what brings you nothing but misfortune. Our nervous system isnât just a fiction; itâs a part of our physical body, and our soul exists in space, and is inside us, like the teeth in our mouth. It canât be forever violated with impunity. I found it painful to listen to you, Innokentii, when you told us how you were re-educated and became mature in jail. It was like listening to a horse describing how it broke itself in.â
It is doubtful whether the placeboâor any drug, for that matterâwould get very far without a patientâs robust will to live. For the will to live is a window on the future. It opens the individual to such help as the outside world has to offer, and it connects that help to the bodyâs own capability for fighting disease. It enables the human body to make the most of itself. The placebo has a role to play in transforming the will to live from a poetical conception to a physical reality and a governing force.
In the end, the greatest value of the placebo is what it can tell us about life. Like a celestial chaperon, the placebo leads us through the uncharted passageways of mind and gives us a greater sense of infinity than if we were to spend all our days with our eyes hypnotically glued to the giant telescope at Mt. Palomar. What we see ultimately is that the placebo isnât really necessary and that the mind can carry out its difficult and wondrous missions unprompted by little pills. The placebo is only a tangible object made essential in an age that feels uncomfortable with intangibles, an age that prefers to think that every inner effect must have an outer cause. Since it has size and shape and can be hand-held, the placebo satisfies the contemporary craving for visible mechanisms and visible answers. But the placebo dissolves on scrutiny, telling us that it cannot relieve us of the need to think deeply about ourselves.
The placebo, then, is an emissary between the will to live and the body. But the emissary is expendable. If we can liberate ourselves from tangibles, we can connect hope and the will to live directly to the ability of the body to meet great threats and challenges. The mind can carry out its ultimate functions and powers over the body without the illusion of material intervention. âThe mind,â said John Milton, âis its own place, and in itself can make a heaven of hell, and a hell of heaven.â
Science is concocting exotic terms like biofeedback to describe the control by the mind over the autonomic nervous system. But labels are unimportant; what is important is the knowledge that human beings are not locked into fixed limitations. The quest for perfectibility is not a presumption or a blasphemy but the highest manifestation of a great design.
Some years ago, I had an opportunity to observe African witch-doctor medicine at first hand in the Gabon jungle country. At the dinner table of the Schweitzer Hospital at Lambarene, I had ventured the remark that the local people were lucky to have access to the Schweitzer clinic instead of having to depend on witch-doctor supernaturalism. Dr. Schweitzer asked me how much I knew about witch doctors. I was trapped by my ignoranceâand we both knew it. The next day le grand docteur took me to a nearby jungle clearing, where he introduced me to un de mes collègues , an elderly witch doctor. After a respectful exchange of greetings, Dr. Schweitzer suggested that his American friend be allowed to observe African medicine.
For the next two hours, we stood off to one side and watched the witch doctor at work. With some patients, the witch doctor merely put herbs in a brown paper bag and instructed the ill person in their use. With other patients, he gave no herbs but filled the air with incantations. A third category of patients he merely spoke to in a subdued voice and pointed to Dr. Schweitzer.
On our way back to the clinic, Dr. Schweitzer explained what had happened. The people who had