РАППОРТ МЕЖДУ ВРАЧОМ И БОЛЬНЫМ ↑
metanymous в посте Metapractice (оригинал в ЖЖ)
For his ideas to gain traction with Western doctors, however, Kaptchuk knew he needed scientific proof. His chance would come in the early 2000s in a collaboration with gastroenterologists studying irritable bowel syndrome (IBS), a chronic gastrointestinal disorder accompanied by pain and constipation. The experiment split 262 adults with IBS into three groups: a no-treatment control group, told they were on a waiting list for treatment; a second group who received sham acupuncture without much interaction with the practitioner; and a third group who received sham acupuncture with great attention lavished upon them—at least 20 minutes of what Kaptchuk describes as “very schmaltzy” care (“I’m so glad to meet you”; “I know how difficult this is for you”; “This treatment has excellent results”). Practitioners were also required to touch the hands or shoulders of members of the third group and spend at least 20 seconds lost in thoughtful silence.
The results were not surprising: the patients who experienced the greatest relief were those who received the most care. But in an age of rushed doctor’s visits and packed waiting rooms, it was the first study to show a “dose-dependent response” for a placebo: the more care people got—even if it was fake—the better they tended to fare.
Первая группа ожидала лечение.
Вторая группа получала формальную терапию иглоукалыванием без развития контакта с врачом.
Третья группа получала иглоукалывание + особенный контакт с врачом + непонятный многозначительный кинестетический контакт.
Интерпретацию Kaptchuk-ка даже неохота читать.
Данный эксперимент указывает, что существенной частью плацебо является РАППОРТ между врачом и больным.