3 ms·
> Lack of Double-Blind Studies "We know there is a placebo effect wherein patients do better when they are told they are receiving a treatment: the patients' e
by throwaway6356 8y ago
> Lack of Double-Blind Studies
"We know there is a placebo effect wherein patients do better when they are told they are receiving a treatment: the patients' expectations play a role in their recovery. To make sure we are studying the effect of the treatment itself and not the patients' expectations, it is better to give all patients the same expectation. So we tell them, for example, "take this pill, it might be experimental drug X or it might be a sugar pill." The double-blind part is important because we don't want the experimenters to subconsciously tip off the subjects as to what group they are in, nor to treat one group differently than the other, nor to analyze the results differently."
one thing that always strikes me about double-blind placebo based studies is that they are often testing a substance with a detectable physiological effect against an inert substance with no detectable physiological effect.
this methodology seems fundamentally flawed. if you want a true test you would need to compare against a placebo that has a similar (or at least detectable) physiological effect but is not expected to produce any efficacious outcome. otherwise the person getting the real drug feels the physiological effect and gets a placebo effect while the person getting the placebo does not.
- Larrikin 8y agoIt seems that it would be unethical, for example, to make someone intentionally sick to mimic the side effects of the drug with none of the expected positive results.
- kranner 8y agoAn expected physiological result can be just something like dry mouth or temporary diuresis. It doesn't have to go all the way to making a person e.g., nauseated.
- jfoutz 8y agoYes. Yes it would. But comparing against baby aspirin might be worthwhile. There is some (safe?) effect beyond sugar pills. Remember, the patients don’t know each other, and don’t compare symptoms. Hopefully.
- IggleSniggle 8y agoI am under the understanding that Ritalin is sometimes used instead of a sugar pill for exactly this reason.
- ytpete 8y agoThere are two known phenomena related to this: * "Unblinding," where participants are able to figure out whether they're taking the placebo vs. the real medication by noticing whether they experience any side effects. * The "nocebo" effect, kind of a reverse placebo effect where participants in the control group experience false side effects because they believe they might be in the experimental group taking the real medication.