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Yesterday some people asked me whether they can wish dead people 'happy birthdays' and 'happy wedding anniversaries' like others are doing.

Well, yes, dead people can no longer celebrate them and 'feel happy about them'.
 
But let me ask these questions: Can wishes or blessings or prayers really make any difference in peoples' lives?
When you say "all the best for your exam", will it make the person get only easy questions in the examination  paper, or only the ones the person read and can answer or make the person more intelligent or  more-knowledgeable to write the exam excellently?
When lots of people  wish someone a ' happy new year', will that make  the year very happy to that person?
The answer is NO! And that is a big NO!
And we have evidence!
Let me explain.
Human beings are highly emotional. Emotions rule the world. At the emotional level, yes, people feel happy if you wish them , bless them or pray for them. Feel good hormones will be produced in their systems - that is the reason why they feel elated  and if someone they think is close don't wish these hormones will not be produced and therefore, they feel bad or low. That is why people say, 'these wishes and blessings mean a lot to us'.
These are the people who cannot control their emotions. They depend on external 'happiness boosters' to feel elated. That again is based on cultural conditioning of minds. As your culture or belief system  tells you - if someone wishes you something good it will bring all the better things into your life. 
But do they really? NO. 
Research has shown that wishes or blessings or prayers have absolutely no effect on the final outcomes or results. You might get a little bit of a psychological (mental or emotional) boost and that might make you go out and perform in a good mood. That is all. 

Prayer ( wishes or blessings) may be supported by varying degrees of faith and may therefore be associated with all the benefits that have been associated with the "placebo" * response.

(* Placebo is  usually a pharmacologically inert preparation prescribed more for the mental relief of the patient than for its actual effect on a disorderClinically significant treatment gains have been observed with placebo in numerous disorders, including anxiety, depression, schizophrenia, obsessive-compulsive disorder, tardive dyskinesia, ischemic heart disease, cardiac failure, Parkinson's disease and even cancer, among a host of other conditions.)
Relevant to the context of prayer and healing, the placebo response is influenced by personality traits and behaviours such as optimism, response expectancy, motivational concordance (i.e., the degree to which the behavioural rituals of the therapy are congruent with the motivational system of the subject) and degree of engagement with a ritual.
Sometimes, spontaneous remission and regression  may occur coincidental to prayer. That's it. 
 
It has been shown that prayer is no better in answering requests than tossing a coin and sometimes worse.

There have been numerous studies on prayer. Most of them have a result within the statistical error margin compared to the control group, meaning that any positive or negative effect could well be a random fluke.

Some studies stand out, for instance the Study of the Therapeutic Effects of Intercessory Prayer (STEP) in c...: in this study, patients of cardiac bypass were randomly divided into three groups.

  • One group were told that they may or may not have intercessory prayer said for them, which they then had.
  • One group were told that they may or may not have intercessory prayer said for them, which they then did not have.
  • The control group were told that they would have intercessory prayer said for them, which they then had.

The prayer was standardised like “we pray for the speedy recover without complications of John N” (given name and initial), and distributed among randomly selected congregations. Then the complication rates of the patients were measured in a given time.

There was practically no difference in complication rates among the two first groups – about 50% of patients in both had some form of complication.

The third one was different, though: about 60% of patients in this group had some form of complication.

During research it was found that unless you told people you were praying for them... then outcomes were worse for the prayee!

Absence of benefits with prayer

Aviles et al.[1] examined cardiovascular outcomes related to prayer. In this study, 799 coronary care unit patients at discharge were randomized to intercessory prayer or no prayer conditions. Prayer was conducted by five persons per patient at least once a week for 26 weeks.

Patients were considered to belong to a high-risk group if they were 70 years old or older or if they had any of the following: diabetes mellitus, previous myocardial infarction, cerebrovascular disease or peripheral vascular disease. The primary endpoint of the study was any of the following: death, cardiac arrest, rehospitalization for cardiovascular disease, coronary revascularization or an emergency department visit for cardiovascular disease.

By the end of 26 weeks, a primary endpoint had occurred in 25.6% of patients in the prayer group and in 29.3% of patients in the control group. The difference was not statistically significant. The results remained nonsignificant when data were analyzed separately for high- and low-risk patients. Thus, this study showed that, as delivered in this study, intercessory prayer did not influence the 26-week outcome after discharge from a coronary care unit.

Other recent randomized controlled trials have also reported negative results. For example, Krucoff et al.[2] reported no benefits with off-site prayer in patients (n = 748) undergoing percutaneous coronary interventions and Astin et al.[3] found that neither remote prayer delivered by professional healers nor remote prayer delivered by nurses with no training or experience in distance healing resulted in benefits to patients (n = = 156) with acquired immunodeficiency syndrome-defining opportunistic infections.

