Placebos in practice.

نویسنده

  • David Spiegel
چکیده

http://bmj.com/cgi/content/full/329/7472/927 Updated information and services can be found at: These include: Data supplement http://bmj.com/cgi/content/full/329/7472/927/DC1 "References w1 w5" References http://bmj.com/cgi/content/full/329/7472/927#otherarticles 5 online articles that cite this article can be accessed at: http://bmj.com/cgi/content/full/329/7472/927#BIBL This article cites 7 articles, 4 of which can be accessed free at:

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منابع مشابه

Moving from empirically supported treatment lists to practice guidelines in psychotherapy: the role of the placebo concept.

The use of placebos is the "gold standard" in studies of investigational drugs, and of other medical procedures as well. Several recent trends have suggested the use of placebos in studies of psychotherapy to isolate effective treatment components, and as a basis for establishing lists of empirically supported treatments. Unlike within the domain of medicine, in which the logic of placebos is r...

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Impure placebo is a useless concept.

Placebos are allegedly used widely in general practice. Surveys reporting high level usage, however, have combined two categories, 'pure' and 'impure' placebos. The wide use of placebos is explained by the high level usage of impure placebos. In contrast, the prevalence of the use of pure placebos has been low. Traditional pure placebos are clinically ineffective treatments, whereas impure plac...

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A duty to deceive: placebos in clinical practice.

Among medical researchers and clinicians the dominant view is that it is unethical to deceive patients by prescribing a placebo. This opinion is formalized in a recent policy issued by the American Medical Association (AMA [Chicago, IL]). Although placebos can be shown to be always safe, often effective, and sometimes necessary, doctors are now effectively prohibited from using them in clinical...

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The use of pure and impure placebo interventions in primary care - a qualitative approach

BACKGROUND Placebos play an important role in clinical trials and several surveys have shown that they are also common in daily practice. Previous research focused primarily on the frequency of placebo use in outpatient care. Our aim was to explore physicians' views on the use of placebos in daily practice, whereby distinction was made between pure placebos (substances with no pharmacological e...

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Placebos in clinical practice: comparing attitudes, beliefs, and patterns of use between academic psychiatrists and nonpsychiatrists.

Controversial and ethically tenuous, the use of placebos is central to medicine but even more pivotal to psychosocial therapies. Scholars, researchers, and practitioners largely disagree about the conceptualization of placebos. While different professionals often confound the meanings of placebo effects with placebo responses, physicians continue to prescribe placebos as part of clinical practi...

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Deliberate use of placebos in clinical practice: what we really know

Increasingly a focus of research as well as media reports and online forums, the use of placebos in clinical medicine extends beyond sugar pills and saline injections. Physician surveys conducted in various countries invariably report that placebos are routinely used clinically, impure placebos more frequently than the pure ones, and that physicians consider them to be of legitimate therapeutic...

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عنوان ژورنال:
  • BMJ

دوره 329 7472  شماره 

صفحات  -

تاریخ انتشار 2004