Download PDF by David Peters MBChB DRCOG MFHom MLCOM: Understanding the Placebo Effect in Complementary Medicine:

By David Peters MBChB DRCOG MFHom MLCOM

The placebo elicits extra passionate debate, scepticism and private trust than nearly the other point of medication. As but there are not any concrete solutions - yet many not easy observations and strong results ensue day-by-day in healthcare which must be tested. This publication will stimulate and tell each reader - from the skilled practitioner to the recent pupil - who has ever requested, "What is the placebo particularly, and why may still it topic to me?" Written in an obtainable and interesting sort with contributions from prime figures in healthcare, it tackles problems with the placebo impression in complementary drugs.

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Extra info for Understanding the Placebo Effect in Complementary Medicine: Theory, Practice and Research

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This could make all types of medical treatments more effective without the risk of incurring costs or serious harm to patients. Thus, it would seem that this line of research is extremely relevant and potentially TOWARDS A SCIENTIFIC UNDERSTANDING OF PLACEBO EFFECTS 25 valuable. Several candidates for determinants exist, but to date they are largely speculative. Nature of intervention Surgery seems to be associated with extremely powerful placebo effects. The majority of patients submitted to 'sham-surgery' (skin incisions with­ out an actual operation) show a response (Cobb et a11959, Diamond, Kittle & Cockett 1960).

G. Ernst & Abbot 1996) but cruelly wrong. The fact is that hypochondriacs, depressives, individuals with somatic pain and virtually all other types of patients can respond to placebo (Richardson 1989, Turner et al 1994, Wall 1992). To judge patients' credibility or trustworthiness on the basis of their placebo response would be a serious mistake and is often felt as a gross injustice by the patients concerned. The placebo-responder personality Another myth has it that a distinct placebo-responder personality exists.

Is the form of a treatment without its substance'. Unfortunately, this might not be applicable to all areas of medical treat­ ment. At a NHI (National Health Institute) conference on the subject a 'consensus definition' was recently issued whereby a placebo effect is one that includes the many non-specific effects of therapy. VARIOUS FACETS OF PLACEBO EFFECTS Realizing the considerable difficulties in defining 'placebo', some have suggested that the concepts of placebos and placebo effects have outlived their usefulness altogether (Kirsch 1986, Orner & London 1989).

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