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Placebo Analgesia - Understanding the Mechanisms and Implications for Clinical Practice
Damien G Finniss1, Michael K Nicholas1, Fabrizio Benedetti2
1Pain Management and Research Institute University of Sydney and Royal North Shore Hospital Pacific Hwy, St Leonards, 2065, Sydney, NSW Australia.
Placebo effects involve complex neurobiological, cognitive, and conditioning processes. Understanding these diverse placebo mechanisms offers opportunities to enhance clinical care in practice.
Area of Science:
- Neuroscience
- Psychology
- Clinical Medicine
Background:
- Placebo effects are integral to healthcare.
- Existing research indicates multiple distinct placebo mechanisms.
Purpose of the Study:
- To elucidate the multifaceted nature of placebo mechanisms.
- To explore the potential for modulating placebo effects in clinical settings.
Main Methods:
- Review of neurobiological, cognitive, and conditioning processes.
- Analysis of mechanisms research on placebo effects.
Main Results:
- Placebo effects are not monolithic but comprise multiple distinct mechanisms.
- These mechanisms are rooted in neurobiology, cognition, and conditioning.
Conclusions:
- Placebo mechanisms are inherent to routine clinical practice.
- Targeted modulation of these mechanisms presents a viable strategy for improving patient care.
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