Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies

Research in social psychology demonstrates that physical environmental factors – or “artifacts” such as provider clothing and office décor – can influence health outcomes. However, the role of artifacts in augmenting or diminishing health outcomes is under-explored in the burgeoning discipline of pl...

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Published in:Frontiers in Psychology
Main Authors: Michael H. Bernstein, Cosima Locher, Tobias Kube, Sarah Buergler, Sif Stewart-Ferrer, Charlotte Blease
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-07-01
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2020.01354/full
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author Michael H. Bernstein
Cosima Locher
Cosima Locher
Tobias Kube
Tobias Kube
Sarah Buergler
Sif Stewart-Ferrer
Charlotte Blease
Charlotte Blease
author_facet Michael H. Bernstein
Cosima Locher
Cosima Locher
Tobias Kube
Tobias Kube
Sarah Buergler
Sif Stewart-Ferrer
Charlotte Blease
Charlotte Blease
author_sort Michael H. Bernstein
collection DOAJ
container_title Frontiers in Psychology
description Research in social psychology demonstrates that physical environmental factors – or “artifacts” such as provider clothing and office décor – can influence health outcomes. However, the role of artifacts in augmenting or diminishing health outcomes is under-explored in the burgeoning discipline of placebo studies. In this paper, we argue that a careful consideration of artifacts may carry significant potential in informing how placebo effects can be maximized, and nocebo effects minimized in clinical settings. We discuss the potential mechanisms, including classical conditioning, response expectancy, and mindsets, by which artifacts might enhance or diminish these effects. Next, we propose testable hypotheses to investigate how placebo and nocebo effects might be elicited by artifacts in care settings, and conclude by providing innovative research designs to advance this novel research agendum.
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spelling doaj-art-e4b4e5ebeb884de1b85bffff88b83e892025-08-19T20:13:59ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-07-011110.3389/fpsyg.2020.01354501754Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo StudiesMichael H. Bernstein0Cosima Locher1Cosima Locher2Tobias Kube3Tobias Kube4Sarah Buergler5Sif Stewart-Ferrer6Charlotte Blease7Charlotte Blease8Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI, United StatesSchool of Psychology, University of Plymouth, Plymouth, United KingdomDivision of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Basel, SwitzerlandDivision of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United StatesPain and Psychotherapy Research Lab, University of Koblenz-Landau, Landau, GermanyDivision of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Basel, SwitzerlandResearch Unit of General Practice, University of Southern Denmark, Odense, DenmarkDivision of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United StatesSchool of Psychology, University College Dublin, Dublin, IrelandResearch in social psychology demonstrates that physical environmental factors – or “artifacts” such as provider clothing and office décor – can influence health outcomes. However, the role of artifacts in augmenting or diminishing health outcomes is under-explored in the burgeoning discipline of placebo studies. In this paper, we argue that a careful consideration of artifacts may carry significant potential in informing how placebo effects can be maximized, and nocebo effects minimized in clinical settings. We discuss the potential mechanisms, including classical conditioning, response expectancy, and mindsets, by which artifacts might enhance or diminish these effects. Next, we propose testable hypotheses to investigate how placebo and nocebo effects might be elicited by artifacts in care settings, and conclude by providing innovative research designs to advance this novel research agendum.https://www.frontiersin.org/article/10.3389/fpsyg.2020.01354/fullplaceboplacebo effectsexpectancymindsetpsychologyclassical conditioning
spellingShingle Michael H. Bernstein
Cosima Locher
Cosima Locher
Tobias Kube
Tobias Kube
Sarah Buergler
Sif Stewart-Ferrer
Charlotte Blease
Charlotte Blease
Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies
placebo
placebo effects
expectancy
mindset
psychology
classical conditioning
title Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies
title_full Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies
title_fullStr Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies
title_full_unstemmed Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies
title_short Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies
title_sort putting the art into the art of medicine the under explored role of artifacts in placebo studies
topic placebo
placebo effects
expectancy
mindset
psychology
classical conditioning
url https://www.frontiersin.org/article/10.3389/fpsyg.2020.01354/full
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