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Marshmallows and Medicine: The Psychology of Deferred Gratification

Neil Baum, MD


May 8, 2025


Healthcare Administration Leadership & Management Journal


Volume 3, Issue 3, Pages 167-168


https://doi.org/10.55834/halmj.6242829158


Abstract

In the late 1960s, Stanford professor Walter Mischel conducted a simple psychological experiment that has become iconic. This study, the Stanford marshmallow experiment, explored the concept of delayed gratification and its effects on a child’s future success. Mischel’s experiment would go on to have a profound impact in various fields, including medicine. This article delves into the details of the marshmallow experiment and how it has influenced the practice of medicine.




The Stanford marshmallow experiment involved a group of preschool children, offering them a tempting choice. Each child was placed in a room with a single marshmallow. The child was given two options: they could immediately eat the marshmallow, or they could wait for a few minutes and receive a second marshmallow as a reward for their patience. The researchers left the room, and the children were observed through a one-way mirror.

The results of the experiment were fascinating. Some children succumbed to temptation and immediately ate the marshmallow, whereas others displayed remarkable self-control and managed to wait for the second marshmallow. This simple test revealed the considerable variation in self-control among children.

Delayed Gratification and Its Connection to Medicine

At first glance, it might be challenging to see how this experiment, which essentially gauged a child’s ability to resist an immediate reward, could have any bearing on the medical profession. However, as the years passed, researchers began to recognize that the concept of delayed gratification was intimately tied to some of the most significant issues in healthcare, such as the following:

  • Patient Compliance: One of the most direct ways the marshmallow experiment has influenced medicine is through our understanding of patient compliance. Patient compliance refers to how well a patient can follow medical advice, take medication as directed, and make necessary lifestyle changes for better health. The ability to delay immediate gratification, at the heart of Mischel’s experiment, is not too dissimilar from a patient’s capacity to make long-term health choices. Medical professionals realized that a patient’s willingness to forego immediate comforts, such as an unhealthy diet or sedentary lifestyle, or the decision to defer gratification and pursue long-term health is challenging for every physician.

  • Preventive medicine: The marshmallow experiment also played a pivotal role in developing preventive medicine. Just as the children who resisted eating the first marshmallow were rewarded with a second one, individuals who exercise patience by adopting preventive health measures are rewarded with better long-term health outcomes. In recent years, this concept has led to the rise of personalized medicine, where healthcare providers work closely with patients to develop strategies that address their specific risk factors and promote health rather than simply treating symptoms. We have finally learned that identifying a potential disease or condition is easier and less expensive before it becomes a full-blown chronic condition.

  • Medical decision-making: In the fast-paced world of medicine, the concept of delayed gratification has a significant impact on the decisions made by healthcare providers. Instead of opting for quick fixes or short-term solutions, physicians and healthcare teams are now encouraged to think more strategically about long-term patient care. This approach ensures better patient outcomes and helps reduce healthcare costs by preventing chronic conditions and complications.

  • Mental health: Although the marshmallow experiment initially focused on self-control and delayed gratification, it also had implications for understanding mental health. Studies have shown that individuals with better self-regulation skills, like the children who could wait for the second marshmallow, tend to have better mental health outcomes. The capacity to delay immediate emotional responses in favor of long-term psychological well-being is a concept that has been incorporated into various therapeutic approaches in psychiatry and psychology.

Impact on Medical Research

The marshmallow experiment has influenced not only clinical practice but also medical research. Researchers have been intrigued by the underlying cognitive mechanisms at play during delayed gratification, and these findings have led to a deeper understanding of the human brain’s capacity for self-control. This knowledge has opened up new avenues for studying impulse control disorders, addiction, and other mental health conditions.

  • Addiction research: One area where the marshmallow experiment’s impact is evident is in addiction research. Understanding how individuals can delay gratification and resist the immediate reward of drugs or other addictive substances has been invaluable for developing treatment strategies. By incorporating these insights, clinicians and researchers have created more effective addiction treatment programs that address the core issues related to impulse control.

  • Neuroimaging and cognitive research: Modern neuroscience has used advanced neuroimaging techniques to delve into the neural processes that underlie delayed gratification. Functional MRI studies have identified specific brain regions, such as the prefrontal cortex, involved in self control and decision making. The findings from these studies have broad implications for understanding various neurologic and psychiatric disorders, such as attention deficit hyperactivity disorder and obsessive-compulsive disorder.

  • Behavioral economics: The field of behavioral economics has embraced the lessons of the marshmallow experiment. Researchers in this discipline have explored how people make economic decisions and the role of self-control in financial matters. This understanding has led to the development of more effective strategies for promoting healthy financial behaviors and improving financial well-being, which, in turn, has a positive impact on overall health.

Bottom line: The marshmallow experiment has had a profound and unexpected impact on medicine. From influencing patient compliance and preventive medicine to shaping medical decisions, the experiment’s principles have proven invaluable in improving healthcare practices. Moreover, its influence extends into medical research, particularly addiction studies, neuroimaging, and behavioral economics.

As our understanding of human behavior and cognitive processes continues to evolve, the marshmallow experiment will continue to offer insights and inspire innovative approaches in medicine. This experiment reminds us of the interconnectedness of various fields of study and how even the most seemingly unrelated research can hold the key to addressing some of our most pressing healthcare challenges.

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