6 Плацебо и терапия I I1 Instability of placebo effect ......................83 PLACEBO EFFECT IN HEALTHY PERSONS....................85 in car drivers................................88 in athlets ..................................90 «Placebo effect» in laboratory animals...............96 Addiction to placebo and «placebo withdrawal effect»...................97 Family and parents placebo effect ..................99 «Inderect placebo effect» ....................... 101 MECHANISMS OF PLACEBO EFFECT.................... 101 motivation of treatment........................ 103 expectation ................................ 104 suggestion................................. 104 conditioned reflexes .......................... 105 stable pathologic state (according to N. P. Bekhtereva) . . . 106 activation of opioidergic system .................. 108 PLACEBO EFFCT IN SOME DISEASES.......................109 Insomnias ................................. 109 Pain syndromes ............................. 110 Angina ................................... Ill Anxiety...................................112 Panic disorders (panic attacks).........:.........113 Schizophrenia ..............................116 Alcoholism ................................ 117 Epilepsy .................................. 124 PLACEBO REACTIVITY ............................ 125 Prediction of placebo reactivity................... 125 Which symptoms are more and which are less susceptible to placebo?................ 128 Is there any correlation between placebo reactivity and prefernce of colors? ....................128 PLACEBO CONTROL............................... 142 CONCERNING THE METHOD OF PLACEBO CONTROL .........144 ARE HOMEOPATHIC MEDICINES SUPERIOR TO PLACEBO?.......145 PLACEBO CONTROL OF EFFICACY OF ACUPUNCTURE ..........148 CONTROL (EVIDENCE) OF EFFICACY OF PSYCHOTHERAPY ......148 Side effects of psychotherapy ?................... 151 PLACEBO THERAPY .............................. 153 ETHICS OF PLACEBO THERAPY ...................... 153 — 5 —
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