2006 Heart-Brain summit proceedings

Contextual cardiology: What modern medicine can learn
from ancient Hawaiian wisdom

Paul Pearsall, PhD

Clinical Professor, Department of Nursing
University of Hawaii at Manoa
Board of Directors, Hawaii State Consortium for Integrative Medicine
Honolulu, HI

ARTICLE INTRODUCTION

A Hawaiian mo`olelo (legend) speaks of the importance of loving connection, a concept that 2,000-year-old Hawaiian medicine considers to be the essence of health. To Hawaiian kahuna (healers), all illness takes place in the context of some form of disconnection, and all healing requires reconnection by “restorative justice” through which responsibility for the disconnection is taken and amends are made. To Hawaiians, health is an interpersonal matter, and the pu`uwai (heart) develops and functions in interaction with other hearts. This power of heart-to-heart connection is illustrated in the Hawaiian legend of Naupaka.

CITATIONS

  1. Pearsall P.
    Partners in Pleasure: Sharing Success, Creating Joy, Fulfilling Dreams⎯Together. Alameda, CA: Hunter House; 2001.

  2. Allan R, Scheidt S.
    Heart and Mind: The Practice of Cardiac Psychology. Washington, DC: American Psychological Association; 1996.
  3. Pokrovskii VM.
    Integration of the heart rhythmogenesis levels: heart rhythm generator in the brain. J Integr Neurosci 2005; 4:161– 168.
    http://www.ncbi.nlm.nih.gov/pubmed/15988795
  4. Siegel DJ.
    The Developing Mind: How Relationships and the Brain Interact to Shape Who We Are. New York, NY: Guilford Press; 1999.
  5. Post RM, Weiss SRB.
    Emergent properties of neural systems: how focal molecular neurobiological alterations can affect behavior. Dev Psychopathol 1997; 9:907–930.
    http://www.ncbi.nlm.nih.gov/pubmed/9449011
  6. Kagan J.
    Galen’s Prophecy: Temperament and Human Nature. New York, NY: Basic Books; 1994.
  7. Smith TW, Berg C, Uchino BN, Florsheim P, Pearce G.
    Marital conflict behavior and coronary artery calcification [abstract]. Presented at: American Psychosomatic Society 64th Annual Meeting; March 3, 2006; Denver, CO. Abstract 1731. Available at: www.psychosomaticmedicine. org/misc/AbstractsForJournal062-9final.pdf.
  8. Gilligan C.
    In a Different Voice. Cambridge, MA: Harvard University Press; 1982.
  9. Davidson RJ.
    Asymmetric brain function, affective style, and psychopathology: the role of early experience and plasticity. Dev Psychopathol 1994; 6:741–758.
  10. Diener E, Suh EM, Lucas RE, Smith HL.
    Subjective well-being: three decades of progress. Psychol Bull 1999; 125:276–302.
  11. Harker L, Keltner D.
    Expressions of positive emotion in women’s college yearbook pictures and their relationships to personality and life outcomes across adulthood. J Pers Soc Psychol 2001; 80:112–124.
    http://www.ncbi.nlm.nih.gov/pubmed/11195884
  12. Baumeister RG, Leary MR.
    The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychol Bull 1995; 17:497–529.
    http://www.ncbi.nlm.nih.gov/pubmed/7777651
  13. Gottman J.
    Why Marriages Succeed and Fail. New York, NY: Simon and Schuster; 1994.
  14. Gladwell M.
    Blink. New York, NY: Little Brown; 2005.
  15. Murray S.
    The quest for conviction: motivated cognition in romanticrelationships. Psychol Inq 1999; 10:23–34.