Creation is both a physical process and a spiritual process (Sharp, BOLIFE). The Physical Process of Creation is the process of using hands to create the world. For example, a carpenter using his hands to create a house is engaged in a process of physical creation. The Spiritual Process of Creation is the process of using will (desire + intent) to exert a non-physical influence on reality. The well documented Placebo Effect is an example of a spiritual process of creation.