{"id":5111,"date":"2017-12-19T17:41:52","date_gmt":"2017-12-19T17:41:52","guid":{"rendered":"http:\/\/healthicine.org\/wordpress\/?p=5111"},"modified":"2018-02-04T11:29:28","modified_gmt":"2018-02-04T11:29:28","slug":"ignorance-causes-placebo-effect","status":"publish","type":"post","link":"http:\/\/healthicine.org\/wordpress\/ignorance-causes-placebo-effect\/","title":{"rendered":"Ignorance Causes Placebo Effect"},"content":{"rendered":"<p><a href=\"http:\/\/healthicine.org\/wordpress\/wp-content\/uploads\/2017\/12\/ProbablyJust.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-5132 size-medium\" src=\"http:\/\/healthicine.org\/wordpress\/wp-content\/uploads\/2017\/12\/ProbablyJust-276x300.jpg\" alt=\"\" width=\"276\" height=\"300\" srcset=\"http:\/\/healthicine.org\/wordpress\/wp-content\/uploads\/2017\/12\/ProbablyJust-276x300.jpg 276w, http:\/\/healthicine.org\/wordpress\/wp-content\/uploads\/2017\/12\/ProbablyJust-768x835.jpg 768w, http:\/\/healthicine.org\/wordpress\/wp-content\/uploads\/2017\/12\/ProbablyJust.jpg 859w\" sizes=\"auto, (max-width: 276px) 100vw, 276px\" \/><\/a>What is the true cause of a placebo effects? Webster&#8217;s dictionary provides a not-cause, but no cause: &#8220;<strong><em>improvement in the condition of a patient that occurs in response to treatment but cannot be considered due to the specific treatment used<\/em><\/strong>&#8220;.<\/p>\n<p>Oxford&#8217;s dictionary offers a similar definition, but suggests a cause &#8220;<em><strong>A beneficial effect produced by a placebo drug or treatment, which cannot be attributed to the properties of the placebo itself and must therefore be due to the patient&#8217;s belief in that treatment<\/strong><\/em>&#8220;.<\/p>\n<p>Is Oxford&#8217;s dictionary right? Are the patient&#8217;s beliefs the &#8216;true cause&#8217; of a placebo effect? Let&#8217;s look at the logic.\u00a0 First, what is NOT the cause of a placebo effect?<\/p>\n<p>Dictionaries agree, Webseter: &#8220;<strong><em>cannot be considered due to the specific treatment used<\/em><\/strong>&#8220;, Oxford: &#8220;<em><strong>cannot be attributed to the properties of the placebo itself<\/strong><\/em>&#8220;.<!--more--><\/p>\n<p>A placebo effect is NOT caused by a placebo. If the patient is given a placebo, and the patient experiences &#8220;a beneficial effect&#8221;, the effect was NOT caused by a placebo, it was caused by &#8220;something else&#8221;. If it is &#8220;<em>placebo effect<\/em>&#8220;, then, by definition, it was not caused by the treatment, not caused by the placebo. It was caused by &#8220;something else&#8221;. We need to remember this when someone says &#8220;<em>It&#8217;s probably just placebo effect<\/em>&#8220;.<\/p>\n<p>It sounds a bit ridiculous, doesn&#8217;t it.\u00a0 It is ridiculous. We know there was an improvement in the patient&#8217;s condition, but we are only talking about what DID NOT CAUSE the improvement, paying no attention to what DID CAUSE the improvement.<\/p>\n<p>What then, is the actual cause of a placebo effect?\u00a0 Both definitions give a clue in their certainty, or lack of certainty.<\/p>\n<p>Webster&#8217;s: &#8220;<em><strong>cannot be considered<\/strong><\/em>&#8221; and Oxford&#8217;s: &#8220;<em><strong>cannot be attributed to<\/strong><\/em>&#8221; are exactly the same phrases.\u00a0 We can translate these into a simple English statement:<\/p>\n<p><strong>A placebo effect is a positive effect that we believe was not caused by the treatment.\u00a0<\/strong><\/p>\n<h1>Belief<\/h1>\n<p>They key to understanding placebo effect is to understand who &#8220;<strong>believes<\/strong>&#8220;. There are several situations where a placebo effect might be identified:<\/p>\n<ol>\n<li>A doctor prescribes a medicine that <strong>the doctor does not believe<\/strong> will have any beneficial effect on the illness, but believes it will have provide a benefit to the patient. A placebo effect.\u00a0 Something else caused the benefit.<\/li>\n<li>A clinical study administers a pill that <strong>the researchers do not believe<\/strong> will have any beneficial effect on the illness. All subsequent benefits are considered to be &#8220;not caused by the placebo&#8221;, because they are &#8220;placebo effects&#8221;. Something else caused the benefit.