Comment on Is Placebo A Treatment For All Disease?

Spotted_Lady@wolfballs.com ⁨2⁩ ⁨years⁩ ago

I imagine that is more useful for physical diseases and short-term conditions.

Chronic mental health conditions seem to be a different story. In that case, the placebo effect can complicate self-help "research" in that no matter what you try, you start out thinking it is working. So it doesn't matter if you are taking sugar pills, analgesics, or crack, you might think you are "cured" when you have a small remission. And that can be frustrating in that you think you found lasting results when you end up realizing you have only a short-lived placebo effect or a new addiction.

An exception to what I just said are conditions that involve traumatic memories. A placebo technique may be enough to tap into those memories and allow them to be explored or dismantled. For instance, take the EFT "Tapping" technique. While the whole concept of "meridians" and "energy zones" might be pseudoscience, EFT might still work as a distraction technique and a placebo. When tapping, you are focusing your attention on those areas of the body while holding the condition in your mind. Dividing your attention like that might allow you to use "shallower bites" to go deeper. The physical activity aspect may increase the feelings of emotional safety as you reach any distressing buried material. So you might have lasting improvement since you did the work yourself, and the technique just made you more likely to do the work due to making it seem less painful.

Sometimes, the placebo effect works in the context of self-help and life coaching. For instance, you can use gimmicks to motivate someone. If you have a kid who keeps striking out, you could loan them a "magical bat" and "prescribe" 2-4 hours of practice per day. They would be eager to see the gains that this "special" bat gives and work hard to find the gains. Of course, there comes a time to take the "magical" item back and let them know it was BS. This type of motivational gimmick should only be used on a short-term basis to minimize dependency or social complications. For instance, if you keep using a "special baseball bat," bullies might take it from you and any success gained might be lost if they give up and quit the sport over the incident. So a wise coach/trainer might try gimmicks to motivate certain players and then wean them off of the gimmicks. In that sense, it is much like a teddy bear or other comfort object. When kids are learning that their parents can't always be immediately by their side, they use things like stuff animals to help them cope. And as they get older, the stuffed animal, mini blanket, or whatever naturally has less of a role in their lives.

Sometimes things thought to be inert do exert a tad more benefit than a placebo. And sometimes one isn't looking for the effects. For instance, let's say you have Athlete's Foot, but you also get a hankering for more dairy items. So you eat cream cheese, yogurt, etc. Then in several weeks, you notice the itching and burning are less and might not even make a dietary connection. In that example, the bacteria in the dairy is competing with the foot fungus. That's not as effective as prescription antifungals, but it does help some and is much easier on the liver. Similar can be said about ulcers. While antibiotics are more effective in clearing up ulcers, probiotics may be good to use as a preventative. And if you have to go to pharmaceuticals, then you'd likely want to take the probiotics after you finish the course of meds.

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