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The third therapeutic revolution: behavioral medicine
1Chedoke Rehabilitation Centre, Hamilton, ON, Canada.
Applied Psychophysiology and Biofeedback
|November 27, 1999
Summary
Behavioral medicine and complementary therapies are part of the Third Therapeutic Revolution. Their successes stem from the "debonafide effect," highlighting the significant role of faith and trust in healing.
Area of Science:
- Behavioral Medicine
- Complementary Medicine
- Psychoneuroimmunology
Background:
- Behavioral medicine and biofeedback are emerging as a Third Therapeutic Revolution, complementing traditional treatments like surgery and pharmacology.
- The rise of non-science-based therapies parallels this revolution, often attributed to placebo effects.
- Existing explanations for therapeutic success overlook the profound impact of patient faith and trust.
Purpose of the Study:
- To propose a new framework for understanding therapeutic outcomes beyond the conventional 'placebo effect'.
- To introduce the concept of the 'debonafide effect' to explain the efficacy of both behavioral medicine and complementary therapies.
- To advocate for the recognition of faith and trust as critical components in the healing process.
Main Methods:
- Conceptual analysis of therapeutic mechanisms in behavioral medicine and complementary therapies.
- Literature review on placebo effects and the role of patient-therapist relationship.
- Introduction of the novel term 'debonafide effect' (Latin for 'from good faith').
Main Results:
- The successes attributed to placebo effects in research and unorthodox treatments are better explained by the 'debonafide effect'.
- This effect underscores the substantial positive outcomes derived from patient faith and trust in the therapeutic process.
- Both behavioral medicine and complementary medicine demonstrate significant efficacy rooted in this 'good faith' principle.
Conclusions:
- The 'debonafide effect' offers a more accurate and comprehensive explanation for therapeutic successes than the traditional 'placebo effect'.
- Recognizing the role of faith and trust is crucial for advancing our understanding of healing and treatment efficacy.
- This reframing encourages a broader acceptance of diverse therapeutic approaches that leverage the power of belief and trust.
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