Interesting post. Just a quick question for clarification. You write,
"Bottom line, placebos can result in perceived improvement even where no actual improvement exists."
Since perception (and pain, of course) is strongly associated with physical mechanisms, then a placebo must be doing something to those mechanisms, correct?
If that’s right -- and it seems it must be -- then "perceived improvement" is "actual improvement" it’s just not "longterm improvement."
This seems like a trivial point upon which to ask for clarification, but it’s important to recognize that there is nothing "subjective" at work in placebos. They do have effects, and those effects have physiological concomitants, it’s just that their effects do not indicate they’re addressing underlying mechanisms which, if addressed, could have longer term affects which would be perceptible as well.
Sound right?
"Bottom line, placebos can result in perceived improvement even where no actual improvement exists."
Since perception (and pain, of course) is strongly associated with physical mechanisms, then a placebo must be doing something to those mechanisms, correct?
If that’s right -- and it seems it must be -- then "perceived improvement" is "actual improvement" it’s just not "longterm improvement."
This seems like a trivial point upon which to ask for clarification, but it’s important to recognize that there is nothing "subjective" at work in placebos. They do have effects, and those effects have physiological concomitants, it’s just that their effects do not indicate they’re addressing underlying mechanisms which, if addressed, could have longer term affects which would be perceptible as well.
Sound right?