‘Yoga Helps!?’
Problems between Efficacy and Legitimization
DOI:
https://doi.org/10.1558/rosa.25832Keywords:
efficacy, haṭha yoga, health benefits, biomedical research, effectivenessAbstract
This paper explores the role of health discourse from yoga providers and biomedical research in popularising transglobal yoga and legitimizing claims about its health benefits. As contemporary yoga is more widely associated with physical and mental health benefits, it is frequently positioned as an antidote to the many perceived ailments of modern life. My analysis of discourses surrounding yoga’s effectiveness reveals a serious epistemological lacuna: I argue that biomedical impact studies on yoga often fall short in deconstructing the unique contributions of yoga as a practice and its historic origins. Consequently, contemporary yoga modalities are often presented as a several thousand years old tradition to achieving good health. These oversights inadvertently perpetuate an uncritical assertion of yoga’s distinct originality, providing potential legitimacy to extravagant health claims and unwarranted generalizations mistakenly attributed to the entire spectrum of ‘yoga’. The resulting positive perception of yoga poses a potential hazard to practitioners and is at risk of being misused as a vehicle for dubious political or financial gains. I conclude with considerations on how future research on yoga’s effectiveness could intend to understand not only if yoga practice is beneficial to health, but also which aspects of it, and how.
References
Alter, J. S. 2000. Gandhi's Body: Sex, Diet, and the Politics of Nationalism. Philadelphia, PA: University of Pennsylvania Press. https://doi.org/10.9783/9780812204742
---- 2004. Yoga in Modern India: The Body between Science and Philosophy. Princeton, NJ: Princeton University Press.
Armstrong, J. 2018. Calcutta Yoga: Buddha Bose and the Yoga Family of Bishnu Ghosh and Yogananda. New Alexandria, VA: Webstrong.
Awan, R. and E. R. Laskowski. 2019. 'Yoga: Safe for All?' Mayo Clinic Proceedings 94(3): 385-87. https://doi.org/10.1016/j.mayocp.2019.01.015
Baklouti, S., et al. 2023. 'The Effect of Web-Based Hatha Yoga on Psychological Distress and Sleep Quality in Older Adults: A Randomized Controlled Trial.' Complementary Therapies in Clinical Practice 50: 101715. https://doi.org/10.1016/j.ctcp.2022.101715
Beggs, S. and R. T. Holtzman. 2013. 'Yoga for Chronic Low Back Pain: A Meta-Analysis of Randomized Controlled Trials.' Pain Research and Management 18(5): 267-72. https://doi.org/10.1155/2013/105919
Birch, J. E. 2018. 'Premodern Yoga Traditions and Ayurveda: Preliminary Remarks on Shared Terminology, Theory and Praxis.' History of Science in South Asia 6: 1-83. https://doi.org/10.18732/hssa.v6i0.25
Black, S. 2020. 'Decolonising Yoga.' In S. Newcombe and K. O'Brien-Kop (eds), Routledge Hand-book of Yoga and Meditation Studies: 13-21. Abingdon: Routledge. https://doi.org/10.4324/9781351050753-3
---- 2023. 'State Spectacles of Yoga: Invisible India and India Everywhere.' South Asia: Journal of South Asian Studies 46(1): 1-17. https://doi.org/10.1080/00856401.2023.2135847
Brooks, L. A. 2018. 'Epistemology and Embodiment: Diagnosis and the Senses in Classical Ayurvedic Medicine.' Asian Review of World Histories 6(1): 98-135. https://doi.org/10.1163/22879811-12340027
Conrad, P. and M. Bergey. 2015. 'Medicalization: Sociological and Anthropological Perspect-ives.' In International Encyclopedia of the Social & Behavioral Sciences: 105-09. Oxford: Elsevier. https://doi.org/10.1016/B978-0-08-097086-8.64020-5
De Michelis, E. 2005. A History of Modern Yoga: Patanjali and Western Esotericism. London: Contin-uum. https://doi.org/10.1525/nr.2006.9.3.141
Divine Life Society. 2023. 'The Divine Life Society: What it Is and How it Works.' www.dlshq.org/the-divine-life-society/
D'Silva, A., et al. 2023. 'Meditation and Yoga for Irritable Bowel Syndrome: A Randomized Clinical Trial.' The American Journal of Gastroenterology 118(2): 329-37. https://doi.org/10.14309/ajg.0000000000002052
Evans, S., L. Cousins, J. C. Tsao, B. Sternlieb and L. K. Zeltzer. 2011. 'Protocol for a Randomized Controlled Study of Iyengar Yoga for Youth with Irritable Bowel Syndrome.' Trials 12(1): 15. https://doi.org/10.1186/1745-6215-12-15
Goldberg, E. 2016. The Path of Modern Yoga: The History of an Embodied Spiritual Practice. Rochester, VT: Inner Traditions.
