Placebo Response and Culture
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Keywords

placebo
culture
pharmacodynamics

How to Cite

Bhugra, D., & Ventriglio, A. (2014). Placebo Response and Culture. The Physician, 3(1), 1-3. https://doi.org/10.38192/1.3.1.2

Abstract

Cultures define who we are, how we are brought up, how we describe distress and how we seek help as well as the sources of help we choose. Medicine as a discipline has its cultural values which at times may conflict with broader cultural values. Understanding the culture of medicine may help the patient engage better with physicians and may make the right therapeutic intervention readily acceptable.

Cultures encourage individuals, their carers and families to accept what is acceptable in treatment at all levels. Cultures can influence whether individuals see tablets, capsules, injections, or syrups as more potent as well as readily acceptable. In addition, cultural factors embedded in individuals and their families play a major role in the therapeutic alliance, even though often these are ignored.

Cultural variations in treatment responses have been studied, but not widely, while the role and type of medication have not been explored at length. In this essay, we explore the role of placebos and their acceptance for treatment, as well as the roles the placebo can play and the cultural understanding of various factors.

https://doi.org/10.38192/1.3.1.2
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References

Eisenberg L. Disease and illness. Culture Medicine and Psychiatry 1977; 1:9-23.

Stoeckle J, Zola IK, Davidson G. The quantity and significance of psychological distress in medical patients. Journal of Chronic Disease 1964; 17: 959-970.

Kleinman A. Medical and psychiatric anthropology and the study of traditional medicine in modern Chinese culture. Journal of Institute of Ethnology. Acad Sinica 1975; 39: 107-123.

Miller FG, Colloca J, Kaputchnik T. The placebo effect: illness and interpersonal healing. Perspectives in Biology and Medicine 2009; 52: 518-539

McQueen D, Cohen S, St John-Smith P, Rampes H. Rethinking placebo in psychiatry: the range of placebo effects. Advances in Psychiatric Treatment 2013; 19: 162-170.

Ross S, Buckalew LW. On the agenting of placebo. American Psychologist 1979; 34: 277-278.

Huculak S. Attempting to define placebos and their effects: a keywords approach. BioSocieties 2013; 8: 164-180.

Shapiro AK, Wilensky H, Struening EL. Study of the placebo effect with a placebo test. Comprehensive Psychiatry 1968; 9: 118–137.

Janke W. Response variability to psychotropic drugs: overview. In W Janke (Ed.) Response Variability to Drugs. New York: Pergamon, 1983, pp 217-260.

Foot D, Ridge D. Constructing the placebo effect in the placebo wars: what is the way ahead? Sociology Review 2012; 21: 355- 368.

Colloca L, Miller FG. How placebo responses are formed: a learning perspective. Philosophical Transactions of the Royal Society B 2011: 366, doi:10.1098/rstb.2010.0398 accessed June 19, 2014.

Buckalew LW, Sallis RE. Patient compliance and medication perception. Journal of Clinical Psychology 1986; 42: 49-53.

Buckalew LW, Coffield KE. An investigation of drug expectancy as a function of capsule color and size and preparation form. Journal of Clinical Psychopharmacology 1982; 2: 245-248.

Buckalew LW, Ross S. Relationship of perceptual characteristics to efficacy of placebos. Psychological Reports 1981; 49: 955- 961.

De Craen AJM, Ross PJ, de Vries AL, Kleijnen J. Effect of colour of drugs: systematic review of perceived effect of drugs and of their effectiveness. British Medical Journal 1996; 313: 1624-1626.

Schapira K, McClelland H, Griffiths NR, Newell DJ. Study on the effects of tablet colour in the treatment of anxiety states. British Medical Journal 1970; 2: 446-449.

Blackwell B, Bloomfield SS, Buncher CR. Demonstration to medical students of placebo responses and non-drug factors. The Lancet 1972 (June 10); 1279-1282.

Justman S. Placebo: the lie that comes true. Journal of Medical Ethics 2013; 39: 243-248.

Kaptchuk TJ. Placebo studies and ritual theory: a comparative analysis of Navajo, acupuncture and biomedical healing. Philosophical Transactions of the Royal Society B 2011; doi: 10.1098/rstb.2010.0385 accessed 19/06/2014.

Verhulst J, Kramer D, Swann AC, Hale-Richlen B, Beahrs J. The medical alliance: from placebo response to alliance effect. Journal of Nervous and Mental Disease, 2013, 201(7), 546-552.

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