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The Nocebo Effect

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About The Nocebo Effect

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A volunteer in a drug trial swallowed 29 capsules, and his body began to shut down. Every one of those capsules was empty. In 2007, doctors writing in General Hospital Psychiatry described a 26 year old man in an antidepressant trial who reached the ER after taking his entire supply. His pulse was racing, his blood pressure kept falling, and hours of IV fluids barely moved it. What finally pulled him back wasn't a drug. It was a piece of information. This is the nocebo effect, the lesser known twin of placebo. Expectation alone can produce real, measurable harm in the body. That same year, a team of Italian urologists gave 107 men finasteride for an enlarged prostate. Only some were warned about possible sexual side effects, and that group reported them almost 3 times as often. What this covers: - How double blind trials pull a drug's effect apart from a patient's belief - The ER case where 4 hours of treatment failed and a single fact worked in 15 minutes - Why a symptom caused by belief is still a physical event - How a warning label can hand you the problem it describes - Late night symptom searches, and the gas leak you feel before you smell it - The one question worth asking when a side effect shows up Your body listens to what it's told. Knowing that is where the choice starts. ━━━━━━━━━━━━━━━━━━━━ ❀️ I make these alone, please like this video if you have the time. If not, no problem. I will see you in the next one. - Zenn ━━━━━━━━━━━━━━━━━━━━ S O U R C E S ━━━━━━━━━━━━━━━━━━━━ THE EMERGENCY ROOM CASE Reeves, R. R., Ladner, M. E., Hart, R. H., & Burke, R. S. (2007). Nocebo effects with antidepressant clinical drug trial placebos. General Hospital Psychiatry, 29(3), 275-277. The original case report on the trial volunteer who overdosed on placebo capsules. THE FINASTERIDE WARNING STUDY Mondaini, N., Gontero, P., Giubilei, G., et al. (2007). Finasteride 5 mg and sexual side effects: how many of these are related to a nocebo phenomenon? The Journal of Sexual Medicine, 4(6), 1708-1712. The Italian trial of 107 men where being told about side effects changed how often they appeared. PLACEBO AND NOCEBO, EXPLAINED Colloca, L., & Barsky, A. J. (2020). Placebo and Nocebo Effects. The New England Journal of Medicine. A clear medical review of how expectation shapes symptoms in both directions. ━━━━━━━━━━━━━━━━━━━━ #psychology #science #documentary #noceboeffect #placeboeffect

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