Reframing placebo in research and practice | Zendy

Wayne B. Jonas | Zendy

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Reframing placebo in research and practice

Author(s) -

Wayne B. Jonas

Publication year - 2011

Publication title -

philosophical transactions of the royal society b biological sciences

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.753

H-Index - 272

eISSN - 1471-2970

pISSN - 0962-8436

DOI - 10.1098/rstb.2010.0405

Subject(s) - placebo , confusion , cognitive reframing , acupuncture , clinical practice , medicine , clinical trial , alternative medicine , psychology , intensive care medicine , physical therapy , psychotherapist , pathology , psychoanalysis

The terms ‘placebo’ and ‘placebo effects’ cause confusion among patients, practitioners and scientists. This confusion results in both the adoption of practices that have no evidence of specificity yet considerable risk (such as surgery for low back pain) or the elimination of clinical practices proven to facilitate healing because they are not ‘better than placebo’ (such as acupuncture for low back pain). In this article, I discuss these issues and introduce the concept of optimal healing environment as a framework for disentangling what is useful from placebo research for adopting into clinical practice in a manner that is ethical and evidence-based.

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