Swimming in a sea of placebos

by Frank Forencich on April 29, 2009

If a small white pill can have a placebo or nocebo effect on the human mind-body, why should the process stop there?
Couldn’t we be swimming in a sea of placebo effects? Couldn’t we derive medical meaning from virtually anything in our world? After all, we are intensely interested in survival; it makes sense that we would be vigilant for health meanings everywhere.

It is safe to assume that placebo effects are at work in all medical and health care processes: surgery, chemotherapy, weight lifting, acupuncture, yoga, vitamin supplementation, psychotherapy, chiropractic and massage. But even beyond that, why should the effect stop with processes that take place in the clinic, the gym or in the hospital? Might there be placebos and nocebos in every corner of our social, cultural and media universe?

This possibility is brought to light in a recent report in Science Daily: “Think Memory Worsens With Age? Then Yours Probably Will.” Researchers discovered that older adults’ ability to remember suffers when negative stereotypes are “activated” in a given situation. In other words, belief becomes a self-fulfilling prophecy.

Studies like these suggest that we are barely even beginning to understand the extent of the placebo effect; we simply don’t know how far this might go. For all we know, every single event, process, idea and substance in a person’s life will have a life-enhancing or life-destroying power to it.

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{ 3 comments… read them below or add one }

Barefoot Ted April 30, 2009 at 4:35 pm

Very interesting!

I have always been amazed by the true effectiveness of the placebo effect.

BFT

ian stevens June 5, 2009 at 12:44 am

Very interesting Frank —wrote my dissertation on meaning and placebo ….well bio cultural effects . Dan Moerman has a great take on placebo calling it the ‘meaning response’, so different cultures have different ‘mindsets’ which allow people to attach meaning to often inert things such as the recent placebo knee surgery study.
However , one has to be careful in looking at what medical conditions are responsive to placebo input (not all are at all despite some alt practitioners think. Placebo input is likely to work on defensive biological problems -particularly pain , depression and some types of inflammation .This is discussed by Dylan Evans –you can get his paper the actute phase response on line .
Really interesting topic particularly nocebo which is rampant in society and medicine …..
ian

ian April 15, 2010 at 5:57 am

steven colbert got me thinking about this on his show, he said something along the lines of why should i believe the war of 1812 happened in the year 1812, its my right as an american to beleive whatever i want, so if i want to beleive the war of 1812 happened in 1912 i can. he jokes but he makes a good point,

-when people mention disease like cancer or strokes, i tell them, half sarcasticly that i just dont believe in cancer, because how can i get something i dont believe in? (people who have had cancer do not appreciate this in the least.

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