The placebo response

Recent research and implications for family medicine

H. Brody

Research output: Contribution to journalArticle

85 Citations (Scopus)

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 - 2000
Externally publishedYes

Fingerprint

Family Physicians
Placebos
Medicine
Psychoneuroimmunology
Endorphins
Research
Catecholamines
Hydrocortisone
Primary Health Care
Research Personnel
Psychology
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

The placebo response : Recent research and implications for family medicine. / Brody, H.

In: Journal of Family Practice, Vol. 49, No. 7, 2000, p. 649-654.

Research output: Contribution to journalArticle

@article{ba276821e07c49c7b0d927a3cfe4eaa8,
title = "The placebo response: Recent research and implications for family medicine",
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.",
keywords = "Communication, Endorphins, Physician-patient relations, Placebo effect",
author = "H. Brody",
year = "2000",
language = "English (US)",
volume = "49",
pages = "649--654",
journal = "Journal of Family Practice",
issn = "0094-3509",
publisher = "Appleton-Century-Crofts",
number = "7",

}

TY - JOUR

T1 - The placebo response

T2 - Recent research and implications for family medicine

AU - Brody, H.

PY - 2000

Y1 - 2000

N2 - 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.

AB - 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.

KW - Communication

KW - Endorphins

KW - Physician-patient relations

KW - Placebo effect

UR - http://www.scopus.com/inward/record.url?scp=0033840536&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033840536&partnerID=8YFLogxK

M3 - Article

VL - 49

SP - 649

EP - 654

JO - Journal of Family Practice

JF - Journal of Family Practice

SN - 0094-3509

IS - 7

ER -