
As a follow-up to our discussion of Eve Henry's "Healing Response" (also know as the Placebo Effect,) Ms. Henry, a precocious 3rd year medical student at Vanderbilt University, has summarized her advice to physicians on how to engage the Healing Response. Her advice is equally effective for all caregivers:
1) Be mindful of your own thoughts and expectations. Patients in a state of hyper-alertness, will search for and register cues from their physicians. (Ong, 1995)
2) Be friendly. A solicitous, confident attitude has been shown to be superior to one which is detached, uncertain and observing (DiBlasi, et al, 2001; Uhlenhuth, 1966)
3) Explore the patient's expectations, past experiences and personal meanings. At least one study suggests that patients who have their illnesses discussed fully have better outcomes. (Stewart, 1995)
4) Raise expectations honestly. Within ethical limits, those physicians who added positive verbal suggestion to a medication ["I believe this treatment will work well for you."] had better patient outcomes. (Gryll and Katahn, 1978)
Consider the power of these commonsensical but often unused approaches. Which of these do you find the most effective in your work?
-Erie Chapman
Leave a reply to ~liz Wessel Cancel reply