Deconstructing the Placebo Effect and Finding the Meaning Response
Top Cited Papers
- 19 March 2002
- journal article
- Published by American College of Physicians in Annals of Internal Medicine
- Vol. 136 (6) , 471-476
- https://doi.org/10.7326/0003-4819-136-6-200203190-00011
Abstract
We provide a new perspective with which to understand what for a half century has been known as the "placebo effect." We argue that, as currently used, the concept includes much that has nothing to do with placebos, confusing the most interesting and important aspects of the phenomenon. We propose a new way to understand those aspects of medical care, plus a broad range of additional human experiences, by focusing on the idea of "meaning," to which people, when they are sick, often respond. We review several of the many areas in medicine in which meaning affects illness or healing and introduce the idea of the "meaning response." We suggest that use of this formulation, rather than the fixation on inert placebos, will probably lead to far greater insight into how treatment works and perhaps to real improvements in human well-being.Keywords
This publication has 40 references indexed in Scilit:
- Is the Placebo Powerless?New England Journal of Medicine, 2001
- The Powerful Placebo and the Wizard of OzNew England Journal of Medicine, 2001
- Effect of colour of drugs: systematic review of perceived effect of drugs and of their effectivenessBMJ, 1996
- Concept of true and perceived placebo effectsBMJ, 1995
- Reduction of postoperative pain by encouragement and instruction of patients: a study of doctor-patient rapportPublished by Cambridge University Press (CUP) ,1994
- Is there logic in the placebo?The Lancet, 1994
- How much of the placebo ‘effect’ is really statistical regression?Statistics in Medicine, 1983
- DEMONSTRATION TO MEDICAL STUDENTS OF PLACEBO RESPONSES AND NON-DRUG FACTORSThe Lancet, 1972
- Sedative effects of placebo treatmentEuropean Journal of Clinical Pharmacology, 1970
- Study on the Effects of Tablet Colour in the Treatment of Anxiety StatesBMJ, 1970