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The Studies Show

Episode 9: The placebo effect

Sep 5, 2023
Exploring the placebo effect and its controversies, including its potential for both positive clinical effects and statistical bias. Discussing the concept of pharmacological memory and its relationship to placebos. Delving into pain perception and the role of expectation management. Highlighting the influence of demand characteristics and the importance of double-blind studies. Exploring how expectations affect pain management and the need for further research.
58:13

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Quick takeaways

  • The true nature and extent of placebo effects are still a topic of debate, with some arguing that they may be attributed to natural healing processes or statistical phenomena.
  • Studying placebo effects is challenging due to difficulties in distinguishing their true effects from other factors, such as natural recovery or regression to the mean.

Deep dives

Understanding Placebo Effects and Nocebo Effects

Placebo effects refer to the phenomenon where patients experience positive outcomes or symptom relief after receiving a treatment that has no active ingredients. Placebo-controlled trials are commonly used to compare the effects of a treatment to a placebo, which acts as a control group. However, there is ongoing debate about the true nature and extent of placebo effects. Some argue that these effects are simply a result of natural healing processes or statistical phenomena such as regression to the mean. Others suggest that placebo effects may be due to psychological factors, such as the power of belief or conditioned responses. While placebo effects have been observed in subjective conditions like pain and nausea, there is limited evidence supporting their efficacy in objective measures like ulcers or heart attacks. It is also worth noting that the use of placebo treatments often involves deceiving patients, raising ethical concerns about their widespread application.

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