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Harnessing the placebo effect: the need for translational research
Authors:Colloca Luana  Miller Franklin G
Affiliation:National Center for Complementary and Alternative Medicine (NCCAM), National Institutes of Health, Bethesda, MD, USA. luana.colloca@nih.gov
Abstract:Laboratory research recently has greatly enhanced the understanding of placebo and nocebo effects by identifying specific neuromodulators and brain areas associated with them. However, little progress has been made in translating this knowledge into improved patient care. Here, we discuss the limitations in our knowledge about placebo (and nocebo) effects and the need for translational research with the aim of guiding physicians in maximizing placebo effects and minimizing nocebo effects in their routine clinical practice. We suggest some strategies for how, when and why interventions to promote beneficial placebo responses might be administered in the clinical setting.
Keywords:clinical practice   patient–doctor relationship   placebo theory   ethics   expectation   nocebo
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