Nocebo Effects and Negative Suggestions in Daily Clinical Practice - Forms, Impact and Approaches to Avoid Them

Frontiers in Pharmacology
E Hansen, N Zech

Abstract

Medical situations are hot spots in the life of a patient with potentially long lasting effects arising from the use of either negative expressions or encouraging statements, or the lack of empathy or a positive physician-patient relationship. Health care personnel should be aware of and evaluate what patients are exposed to, hear and see. Knowing more about the effects of nocebos and negative suggestions, combined with increased attention to these matters, provides the basis for better recognition of detrimental influences in their own clinical environment and to be able to avoid, stop or neutralize them. After anamnesis patients should not be left with a focus on a negative past, but shifted to positive experiences prior to their illness, or to positive expectations in the future following surgery and rehabilitation. For example, after examining an injured leg the doctor should not turn to the computer for documentation unless he has shifted the patient's focus on the other, unimpaired leg. "Is that painful too? No? Good! Can you feel that? Yes? Perfect! Can you bend that knee, move these toes? Great! That's good." This example draws attention to the fact that negative effects (discussed in the following) substantially are de...Continue Reading

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Citations

Aug 5, 2020·Medizinische Klinik, Intensivmedizin und Notfallmedizin·Teresa DeffnerAlexander Niecke
Mar 28, 2019·Frontiers in Pharmacology·Nina ZechErnil Hansen
Jul 31, 2020·Der Nervenarzt·E HansenS Benson
Jan 8, 2021·Der Nervenarzt·Teresa DeffnerAlexander Niecke
Dec 10, 2019·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Ferdinando D'AmicoLaurent Peyrin-Biroulet
Oct 28, 2021·Der Schmerz·F KreftingW Sondermann
Jan 27, 2021·Dermatology : International Journal for Clinical and Investigative Dermatology·Wiebke SondermannManfred Schedlowski
Jan 11, 2022·Anaesthesia·K ArrowA M Cyna

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Methods Mentioned

BETA
X-ray
sedation
cesarean section

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