1.10: 安慰剂效应

The Placebo Effect
JoVE Core
Social Psychology
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JoVE Core Social Psychology
The Placebo Effect

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01:54 min
February 12, 2020

Overview

The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.

The placebo effect is commonly described in terms of testing the effectiveness of a new medication. Imagine that you work in a pharmaceutical company, and you think you have a new drug that is effective in treating depression. To demonstrate that your medication is effective, you run an experiment with two groups: The experimental group receives the medication, and the control group does not. But you don’t want participants to know whether they received the drug or not.

Why is that? Imagine that you are a participant in this study, and you have just taken a pill that you think will improve your mood. Because you expect the pill to have an effect, you might feel better simply because you took the pill and not because of any drug actually contained in the pill—this is the placebo effect.

To make sure that any effects on mood are due to the drug and not due to expectations, the control group receives a placebo (in this case a sugar pill). Now everyone gets a pill, and once again neither the researcher nor the experimental participants know who got the drug and who got the sugar pill. Any differences in mood between the experimental and control groups can now be attributed to the drug itself rather than to experimenter bias or participant expectations.

This text is adapted from OpenStax, Psychology. OpenStax CNX.

Transcript

When exposed to a new treatment, people may react positively due to psychological factors, rather than the actual medicine being administered.

For example, a researcher conducting an experimental study on an antidepressant’s efficacy may begin by telling participants they’ll receive a pill anticipated to decrease symptoms like insomnia and anxiety.

However, during the investigation, only half of the individuals receive and take the drug. The remainder are given a placebo—such as an inert sugar pill—that lacks medicine and isn’t expected to alter body chemistry.

Interestingly, during assessment, both groups note better sleep and less anxiety. The fact that individuals administered the sugar pill also report improvement is referred to as the placebo effect—a response that occurs when someone’s pre-existing beliefs influence the experience in a given situation.

Multiple factors influence this phenomenon, among them an individual’s surroundings and interactions. For instance, a participant might notice several promising papers on depression in the scientist’s office.

This environment, paired with the researcher’s sympathy and confidence that the study will help the subject’s depression, leaves that person certain that any pills they took had a beneficial effect.

This positive expectation causes the subject to describe a decrease in depression, even if they’re only given the placebo. Importantly, by comparing the magnitude of the placebo’s impact to that of the actual drug—like assessing if subjects in the antidepressant group, compared to those taking the sugar pill, report a greater reduction in anxiety symptoms or longer and more restful sleep periods—researchers can clarify the usefulness of a new medication.

Key Terms and definitions​

  • Placebo Effect - Expectations or beliefs influencing one's experience in a given situation.
  • Experimental Study - A study where an intervention is introduced to observe its effects.
  • Control Group - The group in an experiment that doesn't receive the treatment being tested.
  • Experimenter Bias - The possibility that a researcher's expectations might skew the results of an experiment.
  • Sugar Pill - A harmless pill given in place of a medicine, often used in placebo-controlled studies.

Learning Objectives

  • Define the Placebo Effect – Understand its psychological implications (e.g., placebo effect).
  • Contrast Experimental vs Control Group – Understand their roles in an experiment (e.g., placebo-controlled studies).
  • Explore Examples of Experimenter Bias – Understand how researcher's expectations might affect the results (e.g., placebo effect).
  • Explain the implementation of a Sugar Pill in an experiment – Understand its use in placebo studies.
  • Apply the concept of Placebo Effect in an empirical context – Predict changes in one's experience due to expectations or beliefs.

Questions that this video will help you answer

  • What is the placebo effect and how does it influence an individual's experience?
  • What roles do an experimental group and a control group play in an experiment?
  • How can experimenter bias affect the results of a study?

This video is also useful for

  • Students – Understand How the placebo effect supports learning about human psychology.
  • Educators – The placebo effect provides a clear framework for teaching about experimental psychology.
  • Researchers – Relevance of the placebo effect for scientific study or methodology.
  • Psychology Enthusiasts – Provides insights into the intriguing human mind and cognition.