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Uncategorized Friday, August 31st 2012 at 1:40 pm

Mathematical Model Reassures Us That Placebo Effect Is Still Awesome, Confusing

We’re getting better at understanding how our bodies and minds work every day, but one key factor binding both together remains a mystery. For all our new understanding of genetics, nanotechnology, and other new treatments, the placebo effect remains a mystery to us — and a powerful one at that. Biology and mathematics researchers at the University of Bristol have published the results of a series of mathematical models that give some weight to the theory that the placebo effect is an evolutionary adaptation — the result of our bodies’ immune systems not running at full speed all the time to conserve energy.

One of the reasons the placebo effect is confusing is that it flies in the face of common sense. If your body is capable of making itself better, why does it seem to need the jump start of a placebo to do so? Wouldn’t it be more effective to just heal itself without the external cue?

Not necessarily, suggests researcher Peter Trimmer, the lead author of the study, which modelled immune system function under stress. The numbers he and his team came up with show that, from an evolutionary standpoint, placebos make sense. Getting your immune system to function at a high level and kill off invading bacteria or viruses takes a lot of energy — hence the fever you run when fighting a cold.

For most of evolutionary history, we had better ways to spend that energy — like not dying of starvation, or being able to run away from a predator — so immune system function became conserved. The immune system, in other words, runs in a sort of sleep mode, so as not to gobble up energy needlessly, and placebos became a handy way of telling the system when it needs to get itself in high gear.

The research, published in the journal Evolution and Human Behaviour, still has to be confirmed by further lab experiments, but shows a new and promising path for future study.

Getting answers to what makes the placebo effect work is much more than just an academic concern. Placebos are a key to modern medical trials, in which any drug that wants a chance at making it to market has to beat out a placebo in a double-blind study. Double blind means that neither test subjects nor doctors administering treatment know which patients are getting a new drug and which are getting a placebo until after the trial has concluded. Since placebos are shown to be effective at treating a variety of symptoms, some of them as effectively as actual drugs, the effect could be putting the kibosh on promising treatments needlessly.

(via PhysOrg)

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  • Jack Bond

    That makes no sense. If you have a placebo, doesn’t that mean you believe the placebo made you better, and not that the placebo made your body repair itself better? It would make more sense to say that a placebo would make your immune system get lax because it doesn’t have to do all the work.

  • gobo

    There is a massive hole in this summary of the argument- how does a placebo kick start your immune system? How can something which is intentionally pretty biologically inert supposed to send a biochemical message to the immune system that it is time to get to work?

  • http://www.facebook.com/people/Bryon-Bougie/100000501796336 Bryon Bougie

    It’s all in your head. You think the meds are doing something and that makes your immune system go ointo overdrive. Though you make a good point.

  • http://www.facebook.com/people/Bryon-Bougie/100000501796336 Bryon Bougie

    That makes sense. I think though that your immune system kicks in when you takes meds, the meds don’t fix you they only help your immune system fix you. So a placebo would make you think you took meds and that would make your immune system start working overtime. It only works if it’s all in your head, which still means you should be able to get your immune system working hard by wanting it to.

  • Anonymous

    Well, it just sucks. The placebo effect is the most confirmed medical treatment on earth (every double-blind study ever done confirms it) but the more intelligent and informed you are, the less it works. Not FAIR!

    We need faith healing for skeptics.

  • Dan

    The simple truth is our BELIEFS are what causes our body to heal. Imagine a complicated software package designed to kick in a set of preventative protocols in a Nuclear Generating Station to thwart a disaster. If the sensors automatically interpret conditions that seem to indicate a threat, it triggers safety protocols whether the threat was real or imagined.