Thursday, March 14, 2019

Reflection on Placebo Effect Essay

Does a Supportive Patient-Therapist Relationship advance Clinical Improvement?Kaptchuk (2008), Components of Placebo Effect Randomised Controlled Trial in Patients with gravelly Bowel Syndrome. (PRO)Argument 1 Kaptchuk (2008) suggested that placebo effects (non-specific effects) include tether components a unhurrieds answer to observation and assessment, the endurings response to the administration of placebo treatment, and the patients response to the patient-practitioner interaction. Kaptchuk (2008) found that the presages of IBS patients in the frame with placebo treatment and supportive patient-therapist affinity ameliorated the most across all measures compared to patients with having save observation and the patients with only placebo treatment. Thus he claimed that a supportive patient-therapist kind is the most potent component of placebo effects.Argument 2 After three and six weeks, only in the condition with placebo treatment and supportive patient-therapist blo od, the symptom severity score of 60% patients decreased 50. Also Kaptchuk (2008) found that after(prenominal) six weeks, the change in life quality of patient in condition with only observation and the life quality of patient in condition with placebo treatment was similar, but the life quality change of patient with placebo treatment and supportive patient-therapist relationship was observable. So Kaptchuk (2008) suggested that a supportive patient-therapist relationship can prove clinical improvement.Argument 3 Kaptchuk (2008) also compared these IBS patients to the patients who have IBS drug treatment. He found that the patients with placebo treatment and supportive relationship had comparable to(predicate) symptom relief as those who with drug treatment. His purpose was only apply to IBS patients with supportive patient-therapist relationship, thus he indicated that a supportive patient-therapist relationship could enhance the efficiency of clinical treatment.Critique (or Strength) The result of the break down done by Kaptchuk (2008) clearly demonstrated the importance of supportive patient-therapist relationship in medical treatment. However, Kaptchuk conducted the study on IBS patients, because he believed that placebo effects are most credibly to be demonstrable in disorders defined by subjective symptoms. As Kaptchuk (2008) stated in limitation that he did not know if his finding could be applied to other illnesses, I also think that if Kaptchuk conducted his study on patients with the disease that has external causes, the results will be more convincing. one(a) of important causes of IBS is stress, a subjective etiology. Thus a supportive patient-therapist relationship may have greater influence on IBS patient than the patient with other diseases, like flu.

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