FOREWORD As this century winds down, medicine as we know it is being redefined. This may be inapparent to those persons within and without the profession who remain focused on the traditional concepts of disease and therapy. But for those who can catch the main drifts, it is clear that ou r medical world can never be the same. It is not, and can never be, business as usual. This work by Shealy and Myss is a part of the emerging model of humans. If there is a single, dominant feature of this new view, it is this: consciousness-whatever we may mean by that term-matters. It matters greatly~ not just in trivial, relatively inconsequential ways, as many psychosomatic theorists have maintained. It is no exaggeration to say that one s state of mind not only contributes to health and illness; it can be a matter of life and death. This fact is most vividly dramatized in the area of cardio- vascular medicine, where life-threatening events can occur within seconds. In other areas the effects of the mind work more slowly-as in the immune system, which is the territory being explored by Shealy and Myss. Because of the larger time scales involved, which may be on the order of months or even years, and because, also, of the astounding number of in- termediary variables involved, such as whole families of im- mune cells, microorganisms, antigens and antibodies, and hormones, the effects of the human mind may seem dwarfed or completely overshadowed. But they are there if we look in astute ways. And in immune-related disorders the effects of mind, too, may be a matter of life or death.
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