The Science of Healing With Dr. Esther Sternberg

KQED

Aired on Monday, Mar 01, 2010 (3/1/2010) at 10:30 PM

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00:00:00Thank you.
00:00:04[Captioned by Maryland public television] >> Dr. Esther Sternberg: This is where they came, traveling for days, over mountains and across the Mediterranean.
00:00:21In pain, weak, sometimes unable to walk.
00:00:27They came for relief, for quiet, to sleep, dream, and heal.
00:00:38Could the ancients, followers of Asclepius, the Greek god of healing, have known something about the body that we are just beginning to understand today?
00:00:51What is healing, and what roles do our emotions and brains play in the process?
00:01:00Have we lost our balance?
00:01:03Can we get it back with the science of healing?
00:01:20I'm Dr. Esther Sternberg.
00:01:22As a neuroimmunologist, I was working extremely long hours, almost never seeing the sun, fighting to convince my colleagues that stress could affect the immune system...
00:01:35and my mother was dying of breast cancer.
00:01:50I became a child of science because my father was one of a small group of scientists who developed the field of nuclear medicine.
00:01:57My sister and I used to play in my father's lab, and there was a spiral staircase connecting my father's lab to the labs of Hans Selye, who coined the word "stress." The idea that stress could cause illness was really ahead of its time.
00:02:15Can our emotions make us sick?
00:02:18Stress has become an unrelenting factor in our lives.
00:02:23The American Psychological Association estimates that one-third of Americans are living with extreme stress.
00:02:36Ancient civilizations from China, India, and Greece embraced the premise that emotions and health were one.
00:02:47Worry could make you sick...
00:02:50and belief could make you well.
00:02:53But centuries later that link began to unravel when visible proof became the foundation of the scientific method.
00:03:04The connection between emotions and health could not be seen and was abandoned.
00:03:11Today, innovative scientists, using the latest technologies, are reconnecting us to the wisdom of the ages and the brain's ability to help us heal.
00:03:27I was under extreme stress.
00:03:28I'd moved into a new house.
00:03:30In fact, the day I moved, I got the phone call to fly up to Montreal, immediately, and that ended up being the last three weeks of my mother's life.
00:03:40I was on the flight back to Washington and one of my knees swelled up on the plane.
00:03:47And I thought, well, maybe I bumped my knee, maybe I tripped.
00:03:51I couldn't really remember having done anything, but I just dismissed it as having injured myself.
00:03:56And then, after a few days, and a few weeks, my other knee swelled up.
00:04:01And then my elbows and my shoulders started to ache.
00:04:04And here I was a rheumatologist, an arthritis specialist, and I realized that I had inflammatory arthritis.
00:04:19My mother had just died and I had come back to Washington, and I felt, at that point, that the last thing that I could deal with was hospital.
00:04:32And I was writing the beginning of my first book and the doorbell rang, and it was my new neighbors, Dean and Taria Papavassiliou.
00:04:44>> Dean: When I first met Esther, she just had moved next to our house here in downtown , and we decided, my wife and I, to go there to welcome her and bring her some Greek food.
00:04:57>> Sternberg: Tzatziki, moussaka, dolmades.
00:05:01They saw me writing on the computer and they said, "Oh, are you a writer?" And I didn't really think of myself as a writer at that time, so I said, "Well, I don't know, why do you ask?" And they said, "Well, because we've always wanted a writer to stay at our cottage in Crete." So I said, "I'm a writer." ♪♪ [Cretan music] ♪♪
00:05:34The island of Crete lies about 60 miles south of the Greek Mainland.
00:05:39The Papavassiliou's picked me up in the main city of Heraklion, and we began our two-hour trek.
00:05:46We drove over two mountain ranges and through the valley from the north to the south coast of Crete.
00:05:54The roads were hairpin turns, they were narrow, some of them were dirt roads, and we finally got to the second mountain range and they said, "There it is!" And I looked over at this beautiful blue Mediterranean Sea, and a mountain jutting out into the sea, and far, far below was this little village, in the bay, up against the mountain, and that was Lentas.
00:06:25The Papavassiliou's cottage was the tiniest little cottage; two rooms, with a courtyard in between with a wonderful orange tree.
00:06:35The village was not more than about ten streets, and the stucco houses marching up the hill.
00:06:42So, in order to get to the sea, you had to walk down a fairly steep path.
00:06:48I was still wobbly on my feet, I was afraid to fall because I had fallen when my knees were particularly bad.
00:07:01As I started to adjust to the rhythm of the village, I could feel the sensitivity in my joints gradually beginning to ease.
00:07:11And all I'd done was take in the light and colors around me.
00:07:17As a scientist I began to wonder, could looking at a pleasing view actually reduce pain?
00:07:27This is a living brain.
00:07:30In fact, it's my brain.
00:07:34And here at the University of Southern California's Brain Imaging Center...
00:07:39>> You'll see sequences that will only have faces.
00:07:43>> Sternberg:..Dr. irving Biederman's groundbreaking work on vision is opening new doors.
00:07:49>> Dr. Irving Biederman, Prof.
00:07:50of Neuroscience: My main area of study is trying to understand visual experience; a scene, a face, or an object that we've never experienced before.
00:07:59Subjects lie in the magnet and look at scenes.
00:08:03>> Sternberg: What do I do?
00:08:04>> All you have to do is stand still.
00:08:06>> Biederman: You have four buttons.
00:08:09You'll be pressing the right-most button for the scenes you like the best.
00:08:14The left-most button for the scenes you like looking at least.
00:08:18>> Sternberg: Using powerful electromagnets, Functional Magnetic Resonance Imaging, or FMRI, reveals 3-D images of the living brain.
00:08:31As the subjects view images of nature, junk cars, faces, and city streets, the magnets scan the brain for activity.
00:08:40>> Biederman: What we find is that when people are looking at scenes that they rate as being pleasurable, we see a high density of the opioid receptors; neurotransmitters that are popularly referred to as endorphins, that are associated with pain relief, and in general, a pleasurable experience; listening to music, viewing a great scene.
00:09:04The more we have of it, the more pleasure that we experience.
00:09:10>> Sternberg: biederman's team is using the most advanced imaging technology, but the first serious study investigating the impact of visual stimuli on pain began in 1984 at Paoli Hospital in Pennsylvania.
00:09:27Environmental psychologist Dr.
00:09:30Roger Ulrich compared two groups of patients receiving identical care.
00:09:35The only difference...
00:09:37one group's hospital rooms looked out on a brick wall, and the other at a natural wooded scene.
00:09:45The results showed the natural scene group needed half the pain medication and were discharged a day early.
00:09:54This was the first scientific proof that a visually stimulating view was good for you.
00:10:00>> Biederman: So esther, this is your brain on MRI.
00:10:05>> Sternberg: That's amazing.
00:10:06>> Biederman: What we can do is take a voyage, a fantastic voyage.
00:10:10We can go -- let's say in this case here, from the top of your brain, all the way down into your neck.
00:10:16So, here we go.
00:10:17Take it slowly.
00:10:18We can get into people's heads and see not only the structure, but more important, the functioning of the brain.
00:10:25>> Sternberg: Can you see my hypothalamus?
00:10:27>> The hypothalamus is going to be right around there.
00:10:31>> Sternberg: So that's my stress center.
00:10:34Now we're going down into my neck.
00:10:36That is so cool.
00:10:37>> You can see your teeth.
00:10:40>> Biederman: I think you have a cavity.
00:10:42[laughter] We much prefer looking at an interesting vista than a blank wall.
00:10:48The blank wall will give us almost no neural activity.
00:10:51Something that is richly interpreted will give us a lot of activity.
00:10:58When Esther had that experience in Crete, where she was surrounded by beauty and captivated by what vision could afford her, and she noticed a reduction in arthritic symptoms, how might that come about?
00:11:13One of the things is pleasurable opioid activity on perhaps the immune system that may lead to wellness.
00:11:22>> Sternberg: So this is what would be lighting up when I was looking at a beautiful view in Greece?
00:11:26>> Biederman: Yes.
00:11:27>> Sternberg: In the same way?
00:11:28>> Biederman: I ithe same way.
00:11:29>> Sternberg: That's amazing.
00:11:30>> Biederman: And if you looked at some boring scene or something else, you'd see less activity.
00:11:34>> Sternberg: So this could really explain why I enjoyed looking at that view, and why it made me feel peaceful.
00:11:39Is that right?
00:11:39>> Biederman:es.
00:11:40>> Sternberg: That is so cool.
00:11:42Dr. Biederman's study suggests that pleasing views could reduce stress, and thus support the immune system.
00:11:50So, when you're not feeling well, search for the sights that please you, sights that can be part of your healing routine.
00:12:01Hospitals are meant to be healing places, but their sterile atmospheres, colorless walls, and overall monotony can be both depressing and stressful.
