How can we optimize non-specific
|Definition, components and power of the placebo effect|
|What are the implications for us as
|Going beyond 'just thinking about it'
|Warmth, interest, empathy and caring|
James Hawkins presents the therapeutic relationship as the most powerful trigger for self-healing responses. He asks how practitioners can begin to use these effects skillfully. James is an orthopaedic physician, acupuncturist and hypnotherapist. He runs therapy groups and teaches yoga and his particular interest is chronic pain, so in his work he has learned to move fluently between the physical and the psychological aspects of working with pain. He encourages us, however we practice, to take an honest look at how we relate to our clients; and how that shapes the way we work and affects the outcome. More than this he challenges us to take more than just an academic interest in these effects, warning the reader that owning this book is no substitute for action. He explains that though change is difficult, as practitioners we may come to a point where we feel impelled to go beyond just paying lip service to the idea that non-specific effects are significant. Reflection is good, he says, awareness of non-specific effects and their potency is fine, but will you the reader actually do better work with your patients as a result of what you learn from this book? Seeing every consultation as an opportunity to become a clinician-researcher, James argues from the outset that action research can be a conscious way of developing these skills—providing we take care to evaluate their impact rigorously. In this chapter he offers us a took-kit for action research and reflective learning.
It is not too much science, but a narrow and impoverished view of science, which handicaps contemporary medicine.
Leon Eisenberg (1988)