Placebos In Clinical Practice

Introduction Despite recent doubts passionate about the effectiveness of placebos, it is clear that there are contextual effects associated with medical interventions, not only physical healing. The placebo effect as such is clearly independent of placebo (reduccionistamente understood as a substance or surgical procedure): after treatment is 3000 years of medicine. This can be very obvious, but there are signs that this reality is now a minor role both in research and in clinical practice. There is almost universal (in all cultures, in most conditions or diseases) a margin of clinically significant improvement over doing nothing (control group). And yet we do not know what it is, we do not define it, nor do we know how to use it. The strange thing is that this ignorance does not seem to matter to us: this is perhaps the cheapest therapeutic agent available and relatively effective (in terms of number of treatable symptoms) is known, and yet is mysteriously ignored. Although used throughout history since the explosion of scientific advances in modern medicine, it seems that the use of therapeutic factors related to beliefs has been marginado.Las reasons may be several ("overlooked by current scientific methodology resources? "commercially uninteresting business? is an ethical issue (the" deception ")? Or have we fallen in the placebo bias associated with an obstacle for the advancement of science in clinical trials?), but not appropriate here discussion.

In fact, it seems that here there is now just an interest in this topic. And yet, in general, it would seem that almost nothing is known about the placebo. Thus, the aim of this paper is to try to reflect on what it is, and specifically trying to see if it can benefit deliberately.

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