00:12:12At the University of California San Diego's High-Tech Virtual Reality Lab, dubbed the CAVE for its total emersion environment, scientists are studying the effects of building design on the brain and the stress response.
00:12:29>> There's great consequence if you can't navigate through a hospital and find your way.
00:12:35There's certainly a great deal of time and money wasted.
00:12:39We can create buildings that serve the staff under stress, and the patients under stress.
00:12:46Dr. Eve Edelstein, Academy of Neuroscience for Architecture: Our built environments can support our health and our immune responses.
00:12:52>> We're starting the navigation protocol now.
00:12:55Your goal will be the classroom.
00:12:57>> Edelstein: So you can see what we did here is create an environment where it's absent of visual cues to explore how the brain responds when a person has a sensation of feeling lost or isn't able to use any cues to navigation.
00:13:15>> One of our purposes with this kind of experiment...
00:13:18Dr. Eduardo Macagno, Prof. of Biological Sciences:..Is to try to understand what works.
00:13:23How do we design a building such that the maximum number of people do not get lost.
00:13:33We're using a new technology called high-definition electroencephalography, or high-definition EEG.
00:13:42This consists of a cap that has 256 electrodes.
00:13:46>> Sternberg: The electrodes allow the researchers to monitor changes in the brain as the subject moves through the virtual building in real time.
00:13:55Are they stressed at feeling lost?
00:13:58And what visual cues work best in helping them find their way?
00:14:01>> Edelstein: The impact of our built surroundings on our state of mind can also impact our ability to resist disease and our immune responses.
00:14:12>> Sternberg: I had to try this virtual reality ride.
00:14:17That's crazy.
00:14:19I look gorgeous!
00:14:25Imagine walking through every room of a hospital or a nursing home before a single brick is laid.
00:14:32>> Edelstein: Esther, let me show you what we can do in this cave.
00:14:37This is a 3-D structure that we created to demonstrate how one can get sensation of movement and scale inside of a building.
00:14:44>> Sternberg: Wow!
00:14:45Feels like I'm moving.
00:14:47>> Edelstein: So what we did was create a geometric structure that's actually a mobius strip floating over Los Angeles, and our goal was to show how the openings of the space and geometries give you a sensation of movement.
00:15:00So here we go disappearing over edge of the mobius.
00:15:03>> Sternberg: This feels like you're going down a roller coaster.
00:15:06>> Edelstein: We are going down the virtual roller coaster right now.
00:15:09By looking at the brain's response, we hope to understand which cues are most effective in forming a knowledge of where you are in an environment, and how we might design to help people to better navigate through space.
00:15:23We've navigated to the auditorium, which exists in this building that we're actually standing in, we modeled the exact building.
00:15:32And then as we move thorough the auditorium, we move into the corridor at the front, which as you'll see, we created to be rich with cues.
00:15:41We want to understand the emotional response to a place, so we want to look at those aspects of architecture that inspire awe, that inspire a sense of being connected with the environment, knowing where you are.
00:15:56One of the really interesting things we discovered as we were testing subjects going through this environment was that one of the cues they were using was light and shadow.
00:16:07Much of my research has focused on the influence of light on health and the relaxing nature of different qualities of light.
00:16:16So it begs us to look beyond the simple lighting that we use in buildings, to ask what lighting does in nature and how it affects our health.
00:16:36>> Sternberg: At the rady Children's Hospital in San Diego...
00:16:45new open designs are giving their young patients a place to live...
00:16:52>> Say hi.
00:16:53>> Hi.
00:16:54>> Sternberg:..As they heal.
00:16:57I love this garden, Jeanie.
00:16:59Can you tell me about how it came about?
00:17:01>> This is Carly's Garden.
00:17:03Carly was a patient of mine who had Leukemia...
00:17:07Jeanie Spies, MSN:..And she loved to be outside.
00:17:11She loved nature, she loved bugs.
00:17:14Unfortunately, she was in the hospital for a month or two at a time, and her parents built this garden as a tribute to her.
00:17:23They wanted other children to know the joy and the healing that Carly felt when she was outside.
00:17:30>> Sternberg: And what a magical tribute.
00:17:32At Rady Hospital, an understanding of how we heal helps to create an environment that lowers stress for patients and staff, and gives the immune system the best chance to do its job.
00:17:47...That fits right with the famous Roger Ulrich study of healing faster and needing less pain medication when you look out at a beautiful view.
00:17:57>> Spies: The patients can come out with their moms, their dads, sometimes they'll bring their brothers and sisters out.
00:18:02>> Sternberg: So they can be children, so they can play.
00:18:04>> Spies: Exactly.
00:18:05>> Sternberg: That's what children do.
00:18:07With sunlight streaming into every room, and a place for the kids to play and take a break from their pain, facilities like Rady are moving us beyond curing, to the mind and body awareness of healing.
00:18:24>> Hello everybody, I'm Donald Thoms.
00:18:26I'm here with Rhea Feikin.
00:18:27And we want you to stay tuned for more of "The Science of Healing with Dr. Esther Sternberg." In the next part of the show, we will explore how what we eat can affect our mood, and the overall quality of our life.
00:18:37We're going to be going back to the program in just a few minutes, so please, please, don't go away.
00:18:42You know in these turbulent times, 8 out of 10 Americans feel stressed by economic and financial factors in their lives.
00:18:50This special is showing us how we can take the steps to control our emotional health.
00:18:54This special, like a lot of the programs you watch everyday on PBS, provides useful information that can improve the lives of you and the ones you love.
00:19:03If this kind of television is important to you, please call in now and support this station with a generous pledge of financial support.
00:19:10Public television can not exist without your help.
00:19:13You know that.
00:19:14So, please, call the number on your screen now and support intelligent, useful television that really does make a difference in a world a better place.
00:19:23And when you support this station at certain membership levels, we have some great ways of saying thank you.
00:19:30If you pledge at the $90 level, if you contribute at the $90 level, we will say thank you with this DVD, "The Science of Healing." It is the DVD that you're watching right now.
00:19:40It includes bonus material not in this broadcast.
00:19:43If you pledge $120, we will say thank you with "Healing Spacs" hardcover book.
00:19:47This is the latest book by Dr.
00:19:49Sternberg.
00:19:50It is amazing.
00:19:51She goes into even more detail about the working relationship between our senses, our emotions, and our immune system.
00:19:58If you contribute $200, and we will say thank you!
00:20:01We'll say thank you with "The Science of Healing" package.
00:20:04You will receive the program DVD, the "Healing Spaces" hardcover book, and yet another softcover book by Dr. Sternberg called "The Balance Within." Now let's go over to Rhea Feikin who's with Dr. Esther Sternberg.
00:20:17Rhea.
00:20:17>> Feikin: sternberg, thank you so much for being with us.
00:20:20>> Sternberg: Well, thank you.
00:20:21It's a great pleasure.
00:20:22>> Rhea: Now, we all know you had a great time in Greece.
00:20:25You didn't have to tell us that.
00:20:27So, then you come back from Greece and have to try to remember that.
00:20:30What about the rest of us who have never been to Greece?
00:20:33>> Sternberg: Well, at the end show you'll see that I said to myself that I can try to recreate a little bit of Greece around me where ever I am.
00:20:41And, in fact, I did that, and that's what the show speaks to.
00:20:45You can find beautiful views, like you just saw in the previous segment.
00:20:50You can surround yourself with smell and scents -- we're going to hear about that in the next segment -- that remind you of home or comfort.
00:20:58You can eat fresh, healthy Mediterranean food, which is delicious.
00:21:02And you can do exercise.
00:21:04And we talk about all this and more in the show.
00:21:07>> Feikin: I have to ask you.
00:21:08You seemed when you went through the different experiments that you were just having a great time, and I kept thinking, but you're a physician.
00:21:16We're they brand new to you?
00:21:17>> Sternberg: It was amazing.
00:21:19I thought that I was a very controlled left brain kind of person, you know.
00:21:24And all this stuff -- of course I knew this stuff, I'd read about it, I'd studied it, I did research on it.
00:21:31But when you're experiencing it yourself, it's a completely different thing.
00:21:36Completely different thing.
00:21:37And I gained a huge respect for my brain.
00:21:40You know, what it can do.
00:21:42The tiniest changes in your surroundings can trigger changes in the brain so quickly.
00:21:47Can trigger them to either be positive or negative.
00:21:50So you really can structure the surroundings to enhance that positive feeling and those positive emotions.
00:21:58>> Feikin: Well, it was wonderful watching you go through all that.
00:22:00We do want to remind you that we are here and hoping that you're going to call in and make pledges that keep programs like this on the air.
00:22:08We're suggesting that perhaps you'll make a pledge of $90 and let us send you as a thank you gift, "The Science of Healing" DVD, which includes extended interviews that you aren't seeing on the program right now.
00:22:21Then we have for you the "Healing Spaces" hardcover book, and that is a thank you gift at the $120 level.
00:22:27And I believe -- and we'll talk about this later -- that there's even more in here and more in-depth material than you're seeing on the program.