Worse outcomes associated with prayer

Benson et al.[4] described a triple-blind, randomized controlled study that examined whether remote intercessory prayer influenced recovery after coronary artery bypass graft surgery and whether the certainty of being prayed for was associated with better outcomes. The sample comprised 1,802 patients in six hospitals in the USA. These patients were randomized into three groups: 604 were prayed for after being informed that they may or may not be prayed for, 597 were not prayed for after similarly being informed that they may or may not be prayed for and 601 were prayed for after being informed they would definitely be prayed for.

Prayer commenced one day before the surgery and continued for 14 days. Three mainstream religious sites prayed daily for patients assigned to receive prayer. Assessment of outcomes was made by nurses who were blind to the group assignments. The primary outcome was the presence of any complication within 30 days of surgery. Secondary outcomes were any major event, including death. The study sought to examine the efficacy of intercessory prayer and not to test the presence of God. The design was described by Dusek et al.[5]

In the two groups that did not know for certain whether or not they were being prayed for, complications occurred in 52% of patients who received intercessory prayer and in 51% of those who did not. In contrast, complications occurred in a significantly larger proportion of patients (59%) who knew for certain that they were being prayed for. Major events and 30-day mortality rates, however, were similar across the three groups.

This study therefore showed that remote intercessory prayer did not improve outcomes after coronary artery bypass graft surgery. In fact, the knowledge of being prayed for was associated with a slightly but significantly higher rate of postsurgical complications.

In scientific research by invoking prayer, researchers invite troublesome questions about the importance of several theosophical matters (6):

  1. Do the quantitative aspects of prayer influence outcomes? Quantity refers to the number of prayers, the frequency of the prayers and the duration of the prayers.
  2. Do the qualitative aspects of prayer influence outcomes? Quality refers to the category to which the prayer belongs in the religion of the person who is praying; the fervency with which the petition is expressed; whether the prayer is expressed in thoughts, speech or song; the addition of vows and sacrifices, etc.
  3. Does the practical content of the prayer or the actual petition matter? That is, are some petitions more or less likely to receive a favourable response, depending on how reasonable they are?
  4. Are outcomes more likely to be favourable if the persons praying have greater belief that the outcome will be favourable, or greater faith or conviction in the deity at whom the prayer is directed?
  5. Are outcomes more likely to be favourable if a larger number of people pray or if a team approach is adopted as opposed to an individual approach?
  6. Might outcomes depend on the personal characteristics of the persons who pray; that is, their age, sex, income, religious denomination, position in the religious hierarchy, experience with and skills at praying and so on?
  7. Might outcomes depend on the moral and social characteristics of the persons who pray; that is, their integrity, kindness, altruism, willingness to forgive, generosity, religiosity and so on?
  8. Might outcomes depend on the personal, moral and social characteristics of the persons in whose favor the prayer is offered, or of the general worthiness of the cause?
  9. Would the outcomes depend on the entity at whom the prayers are directed?
  10. What is the nature and magnitude of response that would be considered as a favourable outcome?

These “pharmacokinetic and pharmacodynamic” descriptors of prayer are all important issues to judge from the manner in which persons pray, or if persons with strong religious affiliations are to be believed. Therefore, all of the above would need to be considered as independent or confounding variables in any scientific study on the efficacy of intercessory prayer. Curiously, no study has so far addressed these issues. And, for several reasons, such issues are disturbing because they reduce the concept of God to that of a human being with weaknesses and vanities, thereby exposing theological inconsistencies and attacking the very roots of theology and natural justice. Some of the unsettling questions that arise in these contexts are presented below; the questions are unsettling because they invite comparison with human parallels that devalue the concept of God, something that those who pray surely would not have considered. Researchers raised these important questions (6):

  1. If the number, duration and frequency of prayer are important or if the number of persons praying is important, does God, like a businessman, market boons based on the currency value of the prayers? Or, will God pay attention only if those who pray are sufficiently bothersome?
  2. If the type of prayer is important, is God a bureaucrat who is more likely to consider petitions that appear in the prescribed forms?
  3. If the addition of vows and sacrifices is important, is God somebody who can be flattered or bribed into granting a boon?
  4. If the level of fervency or intensity is important, does God distinguish between “please”, “pretty please” and “pretty please with ribbons on it”?
  5. If the practical content of and petitions in the prayer are important, how does God make decisions about what is and what is not a reasonable request?
  6. If the faith or conviction of the persons who pray is important, does God value the beliefs of the petitioners more than the merits of the petitions?
  7. If the personal characteristics and qualities of the persons who pray (or the persons who are being prayed for) are important, are some people more equal before God than other people? Religions portray God as being compassionate; what sort of compassion is displayed by the selective favoring of an experimental over a control group?
  8. If the entity to which the prayer is directed is important, do different Gods have different portfolios? Are some Gods more approachable? Do some Gods ignore some prayers? If the religious affiliation of the person who prays is important, what becomes of the other religions of the world and those who follow such religions; will their prayers remain unanswered?
  9. If the magnitude of response to the petitions is total, then all prayers should result in miraculous or near-miraculous benefits. This, clearly, almost never happens. Thus, does God work on percentages; that is, if the petition is for an elephant, does he sanction a mouse? Or, are his responses only subtle ones? If so, how does he choose on the outcome measure to improve?

