A Nation of Placebo Addicts

Essentially, it strikes me as dis-empowering and potentially opening people up to exploitation that we do not address the role of placebos. Many, if not most are aware of their existence, but the ramifications seem to make no difference in how we approach healthcare, as well as other areas.

The power of the placebo effect is essentially to "trick" a person into feeling better. That is, by applying a neutral intervention (therapy, pill, or other treatment), the person is able to heal or to speed recovery. This improvement is often attributed to the "natural power of the body to heal itself", but there seem to be a couple components that make it more than just wishful thinking. First, of course, the 'patient' believes that the intervention will work. This is crucial, and the part that leads to mis-attribution to super-natural causes. The second is the setting and/or provider, which lends credence to the intervention. Think about the difference between getting a prescription from a respectable, older-looking person wearing a white lab coat in a clean and modern clinic versus being tossed a bottle by a ratty, greasy guy in torn jeans outside the local mini-mart. Similarly, the difference between listening to your favorite music on a quality sound system at home versus sitting quietly in the audience of demure sophisticates at an intimate performance versus being in a raucous crowd of drugged-up hippies at a standing-room-only event. The setting influences your experience, for better or worse. These two factors, personal expectations of and the setting around an intervention, lead to how successful a placebo is. Being explicit, or telling a patient, about a placebo can actually have little impact on the outcome.

How much better would it be to use this power intentionally? Properly asserting that the power lies with me, rather than outside myself, we could build a more whole society of confident people. Of course, it would be vital to acknowledge the limitations of placebos, and continue to rely on appropriate treatment for medical conditions. However, adding in that it is important how we perceive our own treatment—the positive or negative attitude we hold—could improve our odds of success. At the very least, it highlights how treatment is a joint effort between provider and patient, rather than a supplicant begging for healing from a god-like Doctor, as it has historically been portrayed. This is where the dis-empowerment comes in.

Additionally, there is potential in utilizing this tendency in order to dismiss quackery and scams. By assuming that a positive belief will tend to improve chances of success, we can analyze failure more critically. Recognizing the tendency to 'fall for' something we want to work, but that does not perform, could be important. When something succeeds, we may be more likely to examine whether it was due to sheer placebo effect. From media to "alternative medicine", knowing that we are improving conditions for ourselves just through our approach. Because we believe in the TV personality (the 'setting' of the 'treatment'), we could question whether it was the placebo effect all along. Rather than relying on "experts" we could get better at spotting quacks and fraudsters.

https://en.wikipedia.org/wiki/Placebo

https://www.health.harvard.edu/mental-health/the-power-of-the-placebo-effect