00:22:35So having them both is great.
00:22:37And I don't know if you mind my saying this, but you can actually highlight things in here that you want to remember.
00:22:44If it's your book you can do what you want.
00:22:47Pledge $200 and you get "The Science of Healing" combo, which includes the program DVD, the "Healing Spaces" hardcover book, and "The Balance Within" softcover book.
00:22:57Please, ask the operator about putting your pledge on a charge card when you call.
00:23:03Now, the difference between these two books, Dr. Sternberg.
00:23:06This was first, right?
00:23:08>> Sternberg: This was first.
00:23:10And "The Balance Within," when I wrote that, the focus and research was on stress and illness.
00:23:15And there was a lot of information about the way the brain and the immune system talks to each o oer that proves what we've all know, what our grandmothers told us, what we've know for thousands of years, that stress can make you sick, that believing can make you well.
00:23:29And I talk about the science behind that and the discoveries and how that science was done in the first book.
00:23:35In the second book, I go into more detail on healing spaces.
00:23:38>> Feikin: Right.
00:23:39>> Sternberg: On what you can do with your surroundings to help you heal.
00:23:43>> Feikin: Great.
00:23:44Well, we're going to be talking more with Dr. Sternberg, but right now please remember that no pledge that you make is too large, and certainly, no one is too small either.
00:23:54Ask the phone operator about the station's basic membership rate.
00:23:57The most important thing is that you help keep quality programming on public television.
00:24:02Please call us now at the number on your screen.
00:24:06>> Announcer: Delve deeper into "The Science of Healing" and help support the terrific programs you watch on PBS.
00:24:14Make a pledge of $90 and we'll say thank you with "The Science of Healing with Dr. Esther Sternberg" on DVD.
00:24:21It contains extended interview footage that you're not seeing today.
00:24:26OrOrfor a pledge of $120, we'll send you a hardcover copy of Dr. Sternberg's latest book, "Healing Spaces." It further explores the working relationship between our senses, our emotions, and our immune system.
00:24:41Support this station with a $200 contribution and we'll say thanks with a DVD of the program, the "Healing Spaces" hardcover book, and the softcover edition of Dr.
00:24:52Sternberg's earlier book, "The Balance Within." Please call now.
00:24:57Help keep wonderful programs like "The Science of Healing" on your PBS station.
00:25:05>> Thoms: You know, we're here for a very important reason today, to ask that you call and support the high quality programming that PBS brings you throughout the year.
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00:26:02That's what we're asking for today.
00:26:04And if you pledge $90, we will say thank you with "The Science of Healing with Dr. Esther Sternberg" DVD.
00:26:10This is the program you're watching right now and it contains bonus material not seen in the broadcast.
00:26:15It's amazing.
00:26:16$120 contribution, we will say thank you with the "Healing Spaces" hardcover book.
00:26:21Now, this is the latest book by Dr. Sternberg.
00:26:23She goes into even more detail about the subjects that are just touched on in this program.
00:26:28And you know, with the book, you can read them over and over again.
00:26:32And if you contribute $200, we will say thank you with "The Science of Healing" package.
00:26:37You will receive the program DVD, the "Healing Spaces" hardcover book, and another softcover book by Dr. Sternberg called "The Balance Within." Remember to put your pledge on your charge card and that these membership levels are just suggestions.
00:26:50Please feel free to pledge at the amount that's right for you.
00:26:54Ask the phone operator about the station's basic membership level.
00:26:58Please, give us a call right now on the number on your screen.
00:27:01>> Feikin: sternberg, what's going to be in the next section?
00:27:04>> Sternberg: We're going to learn more about smell and how pleasant scents can help us heal.
00:27:09We're going to learn more about the Mediterranean diet and how olive oil and the Mediterranean diet can help us heal and maintain health.
00:27:16And we're going to learn about exercise and how exercise is very important in healing, in mood, and in maintaining health.
00:27:23>> Feikin: Well, I can't for the next section.
00:27:26In the meantime, I hope that you are going to stay with us and stay tuned for more of "The Science of Healing with Dr. Esther Sternberg." Don't forget, if you pledge $90 you get "The Science of Healing" Dvd.
00:27:38At $120, the "Healing Spaces" hardcover book.
00:27:41At $200, "The Science of Healing" combo, which includes the program DVD, the "Healing Spaces" hardcover book, and "The Balance Within" softcover book.
00:27:51These are all the gifts, but the greatest gift of all is knowing that you are a member of Pbs.
00:28:11>> Sternberg: As I walked through the peaceful Cretan village of Lentas, taking in the wonderful colors and vibrant scenes around me, I began to feel rested and at home.
00:28:24Each day began with the wonderful bouquet of eucalyptus, sage, and orange blossoms.
00:28:32When the seaside tavernas began preparing lunch, the aroma of simmering peppers, eggplants, and fresh seafood filled the air.
00:28:42The arthritic pain I had when I arrived only a few days before was continuing to lessen, and I felt like the fresh aromatic breezes were lifting my spirits.
00:28:54And I wondered, could aromas affect how we feel?
00:29:13At Philadelphia's Monell Chemical Senses Center, a team of researchers are studying the effects of smell on the emotions.
00:29:21>> Esther, if you would put your face up to the box, I'm going to ask Chris to turn on the first odor.
00:29:27You're going to begin smelling an odor in the box.
00:29:30I'd like you to look at that scene and imagine you're standing on the hill overlooking that village.
00:29:36Take a deep breath of the air, and just think about how the smell that you're smelling, and what you're seeing, causes you to feel.
00:29:43>> Sternberg: It smells wonderful.
00:29:45>> Good.
00:29:46Do you feel refreshed or energized, relaxed?
00:29:48>> Sternberg: Refreshed.
00:29:50I mean, just looking at that scene I felt refreshed, so I was kind of expecting a refreshing, clean -- it was a clean smell.
00:29:57>> A smell that you would associate with healthy mountain air.
00:30:01When an individual is in the presence of an odor...
00:30:04Dr. Pamela Dalton, Cognitive Psychologist:..That they have associated with a positive experience, they'll often report feeling very relaxed, their breathing, their heart rate will show the changes.
00:30:13And we think under those circumstances that they actually may be in a better state of health.
00:30:18Chris will change the odor in the box, anhe will also change the scene.
00:30:23What I'd like you to do is just think about yourself standing right where this picture was being taken from, and imagine how you feel about that smell and how it's making you feel healthwise; are you breathing slowly? Are you breathing fast?
00:30:37Are you trying not to smell it?
00:30:40Think of all the things that you might experience and how this odor seems to you.
00:30:44>> Sternberg: It smells terrible.
00:30:45It smells like burning rubber.
00:30:46>> Dalton: In general, that looks like a scene you might want to get away from.
00:30:49>> Sternberg: Right.
00:30:50>> Dalton: And how did that odor make you feel?
00:30:52Different from the mountain scene?
00:30:53>> Sternberg: It made me feel different.
00:30:55The mountain scene, I felt relaxed just before the odor came on.
00:30:58It felt relaxing just looking at it.
00:31:00It even reminded me of my experience in Crete looking out over the beautiful mountains.
00:31:06This one I was braced for expecting a pollutant kind of odor.
00:31:10So the smell felt more pungent kind of.
00:31:13>> Dalton: And what's interesting is that it's the exact same odor that you smelled when you were looking at the smoke stacks.
00:31:19>> Sternberg: I know it's the same, and I was bracing myself to try to override that, but you can't.
00:31:26>> Dalton: One of the really interesting things about the sense of smell is how tightly it's associated with memories, particularly memories that have a strong emotional component.
00:31:37Odors that are associated with your mother's cooking, smells that are associated with baking, in your mother's house or grandmother's house, can bring back that sort of warm, nurturing feeling that you felt as a child.
00:31:52>> Make a rating of how intense the odor in the room is right now by using the mouse on the right-hand side.
00:31:57>> Dr. Gary Beauchamp, Dir., Behavioral Biologist: We have about 350 receptors in our nose to detect tens of thousands, maybe even more different odors.
00:32:04Nobody knows how many odors we can detect.
00:32:06And because the way the olfactory system is connected, it gs directly to the parts of the brain that are emotional.
00:32:13>> Dalton: When I travel, i always have a very small vial of a fragrance that I work with here in the laboratory, which I happen to really love.
00:32:21It's sort of a citrus rose scent, and it probably reminds me of being at work, which is a very comfortable thing, but also, I use it at home, and when I travel, I tend to put a little drop on my pillowcase before I go to sleep in an unfamiliar hotel.
00:32:36And I find that just the scent of that, when I close my eyes, relaxes me and makes me feel like I'm in a safe environment and probably helps me rest a little better.
00:32:48>> Sternberg: With a greater understanding of how odors, views and memory combine to lower the stress response, we can create healing places that use aroma to calm and reassure us.