These questions are unsettling to those who pray because of their theological implications, but they are also unsettling to scientists because they challenge the design, analysis and interpretation of randomized controlled trials of the efficacy of intercessory prayer. Consider the following:

  1. It could be difficult, if not impossible, to measure all the independent and confounding variables that are important in such research. For example, how might one measure faith, fervency, reasonableness, worthiness, religiosity, morality and other abstract constructs?
  2. How might one define what is an acceptable response to prayer? Healing can be partial or complete. It can be psychological or physical. It can be abstract or concrete. Confounding the picture, statistically significant improvement can be identified only if the same outcome measure is improved in a sufficiently large number of experimental relative to control patients, but why should God decide to select any one outcome measure over the rest? And if different outcome measures improve in different experimental patients in response to prayer, there is no way in which the improvement can be statistically detected.
  3. As atheists, in general, form a minority in most populations, in any randomized controlled trial of intercessory prayer, there is likely to be a number of persons (friends, relatives and the patients themselves) praying for members of both experimental and control groups, unknown to the researchers. If prayer works, this unmeasured source of healing could diminish intergroup differences in outcomes.
  4. As inferential statistical tests will be applied to the data generated by randomized controlled trials of intercessory prayer, is it valid to assume that acts of God conform to normal, t or other statistical distributions? Or that God responds mechanistically to prayer, in a manner that follows laws of probability? In this context, miraculous healings are considered to be outside the provisions of nature, and so divine intervention could actually be expected to violate probability.
  5. Alternately, if prayer is a nonlinear variable, the merits and demerits of which are decided upon by God, then one prayer made by a control patient or relative can statistically offset a multitude of intercessory prayers offered on behalf of the experimental patients. In fact, if divine intervention is selective or arbitrary in response to petitions, the entire basis of randomized controlled design and inferential statistical analysis becomes invalid.

From a scientific perspective, if prayer is indeed considered to work, thought should also be given to the possibility that it may not require a deity. It may, instead, invoke some hitherto unidentified mental energy that has healing power. If so, might prayer be more effective if those who pray are in closer proximity to those who are being prayed for? Might the direction in which persons face (while praying) matter? Might the assistance of the physical sciences be required to identify the nature of the biological energies at work?

It should be noted that the distant healing, intercessory prayer studies specifically test the intervention of a divine entity. This is because the intercessors are usually blind to the identities of the patients for whom they pray, or (at least) because the intercessors do not have any contact with these patients. Therefore, it is left to a sentient being to miraculously divine the intent of the prayers and apply the intercession to the correct target.

Of note, distant healing, intercessory prayer studies address soft diagnoses with soft outcomes. No study, for example, has examined whether prayer can result in the disappearance of medically proven tumors and metastases, reversal of traumatic paraplegia or revival from a state of brain death. It would seem that the results of such studies could be more convincing than the results of studies on wound healing or successful pregnancy. Could it be that those who pray believe that God has or sets limitations?

Researchers  close the critique with two final questions (6):

  1. If research on intercessory prayer is positive, does it suggest to us ways and means by which we can manipulate God or make his behaviour statistically predictable?
  2. Why would any divine entity be willing to submit to experiments that attempt to validate his existence and constrain his responses?

In this context, we must keep in mind that religion is based on faith and not on proof. This implies that, if God exists, he is indifferent to humanity or has chosen to obscure his presence. Either way, he would be unlikely to cooperate in scientific studies that seek to test his existence.

Where does this leave us? God may indeed exist and prayer may indeed heal like theists think and say that their research has validated this; however, it appears that, for important theological and scientific reasons, randomized controlled studies cannot be applied to the study of the efficacy of prayer in healing. In fact, no form of scientific enquiry presently available can suitably address the subject. Therefore, the continuance of such research may result in the conducted studies finding place among other seemingly impeccable studies with seemingly absurd claims (Renckens et al. 2002; [7]). Whereas some scientists have attempted to be scientifically and politically correct in their critique, other authors, such as Dawkins,[8] have been humorous, no even scathing, in their criticism.

The aim of science is not only to open a door to infinite wisdom but to set a limit to infinite error.

So  some say prayers have some effects but that is highly questionable.

