Private Site
thelogicofrehab.com
On the opposite end of the spectrum are nocebo effects. Nocebo translates to “I shall harm” and Testa states these effects occur as “….the result of negative ritual and therapeutic act on the patient’s mind and body”. These can likely perpetuate hyperalgesia. Utilizing a modality for chronic pain geared at pain reduction can create a false dependency and perpetuate learned helplessness likely having nocebo effects. Nocebo effects occur from such interventions because patients develop the belief without those treatments relief will not occur and their only solution is being taken from them. If we continue to treat chronic pain as something from the outside is required to “fix” the issue then we are perpetuating an external locus of control and unnecessary use of interventions; robbing patients of time and autonomy, equalling harm. Harm is multifaceted and not simply increasing symptomatology. The belief a modality is needed for relief can perpetuate symptoms long term. Our attention would be better served aiding patients in learning self-care while instilling an internal locus of control.