00:33:02>> Dalton: Esther's response to the odors and the scents that she experienced on Crete could have come from learned or familiar responses to odors.
00:33:12Some of the odors associated with the Mediterranean cooking were ones that she recognized from childhood.
00:33:19Those would have served the purpose of bringing back that nse of comfort and nurturing and stress reduction.
00:33:27>> Sternberg: A study published in the Archives of Internal Medicine found that the Mediterranean diet can strengthen our ability to resist a variety of ailments, including cancer and heart disease.
00:33:40And a European study found that the diet lowers asthma rates in children.
00:33:47Using fresh and local ingredients, the diet includes small portions of meat, generous amounts of fruits and vegetables, nuts that are low in saturated fat, and fish which are high in cholesterol lowering Omega 3.
00:34:04>> So this is a Cretan dish.
00:34:06Tomato, in the bottom it's bread, on the top it's Feta Cheese, that's also sliced, and olive oil, of course, on top.
00:34:15>> Food without olive oil is not food.
00:34:20>> Sternberg: This extra virgin olive oil is delicious, but could it have played a role in reducing my pain?
00:34:28>> Beauchamp: We had been working on the taste of ibuprofen -- ibuprofen is an anti-inflammatory drug -- but when you swallow it, you get a tremendous burn right here in your throat.
00:34:38And that was really interesting because other things that burn, like hot peppers, they burn your mouth, they burn your eyes, they burn your throat, they burn all the way through.
00:34:47But ibuprofen, for some reason, burned only right here.
00:34:50I was then at a meeting and onee of the organizers, a physicist from Palermo, brought up his freshly pressed olive oil from his own olive trees.
00:34:58I swallowed it, and lo and behold, I had exactly the same burn in my throat.
00:35:05And so I had this light bulb go off and say to myself, well, we know that olive oil is associaiad with the Mediterranean diet, we know the Mediterranean diet is extremely healthy, and people who consume the Mediterranean diet have lower levels of heart disease, some forms of cancer, Alzheimer's disease.
00:35:23We know all of those things are also associated to some degree with anti-inflammatory, they're inflammatory diseases, maybe there's something in olive oil that is an anti-inflammatory just like ibuprofen because it has the same sensory properties.
00:35:37So we proceeded then to do a study where we first isolated the material, we identified it, we synthesized it, and then we showed that indeed it is an anti-inflammatory compound.
00:35:52>> Sternberg: Can we toast.
00:35:53How do you say, what do you say?
00:35:55>> Yamis.
00:35:55>> Sternberg: Yamis.
00:35:56>> All: Yamis.
00:36:00>> Welcome to Crete.
00:36:09>> Sternberg: As my legs began to feel stronger, I decided to follow a path up the hill behind the village and was astounded at what I found...
00:36:21the ruins of a sanctuary to Asclepius, the Greek god of healing.
00:36:27For 2,400 years this marble and stone, one of 400 healing centers scattered throughout the Mediterranean, has stood, facing the sea, announcing a refuge for the sick and afflicted.
00:36:44According to Homer, Asclepius, who began as a mortal with infallible medical knowledge, became revered for his healing ability and was then worshiped as a god.
00:37:00When I first came upon this mosaic, I was completely amazed.
00:37:03I was not expecting anything like this, it looked just like a pile of rocks.
00:37:08And then I saw this mosaic of the winged horse Pegasus from the ancient myths.
00:37:12It turns out this was the treasury were valuables were stored in the temple.
00:37:18To understand more about this ancient approach to healing, I've come 150 miles west of Athens to Epidaurus, one of the earliest and most elaborate Asclepians, to meet physician and medical historian Professor Stephanos Geroulanos.
00:37:36>> Prof. Geroulanos: And we walk now up to the Temple of Asclepius.
00:37:41The important thing in the gates that was written was that you have to leave all your dirty thinking, all your dirt outside, here you should come only with your soul clean and clear.
00:37:55You can imagine how impressive it would be for the patient coming up the hill without seeing anything, just nature, and hearing the nature, and suddenly you see this huge temple.
00:38:11It must have been a unique feeling.
00:38:13>> Sternberg: Really a sense of awe.
00:38:15>> Geroulanos: It is unbelievable what an impression would have done to the patient.
00:38:25We are in the theater of the Asclepian of Epidaurus.
00:38:30One of the most beautiful theaters in the world.
00:38:34It can house approximately 14,000 spectators.
00:38:38When a patient comes into performance in such a surrounding, his soul changes completely.
00:38:46His attitude to the illness changes completely.
00:38:51>> Sternberg: He gets into his emotions, out of his body.
00:38:54>> Geroulanos: Into his emotion and he forgets the illness.
00:38:58He is together with his friends, with the family, and they sit here, they clap, they shout, and suddenly this changes, especially if they are mental illnesses or chronic illnesses.
00:39:11Being together, changing your mentality, thinking not of your illness but of something else...
00:39:19>> Sternberg: Humor and getting into the act.
00:39:23>> Geroulanos: What is important is that if you are ill and you're going into the theatre, you make a group that will help you afterward, also when you're at home because you remind of what you have seen in Epidaurus and then you will discuss it with others.
00:39:41>> Sternberg: You remember how happy you felt, how much you enjoyed the show.
00:39:44So it was really paying attention to the emotions not just the physical body.
00:39:48>> Geroulanos: A lot, a lot, yeah.
00:39:51>> Sternberg: Hypocrites, considered the father of modern medicine, who's oath to do no harm is still followed by doctors, developed many of his techniques at an Asclepian.
00:40:04>> Geroulanos: Hypocrites described 60 different ways of living.
00:40:09>> Sternberg: 60!
00:40:10>> Geroulanos: 60.
00:40:12He calls them diets, but a diet for him is not just the different food, but it's the different way of exercising, of living, sleeping, when to repose, and what to do.
00:40:26Walking, extremely important as it is today.
00:40:30Training, running, etcetera, this is in the therapy.
00:40:35>> Sternberg: So we've rediscovered what Hypocrites knew so many hundreds of years ago, that gentle walking, 30 minutes of walking a day, with exercise, with diet, can help reverse the negative effects of stress on the body, can help heal, improve mood.
00:40:52>> Geroulanos: No doubt.
00:41:02>> My name is Moni Fleshner.
00:41:04I'm a professor in the Department of Integrated Physiology and the Center for Neuroscience here at the University of Colorado at Boulder.
00:41:13I ride my bike to work every morning.
00:41:15It makes an enormous difference in my ability to be able to cope.
00:41:19When I get to work I feel energized and relaxed.
00:41:22I also do an incredible amount of great thinking during that time.
00:41:28We've been studying the impact that stress has on the immune system for many years, and we understand a great deal about the effects.
00:41:36Unbeknownst to most people, activation of the acute stress response is actually very beneficial for the immune system.
00:41:44It helps ready the immune system.
00:41:46So, if you think about it in an evolutionary perspective, if you were that gazelle, running across the savannah, being chased by the lion, you'd turn on the stress response so that you could pump more blood to your muscles, you could open your pupils and dilate and see what's happening around you.
00:42:03But you also primed certain cells of the immune system so that if you were wounded or injured during that escape response, you were better able to survive.
00:42:14And that's the acute stress response, that's the good stuff.
00:42:17The bad stuff is where we never get a chance to shut it off, or we never allow ourselves to shut it off.
00:42:25Our response is exaggerated, it persists, and that's when all those powerful hormones become damaging.
00:42:33>> Exercise is very important to me.
00:42:36I was a long distance runner and I loved it.
00:42:39>> Sternberg: Exercise physiologist Dr. Patty Deuster is working with the military to understand depression, post traumatic stress disorder, and chronic fatigue syndrome.
00:42:50>> You're looking good.
00:42:51You feeling okay?
00:42:54Pretty soon you're going to have to let go with your arms because you have to walk normally.
00:43:00If you maintain a regular exercise program as a soldier...
00:43:02Dr. Patty Deuster, Exercise Physiologist:..Then you're going to have better mood, you're going to be more resilient to the stressors that you encounter during either your daily life or during deployment.
00:43:12Maintaining top physical condition is important because it helps them cope with the different stressors that they encounter.
00:43:20If you are highly conditioned, you can respond better to psychological stressors in terms of the physiology and the hormonal response than somebody who does not exercise on a regular basis.
00:43:37>> Fleshner: How do you ask the scientific question of "what impact does stress have on the immune system?" It's not that simple of a question to actually answer because it's the hormones and the neurotransmitters that are released that interact with those cells of the immune system to change their function.
00:43:56When we first began these experiments, I was simply amazed.
00:43:59All we did is, for our laboratory rats, all we did was make one small change in their environment.
00:44:05In one instance they were able to live in their home cages with a running wheel.
00:44:10And in the other group, the animals did not get a mobile running wheel.
00:44:14And the animals who get to run on these wheels, and they choose to do it every night, they find it a pleasurable experience, were much better able to resist the negative impact that stress has on the immune system, on the brain.
