:48,710 --> 00:02:46,319 relative to potential confounds to the 76 00:02:50,869 --> 00:02:48,720 ip effects that have to do with the 77 00:02:53,270 --> 00:02:50,879 human subjects themselves 78 00:02:55,430 --> 00:02:53,280 saying that any effects of ip actually 79 00:02:59,030 --> 00:02:55,440 have to do with psychologic factors or 80 00:03:02,630 --> 00:02:59,040 social factors inherent in being human 81 00:03:06,229 --> 00:03:02,640 or potentially placebo effects 82 00:03:09,509 --> 00:03:06,239 so i decided to do my study uh 83 00:03:15,350 --> 00:03:12,229 one being is one way to begin to counter 84 00:03:17,270 --> 00:03:15,360 some of those criticisms 85 00:03:18,710 --> 00:03:17,280 and as i was reflecting on this whole 86 00:03:19,910 --> 00:03:18,720 issue 87 00:03:24,309 --> 00:03:19,920 i 88 00:03:26,070 --> 00:03:24,319 would be to control for for example 89 00:03:29,030 --> 00:03:26,080 human confounds 90 00:03:30,550 --> 00:03:29,040 to help control for off protocol prayer 91 00:03:33,270 --> 00:03:30,560 even though there are some individuals 92 00:03:35,430 --> 00:03:33,280 who pray for healing and well-being of 93 00:03:37,750 --> 00:03:35,440 all life on the planet those people are 94 00:03:41,110 --> 00:03:37,760 fewer than the individuals who would be 95 00:03:43,430 --> 00:03:41,120 praying for humans only 96 00:03:45,750 --> 00:03:43,440 and so a non-human primate model in 97 00:03:47,589 --> 00:03:45,760 particular provides an interesting 98 00:03:49,830 --> 00:03:47,599 parallel for us to take a look at the 99 00:03:51,910 --> 00:03:49,840 effects of ip but again offering for a 100 00:03:54,229 --> 00:03:51,920 variety of controls 101 00:03:56,550 --> 00:03:54,239 also controlled access to data 102 00:03:59,190 --> 00:03:56,560 animals always show up for their 103 00:04:01,270 --> 00:03:59,200 lab appointments 104 00:04:03,350 --> 00:04:01,280 it can be challenging though to find a 105 00:04:04,470 --> 00:04:03,360 comparable disorder one we find in 106 00:04:07,350 --> 00:04:04,480 animals 107 00:04:09,589 --> 00:04:07,360 that we can compare to humans 108 00:04:10,869 --> 00:04:09,599 self-injurious behavior is one of those 109 00:04:13,830 --> 00:04:10,879 disorders 110 00:04:16,469 --> 00:04:13,840 self-injurious behavior refers to 111 00:04:19,349 --> 00:04:16,479 potential a potentially severe form of 112 00:04:22,950 --> 00:04:19,359 behavioral pathology it's often found in 113 00:04:25,749 --> 00:04:22,960 subgroups of primates captive primates 114 00:04:28,629 --> 00:04:25,759 it can consist of a variety of behaviors 115 00:04:30,790 --> 00:04:28,639 like hair plucking for example over 116 00:04:33,270 --> 00:04:30,800 grooming to the point of creating new 117 00:04:36,070 --> 00:04:33,280 wounds or perhaps aggravating existing 118 00:04:38,629 --> 00:04:36,080 wounds there seems to be a psychologic 119 00:04:41,270 --> 00:04:38,639 component so the etiology of this of 120 00:04:43,189 --> 00:04:41,280 this disorder appears to be found in 121 00:04:46,070 --> 00:04:43,199 primates who have been subjected to 122 00:04:47,990 --> 00:04:46,080 particularly adverse early experiences 123 00:04:50,950 --> 00:04:48,000 and have a variety of stressful 124 00:04:53,430 --> 00:04:50,960 experiences across their life 125 00:04:55,990 --> 00:04:53,440 and there are similarities between sib 126 00:04:58,390 --> 00:04:56,000 in primates and obsessive compulsive 127 00:05:01,030 --> 00:04:58,400 disorder in humans we can see people who 128 00:05:03,590 --> 00:05:01,040 perhaps engage in aggressive repetitive 129 00:05:07,670 --> 00:05:03,600 hand washing and they can actually end 130 00:05:10,150 --> 00:05:07,680 up creating wounds on their hands 131 00:05:12,150 --> 00:05:10,160 sib is believed related to serotonergic 132 00:05:14,469 --> 00:05:12,160 system dysregulation it's thought that 133 00:05:16,150 --> 00:05:14,479 there is too little serotonin centrally 134 00:05:18,629 --> 00:05:16,160 we see that an obsessive-compulsive 135 00:05:20,950 --> 00:05:18,639 