What are the causes/mechanisms of spontaneous remission?
A number of mechanisms have been proposed for spontaneous remission of cancer. In the 1970s, a conference at the National Cancer Institute proposed that it was likely immunological factors that provided the primary mechanism of remission. However, although a number of immunotherapy treatments have shown some efficacy in those cancers with an immunological component, there is still no direct one to one correlation between immunological factors and cancer remission in the largest number of cancer types. Since that conference a number of different factors/mechanisms have been proposed for spontaneous remission.
Proposed biological and physiological factors/mechanisms:
- Immune mediation
- Hormonal factors
- Inhibition of tumor growth by growth factors and/or cytokines
- Differentiation of the tumor into a more “normal” type of tissue
- Elimination of carcinogens
- Angiogenesis
- Tumor necrosis
- Programmed cell death (apoptosis)
- Genetic factors
That psychological and spiritual factors play a role in remission and survival is evident from the stories of people who have experienced unexplained recoveries from cancer and other diseases, but since the role of mind and the spirit is different for each person, it is difficult to generalize their influence.
Proposed psychological and spiritual factors/mechanisms:
- Placebo effect: The placebo effect has been one of the most constant indications that a wide variety of conditions can be positively affected by an as-yet unknown internal system in virtually every person. Among those conditions that have proven responsive to placebo treatment are angina pectoris, cancer, rheumatoid arthritis, warts, asthma, ulcers, migraine headaches, allergies, multiple sclerosis, diabetes, and psychiatric disorders.
- Hypnosis: Medical journals contain many stories of healing associated with hypnosis and other dissociative states. Hypnosis has been reported to speed the healing of burns, cause warts to disappear, cure asthma and decrease blood loss in surgical procedures
- Altered States: Altered states such as ritual trance, prayer, meditation and other spiritual practices such as yoga, zen and Buddhist training have also been reported to enhance healing
- Miraculous Healings: The reports of miraculous healings, such as those reported at Lourdes, show the extent to which faith and prayer can affect healing. These reports are very well documented and rigorously reviewed by the International Medical Commission of Lourdes. To date there have been 65 cures accepted as miraculous by the church.
- Group Support: Dr. David Spiegel’s landmark research study found that breast cancer patients who participated in a support group survived twice as long on the average than those who did not. It is interesting to note that the only kind of psychological technique they used in the support group was self-hypnosis for pain.