00:44:28When we look in the brains of the rats, we can actually measure detectable changes, both in the expression of receptors, the expression of transporters for specific neurotransmitters and activation, neural activation markers.
00:44:42And when you examine the whole circuitry in total, what that tells us is that the brains of these animals have been structurally changed.
00:44:53After completing our series of animal studies, we were able to tablish that, indeed, physically fit people are also better able to maintain healthy immune responses.
00:45:09>> Deuster: So I'm very impressed with your heart rate today, the results of your heart rate, because they're much better than they were the last time you were here.
00:45:17That's great.
00:45:17>> Sternberg: Ever since I went to Greece, I really have made an effort to exercise, a conscious effort to exercise, and what I do mostly is swim.
00:45:27I swim up to sometimes five days a week, sometimes everyday, it depends on the season, but I swim about three to five days a week.
00:45:36And no matter how I feel before, I feel better, my mood is better.
00:45:42I'd say after about 20 minutes, I swim for half an hour, 30 to 40 minutes, and after about 20 minutes whatever was bothering me before just goes away, it melts in the water, and then I feel more energy.
00:45:55It doesn't feel like work because it's relaxing.
00:46:00>> Deuster: When esther was in Crete and she started exercising, that was something new to her because she was previously sedentary, and that regular physical activity did wonders for her.
00:46:11She was swimming in the ocean, she was walking.
00:46:15She was doing activities that are so good for the body, and really for the mind.
00:46:20And as the American College of Medicine says, "Exercise is Medicine." If you take exercise as medicine it can actually start the healing process >> Fleshner: I think everybody should try to maintain regular daily physical activity.
00:46:39TTre's no doubt in mind that maintaining some level of regular physical activity helps both mentally as well as physically.
00:46:47I think it irrefutable.
00:46:50Esther's arthritis is a disease that does involve disregulation of the immune system.
00:46:57Her exercise, her daily walks and swims, had a double whammy impact on her disease process.
00:47:03Not only did it potentially facilitate her overall health so she could better respond to the disease process, but it could have also changed her ability to cope with the stress of the situation, and in turn that helped to quiet her inflammatory process.
00:47:29>> Hello, I'm Rhea Feikin.
00:47:31Please stay tuned for more of "The Science of Healing with Dr. Esther Sternberg." Now, in the next part of the show we're going to see how there's a very strong connection between the music that we listen to and our overall health.
00:47:46This exciting program is showing us some of the many ways that our brain helps us heal, both emotionally and physically.
00:47:54Now, if we understand the science behind the brain's role in healing, we can take charge of our own health and create a place of peace in our lives.
00:48:03We hope you're enjoying this informative special, but we also hope that you take the time right now during this brief intermission to call in and support all the programs that you watch and love on PBS.
00:48:16Your pledge of financial support will help us bring you more educational and entertaining programs in the near future.
00:48:24And when you contribute at certain membership levels, we have some terrific ways of saying thanks.
00:48:30First of all, if you pledge at the $90 level, we have "The Science of Healing with Dr. Esther Sternberg" DVD.
00:48:38Now, this is the program you're watching right now, and it includes bonus material not in the broadcast.
00:48:44So you get a lot more than you're seeing right now.
00:48:48If you'd like to make a pledge at the $120 level, we have the "Healing Spaces" hardcover book.
00:48:57Sternberg, and in it she goes into deeper detail on many of the topics that are being touched on in this program.
00:49:04You're going to learn more about how music, our environment, and what we eat can affect the quality of our life.
00:49:12If you'd like to make a pledge at the $200, our thank you gift will be "The Science of Healing" package.
00:49:19You're going to receive the program DVD.
00:49:22You'll get the "Healing Spaces" hardcover book, and another softcover book by Dr. Sternberg, and it is called "The Balance Within." Right now, though, let's go over to Donald Thoms who's with Dr. Esther Sternberg.
00:49:37>> Thoms: Such a fascinating show.
00:49:39>> Sternberg: Oh, thank you.
00:49:40>> Thoms: And what -- the genesis behind doing it for television is what?
00:49:43>> Sternberg: Well, actually it was a wonderful e-mail that I received from my producers.
00:49:48The subject line was "Emmy award-winning television producers want to do a show based on your book." >> Thoms: That got you.
00:49:55>> Sternberg: Well, it got me.
00:49:56I didn't know if it was real or not, but when I figured out it was real, I said, this is really cool.
00:50:02They had heard me on NPR radio actually, talking about my experience in Greece and how it helped me heal.
00:50:07>> Thoms: So tell me, how are you now?
00:50:08How is the arthritis now?
00:50:09>> Sternberg: It's fine.
00:50:11I know what to do to prevent it, I know what will trigger it, and I avoid doing those things.
00:50:17And I make a conscious effort to swim everyday, to walk a little if I can't swim.
00:50:23To keep myself in shape, to eat a healthy diet.
00:50:26All the things that we talk about on the show.
00:50:29And it really, really helps.
00:50:31And, you know, I'm a living testament to how that can help.
00:50:35>> Thoms: The bump between the mind and body has been going on for a long time about how the mind can help control the body.
00:50:42I produced a show once about healing and prayer, and it was fascinating that if people knew they were being prayed for, they got better.
00:50:51They just knew, up here in the mind knew, and it was helping them heal.
00:50:55Is that what you're finding?
00:50:57>> Sternberg: Well, so, in the second book, in "Healing Spaces," I go into a lot more detail than I did in the first book on that, and you'll see in the next segment of the show we talk about that; how belief can help you heal.
00:51:10And there's, there's a lot of science behind that.
00:51:12We're now beginning, just beginning to understand there are changes in the brain, in positive brain pathways, in those endorphin pathways that you heard about, when you are praying, when you are believing in something.
00:51:24So there's a very real effect on the brain and on the body that can help you heal.
00:51:29>> Thoms: I just think it's fascinating.
00:51:31But I just want to tell our viewers here, you know, these are, this is a great program.
00:51:35This is quintessential public television.
00:51:37This is why you watch public television everyday.
00:51:39And, you know, wve got Dr.
00:51:40Sternberg here, we got her thank you gifts, and I do what you to pick up the phone and call one of our great volunteers because we need to know that this is the kind of program you like.
00:51:48And if you do contribute at the $90 level, we will say thank you with "The Science of Healing" DVD, that's the show you're watching, and it includes extended interviews.
00:51:56That means you can go back and watch that program over and over again because, you know, we were just saying is that every time you watch you see something different.
00:52:03And it is a fascinating program.
00:52:05If you contribute $120, we again will say thank you.
00:52:08And, folks, we are saying thank you with the "Healing Spaces" hardcover book.
00:52:14And that is your latest book.
00:52:16And for $200, if you contribute, we will say thank you with "The Science of Healing" combo.
00:52:21That includes the program DVD, "The Healing Spaces" hardcover book, and "The Balance Within" softcover book.
00:52:27Ask the operator, one of these great operators, about putting your pledge on a charge card when you call.
00:52:33So tell us what is the really big difference between the two books?
00:52:36>> Sternberg: Well, the first book was more focused on stress and illness, and on the discoveries of the connection between the brain and the immune system; how the brain talks to the immune system and the immune system talks back.
00:52:47>> Thoms: Was that more technical?
00:52:49>> Sternberg: No, they're both for the lay public.
00:52:51They are both for the lay public.
00:52:53But the first was written when the discoveries about stress and the immune system were the primary thing in science.
00:52:59The second one is more recent and focuses more on belief and healing, and how place and space around you can help you heal.
00:53:07And all those things that you can do that we talk about in the show; about changing what you see, the beautiful views, the beautiful smells, how you can create your own place of peace.
00:53:19>> Thoms: And, of course, that whole section, that's coming up in the next section as a matter of fact.
00:53:22>> Sternberg: Yes.
00:53:23>> Thoms: Which is great.
00:53:24Well, anyway, I do want you to remember, folks, that no pledge is too large or too small.
00:53:28I do want you to ask the phone operator about this station's basic membership level.
00:53:32The most important thing is that you help keep quality programming right here on public television.
00:53:37Please, call us now at the number on your screen.
00:53:41>> Announcer: Delve deeper into "The Science of Healing" and help support the terrific programs you watch on PBS.
00:53:49Make a pledge of $90 and we'll say thank you with "The Science of Healing with Dr. Esther Sternberg" on DVD.
00:53:56It contains extended interview footage that you're not seeing today.
00:54:01Or, for a pledge of $120, we'll send you a hardcover copy of Dr. Sternberg's latest book, "Healing Spaces." It further explores the working relationship between our senses, our emotions, and our immune system.
00:54:15Support this station with a $200 contribution and we'll say thanks with a DVD of the program, the "Healing Spaces" hardcover book, and the softcover edition of Dr. Sternberg's earlier book, "The Balance Within." Please call now.
00:54:32Help keep wonderful programs like "The Science of Healing" on your PBS station.
