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Medical Humanities 2008;34:107-109; doi:10.1136/jmh.2008.000307
Copyright © 2008 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.

ORIGINAL ARTICLES

Rethinking the placebo effect

P Louhiala1 and R Puustinen2

1 Department of Public Health, University of Helsinki, Helsinki, Finland
2 University of Tampere, Tampere, Finland

Correspondence to:
Pekka Louhiala, Vuorikatu 17 as 3, 13100 Hämeenlinna, Finland; pekka.louhiala{at}helsinki.fi

There is a rather wide range of meanings for placebo and placebo effect, and some of the controversy has arisen when the proponents of various positions have ignored each other. An attempt is made to clarify some of the conceptual issues related to these concepts. Five uses of placebos as inert substances or treatments are listed. The problem of the placebo effect and the discussion of its existence are examined, and other terms that could cover the phenomenon are suggested. It is suggested that the concept placebo is appropriate only to the research context and that the term care effect be introduced to replace it in clinical contexts.


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This article has been cited by other articles:

  • Louhiala, P (2009). The ethics of the placebo in clinical practice revisited. J. Med. Ethics 35: 407-409 [Abstract] [Full Text]  

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