disorder in people as well there's also 136 00:05:23,110 --> 00:05:20,960 data that suggests that there's hpa axis 137 00:05:25,390 --> 00:05:23,120 dysregulation that's occurring too some 138 00:05:27,510 --> 00:05:25,400 data suggesting too high levels of 139 00:05:30,950 --> 00:05:27,520 glucocorticoids particularly cortisol 140 00:05:33,189 --> 00:05:30,960 other data suggesting that it may be 141 00:05:34,950 --> 00:05:33,199 too little low levels 142 00:05:37,830 --> 00:05:34,960 what are the therapies for treating 143 00:05:40,629 --> 00:05:37,840 self-injurious behavior increasing the 144 00:05:41,990 --> 00:05:40,639 central levels of serotonin particularly 145 00:05:44,070 --> 00:05:42,000 through the administration of a 146 00:05:47,029 --> 00:05:44,080 particular class of antidepressants 147 00:05:49,590 --> 00:05:47,039 ssris or selective serotonin reuptake 148 00:05:51,830 --> 00:05:49,600 inhibitors you'd know it as paxil prozac 149 00:05:54,390 --> 00:05:51,840 that class of antidepressants 150 00:05:55,590 --> 00:05:54,400 it works in people it also works in 151 00:05:58,550 --> 00:05:55,600 primate 152 00:06:00,950 --> 00:05:58,560 however there are many animal labs 153 00:06:03,670 --> 00:06:00,960 primate labs who are too small and don't 154 00:06:06,790 --> 00:06:03,680 have the funding to be able to afford 155 00:06:08,870 --> 00:06:06,800 ssri therapy it's really quite expensive 156 00:06:10,870 --> 00:06:08,880 so an alternative that's been used is 157 00:06:13,350 --> 00:06:10,880 oral l-tryptophan 158 00:06:14,390 --> 00:06:13,360 it's a dietary component it's taken 159 00:06:16,390 --> 00:06:14,400 orally 160 00:06:19,670 --> 00:06:16,400 with the thought that let central levels 161 00:06:20,629 --> 00:06:19,680 of serotonin would increase and in turn 162 00:06:22,870 --> 00:06:20,639 change 163 00:06:26,550 --> 00:06:22,880 the consequent behavior or reduce the 164 00:06:31,189 --> 00:06:29,029 wound healing is a complex biological 165 00:06:34,070 --> 00:06:31,199 process it occurs across three 166 00:06:36,150 --> 00:06:34,080 non-linear phases the first phase is 167 00:06:39,189 --> 00:06:36,160 inflammation significant for blood 168 00:06:41,670 --> 00:06:39,199 clotting and migration of a variety of 169 00:06:43,990 --> 00:06:41,680 immune cells to the wound site the 170 00:06:46,230 --> 00:06:44,000 second is proliferation and granulation 171 00:06:48,469 --> 00:06:46,240 tissue formation there is new tissue 172 00:06:51,430 --> 00:06:48,479 that's formed it's temporary tissue it's 173 00:06:53,990 --> 00:06:51,440 viable but temporary to seal the wound 174 00:06:55,830 --> 00:06:54,000 creating a new epidermal surface and 175 00:06:57,510 --> 00:06:55,840 tissue remodeling with the goal of 176 00:06:59,830 --> 00:06:57,520 actually getting the tissue back to the 177 00:07:02,550 --> 00:06:59,840 original structure and function 178 00:07:06,070 --> 00:07:02,560 there are a number of factors that come 179 00:07:08,390 --> 00:07:06,080 into play across these three 180 00:07:09,990 --> 00:07:08,400 processes these three phases such as the 181 00:07:12,790 --> 00:07:10,000 immune system growth factors 182 00:07:13,749 --> 00:07:12,800 chemoattract and cytokines and oxygen is 183 00:07:17,110 --> 00:07:13,759 also 184 00:07:19,110 --> 00:07:17,120 very important not initially a hypo 185 00:07:21,189 --> 00:07:19,120 hypoxic environment helps promote 186 00:07:23,189 --> 00:07:21,199 healing but 187 00:07:24,309 --> 00:07:23,199 oxygen is needed needed later on in the 188 00:07:25,909 --> 00:07:24,319 process 189 00:07:28,550 --> 00:07:25,919 it's also important to consider 190 00:07:31,029 --> 00:07:28,560 psychological stress in large part 191 00:07:33,510 --> 00:07:31,039 because of the hpa axis and the hormonal 192 00:07:36,230 --> 00:07:33,520 cascade i made reference to earlier 193 00:07:38,870 --> 00:07:36,240 because that dysregulates many aspects 194 00:07:41,749 --> 00:07:38,880 of the body including the immune system 195 00:07:46,469 --> 