00:54:39>> Feikin: We're going back to "The Science of Healing" in just a few minutes, but first, just take a moment right now to become a member, or maybe you'd like to renew your membership.
00:54:51It's really important that you become a part of your PBS station.
00:54:55Please be as generous as you can and call the number on your screen to cast your vote for more life altering programs on public television.
00:55:04Viewers who become members are one of our greatest resources.
00:55:08And it really doesn't matter how much you give.
00:55:11What really matters is your call with a donation of any amount.
00:55:14But, when you contribute at certain levels, of course, we have some really exciting thank you gifts for you.
00:55:21For instance, if you make a $90 contribution, we will send you "The Science of Healing with Dr. Esther Sternberg" DVD.
00:55:29The program that we're watching right now with bonus material not in this broadcast.
00:55:35Maybe you'd like to make a pledge at $120 level.
00:55:39That will let us send you "Healing Spaces," the hardcover book.
00:55:43Now, this is the latest book by Dr. Sternberg, and she goes into even more detail about the working relationship between our senses, our emotions, and our immune system.
00:55:55It is all fascinating material.
00:55:57Material that can help make our lives better.
00:56:01Pledge perhaps at the $200 and we'll send you "The Science of Healing" package.
00:56:06You will receive the program DVD, you'll get the "Healing Spaces" hardcover book, and you're also going to get another softcover book by Dr. Sternberg called "The Balance Within." Remember to put your pledge on a charge card.
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00:56:25Please feel free to pledge whatever amount you can afford.
00:56:29Ask the phone operator about the station's basic membership level.
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00:56:39>> Thoms: sternberg, one thing that you really wanted to do about the show was you wanted to help people, correct?
00:56:43>> Sternberg: Absolutely!
00:56:44I wanted to get out to the public that there is a science behind all of the things that we're re talking about.
00:56:50That you can really help yourself.
00:56:52And that there is a reason to understand how that works.
00:56:55And I wanted to help people.
00:56:57I wanted people to be able to help themselves.
00:56:59>> Thoms: The next segment, you do talk about meditation, which I do like.
00:57:02>> Sternberg: Yes.
00:57:03>> Thoms: What is it about meditation that helps us so much?
00:57:05>> Sternberg: Well, meditation changes, actually changes brain pathways.
00:57:09It shifts your brain.
00:57:10It downshifts your brain from that stress mode where you're throttling down the highway at 120 miles an hour to a relaxation pattern.
00:57:17And it turns on positive brain hormones and nerve chemicals and it gets you into a different state of mind, which is healthy.
00:57:24>> Thoms: Yeah, I was just listening to it.
00:57:26It's the fact that you actually are listening to you breathe in and breathe out.
00:57:28Disassociate yourself with the stress that's going on.
00:57:30>> Sternberg: Right.
00:57:31>> Thoms: Just amazing.
00:57:32Folks, I'll tell you what, I just, I love this show.
00:57:34You're going to love the next segment.
00:57:36And I do what you to think about pledging at the $90 level where you can get the DVD, or any of the other levels.
00:57:41Our phone operators are standing by.
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00:57:45Whatever you do, please pick up the phone and call us.
00:57:48Do not let this day go by without you becoming a member of this station.
00:57:51Please, call us right now.
00:57:59>> This program was made possible by contributions to your PBS station from viewers like you.
00:58:06Thank you.
00:58:18>> I'm Dr. Esther Sternberg.
00:58:20My very active life as a scientist was challenged by living day to day with painful inflammatory arthritis, as well as dealing with my mother's death.
00:58:32It was an unexpected invitation to visit Crete that gave me the chance to slow down and think about how I was living.
00:58:42With each day in Lentas, sight of a sanctuary to Asclepius, the Greek God of healing, the arthritic pain in my knees was subsiding.
00:58:54The therapeutic effects of exercise, visually stimulating surroundings, and the Mediterranean diet was helping me heal.
00:59:16♪♪ [Cretan music playing] ♪♪
00:59:22I joined in a favorite village activity; listening and dancing to music.
00:59:30It didn't seem to matter if I was tired, hot, or hungry, I could listen for hours.
00:59:37I wondered, why did music make me feel so good?
00:59:51>> Music can serve as a stress buffer, it can relieve stress.
00:59:56Dr. Julian Thayer, Psychophysiologist: It can take you out of your stressful day to day life and transport you to a dream world, so to speak, where life is beautiful.
01:00:07It's, I think, an extremely healthy phenomena.
01:00:10♪♪♪♪
01:00:13>> Sternberg: Julian thayer did not start out as a psychophysiologist, he started out as a musician.
01:00:22And he began to wonder why it is that music had such a profound effect on his emotions, and on the emotions of people who listened to his music.
01:00:34>> Thayer: Music is a very powerful force in our lives.
01:00:37It has endured, and is in every culture, everywhere, used in all kinds of situations.
01:00:41When I was in music school, I was a composition major, and I was told by my music composition teachers, if you write music this way people will feel a certain emotion.
01:00:50But the music that Scott and myself were playing broke all the rules of western music.
01:00:55So the question for me became; what are people actually responding to?
01:01:00What I discovered was that the same parameters of sound that produce mood effects in music, were present in paralinguistic speech, in what's called mother-ese; talking to babies, and in animal communications.
01:01:14So the same exact parameters produced the same emotions across species.
01:01:19>> Sternberg: thayer uses changes in heart rate variability to track how the listener is responding to music.
01:01:27Heart rate is the number of beats per minute, while heart rate variability is how the rate changes over time.
01:01:35>> Thayer: When you inhale, your heart rate increases, and when you exhale, it decreases.
01:01:41And this is due to both the neural and mechanical gating of the nerve called the Vegas nerve.
01:01:47And this Vegas nerve controls the heart, among other things.
01:01:51Sensory information from all of your body is sent via this nerve to the brain, and it senses wounds and other invaders and signals immune information to the brain.
01:02:02♪♪♪♪
01:02:07The main purpose of the heart is to pump blood to various places where it's needed to support the production of the sound.
01:02:15From a listener's perspective, heart rate variability tracks, in part, the mood effects of music.
01:02:24♪♪♪♪
01:02:33Esther, while you were listening to Scott playing, your heart rate was very low.
01:02:38>> Sternberg: Yeah, I can see a dip.
01:02:40I can see it.
01:02:41That's amazing.
01:02:42>> Thayer: Yes, exactly.
01:02:42>> Sternberg: That is really cool.
01:02:44>> Thayer: So, he's playing a very relaxing piece of music.
01:02:45>> Sternberg: And now look at how high it is.
01:02:47>> Thayer: That's right.
01:02:47>> Sternberg: You're stressing me out.
01:02:51>> Thayer: When you become sick, physically or mentally, your heart rate variability tends to go down.
01:02:57Heart rate variability says a lot about the state of the organism.
01:03:02And in safe, non-threatening environments, heart rate variability is relatively high, indicating that the organism is open to new experiences and enjoyment.
01:03:13High hehet rate variability is associated with health.
01:03:17When you become sick, physically or mentally, your heart rate variability tends to go down, and when you get better it tends to go back up again.
01:03:26And, in fact, the decrease in heart rate variability may precede the onset of clinical signs of illness.
01:03:33♪♪♪♪
01:03:34There's a lot of work in music therapy, you can see the effects on people's level of depression, on their blood pressure.
01:03:41The fact that it has endured really speaks to the fact that music is a very powerful force in our lives.
01:03:47>> Sternberg: Music's effect on the rhythms of the heart is one pathway into healing, but what role do thoughts and beliefs have on the process?
01:03:57>> On this patch of skin, this is the Lidocaine cream.
01:04:00This is a highly effective pain reliever.
01:04:03And the purpose of today's test is to understand how this is going to affect your brain's responses to the pain.
01:04:09>> Sternberg: A placebo is an inactive substance used as a control in a test or study to help determine the effectiveness of a drug.
01:04:16>> Rate the pain that you feel on the one to eight scale that we talked about.
01:04:23Dr. Tor Wager, Asst. Prof. of Psychology: The placebo has this connotation of a fraudulent or sham treatment.
01:04:30Placebo effects have nothing to do with being fooled, they have to do with your brain's memory for particular cues, particular treatments, particular sensory experiences, sights, smells, tastes and the therapeutic effect.
01:04:44Okay?
01:04:44>> A four.
01:04:47>> Sternberg: wager administers a manageable shock to the subject and gets a baseline reading.
01:04:52>> Wager: This is the lidocaine cream.
01:04:55>> Sternberg: The subject is then given a cream and told it will lessen the pain.
01:05:01The MRI scans the brain as the same shock is given again.
01:05:06>> Wager: Steve, what's your overall experience of the pain so far.
01:05:09>> Steve: I've felt very little pain so far, other times I didn't feel anything at all.
01:05:17>> Sternberg: The mri shows changes in the brain's opioid pathways, which alter pain perception based on what the subject believes.
