I must confess, I find it a bit of a challenge to credit that he and the researchers just happened to specifically choose asthma and muscle relaxation to 'prove' the nocebo effect because of their sheer stupidity and not with the deliberate intention to deceive. But giving them the benefit of the doubt (unlike Goldacre, I try not to characterise people I disagree with that way, if I can help it), maybe they just proved the power of confirmation bias, and picked out the results that best showed what they wanted to show, without thinking it through - we're all potentially prone to that, it's a constant struggle.
"Sit a hundred people down with asthma, put a saline nebuliser on their face, tell them it's an allergen, bang! half of them have an asthma attack!"
Hahahahahaha!
Oh what
fun! And all in the name of science! What a
groundbreaking finding, though: you can give asthmatics asthma attacks just by scaring them! That'll come in handy, I'd never have guessed that. But there's clearly something about these ethics approval boards I'm not understanding...something about the way everyone laughed at that one sounded almost sadistic to me...but it must all be above board, it
was officially approved research, after all...and this
is the age of the battery human...
So: with that stuff about the muscle relaxant and the treadmill (it definitely is just a muscle relaxant, by the way, no question about that, even though...hmm...if you tell people it
isn't a muscle relaxant, it doesn't relax their muscles...hmm...)...what it all seems to me to boil down to is that what you say to people can make them feel more relaxed, or make them feel more tense, depending on what you say...and that their wonderful new drug isn't as powerful (at this dosage) as just talking to people...
Doesn't sound that revolutionary a concept to me, I'm quite familiar with people saying things to me that make me feel tense. Happens a lot on Ben Goldacre's web site actually: good meditation skills are handy for any ME patient wandering over there and planning to preserve their sanity. Not sure exactly what making people feel tense by scaring them has to do with the 'placebo/nocebo effect' though.
One would have hoped that a man with such acute awareness of the effect that people's words can have on each other's well-being, and a believer in the power of stress to cause disease, would be a little bit more cautious than to set up a web site with a forum dedicated to 'the great british sport of moron baiting', light the blue touch paper, and stand well back while the members exercise their darker instincts on the sick...but then, this is a man determined to defend people's right to call each other morons on his site, the justification for that being that they
are morons (it's surely nothing to do with them being sufficiently vulnerable and powerless for him to get away with it). I guess he gets his confidence about the stupidity of everyone else from noting how unquestioning they are when he explains to them how things work. No...that can't be it...it's people who
disagree with him who are morons...or frauds...
Perhaps his next book will be about circular reasoning...