ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
The Swedish View On The Placebo
Carl-Magnus STOLT, MD,a Beroz DEHDARI,b
aDepartment of Medical Humanities, bKarolinska Institute, Stockholm and Borås University College, Stockholm, SWEDEN
Objective: The aim of this project was to investigate if and how the view on the placebo has changed in Sweden during the last 50 years.
Material and Methods: To perform this research, we perused the Journal of the Swedish Medical Association (in Swedish: Läkartidningen). The material consists mainly of lead articles from this Journal (Läkartidningen; abbreviated: LT), but a significant number of other sources have also been consulted.
Results: The first article containing the word ”placebo”, although having nothing to do with the placebo as such, was published in 1959. Within is merely stated that methods have been developed which are suited for statistical processing, and that the placebo may be used as a control. The first time in a LT that the placebo is discussed as an entity is in 1975. The author writes that the “placebo effect” can probably be explained with regard to the intricate interplay between the nervous system and hormone-producing organs. This view has since then been widely held by many scientists. L. Sachs and K. Szybek hold different angles of approach. The former emphasizes the social and cultural dimension for the explanation of the placebo effect, and thereby dramatically widens the realm of the Swedish discussion. The latter attempts to explain the placebo effect from a psychoanalytical point of view. Both of them put great weight in the two other mechanisms frequently referred to over the years (i.e. expectation and conditioning).
Conclusion: In recent years, the debate over the placebo has been intensified with one side claiming that the placebo is nothing more than a myth, and the other asserting that the placebo effect is a real and important force to be reckoned with. Judging from the articles, most Swedish investigators of the subject adhere to the latter view.Keywords: Placebo, placebo effect, Journal of Swedish Medical Association, SwedenTurkiye Klinikleri J Med Sci 2004, 24:230-234
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