01:05:28It has been said that about 30 to 50, or even more, percent of the effect of any biological cure is related to the placebo effect.
01:05:41A drug that has the ability to heal of about 30 to 50% would be a very powerful drug.
01:05:53So the placebo effect really is a very powerful effect.
01:05:58And what it is, it's the brain's own healing mechanism.
01:06:04It's not just the placebo effect, it is a real effect.
01:06:09It is the result of changes in the brain that allow the body to heal.
01:06:29Belief was essential upon entering the Asclepian temples.
01:06:34Those who did, expected to be cured, surrendering to ritual through purification, animal sacrifice, prayer, and eventual sleep.
01:06:45Priests offered intense suggestions to the pilgrims, for when they awoke, they believed they had seen a god in theirr dreams who had cured them.
01:06:54Deeply surrendering to the god's healing powers may have accounted for the many successful outcomes.
01:07:12At the end of one of my walks I came to the top of this hill and found this tiny chapel built on the top of the ruins of a temple to Asclepius, the Greek god of healing.
01:07:26And I would sit in the doorway of the chapel and quietly contemplate, look at the sea and listen to the sounds of the wind, and the goats and the sheep.
01:07:48>> Dr. Richard Davidson, Prof.
01:07:50of Psychology & Psychiatry: I've been meditating for more than 30 years.
01:07:55I feel it's been a very important part of my life.
01:07:59It's helped me preserve a modicum of equanimity in the face of leading a very active and challenging life as a very engaged scientist.
01:08:10>> Sternberg: In his groundbreaking research with Tibetan monks, Dr. Richie Davidson studied the effects of meditation on the brain.
01:08:19>> Davidson: We're really entering a new era now and it represents, I think, the first rigorous effort to systematically investigate the neuroscientific underpinnings of meditation.
01:08:35These are individuals who can be considered the Olympic athletes of mediation.
01:08:41They are people who have devoted tens of thousands of hours to this practice.
01:08:47We're investigating the changes in the brain that occur during different kinds of meditation practices and how those changes modulate things like pain perception, attention, the regulation of emotion.
01:09:03There are many different kinds of meditation practices that do not involve any Sanskrit word, that can be as simple as pay attention to the sensations of breathing, either in your abdomen or around the tip of your nostril, and just pay attention with each inhalation and exhalation.
01:09:25Paying attention to the breath in some sense is difficult because we are distracted a lot.
01:09:31Noticing each distraction is actually a wonderful opportunity to bring the mind back to the breath.
01:09:39>> Sternberg: To test for discernible physical evidence of the immune system's reaction to meditation, Dr. Davidson's team tracked two groups receiving flu shots.
01:09:49One group meditating 30 minutes a day for two months, while the other did not.
01:09:55>> Davidson: By looking at the antibody titers that are mounted in response to the vaccine, one of the things that we noticed is that after just two months of training compared to a control group, the antibody titers to the flu vaccine were boosted significantly.
01:10:12The magnitude of change in the immune response, the magnitude of the boost, was predicted by how much the brain changed by meditation.
01:10:24I think everyone can do this for 10 minutes a day, most days.
01:10:30It's just a question of making this more of a priority.
01:10:41>> Sternberg: At the national Cathedral in Washington, D.C., a timeless tradition continues.
01:10:50Walking a labyrinth is a beautiful moving meditation that combines the beneficial elements of gentle exercise and deep breathing, which introduce calming endorphins into the nervous system and directs attention away from the stressors of the day.
01:11:11>> Dr. Ann Berger, Chief of Pain and Palliative Care, NIH: When I walk labyrinths I just feel more centered.
01:11:19It's a time of focused attention, not only physical quiet, but a emotional, spiritual quiet.
01:11:27>> Sternberg: ann berger, a pioneer in pain and palliative care, brings a holistic approach to her work with life threatening and chronic illness.
01:11:38>> Berger: I have had the experience of feeling healed.
01:11:42I myself at the age of 40 had breast cancer, and actually two years ago had major heart surgery.
01:11:50Three days after developing breast cancer I had back pain, so I went for acupuncture.
01:11:57Never felt better in my life.
01:12:00Before my heart surgery I went for acupuncture again to get my mind, body and spirit connected.
01:12:15Healing is what we do in palliative care.
01:12:19With healing being a sense of wholeness, we hear people many times with life threatening illness or chronic illness saying that they still have their illness, but they've actually grown from the experience.
01:12:34They feel healed.
01:12:47>> Sternberg: Watching the fishermen going out in their wooden boats, how they wake up with the sun, and they go out and they work hard, and they exercise, and they come back and they eat heartily, and they live according to the rhythms of the day, and the rhythms of the seasons.
01:13:07And I realized that I had not been living that way.
01:13:14I couldn't remember having seen the sun, or stopping to breathe, or stopping to inhale the scent of flowers on the night air the way I did when I was in Greece.
01:13:28I had of course been treated for my arthritis with anti-inflammatory medication back in Washington, but my arthritis wasn't really getting better.
01:13:41It only started to get better when I was in Crete.
01:13:46And I became convinced that it wasn't a coincidence that I got arthritis when I was going through a period of stress, and it wasn't a coincidence that it started getting better when I finally allowed myself to heal.
01:14:07I decided to change my life.
01:14:10I decided I can do this when I get home.
01:14:14I can swim everyday.
01:14:16I can walk a little bit everyday.
01:14:18I can eat this wonderful Mediterranean food.
01:14:22I didn't have to be in Greece.
01:14:24But what Greece did for me is it showed me the way.
01:14:29It showed me that I could change my life, and that if I did change my life, I would feel better.
01:14:38With science's ability to more fully understand the workings of the brain and the mind/body connection, the wisdom of the ages is provingngo be an important part of our ability to reduce stress, strengthen the immune system, and heal.
01:15:05>> What a wonderful program.
01:15:07Everyone, I'm Donald Thoms.
01:15:08You know, this program has shown us the different ways in which we can change aspects of our environment to improve our general health and well being.
01:15:17We hope that you took away many ideas from this special that you can now apply to your own life.
01:15:22Public television looks at our world and culture with programs that inform, entertain, educate, and even inspire.
01:15:28And this service is here for everyone, without regard to their ability to pay.
01:15:32But this service isn't free.
01:15:34It takes real dollars to purchase, produce and broadcast all the shows you come to find here on PBS.
01:15:40So, please, do your part now in the last intermission for this program.
01:15:44It's the support of individuals like you that make it all possible.
01:15:48And when you pledge at certain membership levels we have some great ways of saying thank you.
01:15:54If you contribute $90, we will say thank you with "The Science of Healing with Dr. Esther Sternberg" DVD.
01:16:00This is the program you just watched.
01:16:02It includes bonus material not in this broadcast.
01:16:05If you contribute $120, we will say thank you with the "Healingg Spaces" hardcover book.
01:16:10This is the latest book by Dr. Sternberg.
01:16:13She goes into deeper detail on many of the topics that were touched on in this program.
01:16:18Learn more about how music, environment, and what we eat can affect the quality of our life.
01:16:24And if you pledge $200, we will say thank you with "The Science of Healing" package.
01:16:29You will receive the program DVD, the "Healing Spaces" hardcover book, and another softcover book by Dr. Sternberg called "The Balance Within." And now let's go over to Rhea Feikin who's with Dr. Esther Sternberg.
01:16:41>> Feikin: sternberg, I have to ask you one question.
01:16:44I mean, despite that fact that somebody might try to do all these things and feel that their life is not filled with stress and then they get ill, how do they -- they shouldn't feel guilty, should they?
01:16:55>> Sternberg: No, I don't want anybody to have the impression that they should feel guilty.
01:16:59If you get sick it's not your fault.
01:17:02It's your biology.
01:17:02It's your genes.
01:17:03You didn't do it yourself.
01:17:05And also, I don't want people to think that they can throw away the space-age medicine and treatments that are so important that have really improved our health.
01:17:13But we can integrate into our lives.
01:17:15In fact, there's a filed called Integrative Medicine, where we can integrate all those things that we talked about; meditation, beautiful views, healthy diet, exercise, music.
01:17:26We can integrate all that into our lives to help us heal, and to help our bodies receive those space-age medications that are so important.
01:17:36>> Feikin: I think that's the key, the last thing you said.
01:17:40I mean, you've got to get your body ready to take advantage of those space-age medicines.
01:17:45>> Sternberg: Exactly.
01:17:47If you keep on doing -- this is what I realized, that if I kept on doing to myself, what I was doing was stress, I was not allowing my body to heal.
01:17:56I didn't throw away my anti-arthritis medications, I keep taking them, but I allowed my body to heal by incorporating all of these factors into my life.
01:18:06>> Feikin: So, if someone is watching this program, if someone has your book, even in the simplest ways they can change their environment and their life.
01:18:16>> Sternberg: Yes.
01:18:18So you can do things around your home to create a quite place.
