Résumé
L’auteur analyse plusieurs études cliniques concernant les effets analgésiques du placebo dans le traitement de la douleur. Mimant les effets antalgiques de la thérapeutique verum prescrite, le placebo induit une analgésie importante en moyenne chez 35% des patients avec des variations selon la pathologie étudiée et les modalités du traitement utilisé. L’effet placebo est surtout influencé par les attentes et les convictions du patient, du médecin et de l’entourage et par la qualité de la relation médecin-malade.
Par des propositions et des suggestions thérapeutiques adaptées aux attentes et conviction de son patient et par la qualité de sa relation avec celui-ci, le médecin peut accroître son efficacité thérapeutique en ajoutant un puissant effet placebo aux effets spécifiques de son traitement.
Summary
The author analyses several clinical studies in connection with the analgesic effets of placebo. Copying the analgesic effects of the prescribed therapeutic, the placebo induces a significant analgesia on an average 35% of patients, or some variations according to the studied pathology and the modalities of the used treatment. The placebo effect is especially influenced by the expectations and the beliefs of the patient, the doctor, the circle and the quality of the relation doctor-patient relationship.
By the therapeutic suggestions and resolutions suitable for the expectations and beliefs of his patient and by the quality of his relationship with this one, the doctor induces an important placebo effect and like that increases the specific effects of his treatment.
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Bruxelle, J. Placebo et effet placebo dans le traitement de la douleur. Doul. et Analg. 17, 3–7 (2004). https://doi.org/10.1007/BF03014530
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DOI: https://doi.org/10.1007/BF03014530