Religious Studies Review, Vol. 46, No. 3, September 2020
© 2020 Rice University 359
Review Essay
Defining Health and Religion: Mindfulness and Buddhism
MIND CURE: HOW MEDITATION BECAME MEDICINE
By Wakoh Shannon Hickey,
New York: Oxford University Press, 2019
Pp. xi + 324. Hardcover, $29.95.
PRESCRIBING THE DHARMA: PSYCHOTHERAPISTS,
BUDDHIST TRADITIONS, AND DEFINING RELIGION
By Ira Helderman,
Chapel Hill: University of North Carolina Press, 2019
Pp. viii + 314. Paper, $29.95.
REVIEWER: Kin Cheung
Moravian College
Bethlehem, PA 18018
For some, health is a straightforward concept. Dictionaries pro-
vide a negative—and less often, a positive—definition of health:
free from injury or illness; a sound body and mind. However, the
philosophy of medicine reveals a deep debate over how to define
medicine, health, and disease (Reiss and Ankeny 2016). The two
books reviewed here are about how Buddhist-based meditation
practices—including, but not limited to, mindfulness—have been
employed as medical interventions in America. Their focus on
definitions of health and religion separate them from numerous
other monographs on mindfulness published in 2019, including
noteworthy critical perspectives in McMindfulness by Ronald
Purser, and Mindfulness and Its Discontents by David Forbes. In
Mind Cure, Wakoh Shannon Hickey asks what gets lost when
mindfulness is medicalized? In Prescribing the Dharma, Ira
Helderman asks what are the myriad ways that American psy-
chotherapists define religion? Hickey argues the Mindfulness
movement is a specific type of religion and has a history in the
late nineteenth century American religious groups of Christian
Science and New Thought. Helderman considers the effects of
the contemporary labeling of Buddhist-based practices such as
mindfulness, as religious or not. What is at stake here is giving
a platform to voices typically ignored in conversations around
Buddhist-based practices including and beyond mindfulness:
those of women, ethnic and racial minorities, and the medi-
cal professionals who use, or refuse to use, a range of these
practices in treating patients. The neglect of such voices can be
partially attributed to academics and scholars who contribute
to this discourse. The two authors here are reflexive on how
the questions they pursue can impact the communities they
write about.
These two books by Hickey and Helderman were spot-
lighted at the November 2019 meeting of The American
Academy of Religion in an authors meet critics session titled
“Meditation, Buddhism, and Mental Health: State of the Field,”
sponsored by the Psychology, Culture, and Religion Unit and
the Religions, Medicines, and Healing Unit. I mention this here
because I will refer to comments by my co-panelists Francisca
Cho, Franz Metcalf, and Nicolee Jikyo McMahon later in this
review essay.
Mind Cure provides a carefully researched religious his-
tory of meditation-as-medicine that explains the developmen-
tal roots of mindfulness in the American religious landscape,
which includes “Christianity, Judaism, Transcendentalism,
Western esotericism (particularly Theosophy), Buddhism, and
Hindu neo-Vedanta” (37). In examining the nineteenth cen-
tury, Hickey investigates what Jeff Wilson (2014) left out in his
Mindful America. She untangles how the late 1860s and 1870s
Christian Science and New Thought were lumped together as the
Mind Cure movement. She starts with the influence of Emanuel
Swedenborg (1688–1772) on American religion and healing,
including Homeopathy, Mesmerism, Mind Cure, Mormonism,
Mysticism, Shakerism, Spiritualism, Transcendentalism, and
more. Hickey provides immensely helpful visual depictions that
map out relationships and multi-directional arrows of influence
of this complicated web of ideas and movement of thought.
“Mind Cure is an important and vastly underappreciated
precursor to the modern Mindfulness boom. To understand
early Mind Cure—as well as contemporary efforts to promote
meditation in medicine—it is essential to notice the ways that
race and gender shaped the movement and subsequent re-
ligious and medical developments” (37). Hickey describes
how women contributed to religious community building, but
the best healing techniques were taken by men to be used in
their space, and how white Americans used black Americans
to experiment on and observe for medical purposes in un-
ethical manners. She draws a parallel between the rhetori-
cal connection of its practices to science by the Emmanuel
Movement, an early twentieth century “collaboration be-
tween elite, psychologically trained clergy and orthodox
physicians” (101) and “[t]he appeal to mainstream medical
science by white, male spokespersons with Establishment
credentials … [as] a factor in the success of the contempo-
rary Mindfulness movement’s efforts to promote meditation
as medicine” (122). Hickey employs gender and racial analy-
sis to examine this extraction of practice out of context. She