I could see how taking a pill could, through repeated pairings, become 
associated with a particular effect. However, with the placebo effect, it would 
seem that there are two additional concerns. 1) If a person has taken a number 
of pills over the years for various conditions, and the pills had various 
effects, wouldn't this dilute the placebo effect in the case of any particular 
effect? On the other hand, if every pill you ever took had analgesic effects, 
it would seem that a pill could come to elicit a conditioned response. But that 
leads us to 2) Would the placebo response be congruent with or opposite of the 
original effect? For example, if a stimulatory effect is predicted by the 
delivery of a CS, the CR can often be the opposite of the UR (a depressant 
effect) allowing the organism to maintain homeostasis. In that case, the 
placebo effect would be the opposite of the effect of the drug.

Rick

Dr. Rick Froman, Chair
Division of Humanities and Social Sciences
Professor of Psychology
Box 3055
John Brown University
2000 W. University Siloam Springs, AR  72761
[email protected]
(479)524-7295
http://tinyurl.com/DrFroman

"The LORD detests both Type I and Type II errors." Proverbs 17:15

From: Michael Burman [mailto:[email protected]]
Sent: Tuesday, January 04, 2011 11:12 AM
To: Teaching in the Psychological Sciences (TIPS)
Subject: Re: [tips] Placebos: stirring the pot





No one has really addressed my question as to why any classically conditioned

stimulus could not be viewed as a  placebo (or nocebo).
I think no one has answered this because it is essentially correct.  Classical 
conditioning is a likely mechanism for the placebo effect.  Robert Ader gave a 
talk at the Pavlovian Society Meeting a couple of years back showing that the 
immune system in rats could be classically conditioned to respond to a CS via 
pairings with an immuno-suppressent drug.

http://www.ncbi.nlm.nih.gov/pubmed/12615187

In humans, there are other plausible mechanisms involving cognitive 
expectations, but those certainly wouldn't rule out a role for classical 
conditioning.

So - I think the answer is "yes".  Placebo's work because a taking a little 
pill is so often associated with effective drugs.  The more pills we take, the 
larger the placebo effect will become.  Perhaps we are already seeing evidence 
of this.

Mike


-------
Michael A Burman Ph.D.
Assistant Professor
Dept. of Psychology
328 Decary Hall
University of New England
11 Hills Beach Rd
Biddeford ME 04005

207-602-2301

[email protected]<mailto:[email protected]>




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