Placebo: ein überholter Begriff im biopsychosozialen Modell

Zusammenfassung

In der medizinischen Gesellschaft existieren viele Mythen zum Thema Placebo, und die zugrunde liegenden Mechanismen sind nach wie vor kaum bekannt. Im Gegensatz zu klinischen Untersuchungen, bei denen Placebos eine wichtige Rolle spielen, ist es in der klinischen Praxis bei multidimensionalen Behandlungen wie der Physiotherapie unmöglich, eindeutig zu identifizieren und zu quantifizieren, welchen Anteil ein Placeboeffekt an der Behandlungseffektivität hat. Um ihre Therapien so effektiv wie möglich zu machen, sollten Physiotherapeuten jedoch auch die Befunde der Placeboforschung berücksichtigen. Neben anderen Vorschlägen betont diese Forschung die Bedeutung einer positiven und produktiven Beziehung zwischen Patient und Kliniker.

Abstract

Many myths exist around the topic placebo within the medical society and its underlying mechanisms are still poorly understood. Contrary to clinical trials in which placebos play a vital role it is impossible to clearly identify the placebo effect’s contribution to treatment efficacy in clinical practice using multidimensional treatment such as physiotherapy. In order to maximise the effect of their treatments, physiotherapists should however consider the findings of placebo research. Along with other suggestions this research reinforces the importance of creating a positive, productive relationship between patient and clinician.

Schlüsselwörter

Placebo - Placeboeffekt - Physiotherapie - biopsychosozial

Key words

placebo - placebo effect - physiotherapy - biopsychosocial

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