Cover; Title Page; Copyright Page; Contents; Foreword; Preface; Acknowledgements; 1 Introduction; Part One: The philosophy and history of medical practice: a review; 2 Challenging the current therapeutic perspective; The nature of science in medical practice; 3 Challenging the conventional history of clinical practice; 4 Uniqueness in clinical practice: reflections on suffering; 5 Doctors and patients: the therapeutic relationship; Part Two: Placebo theory and research: the physician healer; 6 Using the placebo effect; What conditions respond to placebos?
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11 Theory into practice IIEmpathy; Relaxation; Reassurance; Touch; Improving the patient's self-esteem; Treating the individual; Laughter; Suggestion/inspiration; Hope; Summary; 12 Theory into practice III; How can we help patients to get into the active mode?; Information/self-help groups; Relaxation techniques; Positive thinking; Creative visualisation; Self-hypnosis; Summary; 13 Summary and conclusions; Index.
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9 How the physician healer works: three theoriesTheory A: How does the physician healer work?; Pre-consultation; Consultation; Post-consultation; Theory B: The different roles of the physican healer; Diagnosis and conventional treatment; Passive healing; Active healing; Director; Which role and when?; The patient as healer; Conclusion; Theory C: Economic theory; Summary; Part Three: Theory into practice: how do we improve our effectiveness as physician healers?; 10 Theory into practice I; The doctor-patient relationship; Therapeutic authority; Magic/mystery; Time/attention; Summary.
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Factors which determine the effectiveness of the placebo effectWhich patients?; What sort of doctors?; Expectation; What sort of placebo?; Therapeutic setting; Severity of symptoms; Summary; 7 Why do placebos work?; Classical conditioning theory; The expectation effect; Summary; 8 How does the placebo effect work? How can the mind affect the body? Evidence from psychoneuroimmunology; Effects of the mind upon the body; How can the mind heal the body?; The immunological response to stress; Pain response; Training the immune system; Summary; Conclusions.
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SUMMARY OR ABSTRACT
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How is modern medicine failing? Why is a more human approach required? This book challenges the dogma of modern technological medicine that ignores both the therapeutic effect of the doctors and the self-healing powers of the patient. It reviews the vast weight of evidence on the effectiveness of this human effect, and uses the evidence to describe how to use the human effect in everyday practice. This book is about a vision. A vision that practitioners and patients will recognise and regain their therapeutic potential. It provides a shift in perspective on what doctors can achieve. Thoroughly referenced, it is vital for general practitioners, and also very relevant to all doctors, nurses, health managers, policy makers and indeed patients. Pendulums swing in most fields of life, and medicine and general practice are no exceptions. At the mid-point of the twentieth century the human side of medicine was well understood and implicitly accepted by most working practitioners. As the century progressed, the personal aspects came second (but now) the pendulum of thought has started to swing back again towards the personal.