The dismissal of non-specific effects of care as placebo effects (which are rated as sham, pretend, dishonest or false) does a huge disservice to patients and to doctors. The take home message in the article by Spiegel and Harrington is spot on: “We treat patients in a social and psychophysiological context that can either improve or, alas, worsen outcome. The meanings and expectations created by the interactions of doctors and patients matter physically, not just subjectively.”1
It’s time for doctors to reclaim the human aspects of their work. Caring for patients with due time and attention is not a luxury nor superfluous. It has a direct impact on outcomes. We cannot reduce medical practice to the physical components of our interventions because human beings are more than their physical components. We are thinking, feeling, meaning-seeking creatures. Unless we are treated as such we cannot expect the best outcomes from our medical experiences.
Competing interests: None declared.
References
- 1.Spiegel D, Harrington A. What is the placebo worth? BMJ 2008;336:967-8. (3 May.) [DOI] [PMC free article] [PubMed] [Google Scholar]