Gunebakan, O. and M. Acar. 2023. 'The Effect of Tele-yoga Training in Healthy Women on Menstrual Symptoms, Quality of Life, Anxiety-Depression Level, Body Awareness, and Self-Esteem during COVID-19 Pandemic.' Irish Journal of Medical Science 192(1): 467-79. https://doi.org/10.1007/s11845-022-02985-0
Hauser, B. 2021. 'The Health Imaginary of Postural Yoga.' Anthropology and Medicine 28(3): 297-319. https://doi.org/10.1080/13648470.2021.1949962
Iyengar, B. K. S. 1966. Light on Yoga; Yoga Dipika. New York: Schocken Books.
---- 2006. Light on Yoga: The Classic Guide to Yoga by the World's Foremost Authority. New Delhi: HarperCollins India.
Jain, A. R. 2014. Selling Yoga: From Counterculture to Pop Culture. Oxford: Oxford University Press.
Khattab, K., A. A. Khattab, J. Ortak, G. Richardt and H. Bonnemeier. 2007. 'Iyengar Yoga Increases Cardiac Parasympathetic Nervous Modulation among Healthy Yoga Practitioners.' Evidence-Based Complementary and Alternative Medicine: eCAM 4(4): 511-17. https://doi.org/10.1093/ecam/nem087
Kuttner, L., C. T. Chambers, J. Hardial, D. M. Israel, K. Jacobson and K. Evans. 2006. 'A Randomized Trial of Yoga for Adolescents with Irritable Bowel Syndrome.' Pain Research and Management 11(4): 217-23. https://doi.org/10.1155/2006/731628
Lad, V. 1999. The Complete Book of Ayurvedic Home Remedies: Based on the Timeless Wisdom of India's 5,000-Year-Old Medical System. New York: Harmony.
Lee, L. J., et al. 2022. 'Effects of a Yoga-Based Stress Reduction Intervention on Stress, Psycho-logical Outcomes and Cardiometabolic Biomarkers in Cancer Caregivers: A Randomized Controlled Trial.' PloS One 17(11): e0277009. https://doi.org/10.1371/journal.pone.0277009
Lidell, L., N. Rabinovitch and G. Rabinovitch. 1987. The Sivananda Companion to Yoga. New York: Simon & Schuster.
Lockie, A. 1993. Family Guide to Homeopathy: Symptoms and Natural Solutions. New York: Simon & Schuster.
Mallinson, J. and M. Singleton. 2017. Roots of Yoga. London: Penguin.
Malnak v. Yogi, United States Court of Appeals, Third Circuit, 1979.
Moerman, D. E. 2002. Meaning, Medicine and the 'Placebo Effect' (Vol. 9). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511810855
Newcombe, S. 2018. 'Spaces of Yoga: Towards a Non-Essentialist Understanding of Yoga.' In K. Baier, P. A. Maas and K. Preisendanz (eds), Yoga in Transformation: Historical and Contemporary Perspectives: 551-73. Gottingen: V&R University Press. https://doi.org/10.14220/9783737008624.549
---- 2020. 'Yoga and Meditation as a Health Intervention.' In S. Newcombe and K. O'Brien-Kop (eds), Routledge Handbook of Yoga and Meditation Studies. Abingdon: Routledge.
Pal, S., S. Radavelli-Bagatini and S. Ho. 2013. Potential Benefits of Exercise on Blood Pressure and Vascular Function. Journal of the American Society of Hypertension, 7(6), 494-506. https://doi.org/10.1016/j.jash.2013.07.004
Paul, N. C. 1851. A Treatise on the Yoga Philosophy. Benares: Recorder P.
Pillay, C. T. T. 1897. The Comparison of Animal Magnetism or Hypnotism with the Yoga System of the Hindus. Colombo: Ceylon Independent Press.
Sedlock v. Baird, D064888, Super. Ct. No. 37-2013-00035910-CU-MC-CTL (Court of Appeal, Fourth Appellate District, Division One, State of California 3 April 2015). https://law.justia.com/cases/california/court-of-appeal/2015/d064888.html
Ruegsegger, G. N. and F. W. Booth. 2018. 'Health Benefits of Exercise.' Cold Spring Harbor Persp-ectives in Medicine 8(7): a029694. https://doi.org/10.1101/cshperspect.a029694
Shealy, C. N. 2009. The Illustrated Encyclopedia of Healing Remedies: Over 1,000 Natural Remedies for the Prevention, Treatment and Cure of Common Ailments and Conditions. New York: Element.