00:07:41,759 and definitely influences negatively the 196 00:07:51,589 --> 00:07:49,270 so in addition to creating this study to 197 00:07:53,430 --> 00:07:51,599 address some of the criticisms that were 198 00:07:55,110 --> 00:07:53,440 levied there were three other purposes 199 00:07:58,309 --> 00:07:55,120 to this study one was to assess the 200 00:08:00,629 --> 00:07:58,319 effectiveness of of ip on wound healing 201 00:08:03,589 --> 00:08:00,639 the second to assess the effects of ip 202 00:08:05,189 --> 00:08:03,599 on self injurious behavior and the last 203 00:08:08,309 --> 00:08:05,199 was to monitor a variety of 204 00:08:10,790 --> 00:08:08,319 physiological data some blood data some 205 00:08:13,350 --> 00:08:10,800 data relative to the immune system and 206 00:08:16,070 --> 00:08:13,360 also levels of cortisol so we had a 207 00:08:17,830 --> 00:08:16,080 snapshot of the neuroendocrine system 208 00:08:19,990 --> 00:08:17,840 all of which relate to 209 00:08:22,070 --> 00:08:20,000 wound healing 210 00:08:24,390 --> 00:08:22,080 the animals were garnet bush babies 211 00:08:26,230 --> 00:08:24,400 they're prosimian primates they're small 212 00:08:27,830 --> 00:08:26,240 relatively easy to handle they're about 213 00:08:30,469 --> 00:08:27,840 two two and a half pounds depending on 214 00:08:33,190 --> 00:08:30,479 the sex they are nocturnal and provide 215 00:08:35,829 --> 00:08:33,200 the benefits of a true primate model 216 00:08:37,509 --> 00:08:35,839 22 animals were used they were resident 217 00:08:39,589 --> 00:08:37,519 of the jackson state university center 218 00:08:41,829 --> 00:08:39,599 for persimmon studies ranging in age 219 00:08:43,990 --> 00:08:41,839 from two to fifteen years they were 220 00:08:45,670 --> 00:08:44,000 allowed to free feed nothing changed in 221 00:08:48,310 --> 00:08:45,680 terms of their behavior throughout the 222 00:08:50,949 --> 00:08:48,320 study and they were maintained on a 12 223 00:08:53,350 --> 00:08:50,959 12 light dark cycle with dark onset at 8 224 00:08:57,110 --> 00:08:53,360 a.m so that they were active when we 225 00:08:58,389 --> 00:08:57,120 were active coming into the lab 226 00:09:01,269 --> 00:08:58,399 we measured 227 00:09:03,910 --> 00:09:01,279 wound area and severity 228 00:09:06,470 --> 00:09:03,920 some blood measures red blood cell data 229 00:09:08,630 --> 00:09:06,480 including the account of red blood cells 230 00:09:10,630 --> 00:09:08,640 we took a look at levels of hemoglobin 231 00:09:12,470 --> 00:09:10,640 which is the protein that 232 00:09:14,550 --> 00:09:12,480 assists in the transport of oxygen 233 00:09:16,070 --> 00:09:14,560 throughout the body hematocrit to take a 234 00:09:17,590 --> 00:09:16,080 look at the proportion of red blood 235 00:09:19,269 --> 00:09:17,600 cells and the volume of blood we were 236 00:09:21,430 --> 00:09:19,279 looking at 237 00:09:23,350 --> 00:09:21,440 mean corpuscular volume was there 238 00:09:24,310 --> 00:09:23,360 changes in the size of the red blood 239 00:09:25,670 --> 00:09:24,320 cell 240 00:09:27,670 --> 00:09:25,680 what happened to the amount of 241 00:09:29,030 --> 00:09:27,680 hemoglobin that the individual cells 242 00:09:31,350 --> 00:09:29,040 were carrying 243 00:09:33,910 --> 00:09:31,360 there were a variety of leukocyte levels 244 00:09:37,509 --> 00:09:33,920 white blood cells that were assessed and 245 00:09:39,990 --> 00:09:37,519 again plasma cortisol 246 00:09:41,590 --> 00:09:40,000 i was also interested in behavior i 247 00:09:44,310 --> 00:09:41,600 wanted to see what happened with these 248 00:09:47,910 --> 00:09:44,320 animals grooming so they were videotaped 249 00:09:50,070 --> 00:09:47,920 for 15 minute intervals both am and pm 250 00:09:51,509 --> 00:09:50,080 counterbalanced so that we were able to 251 00:09:52,790 --> 00:09:51,519 achieve 252 00:09:55,030 --> 00:09:52,800 some 253 00:09:57,030 --> 00:09:55,040 representative sampling across time 254 00:09:57,910 --> 00:09:57,040 there were two variables of interest to