The placebo response: Recent research and implications for family medicine

H. Brody

Research output: Contribution to journalReview article

86 Scopus citations

Abstract

The placebo response is commonly invoked as a factor in the therapeutic relationship between the family physician and the patient, but important recent literature can be difficult for family physicians to access. Coordinated interdisciplinary research into the placebo response as it occurs in primary care settings is lacking. Although there is controversy about the nature and scope of the placebo response, important suggestions are emerging about its psychological mechanisms (expectancy and conditioning) and the biochemical pathways that act as psychosomatic linkages (endorphins, catecholamines and cortisol, psychoneuroimmunology). The available research justifies interventions by family physicians that maximize the placebo response in everyday patient encounters. These include the sustained partnership approach, working with patients on the narratives they construct to explain illness, listening to patients, providing them with satisfactory explanations, expressing care and concern, and enhancing their sense of control. Notable opportunities exist for family medicine investigators to expand the understanding of this phenomenon.

Original languageEnglish (US)
Pages (from-to)649-654
Number of pages6
JournalJournal of Family Practice
Volume49
Issue number7
StatePublished - Sep 12 2000

Keywords

  • Communication
  • Endorphins
  • Physician-patient relations
  • Placebo effect

ASJC Scopus subject areas

  • Family Practice

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