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Abstract
Annual Review of Pharmacology and Toxicology
Vol. 48: 33-60 (Volume publication date February 2008)
(doi:10.1146/annurev.pharmtox.48.113006.094711)
First published online as a Review in Advance on July 31, 2007
Mechanisms of Placebo and Placebo-Related Effects Across Diseases and Treatments

Fabrizio Benedetti
Department of Neuroscience, University of Turin Medical School, and National Institute of Neuroscience, Turin, Italy; email:

The placebo effect has evolved from being thought of as a nuisance in clinical and pharmacological research to a biological phenomenon worthy of scientific investigation in its own right. It is now clear that the term placebo effect is too restrictive and, in fact, many placebo-related effects have recently been investigated. A placebo effect differs from a placebo-like effect in that the former follows the administration of a placebo, whereas in the latter no placebo is administered. However, in both cases, the psychosocial context around the treatment plays a key role. In recent years, placebo and placebo-related effects have been analyzed with sophisticated biological tools that have uncovered specific mechanisms at both the biochemical and cellular level. This recent research has revealed that these psychosocial-induced biochemical changes in a patient's brain and body in turn may affect the course of a disease and the response to a therapy.

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Author:
Fabrizio Benedetti
Keywords:
expectation
conditioning
pain
Parkinson's disease
depression
immune system
endocrine system

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