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The legitimacy of placebo treatments in clinical practice: evidence and ethics.
Physicians commonly recommend 'placebo treatments', which are not believed to have specific efficacy for the patient's condition. Motivations for placebo treatments include complying with patient expectations and promoting a placebo effect. In this article, we focus on two key empirical questions that must be addressed in order to assess the ethical legitimacy of placebo treatments in clinical practice: 1) do placebo treatments have the potential to produce clinically significant benefit? and 2) can placebo treatments be effective in promoting a therapeutic placebo response without the use of deception? We examine evidence from clinical trials and laboratory experiments bearing on these two questions. The conclusion is reached that based on currently available evidence, it is premature to judge whether placebo treatments are ethically justifiable, with the possible exception of acupuncture for pain relief.
Am J Bioeth. 2009 Dec;9(12):39-47. Miller FG, Colloca L. Department of Bioethics Clinical Center, National Institutes of Health, Bethesda, MD 20892-1156, USA. fmiller@nih.gov
Self-esteem, which is synonymous with self worth, is thought by many to refer to a combination of beliefs and values. The way I look at it, essentially self worth is directly affected by one's ability to cope and overcome the challenges in life. If you feel like you have sufficient resources in terms of finances and/or talents and abilities, you may feel like there's not anything that you can't handle. However, if those challenges are deemed to exceed your abilities, then quickly or increasingly over time you will find that your feelings of self-worth may diminish. Over time this may have a...
During a person's life, they will most certainly encounter many forms of anxiety. Anxieties related to test taking are very common. A version of this that occurs quite frequently is driving test anxiety, which is just another form of performance anxiety. As with just about every anxiety, a person can see significant results when hypnosis is used.
In order to understand this, you need to appreciate the nature of an anxiety. And anxiety is a psychological reaction that involves the human ability to anticipate and simulate as well as the instinctual drive to survive. Therefore, it is very...
One of the most natural human instincts is to seek an ideal mate. There are many factors that come into consideration. Many of them involve instinctual biological urges and an innate desire to find someone who meets very distinct criteria regarding height, shape, and symmetry – factors that we often call beauty. Generally, a man is looking for a woman who is able to bear children. And, a woman is normally more attracted to someone who can provide safety and security. Often this means that a woman is seeking a man who displays physical prowess. However, I’ve noticed how intellect and financial...
