Hardman Doug I, Geraghty Adam Wa, Howick Jeremy, Roberts Nia, Bishop Felicity L
University of Southampton, UK.
University of Oxford, UK.
Health Psychol Open. 2019 Feb 15;6(1):2055102919832313. doi: 10.1177/2055102919832313. eCollection 2019 Jan-Jun.
There is increasing evidence that placebos could be effective in clinical practice. However, knowledge of public perspectives on placebos is underdeveloped. We conducted a discourse analysis of internet comments on news articles related to placebos, aiming to improve this knowledge for clinicians and researchers. We developed two discursive constructs of the placebo. The dominant construct of the 'placebo pill' informs a paradoxical understanding of placebos that closes down treatment. The less-prevalent counter-discursive construct of the 'treatment process' frames placebos as potentially viable within modern evidence-based medicine. We discuss the opportunities and challenges of this alternative understanding of placebos.
越来越多的证据表明，安慰剂在临床实践中可能有效。然而，公众对安慰剂的看法却知之甚少。我们对与安慰剂相关的新闻文章的互联网评论进行了话语分析，旨在为临床医生和研究人员增进这方面的了解。我们构建了两种关于安慰剂的话语结构。占主导地位的“安慰剂药丸”结构形成了一种对安慰剂的矛盾理解，这种理解阻碍了治疗。不太普遍的“治疗过程”反话语结构则将安慰剂视为现代循证医学中潜在可行的方法。我们讨论了这种对安慰剂的另类理解所带来的机遇和挑战。