Okay, coming to  the main question, If you send wishes to a dead person, he cannot have a psychological boost like living persons.  But what your wish says is how much you care about the person, how you remembered an important date in that person's life and how you still feel about that person. The dead person's close relatives and friends  might feel happy about this. This also shows how much the dead person is still loved, respected or revered. This is an important Hallmark of that person.

So you can wish the dead person to pay your respects and make all his or her loved ones happy. 

Those who are living and say these wishes mean a lot to them are denoting that they are unable to overcome their emotional dependence on them and do need them for a psychological boost. 

Coming to the emotional boost of wishes or blessings or prayers, those who have risen above the emotional aspects in their lives don't need these external boosters. I certainly don't need them and wrote a poem too on this sometime back (9).

Don't send me your good wishes!

Don't greet me on my birthday
I will be happy everyday
Whether you send me good wishes or not
I have my overflowing satisfaction pot!

Sending good vibes don't change anything
They don't  make the luck swing 
My way or anybody's way
They don't bring the positive sway

Mere words won't do 
You don't have a clue
Of how a change is brought about
What changes a  disastrous clout

When I can meet my best chance with my hard work
 I will get my greatest perk
The able ones don't need 
Your sweet ego-feed

Instead, if you can really assist
The needy, the old and  resist
The inconsistencies in the statuses
That is the gesture a good heart always cherishes.

But the irony is people who give spiritual renderings too depend on them for their emotional well being. They say you can learn how to control your emotions by rising above them to the degree of consciousness of your Higher Self (10).

When you identify with an emotion you become that emotion, even if temporarily, and then that emotion is in control as it colours all your thoughts and actions. In contrast, by learning how to control your emotions by rising above them and observing your experiences as if from above, then any associated emotions can be tempered.

This is not the same as not having or suppressing your emotions. Controlling your emotions is about changing the way you handle those experiences that trigger extreme emotional reactions within you. By observing your emotions from a higher vantage point, as if observing yourself having those emotions from a distance, you no longer identify with them.

It's not what happens to you that counts but rather how you perceive that experience, or in other words, the meaning you give to it. Any experience is in itself neutral but your emotions surrounding the experience determine its impact on you, and your emotions are in turn coloured by the core beliefs of your personal belief system. 

I am not into spiritual things but when science tells me there is no meaning to wishes, blessings or prayers in reality and that they won't affect the result or outcome in any way - I don't feel anything at all whether people wish me or not! If they find time to wish me, it is okay and I thank them for taking time to do that. If they have more  important work to do and are unable to wish for me, I can understand that and still this is also okay with me. 

It doesn't make any difference to me, dead or alive, whether people wish me or not! If people call that emotional maturity like my friends and colleagues do, that is what science has brought into my life and I thank SCIENCE for that.   


to all those who need an emotional  boost  :)

Footnotes:

1. Aviles JM, Whelan E, Hernke DA, Williams BA, Kenny KE, O'Fallon M, et al. Intercessory prayer and cardiovascular disease progression in a coronary care unit population: A randomized controlled trial. Mayo Clin Proc. 2001;76:1192–8. [PubMed[Google Scholar]
2. Krucoff MW, Crater SW, Gallup D, Blankenship JC, Cuffe M, Guarneri M. Music, imagery, touch, and prayer as adjuncts to interventional cardiac care: The Monitoring and Actualisation of Noetic Trainings (MANTRA) II randomised study. Lancet. 2005;366:211–7. [PubMed[Google Scholar]
3. Astin JA, Stone J, Abrams DI, Moore DH, Couey P, Buscemi R, et al. The efficacy of distant healing for human immunodeficiency virus-results of a randomized trial. Altern Ther Health Med. 2006;12:36–41. [PubMed[Google Scholar]
4. Benson H, Dusek JA, Sherwood JB, Lam P, Bethea CF, Carpenter W, et al. Study of the Therapeutic Effects of Intercessory Prayer (STEP) in cardiac bypass patients: A multicenter randomized trial of uncertainty and certainty of receiving intercessory prayer. Am Heart J. 2006;151:934–42. [PubMed[Google Scholar]
5. Dusek JA, Sherwood JB, Friedman R, Myers P, Bethea CF, Levitsky S, et al. Study of the Therapeutic Effects of Intercessory Prayer (STEP): Study design and research methods. Am Heart J. 2002;143:577–84. [PubMed[Google Scholar]
7. Renckens CN. Alternative treatments in reproductive medicine: Much ado about nothing: “The fact that millions of people do not master arithmetic does not prove that two times two is anything else than four”: WF Hermans. Hum Reprod. 2002;17:528–33. [PubMed[Google Scholar]

8. Dawkins R. The God Delusion. Great Britain: Bantam Books; 2006. [Google Scholar]

9. https://kkartlab.in/group/theartofwritingpoems/forum/topics/don-t-s...

10. https://www.mind-your-reality.com/how-to-control-your-emotions.html....

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