At 10:29 AM 11/13/00 +0100, you wrote:
><< 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?
***BA=Bachelor of Arts
>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
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|