<\/li>\n<li>A person or doctor claims a benefit from a treatment or medicine but <strong>the critic (a doctor, researcher, or other person) does not believe<\/strong>\u00a0the treatment provided the positive effect. Something else caused the benefit.<\/li>\n<\/ol>\n<p>If the doctor, or the researcher, or the critic DOES NOT BELIEVE, the improvement in the patient&#8217;s condition was caused by the treatment, something else caused the benefit. Why don&#8217;t we investigate &#8216;something else&#8217;?\u00a0 Why do we simply label it &#8216;placebo effect&#8217; instead?<\/p>\n<p>Oxford claims that a placebo effect &#8220;<em><strong>must <\/strong><\/em><em><strong>therefore be due to the patient&#8217;s belief in that treatment<\/strong><\/em>&#8220;. Can anyone prove an effect is &#8220;<em>due to the patient&#8217;s belief in the treatment<\/em>&#8220;?\u00a0 No.\u00a0 And nobody cares what the patient believes.<\/p>\n<p>There is another problem with this hypothetical cause. If a treatment deliberately manipulates the patient&#8217;s belief in the treatment, then the positive effect WAS caused by the treatment, therefore &#8211; it&#8217;s not a placebo effect.<\/p>\n<p>The truth about placebo effects?\u00a0 The concept of a placebo effect is a paradox, self contradictory. It is not possible for a placebo to cause a placebo effect, by definition.\u00a0 It is not possible for placebo effects to be &#8220;c<em>aused by the patient&#8217;s belief in the treatment<\/em>&#8220;, because if so, it&#8217; s not a placebo effect, it&#8217;s a real effect.<\/p>\n<p>Why then is the phrase &#8220;placebo effect&#8221; so commonplace so popular? Why do placebo effects seem to be everywhere in medicine?<\/p>\n<p><em><strong>Placebo effects are an excuse.\u00a0 And a lame one.<\/strong>\u00a0<\/em>An excuse to ignore the effect, to ignore the cause.\u00a0 Deliberate ignoring. Deliberate ignorance.\u00a0When someone claims that a positive effect was a placebo effect, they can excuse themselves from any responsibility to study, to understand, to find the true cause, and make effective use of the effect.<\/p>\n<p>When placebo effects are identified and measured in clinical studies, they automatically moved to the &#8220;<em>we don&#8217;t study these<\/em>&#8221; column. Placebo effects don&#8217;t count.\u00a0Effects that don&#8217;t count, are labelled &#8216;placebo effects&#8217;, so we don&#8217;t have to understand them.<\/p>\n<h1>Placebo Ignoring, Placebo Ignorance<\/h1>\n<p>Placebo effects are caused by intentional ignoring, by ignoring important benefits.<\/p>\n<p>Placebo effects are a result of calculated, deliberate ignorance of real positive effects. If a research study enrolls 50 patients in a clinical study of a drug, and the drug provides an improvement to 15 patients, while &#8220;placebo effect&#8221; provides a benefit to 11 patients, the researchers take the 15 patients and their experience as &#8220;evidence&#8221;.\u00a0 They deliberately discard information about the 11 patients who received &#8220;placebo benefits&#8221;. These 11 patients benefited from something, the researchers don&#8217;t know what provided the benefit.\u00a0 And they don&#8217;t care. If 15 patients on the placebo experienced benefits, and only 11 on the drug experienced benefits &#8211; the study is a failure, the results are financially useless and they are thrown away, not published.<\/p>\n<h1>Can Placebo Effects Cure?<\/h1>\n<p>Maybe you haven&#8217;t noticed, placebo effects don&#8217;t cure. It seems obvious that placebos can&#8217;t cure, but remember &#8211; placebo effects are not caused by placebos.\u00a0 Placebo effects are real positive effects, with real causes, where researchers deliberately ignore the cause.<\/p>\n<p>What if a placebo cures?\u00a0 Is it a placebo effect? Are there any research studies where a placebo actually CURED the patient?\u00a0 Yes.\u00a0 There are.