--- In [email protected], "shanti2218411" <[EMAIL PROTECTED]> wrote:
> ---Sal cite me one reference from a scientific journal,medical or
> psychiatric textbook which asserts that the effect of ANY medication
> is not in part due to the placebo effect.That is the whole point of
> using a placebo control group when studying the effectiveness of a
> medical rx ie if the effectiveness of the treatment is not greater
> than the placebo than the treatment is judged to be no more effective
> than the placebo and thus not worth utilizing.Benson is proposing that
> medicine should take a more positive view of the placebo effect ie 
> that it demonstrates the mind-body's capacity to heal itself.
> Re your other point,obviously depression is a state that can be
> characterized by an absence of hope.My point was that any effective
> treatment for depression involves the instillation of hope.IOW one of
> the goals of rx should be to help the person develop a sense of hope.
> Kevin

Kevin,

I tried to engage you on this point yesterday. Its a serious point,
though perhaps you wrote it off because in making my point, I employed
examples that might be thought humorous. Let me re-edit it and try again. 

I like Benson's point, its kind of beautiful actually. However to take
the fact the effect of ANY medication is in part due to the placebo
effect, and extrapolate that all drugs are substantally and mostly a
placebo effect is a huge illogical jump of magic, IMO.

Perhaps you didn't mean to imply all drugs. But I dont see any factor
to limit it to SSRIs. Can you cite any limiting factors to your
massive placebo effect that limits it to SSRIs?

To help illustrate how silly a massive placebo effect is for all
drugs, I asked the following serious, though perhaps mirthful
questions -- to make the above point:


Is hope what dramatically lowers the cholesterol of Lipitor consumers?

Is hope what causes Zyrtec not to sneeze with spring pollen, and NOT
get drowsy?

Is hope what lowers blood pressure to normal levels of beta blocker
consumers?

Is it hope that gives vallium users that cloud 9 feeling?

Does the Cialis taker simple get a quite hard and long lasting
erection from the "hope" given by cialas ads?

Does the new found vigor that now lasts 36 hours, compared to the 8
hours when he took viagra, due to the extra hope instilled by ads or
discussions with his doctor?

Why don't ED subjects simply view the Cialas and viagra ads in order
to get sustained ability for hard prolonged erections?

Are the reported physiologic side effects of SSRIs, particularly
sexual, caused by a placebo hope effect? That is do subjects
experience a placebo effect for a generally negative side effect?  

When a woman takes birh control pills, is it just the hope factor that
keeps her from conceiving?

Do medical marijuana users now just need to have hope? And their pain
subsides as well with "swag" as well as sticky buds -- because they
both instill hope?

If its primarily hope inducing placebo effects that induce results for
depression, or any condition, the effects should be similar across all
therapies. And for Depression, the response should be even higher for
talk therapy since it is applied to all patients and has the human
touch / caring factor bringing in stronger Hawthorne type effects than
the hope instill by a pill (a 50% chance of a sugar pill at that) But
this is not the case. The evidence I have seen indicate strongly that
SSRIs are far more effective than talk therapy
alone. 

Again, I am not questioning that placebo effects occur in most drugs.
I question your supposition that placebo effects can explain a
majority of the effects in a majority of SSRI users --- and presumably
all other drugs, such as Lipitor, beta blocker, cialis, viagra,
vallium, anti-histimine and birth control users.

Can you explain more clearly  your apparent huge leap from 
the fact that the effect of ANY medication is in part due to the
placebo effect to conclude that the effects of all drugs are
substantaly and mostly a placebo effect?






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