The Placebo and the Nocebo Effect

Your expectations can have a major impact on your health and your future.

Most people have heard of the placebo effect. This is when a non-therapeutic pill (e.g. sugar pill) actually helps the placebo effectpatient get better because they expect it to help. A placebo is usually used to test new medication. One group is given the placebo, and a second group is given the actual medication. The patients don’t know which they have received. The researchers then compare the results reported by each group.

The truly amazing thing is the fact that many people report an improvement in symptoms, even though they just received the sugar pill. The improvement was produced by their expectation of positive results. Our brains have an amazing ability to heal and correct physical abnormalities. We need to develop a better understanding of this natural ability, so we can use it for our benefit.

While many have heard of the placebo effect, few are aware of the “nocebo effect.” This is when a detrimental effect on health is produced by negative expectations or beliefs. Research has shown that negative beliefs about health can result in actual worsening of physical functioning.

One dramatic example of the nocebo effect is when a witch doctor puts a curse on one of the tribesmen. The witch doctor may declare that the man will die before sunrise, and the otherwise healthy man will die. Of course, this only happens when the victim fully believes the power of the curse, but it does happen, and has been documented.

Fortunately, most of us have escaped a witch doctor’s curse. Unfortunately, many have been impacted by the nocebo effect. Negative expectations of health have worsened health concerns. Seeing yourself as old, can make you older. Expectations of early death can sometimes hasten death.

I have known several situations where a person said they didn’t think they would live beyond a certain age, and their prediction came true. Perhaps they had some premonition, or perhaps it was just coincidence. But, it seems more likely that their bodies responded to their expectations.

I have also known situations where people perceived themselves as old, began to act old, and then seemed to age prematurely. Was this the result of the nocebo effect, or was it something else? It’s difficult to tell, but just in case, you might want to work on your expectations. Make the decision to expect the best in your health, think young thoughts, and plan your one hundredth birthday party. You just might make it!

 

I'm a psychologist, who helps people who have sustained self-esteem wounds from past negative experiences, overcome those wounds and experience a more positive self-worth, so they can live more joyful and satisfying lives.