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De klap komt nog- een verhandeling over het nocebo effect
Samenvatting
Nocebo is het tegenovergestelde van placebo: de verwachting van een negatief effect bevordert het optreden van het negatieve effect. Dit fenomeen is onderzocht bij astma, pijn en medicatie. In psychotherapie is weinig aandacht voor nocebo. We beschrijven twee cases waarin het nocebo-effect optrad en de interventies die de therapeut toepaste om de schadelijke effecten te neutraliseren. We geven suggesties hoe nocebo in psychotherapie bestreden kan worden.
Summary
A treatise on the nocebo effect
Nocebo is the opposite of placebo, meaning that the expectation of negative outcome will facilitate a negative outcome. This phenomenon was studied in asthma, pain and medication. In psychotherapy little attention has been paid to nocebo. We describe two cases in which the nocebo phenomenon occurred and which measures the therapist took to oppose the harmful effects of negative expectations. Some suggestions are made to counteract nocebo in psychotherapy.
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