Dear Isaac
I think the preferred international term would be a baccalaureate.
Robert
----- Original Message -----
From: "Neumann Isaac Rutger, Granheim"
<[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, November 13, 2000 09:29
Subject: SV: Belief and placebo
> << Herb Silver, PT, MBA (but I also have a BA in psychology, hence my
> leaning
> towards to touchy feely side of things)>>
>
> What's a BA, Herb? I like your point of view btw and I think that a
> psychology degree is very valuable in PT. I've had many patients that
spill
> their guts out about family, work and all kinds of other problems.
Sometimes
> I feel more a psychologist than a PT.
>
> Isaac
>
> -----Opprinnelig melding-----
> Fra: Herb Silver, PT, [mailto:[log in to unmask]]
> Sendt: 12. november 2000 18:48
> Til: [log in to unmask]
> Emne: RE: Belief and placebo
>
>
> There is a difference between "the placebo effect" and patient/"healer"
> interactions. I once told a class that empathy and all that go along with
> it from listening certain environmental effects like ease in scheduling,
> clean workplace, nice equipment, etc. all impact results independent of
any
> treatment skills--in fact, in many cases I would estimate that those
issues
> are responsible for over 50% of treatment. I think the variation in what
> we are calling placebo from 40-70% depending on the study is the variation
> that occurs when the practitioners are able to "enhance" non
> pharmacological/physiological effects" and do not take into account
> psychophysical effects compared to when these effects are not
> "enhanced". For instance, I used to work in a privately owned physical
> therapy clinic that was located on The Hughston Clinic Campus which is an
> internationally known orthopedic facility--we used to say that people got
> better to some extent just showing up. I am sure that is true when trials
> are carried out at Harvard University or Emory University--even if you are
> receiving a sham treatment at one of those locations, it is "better" than
a
> sham treatment in a dirty, inner city health clinic staffed by tired,
> overworked, underpaid staff. So, my advice to my class was to do your
best
> at enhancing these effects--they are actually "free" since close to 50% if
> not more of your treatment effect comes from just being a good person with
> a nice facility with other caring staff members. (One of my students
> misquoted me as saying "you want to do your best a faking yourself out to
> the patient"--hardly what I said.) You want to enhance the non
> physiological/pharmacological effects, which are mistakenly sometimes
> referred to as placebo. In order to measure placebo, we have to be aware
> of ALL the treatments, which include empathy and other psychophysiology
> interactions.
>
> Herb Silver, PT, MBA (but I also have a BA in psychology, hence my
leaning
> towards to touchy feely side of things)
>
> At 11:25 AM 11/12/00 +0000, you wrote:
> >Simon, I did a lot of reading around placebo effect for a recent uni
> >assignment on 'human interaction and the healing process.' Some really
> >interesting examples including cases of Voodoo death! Refer to chapter 1
> of:
> >Rossi E (1986) The psychobiology of mind-body healing. WW Norton &
Company,
> >New York.
> >It makes you realise there is so much more to any treatment than the pure
> >pharmacological/physiological effects, and that placebo is much more than
> >'sham' treatment. I have many more references if you are interested.
> >
> >Linda
>
>
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