Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

Abstract

Health care providers are expected both to relieve pain and to provide anticipatory guidance regarding how much a procedure is going to hurt. Fulfilling those expectations is complicated by the cognitive modulation of pain perception. Warning people to expect pain or setting expectations for pain relief not only influences their subjective experience, but it also alters how nociceptive stimuli are processed throughout the sensory and discriminative pathways in the brain. In light of this, I reconsider the characterization of placebo analgesia as pharmacologically inert and the use of it as deceptive. I show that placebo analgesia exploits the same physical mechanisms as proven analgesics and argue that it should be utilized to relieve pain. Additionally, I describe factors to help identify situations in which clinicians have the obligation to disclose the potential for pain coupled with ways of mitigating the risk of high-intensity pain by setting positive expectations.

Forthcoming events

WEH/Ethox Seminar: Translational ethics: working with clinicians to improve ethical decision-making

Wednesday, 08 July 2020, 2.30pm to 4pm

This seminar will be held by Bluejeans videoconferencing, please email admin@ethox.ox.ac.uk for the meeting link.

Richard Doll Seminar -COVID-19: where to next?

Tuesday, 14 July 2020, 1pm to 2pm

WEH/Ethox Seminar: Consent and confidentiality in family medicine: reflections on the “ABC” case

Wednesday, 15 July 2020, 2.30pm to 4pm

This seminar will be held by Bluejeans videoconferencing, please email admin@ethox.ox.ac.uk to register. A link to the meeting will then be sent to you on the day of the seminar.