Transcripts


 

September 23, 2008
The Placebo/"Nocebo" Effect
Interview with Richard Kradin, M.D., author of The Placebo Response and the Power of Unconscious Healing


Mike Carruthers:
The placebo effect appears to be very real. The mind does seem to help people get better under the right circumstances and your doctor is a part of it.

Richard Kradin, M.D.:
Physicians who listen well, who tend to be empathic and compassionate, those who evoke trust - all of these factors will tend to promote a better therapeutic response. In the absence of those factors, even effective drugs can be rendered ineffective.

Dr. Richard Kradin, author of the book The Placebo Response & the Power of Unconscious Healing, says there's also something called the "Nocebo Effect" which is the opposite of the placebo effect.

It's pretty much when you treat somebody and the response that they have is somewhat paradoxical so that rather than getting better when you expect they would get better, they would develop some side effect or complain that their symptoms are worse.

People who exhibit the "Nocebo Effect" tend to share certain personality traits.

People who tend to be negative, pessimistic or tend to obsess frequently will have those types of responses to a greater degree.

An illustration to the "Nocebo Effect" is the fact that three times more people are treated for allergies to penicillin than actually have the allergy.

Because people respond that they develop allergic responses but when you look at them in more detail many of those patients don't have it.

Tomorrow how the size and color of a pill can impact its effectiveness - I'm Mike Carruthers and that's Something You Should Know.


 
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