[Omeo33] Art 1120 - Homeopathy, 2010, 99 (2), 119-129
Gino Santini
g.santini a ismo.it
Lun 12 Lug 2010 10:06:27 CEST
The placebo effect and homeopathy
Marcus Z. Teixeira, Cristina H.F.F. Guedes, Patrícia V. Barreto and
Mílton A. Martins
Background - Like other forms of medicine, including Complementary and
Alternative Medicine (CAM), homeopathy elicits expectations in
patients. The physician–patient relationship, personal and
comprehensive treatment and lack of adverse effects are elements in
creating positive expectations. Other elements may be associated with
negative expectations.
Methods - We conducted a systematic literature review on placebo and
nocebo effects in acupuncture and homeopathy using Medline.
Results - Findings on the psychophysiological and neuromediating
mechanisms of the placebo–nocebo phenomenon are reviewed. Studies of
these effects reveal how expectations and unconscious conditioning can
be measured by imaging and EEG methods. They result in significant,
non-specific therapeutic effects, which may confuse the evaluation of
the specific therapeutic effects treatment, hampering selection of the
simillimum.
Conclusions - Directions for future research on non-specific
therapeutic effects of homeopathy to improve clinical practice and
clinical research are discussed.
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