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The benefits of placebo effect
The placebo effect definition essay
The benefits of placebo effect
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Introduction
According to survey, held by U.S Department of Health and Human services, by 2007-2008 years approximately one half of U.S. population used at least one prescription drug, 10% of population used more, than five drugs at month, in addition between children one out of five used at least one or even more prescription drugs (Gu, Dillion and Burt 2010). In order that patients receive effective treatment by 1980 U.S. Food and Drug Administration approve special clinical trials1(see Appendix 1 to the definition), that determine drugs' most frequent side-effects and emphasize their effectiveness (U.S. FDA 2012).When assessing the efficiency of a new medicines, it is usual to test the medicaments in a "randomized double-blind placebo controlled trials". In these trials results obtained from experimental2 and control3 arms are compared and the difference is considered. Drug is considered effective if statistically significant difference4 ,often called effect size, between two group is detected. Other way the medicine is regarded as ineffective and treatment based on this medicine is not better than treatment via placebo (Wampold 2005). As follows placebo controlled studies are important part of pharmacological research because it emphasizes real treatment effect of developing medicaments and prevents releasing ineffective drugs for sale. The purpose of this project is to argue that placebo studies should be used in the health trials in pharmacological research because these studies determine the real treatment effect of a drug. The first section of this paper will briefly explain what "placebo" is , then clinical trials, based on this effect will be examined. Then, the importance of using placebo studies in medical research ...
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...Placebo Effects in Pain". Current Directions in Psycho-logical Science, 14 (4): 175-179. Accessed January 31, 2014. http://www.jstor.org/stable/20183019
Wang, Linda. 2003. "In Clinical Trials and In the Clinic, What Is the Placebo’s Effect?" . JNCI Journal of the national cancer institute, 95(1): 6-7. Accessed February 12, 2014 . doi: 10.1093/jnci/95.1.6
Wampold, Bruce,Takuya Minami, Sandra Callen Tierney, Thomas W. Baskin, and Kuldhir Bhati. 2005. "The placebo is powerful: Estimating placebo effects in medicine and phychotherapy from randomized clinical trials". Journal of clinical psychology, 61 (7): 835-854. DOI:10.1002/jclp.20129.
Wampold, Bruce,
U.S. Food and Drug Administration. 2012. "The FDA's Drug Review Process: Ensuring Drugs Are Safe and Effective." Last modified January 5, 2012. http://www.fda.gov/drugs/resourcesforyou/consumers/ucm143534.htm
ABSTRACT: Can there be scientific theories in psychology, medicine or psychiatry? I approach this question through an in-depth analysis of a typical experiment for clinical depression involving the monoamine hypothesis, drug action, and placebos. I begin my discussion with a reconstruction of Adolph Grünbaum's conceptual analysis of 'placebo,' and then use his notion of "intentional placebo" to discuss a typical experiment using the monoamine hypothesis, two drugs and a placebo. I focus on the theoretical aspects of the experiment, especially on the notion of causal explanation. I then raise five conceptual and methodological problems for theory construction. These problems focus on questions of the causal efficacy of placebos and drugs; ad hoc versus ceteris paribus explanations in biomedicine and psychology; and the falsifiability of the monoamine hypothesis. I conclude by pointing out the need for further, rigorous philosophical analysis concerning the possibility of theory construction in psychology, medicine, or psychiatry.
Ernst, E., & Resch, K. L. (1995). Concept of true and perceived placebo effects. British Medical
Institute of Medicine Report from the Committee on Advancing Pain Research, Care and Education. (2011). Relieving Pain in America A Blueprint for Transforming Prevention, Care, Education and Research. Retrieved from http://books.nap.edu/openbook.php?records_13172
strict or they can take too long to approve a drug. But I think for the most part, the FDA is really
While both cancer treatment and chemoprevention trials involve agents that can cause side effects in individuals, chemoprevention trials diverge from treatment trials with respect to the unit of potential benefit. In trials of cancer treatment or of “adjuvant therapies” (secondary prevention), subjects either hav...
In Marcia Angell’s article, “The Ethics of Clinical Research in the Third World,” she strongly argues the use of clinical placebo-controlled trials done in developing countries are unethical if an effective treatment already exists. Angell believes studies that compare potential new treatment with a placebo controlled group is ineffective and unnecessary. All research studies should offer the best standard of care and give participants the most beneficial outcome and treatment possible. The main priority of a study is not the goals of the research itself, but the well-being of the participants. Angell uses many sources to defend her argument, such as WHO.
Liddle, H A., Rowe, C L., Dakof, G A., Henderson, C E., Greenbaum, P E.; (Feb, 2009). Journal of Consulting and Clinical Psychology; Vol 77(1); 12-25. Doi: 10.1177/0306624X10366960
“According to the General Accounting Office, more than half of the prescription drugs approved by the Food and Drug Administration (FDA) between 1976 and 1985 caused serious side effects that later caused the drugs to be either relabeled or removed from the market. Drugs app...
review or pending approval unless the information has been in the public. The FDA has no legal
Reinarman, Craig and Peter D. A. Cohen and Hendrien L. Kaal. “The Limited Relevance of Drug
There are some key distinctions between Randomized Controlled Trials (RCT) in a psychotherapeutic context and a medical context. There are key differences between the design of an RCT to evaluate a new drug and an RCT to evaluate a new form of couples’ therapy. However, it is important to begin by defining and understanding the importance of RCT in research (O'Brien, 2013).
Article two entitled “Clinical trials: are they ethical?” is written by Eugene Passamani discusses the importance of randomized clinical trials. Passamani rejects the argument that the physician-patient relationship demands that physicians recommend ...
Marion Good, PhD, RN, has focused her study, “A Middle-Range Theory of Acute pain Management: Use in Research,” on complementary medicine for pain and stress, acute pain, and stress immunity. The purpose of this theory is to put into practice guidelines for pain management. Good, 1998, noted the need for a balance between medication usage and side effects of pain medications. The theory also promoted patient education related to pain management following surgery and encouraged plan development for acceptable levels of pain management. This theory was developed through deductive reasoning. Chinn & Kramer, 2008, defined deductive reasoning as going from a general concept to a more specific concept. Good, 1998, related that there was a balance between analgesia and side effects in which two outcomes can be deduced: (1) a decrease in pain, and (2) a decrease in side effects. These outcomes can be studied further or more detailed concepts can be deduced from them.
Aliyev, N. A.Aliyev, Z. N. "Lamotrigine Outperforms Placebo In Study Of Difficult-To-Treat Depersonalization." Brown University Psychopharmacology Update 22.4 (2011): 1. MasterFILE Premier. Web. 12 Feb. 2014.
Clinical trial is a gateway to become proved practical medical treatment, so it requires accuracy and validity of the outcomes. Placebo control trials are therefore employed in clinical trials as nearly half of academic physicians have answered in a questionnaire that they had used a placebo in their clinical trials (Sherman and Hickner, 2007). To have the higher scientific validity of results on the clinical trials require that prospective, carefully selected subjects and endpoints, a control group, randomly allocated subjects into a treatment group and a control group, blinded both subject groups and investigators, sufficient sample size, and an approved independent ethics committee and monitoring by data safety and monitor board to have stronger the scientific validity on the clinical trials (Brody, 1997). The use of placebos will enable to have more scientifically reliable outcome. However, unnecessarily or ineffectiveness of placebo use is also claimed therefore considering appropriate conditions and suitable cases would be needed for placebo use.