\u00a0 <a href=\"http:\/\/healthicine.org\/wordpress\/the-mysteries-of-homeopathy-resolved\/\" target=\"_blank\" rel=\"noopener\">But, those are in the past, here&#8217;s one.\u00a0<\/a> Today, placebos can no longer &#8220;cure&#8221; any disease, by lack of definition of cure.<\/p>\n<p>Today&#8217;s clinical studies do not count cures. It&#8217;s hard to ignore a placebo, if the patient is cured.\u00a0 The solution? Don&#8217;t count cures.\u00a0 Most of today&#8217;s clinical studies &#8211; all clinical studies of diseases &#8220;not caused by a parasite&#8221; deliberately ignore cures, by omission, because cured is not defined.<\/p>\n<p>Clinical studies of treatments for cancer, heart disease, arthritis, dementia, even obesity and depression do not contain a definition of &#8220;cured&#8221;.\u00a0 Clinical studies for these, and many other diseases, cannot document a cure found, because CURED cannot be tested, because cured is not defined in the parameters of the study.<\/p>\n<p>These clinical studies measure &#8220;benefits provided by the treatment&#8221; up to, but not including cures.\u00a0 Cured is beyond the testing limits of most clinical research.<\/p>\n<p>So placebos cannot cure. <a href=\"http:\/\/healthicine.org\/wordpress\/medicines-myth\/\" target=\"_blank\" rel=\"noopener\">Most medicines can longer cure.<\/a>\u00a0 Cure, cures, curing, and cured are not defined in any authoritative medical reference text. <a href=\"http:\/\/healthicine.org\/wordpress\/disappearance-cure\/\" target=\"_blank\" rel=\"noopener\">Cure, cures, curing and cured are disappearing from medical theory and practice.\u00a0<\/a><\/p>\n<p>When will we begin to understand placebo effects? When we study them.\u00a0 Every so called &#8220;placebo effect&#8221; is a real effect, with a real cause. The cause might be the belief of the patient.\u00a0 It might be something else. Once we understand the cause, it&#8217;s no longer a placebo effect, it&#8217;s a real effect, with a real cause.<\/p>\n<h1>When will we find cures?<\/h1>\n<p>When we have defined CURED for every disease, such that it can be tested independent of the treatment administered. Until then, we&#8217;ll search for medicines that don&#8217;t cure, and ignore benefits we can&#8217;t explain, calling them &#8220;placebo effects&#8221;.<\/p>\n<p>to your health, tracy<br \/>\nFounder: Healthicine<\/p>\n<p>&nbsp;<\/p>\n<a class=\"synved-social-button synved-social-button-share synved-social-size-48 synved-social-resolution-single synved-social-provider-facebook nolightbox\" data-provider=\"facebook\" target=\"_blank\" rel=\"nofollow\" title=\"Share on Facebook\" href=\"https:\/\/www.facebook.com\/sharer.php?u=http%3A%2F%2Fhealthicine.org%2Fwordpress%2Fwp-json%2Fwp%2Fv2%2Fposts%2F5111&amp;t=Ignorance%20Causes%20Placebo%20Effect&amp;s=100&amp;p[url]=http%3A%2F%2Fhealthicine.org%2Fwordpress%2Fwp-json%2Fwp%2Fv2%2Fposts%2F5111&amp;p[images][0]=http%3A%2F%2Fhealthicine.org%2Fwordpress%2Fwp-content%2Fuploads%2F2017%2F12%2FProbablyJust-276x300.jpg&amp;p[title]=Ignorance%20Causes%20Placebo%20Effect\" style=\"font-size: 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Webster&#8217;s dictionary provides a not-cause, but no cause: &#8220;improvement in the condition of a patient that occurs in response to treatment but cannot be considered due to the specific treatment used&#8220;. &hellip; <a href=\"http:\/\/healthicine.org\/wordpress\/ignorance-causes-placebo-effect\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5111","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/posts\/5111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/comments?post=5111"}],"version-history":[{"count":11,"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/posts\/5111\/revisions"}],"predecessor-version":[{"id":5190,"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/posts\/5111\/revisions\/5190"}],"wp:attachment":[{"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/media?parent=5111"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/categories?post=5111"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/healthicine.org\/wordpress\/wp-json\/wp\/v2\/tags?post=5111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}