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The placebo effect and the cognitive-behavioral revolution

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Abstract

Definitions of the term placebo are considered in relation to the new cognitive-behavioral trend in psychotherapy and recent research on the differential effects of various placebo procedures. Existing definitions either lead to the inclusion of procedures that are not generally regarded as placebos (e.g., systematic desensitization and rational emotive therapy) or result in an empty set. Thus the placebo construct, while valid in drug research, may not be meaningful in relation to psychotherapy outcome studies. Control conditions should be designed for more specific purposes than controlling for the placebo effect. In addition, research directed toward specifying the laws governing the effectiveness of manipulations termed placebos is strongly urged.

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References

  • Bandura, A.Social learning theory. Englewood Cliffs, New Jersey: Prentice-Hall, 1977.

    Google Scholar 

  • Beck, A. T.Cognitive therapy and the emotional disorders. New York: International Universities Press, 1976.

    Google Scholar 

  • Borkovec, T. D., & Nau, S. D. Credibility of analogue therapy rationales.Journal of Behavior Therapy and Experimental Psychiatry 1972,3 257–260.

    Google Scholar 

  • Davison, G. C., & Neale, J. M.Abnormal psychology: An experimental clinical approach. New York: Wiley, 1974.

    Google Scholar 

  • Ellis, A.Reason and emotion in psychotherapy. New York: Lyle Stuart, 1962.

    Google Scholar 

  • Evans, W. O.The effectiveness of visual imagery on phobic behavior when accompanied by electric shock. Unpublished doctoral dissertation, Fuller Theological Seminary, 1968.

  • Goldfried, M. R., & Goldfried, A. P. Importance of hierarchy content in the self-control of anxiety.Journal of Consulting and Clinical Psychology 1977,45 124–134.

    Google Scholar 

  • Hallam, R., Rachman, D., & Falkowski, W. Subjective, attitudinal, and physiological effects of electrical aversion therapy.Behaviour Research and Therapy 1972,10 1–13.

    Google Scholar 

  • Hebb, O. D. The American Revolution.American Psychologist 1960,15 735–745.

    Google Scholar 

  • Hebb, O. D. What psychology is about.American Psychologist 1974,29 71–79.

    Google Scholar 

  • Kazdin, A. E., & Wilcoxon, L. A. Systematic desensitization and nonspecific treatment effects: A methodological evaluation.Psychological Bulletin 1976,83 729–758.

    Google Scholar 

  • Kelly, G.The psychology of personal constructs. 2 Vols. New York: Norton, 1955.

    Google Scholar 

  • Kirsch, I., & Henry, D. Extinction vs. credibility in the desensitization of speech anxiety.Journal of Consulting and Clinical Psychology 1977,45 1052–1059.

    Google Scholar 

  • Kuhn, T. S.The structure of scientific revolutions. Chicago: University of Chicago Press, 1970.

    Google Scholar 

  • Mahoney, M. J.Cognition and behavior modification. Cambridge, Massachusetts: Ballinger, 1974.

    Google Scholar 

  • Mahoney, M. J. Reflections on the cognitive-learning trend in psychotherapy.American Psychologist 1977,32 5–13.

    Google Scholar 

  • Maultsby, M. C.Help yourself to happiness through rational self counseling. New York: Institute for Rational Living, 1975.

    Google Scholar 

  • McKeachie, W. J. Psychology in America's bicentennial year.American Psychologist 1976,31 819–833.

    Google Scholar 

  • McReynolds, W. T., Barnes, A. R., Brooks, S., & Rehagen, N. J. The role of attentionplacebo influences in the efficacy of systematic desensitization.Journal of Consulting and Clinical Psychology 1973,41 86–92.

    Google Scholar 

  • Rotter, J. B.Social learning and clinical psychology. Englewood Cliffs, New Jersey: Prentice-Hall, 1954.

    Google Scholar 

  • Seligman, M. E. P.Helplessness. San Francisco: W. H. Freeman, 1975.

    Google Scholar 

  • Shapiro, A. K. A contribution to a history of placebo effect.Behavioral Science 1960,5 109–135.

    Google Scholar 

  • Shapiro, A. K. Placebo effects in medicine, psychotherapy, and psychoanalysis. In A. E. Bergin & S. L. Garfield (Eds.),Handbook of psychotherapy and behavior change. New York: Wiley, 1971.

    Google Scholar 

  • Tolman, E. C.Purposive behavior in animals and men. New York: Appleton-Century-Crofts, 1932.

    Google Scholar 

  • Ullmann, L. P., & Krasner, L.A psychological approach to abnormal behavior. Englewood Cliffs, New Jersey: Prentice-Hall, 1969.

    Google Scholar 

  • Wolpe, J.Psychotherapy by reciprocal inhibition. Stanford, California: Stanford University Press, 1958.

    Google Scholar 

  • Wolpin, M., & Pearsall, L. Rapid deconditioning of a fear of snakes.Behaviour Research and Therapy 1965,3 107–111.

    Google Scholar 

  • Wolpin, M., & Raines, J. Visual imagery, expected roles and extinction as possible factors in reducing fear and avoidance behaviour.Behaviour Research and Therapy 1966,4 25–37.

    Google Scholar 

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Kirsch, I. The placebo effect and the cognitive-behavioral revolution. Cogn Ther Res 2, 255–264 (1978). https://doi.org/10.1007/BF01185787

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