01:18:21A place of peace where you can meditate.
01:18:24Where you can have a little bit of time to contemplate and get away from all those stresses of your lives.
01:18:30It can be as small as a chair in front of the fireplace, or a garden.
01:18:35If it's a garden, you can make sure you have blossoms, flowers that smell so you can have scents that are soothing and calming.
01:18:43>> Feikin: Or even bring a bouquet of flowers into your home...
01:18:45>> Sternberg: Yes.
01:18:46>> Feikin:..And put it in a vase and have it to look at.
01:18:48>> Sternberg: And that creates a beautiful view.
01:18:51If you don't have a beautiful view out the window, you can have a beautiful favorite painting.
01:18:57You can just pay attention to all of your senses and try to recreate it in your tiny space around you because the most powerful healing organ in our body is our mind.
01:19:06>> Feikin: Well, having said that, I want to remind you once again that we have some great thank you gifts for you.
01:19:12If you pledge at the $90 level, we're going to send you as a thank you gift, "The Science of Healing" DVD, which has extended interviews in it that you are not seeing on the program right now.
01:19:23You also can get, at the $120 level, the "Healing spaces" hardcover book.
01:19:29And if you're like me, I'd like to have the book, I like to readd and underline, I like to see something visually.
01:19:37So, if you pledge $200 you get "The Science of Healing" combo.
01:19:42And in that you get the program DVD, as well as the "Healing Spaces" hardcover book, and "The Balance Within" softcover book.
01:19:51So, please, ask the operator about putting your pledge on a charge card when you call.
01:19:57And I just want you to tell me one other thing.
01:20:00What do you want viewers to take away from this program?
01:20:04>> Sternberg: I want people to know that they can create a place of healing.
01:20:09That they can integrate all of their space-age medicine, all of the treatments that they are getting from their doctors, together with things that they can do for themselves to help them heal.
01:20:20>> Feikin: I think that's wonderful.
01:20:22I think you all are watching this program and know that is what we've been talking about.
01:20:28And that this is your last opportunity to please call in and whatever pledge you make is just great.
01:20:33There is no pledge too large or too small.
01:20:36Just ask the phone operator about the station's basic membership level.
01:20:40The most important thing is that you help keep quality programming on public television.
01:20:46Please, call us now at the number on your screen.
01:20:50>> Announcer: Delve deeper into "The Science of Healing" and help support the terrific programs you watch on PBS.
01:20:58Make a pledge of $90 and we'll say thank you with "The Science of Healing with Dr. Esther Sternberg" on DVD.
01:21:05It contains extended interview footage that you're not seeing today.
01:21:10Or, for a pledge of $120, we'll send you a hardcover copy of Dr. Sternberg's latest book, "Healing Spaces." It further explores the working relationship between our senses, our emotions, and our immune system.
01:21:25Support this station with a $200 contribution and we'll say thanks with a DVD of the program, the "Healing Spaces" hardcover book, and the softcover edition of Dr. Sternberg's earlier book, "The Balance Within." Please call now.
01:21:41Help keep wonderful programs like "The Science of Healing" on your PBS station.
01:21:48>> Thoms: I do want to remind you, this is the last opportunity to support this program, and we want to hear from you now.
01:21:55You come to public television and PBS for various reasons, and part of it is that you know that the program's always going to be good.
01:22:01You know that your children can watch programs and you can feel safe about it.
01:22:05You know that this is your public television station.
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01:22:10It needs your support.
01:22:11So please -- Rhea and I can say this all day, but you know it -- public television needs your support.
01:22:16And if you can do it right now we would be really very happy.
01:22:19You know, PBS is different.
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01:22:42Never ever forget it.
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01:22:50Join us now by calling the number on your screen and making a generous financial contribution to this station.
01:22:56The number is on the screen.
01:22:58If you pledge $90, we will say thank you with "The Science of Healing with Dr. Esther Sternberg" DVD.
01:23:04It includes bonus material not shown in this broadcast.
01:23:07$120, we will say thank you with the "Healing Spaces" hardcover book.
01:23:12This is the latest book by Dr. Sternberg.
01:23:14She goes into even more detail about the working relationship between our senses, our emotions, and our immune system.
01:23:21$200, we will say thank you with "The Science of Healing" package.
01:23:25You will receive the program DVD, the "Healing Spaces" hardcover book, and another softcover book by Dr. Sternberg called "The Balance Within." Remember to put your pledge on a charge card, and these membership levels are just suggestions, folks.
01:23:37Please, feel free to pledge whatever amount you can afford.
01:23:40Ask the phone operator about thiion's basic membership level.
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01:23:49>> Feikin: sternberg, you work all the time, you are a physician, you are a scientist, you're in the lab.
01:23:55You do all that.
01:23:57You've written books.
01:23:58You've been on national television.
01:24:00Why'd you decide to do this for public television?
01:24:04>> Sternberg: I wanted to reach as many viewers as I could to help them, really to help people, and to show the science behind what we all have been told, what we believe in, but that there really is a science behind it.
01:24:18And I wanted to get that point across to the public.
01:24:21I think, you know, public education is public health, and I'm very committed to that, with my books and with the show.
01:24:29And I think PBS can do it better than anybody.
01:24:32>> Feikin: And it's kind of wonderful that anybody who has a television set is able to get all this information from a program like yours.
01:24:41You really are giving a gift to anybody who is watching right now.
01:24:46>> Sternberg: And our goal was to do that.
01:24:48And to do it in a way that is exciting, and compelling, and interesting, and not boring -- not that you have to listen to a lecture in order to pass an exam -- but to really enjoy and learn at the same time.
01:25:00>> Feikin: But you didn't talk down.
01:25:02>> Sternberg:..
01:25:03>> Feikin: That was what was great.
01:25:05I mean, we learned so much, but at the same time, when you talked to different professionals, different scientists, we got a real glimpse of what goes on behind the scenes.
01:25:16>> Sternberg: Well, I'm glad.
01:25:17That was really one of our goals as well, is to show that the scientists who've done this research, and who've made these discoveries, they're real people, I'm a real person, you know.
01:25:26>> Feikin: Honest to goodness.
01:25:29>> Sternberg: And we're all driven by, not only curiosity, but by a desire to help.
01:25:35We want to help people.
01:25:37And we want to find out.
01:25:38We want to get to the bottom of it.
01:25:42And so we're all real people.
01:25:43And you can see in each of the scientists who we highlighted, they each do what they do research about.
01:25:51They have been driven by, you know, Dr. Thayer, the love of music.
01:25:56Dr. Berger having walked the labyrinth herself.
01:26:00Dr. Fleshner, you know, the exercise physiologist, and so on.
01:26:05Every single one of them has lived that life that they research.
01:26:11>> Feikin: And have given you all this information so that even if you forget, don't you, like all of us, have to reassess and go over these things and make sure we're still doing them.
01:26:21>> Sternberg: Yes, it is an effort, but I do make a conscious effort.
01:26:26Before this experience, before the experience in Crete, I didn't make a conscious effort to readjust my schedule, to prioritize, to exercise.
01:26:35I did not make a conscious effort to exercise.
01:26:38And now I do.
01:26:38And it makes a difference.
01:26:40It makes me feel better.
01:26:41>> Feikin: Well, it makes us all feel better.
01:26:44And I feel enriched and enlivened by all this, and I hope you do, too.
01:26:49I hope you know that if you make a pledge of $90 you can get a DVD of "The Science of Healing," which includes extended interviews.
01:26:57For $120, we're going to send you the "Healing Spaces" hardcover book.
01:27:01At $200, "The Science of Healing" combo, which includes the DVD, the "Healing Spaces" hardcover book, and "The Balance Within" softcover book.
01:27:11Please ask your operator about putting it on a charge card when you call.
01:27:16>> Thoms: You know, I think it's great that when I watch the program and I think about all the things that I learned, and I learned a lot, but that whole thing about Ibuprofen and olive oil, that's amazing.
01:27:24>> Sternberg: Isn't that great.
01:27:25That is so cool.
01:27:26>> Feikin: That's just one of the many, many things here.
01:27:29I am afraid that we have run out of time.
01:27:31We want to thank you so much Dr. Sternberg.
01:27:32>> Sternberg: It's been a pleasure, really.
01:27:34>> Feikin: And we want to thank you because you've been a great audience.
01:27:36Thank you so much for your pledges.
01:28:36yes? ♪♪
01:28:36♪♪ Is that the Chattanooga Choo Choo? ♪♪
01:28:38♪♪ That's the Chattanooga Choo Choo. ♪♪
01:28:41♪♪ I am that Yankee Doodle Boy. ♪♪
01:28:44rolls ute, I tell ya, you ain't heard nothin'.
01:28:49there wa FEINSTEIN: If the war years had ♪♪ My dear old Swanee... ♪♪
01:28:54FEINSTEIN: And bringing us nearly full circle, u. ♪♪

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