Placebo Research Update with Fabrizio Benedetti (BSP 127)
/I have just posted a new interview with Dr. Fabrizio Benedetti, one of the world's leading researchers of the neurobiology of placebos. Dr. Benedetti emphasized that there is no such thing as THE placebo effect, because there are multiple placebo EFFECTS with widely varying mechanisms. For example, in pain relief there are at least two different mechanisms: one involving endogenous opioids while the other involves endogenous cannaboids (marijuana-like compounds).
We also talked about some his latest research into placebo effects in the context of high altitude headaches. Here again, multiple pathways have been discovered. We concluded our conversation with look at some of the ethical issues surrounding the use of placebos.
This is a follow-up interview, which can be enjoyed by listeners of all backgrounds, but I highly recommend going back to BSP 122 if you need a review of the basics of placebo neurobiology.
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References
Placebo Effects: Understanding the mechanisms in health and disease by Fabrizio Benedetti
The Patient's Brain: The neuroscience behind the doctor-patient relationship by Fabrizio Benedetti
Benedetti, F. Placebo Effects: From the Neurobiological Paradigm to Translational Implications. Neuron Volume 84, Issue 3, p623–637, 5 November 2014. Free Article
Benedetti, F. and Dogue S. Different Placebos, Different Mechanisms, Different Outcomes: Lessons for Clinical Trials. PLoS One. 2015 Nov 4;10(11):e0140967. Free Article
Benedetti F, Durando J, Giudetti L, Pampallona A, Vighetti S. High-altitude headache: the effects of real vs sham oxygen administration. Pain. 2015 Nov;156(11):2326-36. Abstract
Carlino E, Frisaldi E, Benedetti F. Pain and the context. Nat Rev Rheumatol. 2014 Jun;10(6):348-55. Abstract
Benedetti F. Drugs and placebos: what's the difference?: Understanding the molecular basis of the placebo effect could help clinicians to better use it in clinical practice. EMBO Rep. 2014 Apr; 15(4): 329–332. Free Article
Benedetti F. Placebo and the New Physiology of the Doctor-Patient Relationship
Physiol Rev. 2013 July; 93(3): 1207–1246. AbstractSee Episode Transcript for additional links and references.
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