Singh, J., K. Metri, P. Tekur, S. Mohanty, A. Singh and N. Raghuram. 2023. 'Tele-yoga in the Management of Ankylosing Spondylitis amidst COVID Pandemic: A Prospective Randomized Controlled Trial.' Complementary Therapies in Clinical Practice 50: 101672. https://doi.org/10.1016/j.ctcp.2022.101672
Singleton, M. 2010. Yoga Body: The Origins of Modern Posture Practice. New York: Oxford University Press.
Strauss, S. 2005. Positioning Yoga: Balancing Acts Across Cultures. Oxford: Berg Publishers.
Sujatha, V. 2020. 'Globalisation of South Asian Medicines: Knowledge, Power, Structure and Sustainability.' Society and Culture in South Asia 6(1): 7-30. https://doi.org/10.1177/2393861719883063
Sullivan, M. B., M. Erb, L. Schmalzl, S. Moonaz, J. Noggle Taylor and S. W. Porges. 2018. 'Yoga Therapy and Polyvagal Theory: The Convergence of Traditional Wisdom and Contemporary Neuroscience for Self-Regulation and Resilience.' Frontiers in Human Neuroscience 12. www.frontiersin.org/articles/10.3389/fnhum.2018.00067
Vollbehr, N. K., et al. 2022. 'Mindful Yoga Intervention as Add-on to Treatment as Usual for Young Women with Major Depressive Disorder: Results from a Randomized Controlled Trial.' Journal of Consulting and Clinical Psychology 90(12): 925-41. https://doi.org/10.1037/ccp0000777
Warburton, D. E. R., C. W. Nicol and S. S. D. Bredin. 2006. 'Health Benefits of Physical Activity: The Evidence.' Canadian Medical Association Journal CMAJ 174(6): 801-09. https://doi.org/10.1503/cmaj.051351
World Health Organization. 1946. 'Constitution of the World Health Organization.' https://apps.who.int/gb/bd/PDF/bd47/EN/constitution-en.pdf?ua=1
Wujastyk, D. 2011. 'Medical Error and Medical Truth: The Placebo Effect and Room for Choice in Ayurveda.' Health, Culture and Society 1(1): 221-31. https://doi.org/10.5195/HCS.2011.14
Yoga Alliance. 2014. 'Yoga Alliance to Support Encinitas yoga program in Court of Appeal.' 17 September. www.yogaalliance.org/About_Yoga/Article_Archive/Yoga_Alliance_to_support_Encinitas_yoga_program_in_Court_of_Appeal
YouTube. 2018a. 'Gesundheit--Definition der WHO.' 17 January. www.youtube.com/watch?v=bouPQsu-RF8
---- 2018b. 'Welche Asanas bei Bluthochdruck?' 20 January. www.youtube.com/watch?v=wcbFK1Wi-O8
---- 2019. 'Yoga bei Hamorrhoiden.' 7 October. www.youtube.com/watch?v=5LuUO2LdanM
---- 2020. 'Yoga bei Schlafstorungen--Yoga hilft.' 23 April. www.youtube.com/watch?v=ioHGP8Rb1b4
---- 2021a. 'Yoga bei Knochentumor in der Wirbelsaule--Yoag hilft.' 3 January. www.youtube.com/watch?v=TDqUt2xBnQk
---- 2021b. 'Yoga bei Beschwerden im Sprunggelenk--Yoga hilft.' 24 February. www.youtube.com/watch?v=ItpHo2_58mc
---- 2021c. 'Yoga bei Bluthochdruck, Hypertonie--Yoga hilft.' 3 March. www.youtube.com/watch?v=4xYYSZrRMno
Yoga Vidya. n.d. a. 'Asana Lexikon von Yoga Vidya.' www.yoga-vidya.de/yoga-uebungen/asana/?name%5B%23post_render%5D%5B0%5D=passthru&name%5B%23type%5D=markup&name%5B%23markup%5D=id
---- n.d. b. 'Die Geschichte des Yoga Vidya e.V.' www.yoga-vidya.de/netzwerk/yogavidya0/geschichte/
---- n.d. c. 'Yoga Vidya Standorte.' www.yoga-vidya.de/center/
---- 2023a. 'Studien--Yogawiki.' 29 July. https://wiki.yoga-vidya.de/Studien
---- 2023b. 'Wissenschaftliche Studien--Yogawiki.' 11 October. https://wiki.yoga-vidya.de/Wissenschaftliche_Studien