SIPS
CONFERENCE
LEIDEN
2017
SIPS
CONFERENCE
LANGUAGE
LEIDEN
2017
&
PLACEBO
ROEL GAYMANS MD PhD
PLACEBO CONCERT
SELF -HEALING SYMPHONY
INSTRUMENTS :
LANGUAGE
EXPECTATION
CONDITIONING
CONTEXTUAL
RITUAL S
MEANING
COMPOSER :
ORCHESTRA:
DIRECTOR :
NATURE
THE PATIENT
THE DOCTOR
PLACEBO CONCERT
SELF -HEALING SYMPHONY
* COMPOSER: NATURE
Walach:
the capacity to self-heal emerges from the placebo concep
PLACEBO CONCERT
SELF -HEALING SYMPHONY
*ORCHESTRA :
THE PATIENT
`Beauregard:..evidence from neuroimagining studies
of emotional selfregulation in psychotherapy
and the placebo effect
PLACEBO CONCERT
SELF -HEALING SYMPHONY
* DIRECTOR
THE DOCTOR
Benedetti:
…but certainly doctors, nurses, and health professionals
represent a very important component of the context, as
they can transmit a lot of information to the patient
through their words, attitudes, and behaviors.
PLACEBO CONCERT
SELF –HEALING SYMPHONY
* LANGUAGE
As prelude and recurrent theme
EXPECTATION
CONDITIONING
CONTEXTUAL
RITUALS
MEANING
Pollo: different verbal instructions produced
different outcomes and behaviour
PLACEBO CONCERT
SELF –HEALING SYMPHONY
* LANGUAGE
As prelude and recurrent theme
EXPECTATION
CONDITIONING
CONTEXTUAL
RITUALS
MEANING
Harrington:..Language as a medium for the exchange of informatio
…language is embodied-not only physically but also symbolically,
Through the power of words to elicit profound emotional responses
PLACEBO CONCERT
SELF –HEALING SYMPHONY
ROLE of LANGUAGE in
* EXPECTATION
CONDITIONING
CONTEXTUAL
RITUALS
MEANING
Wayne B.Jonas: the very words used when communicating about
treatment or pain can activate different parts of the brain.
PLACEBO CONCERT
SELF -HEALING SYMPHONY
LANGUAGE
In
* CONDITIONING
CONTEXTUAL
RITUALS
MEANING
Karin Meissner:
verbal suggestions… may activate association networks in the brain
that store memories of the appropriate autonomic response
PLACEBO CONCERT
SELF -HEALING SYMPHONY
LANGUAGE and
* CONTEXTUAL HEALING
RITUALS
MEANING
Miller :..the environment of the clinical setting,
cognitive and affective communication of clinicians and the
ritual of administering the treatment.
PLACEBO CONCERT
SELF -HEALING SYMPHONY
LANGUAGE
and
* RITUALS
MEANING
Kaptchuk: Songs, chants, and narrative stuctures are
the base of the healing rituals
PLACEBO CONCERT
SELF -HEALING SYMPHONY
LANGUAGE
and
* MEANING
Moerman:
..a generic system of meaning.. initiated by the specific
red or blue pills that he doctor gives You..when to take it..
and to drink lots of water with it.
SO WHAT ?
* Language influences Placebo behaviour at many levels.
** In scientific and clinical Doctor - Patient communication,
language deserves more detailed attention.
*** Language will become extremely influential in
future healthcare technological developments
like Virtual Reality and Artificial Intelligence.
VIRTUAL EXPERIMENTER “Dr HALSEY”
Bjoern Horing, Nathan D. Newsome, Paul Enck, Sabarish V. Babu, and Eric R. Muth
BMC Medical Research Methodology July18, 2016
With permission
PLACEBO CONCERT
SELF -HEALING SYMPHONY
INSTRUMENTS :
LANGUAGE
EXPECTATION
CONDITIONING
CONTEXTUAL
RITUAL S
MEANING
COMPOSER :
ORCHESTRA:
DIRECTOR :
NATURE
THE PATIENT
THE DOCTOR