Frontiers in Psychology (Jul 2020)

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

  • Michael H. Bernstein,
  • Cosima Locher,
  • Cosima Locher,
  • Tobias Kube,
  • Tobias Kube,
  • Sarah Buergler,
  • Sif Stewart-Ferrer,
  • Charlotte Blease,
  • Charlotte Blease

DOI
https://doi.org/10.3389/fpsyg.2020.01354
Journal volume & issue
Vol. 11

Abstract

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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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