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Old 03-26-2008, 06:50 AM
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Default The Collective Placebo Effect? Collective Belief & Disbelief?

Quote:
'......Cimetidine was one of the first anti-ulcer drugs on the market, and it is still in use today. In 1975, when it was brand new, it eradicated 80% of ulcers, on average, in various different trials. But as time passed the success rate of cimetidine - this very same drug - deteriorated to just 50%.
This deterioration seems to have occurred particularly after the introduction of ranitidine, a competing and supposedly superior drug.....


Bad Science » All bow before the might of the placebo effect, it is the coolest strangest thing in medicine
So the idea implied here is that doctors enthusiasm over the new drug and loss of faith in the old one is unconsciously passed on to individual patients explaining how cimetidine performed worse than in past? Plausible?

Here we see (again) that decline effects sometimes occur not just in psi experiments but in other areas of science.

We tend to look upon the placebo effect as one which affects individuals with faith in a medicine but could these effects also be transfered collectively not via normal physical communication? According to Gertrude Schmeidler's 'sheep and goat' effect, belief facilitates psi, disbelief can block psi - Schmeidler (1943a, 1943b). At first this was assumed to be an individual effect, however ......

Quote:
'.... A person adversely affecting an experiment in extrasensory perception does not need to be physically present with the percipient. Schmeidler (1961a, 1961b) showed that the scores of percipients at card-guessing tended to be high or low according to whether an agent was wishing the percipient to succeed or to fail. Some experiments even suggest that unfavorable influences may not reach the level of an overt wish that a percipient would fail; much more subtle negative qualities may come into play (West and Fisk, 1953).....' - Dr Ian Stevenson

ESP Experience and Impact: Ingo Swann (SurvivalAfterDeath.org)
What is perhaps harder to explain still is when the placebo effect increases in effectiveness at times?

Quote:
'....In 1999, Enserink(1) wrote a short but very interesting article concerning how greatly the magnitude of the placebo effect in double-blind pharmacological studies had grown in the previous 15 years. He pointed out that “when companies started testing drugs for obsessive-compulsive disorder back in the mid-1980’s, the placebo response rate was almost zero. As time went on, this response rate began to creep upward, up to a point where one could reasonably conclude that some clinical trials failed because of high placebo response rates. ....

http://www.tillerfoundation.com/Till...20Entangle.pdf
Here the physicalist possibly might argue that faith in antidepressants had risen so much within the general public with the result the fakes one worked as well in a double blind experiment as the real medicine? Is that plausible?

Quote:
........Cultural beliefs may have a significant impact on healing. This is shown by a study that examined deaths in 28,169 adult Chinese Americans with lymphomas and 500,000 randomly selected age- and sex-matched white Americans. Chinese Americans born in an inauspicious birth year were likely to die four-six years earlier than Chinese born in other birth years or Caucasians...

Placebos: can you get something for nothing?
If this is true, it seems unlikely to be due some astrological factor or satisfactorily explained by people believing they have been born on an unlucky day (who would believe that all their lives?) There is however the possibility that specific beliefs of others can form themselves into effects that affect us all unconsciously until the established viewpoint says 'this is impossible' , thereby making it more impossible? Sheldrake's Morphic Resonance theory suggests habits of thinking, affect us all, until those habits are changed?

Quote:
.......The compliance of patients also influences the outcome of treatment, irrespective of whether the patient received a placebo or a drug. A study of beta-blockers to prevent myocardial infarction found that patients who took more than 80 per cent of the doses had a better outcome (15 per cent mortality) than those with poor compliance (25 per cent mortality), irrespective of whether they received a beta-blocker or a placebo. "Placebo effects are shaped by factors that influence the meanings patients attribute to their illnesses and to the treatments they receive......."

Placebos: can you get something for nothing?
This is truly bizarre, how can a person not faithfully taking a placebo be affected by the placebo when they didn't have enough faith or fear to take it regularly? Could it be that others on the same placebo felt that not taking it believed serious consequences upon their own health outcomes if missed?

Can any psi theory account for those bizarre results? Possibly Rupert Sheldrake's Morphic Resonance and some others.

Arguably parapsychology has discovered two things over the years (1) sheep, goat and experimenter effects seem to occur under double blind protocols (2) The source of psi seems to come from mental states closer to unconscious awareness than from conscious awareness (Dream Telepathy, Ganzfeld, DMILS unconscious physiological responses, etc.)

Did psi evolve to be consciously weak (in humans) because if strong our individuality and freewill is increasingly affected by the thoughts and opinions of other humans?

Are some cases of 'drug resistance' or 'drug tolerance' due to loss of belief in those? Drug resistance/tolerance certainly occurs, individual placebo effects due to expectation via physical senses is occurring but are these explanations masking other psi-like factors? Do our expectations of other people's health outcomes affect them directly and much as what they believe themselves?

Last edited by Open Mind : 03-26-2008 at 06:35 PM.
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Old 03-26-2008, 06:02 PM
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Open Mind,

Thanks for those links, and the reminder that the placebo effect is a great example of the power of consciousness. Your first link goes to an article followed by a lot of discussion. This discussion is amusing because it mirrors in many ways some of the discussions we have here!

