Placebo workshop
Placebo workshop
Our perceived reality is not an objective reality. Instead, our experience of the world is a compromise between the signals that reach the brain and what our brain expects. Expectations can therefore affect how our minds process both the present and the future. The evolutionary benefit to predict the future is that the organism can behave in a pro-active manner. The advantage to use expectations in analysing the present is that our brain can better model and understand the surrounding world. We hypothesis that integrating expectations with the present also leads to such phenomena as the placebo effect. In that case the wide spectrum of robust placebo effects that are observed in pain, depression and Parkinson’s disease have the same underlying cause. Moreover, we suggest that similar processes are involved in other distortions of reality such as in psychotic delusions.
Related articles:
Placebo in emotional processing--induced expectations of anxiety relief activate a generalized modulatory network. <http://www.ncbi.nlm.nih.gov/pubmed/15953423?ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum> Petrovic P, Dietrich T, Fransson P, Andersson J, Carlsson K, Ingvar M. Neuron. 2005 Jun 16;46(6):957-69.
Placebo and opioid analgesia-- imaging a shared neuronal network. <http://www.ncbi.nlm.nih.gov/pubmed/11834781?ordinalpos=7&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum> Petrovic P, Kalso E, Petersson KM, Ingvar M. Science. 2002 Mar 1;295(5560):1737-40.
Believing is seeing: expectations alter visual awareness. <http://www.ncbi.nlm.nih.gov/pubmed/18727901?ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum> Sterzer P, Frith C, Petrovic P. Curr Biol. 2008 Aug 26;18(16):R697-8.
Psychosis as a state of aberrant salience: a framework linking biology, phenomenology, and pharmacology in schizophrenia. <http://www.ncbi.nlm.nih.gov/pubmed/12505794?ordinalpos=7&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum> Kapur S. Am J Psychiatry. 2003 Jan;160(1):13-23. Review.
From prediction error to psychosis: ketamine as a pharmacological model of delusions. <http://www.ncbi.nlm.nih.gov/pubmed/17591652?ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum> Corlett PR, Honey GD, Fletcher PC. J Psychopharmacol. 2007 May;21(3):238-52. Review.
SPEAKER: predrag petrovic, MD, PHD
KAROLINSKA INSTITUTE, SWEDEN
TITLE: Placebo
ABSTRACT