Over there there the skeptics seem to doubt that there is any such thing as a placebo effect, attributing its effects to symptom fluctuations, fraud, bad experimental methods.......

David
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Old 03-26-2008, 06:37 PM
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Quote:
Originally Posted by Open Mind
So the idea implied here is that doctors enthusiasm over the new drug and loss of faith in the old one is unconsciously passed on to individual patients explaining how cimetidine performed worse than in past? Plausible?
Sure. Even more plausible is that people do it to themselves, on the basis of advertising and press coverage.

~~ Paul
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Old 03-26-2008, 06:57 PM
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Paul,

In the UK, prescription drugs are not advertised (thank goodness) so until comparatively recently I would expect most patients would not have known much about them.

To me the question is whether the existence of the placebo effect implies that people can be taught to use their minds to heal themselves. This would probably have a very 'new age' feel, but it would not involve any deception.

David
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Old 03-27-2008, 04:42 AM
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Is the placebo/nocebo effect compatible with physicalism?

It seems physicalism (matter creates mind) needs to argue that natural selection found evolutionary advantages in self healing being disabled? What were the evolutionary benefits to remaining sick? Or the evolutionary disadvantages to becoming well?

I am sure the physicalist can concoct some elaborate theoretical reason to remain untroubled by such questions but in doing so, aren't they modifying Natural Selection to mean survival of the non-fittest?

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Old 03-27-2008, 05:11 AM
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Quote:
Originally Posted by Open Mind View Post
Is the placebo/nocebo effect compatible with physicalism?

Theorem:

Every observable fact is either compatible with physicalism or is the result of faulty experimental methodology (or both)

David
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Old 03-27-2008, 07:26 AM
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Quote:
Originally Posted by David
Theorem:

Every observable fact is either compatible with physicalism or is the result of faulty experimental methodology (or both)
Correct. But the way to construct a worldview that denies this is to define physicalism as follows:

Physicalism includes everything that is mundane and obvious in science, but nothing new and bizarre. As soon as something new and bizarre comes up, we must deny that physicalism could possibly include it (until later when it becomes old-hat and mundane). This allows us to assert that the new and bizarre thing demonstrates that physicalism must be false. This is called Strawman Limited Physicalism.

~~ Paul

Last edited by Paul C. Anagnostopoulos : 03-27-2008 at 07:29 AM.
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Old 03-27-2008, 07:29 AM
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Quote:
Originally Posted by Open Mind
It seems physicalism (matter creates mind) needs to argue that natural selection found evolutionary advantages in self healing being disabled? What were the evolutionary benefits to remaining sick? Or the evolutionary disadvantages to becoming well?
What are you talking about? Why does physicalism need to argue that at all? And why are you looking at evolution from one side only? It's not that there is an advantage to us remaining sick, it's that there is an advantage to the disease agents in keeping us sick.

Quote:
I am sure the physicalist can concoct some elaborate theoretical reason to remain untroubled by such questions but in doing so, aren't they modifying Natural Selection to mean survival of the non-fittest?
As I said, you're looking at this from your viewpoint only.

Evolution is a battlefield, not a stage for H. sapiens.

~~ Paul
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Old 03-27-2008, 10:28 AM
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Quote:
Originally Posted by Paul C. Anagnostopoulos View Post
What are you talking about? Why does physicalism need to argue that at all? And why are you looking at evolution from one side only? It's not that there is an advantage to us remaining sick, it's that there is an advantage to the disease agents in keeping us sick.
Paul that sounds curiously like holism and you are a physicalist? I don't know what you mean .....I think you have missed the point, I was asking how the placebo effect could have evolved....

If our immune system can destroy the bacteria more effectively, why does it hold back and wait for a pill, belief or hope to work better? It seems like nature/immune system is rewarding feelings of belief, faith, positivity and hope (placebo effect?) and punishing feelings of despair and disbelief (nocebo effect?) , how did this evolve (or emerge as a byproduct) via natural selection? What is the chemical formula of hope? How do we program it into a computer?

Last edited by Open Mind : 03-27-2008 at 10:33 AM.
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Old 03-27-2008, 12:26 PM
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Quote:
Originally Posted by Open Mind View Post
Paul that sounds curiously like holism and you are a physicalist? I don't know what you mean .....I think you have missed the point, I was asking how the placebo effect could have evolved....

If our immune system can destroy the bacteria more effectively, why does it hold back and wait for a pill, belief or hope to work better? It seems like nature/immune system is rewarding feelings of belief, faith, positivity and hope (placebo effect?) and punishing feelings of despair and disbelief (nocebo effect?) , how did this evolve (or emerge as a byproduct) via natural selection? What is the chemical formula of hope? How do we program it into a computer?
I read a suggested explanation for this somewhere. The idea was that the full internal healing process is expensive and is only deployed if the person feels completely secure. I.e. it is no use sitting curing your cancer while being stalked by a sabre tooth tiger! I don't know if this is reasonable or not.

This does not, of course, relate directly to the nature of such mechanisms.

David
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