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  1.  
    Do you think people benefit from homeopathy due to the placebo effect or due to something else?
  2.  
    And also do you think that people may not want to admit to the possibility of being affected by the placebo effect because they think it belittles their illness. They may not realise just how powerful placebo is for everyone.
    • CommentAuthorMadikHurtz
    • CommentTimeJun 12th 2009
     
    Other benfits of homoeopathy may include rehydration from water based tinctures.

    Homoeopaths benefit from the low cost of making the preparations and the high mark ups on the final remedies. Consider the single duck used each year by Boiron for £20m of their remedies. The profit margins must be huge and given that the alternative health market is worth some £60 billion a year the net gains must be excellent. No wonder they don't want anybody rocking that valuable boat.
    • CommentAuthorlarus
    • CommentTimeJun 12th 2009
     
    1) can you be rehydrated from 1-2 drops of an alcohol/water mixture?
    2) what are the costs involved in making homeopathic preparations?
  3.  
    I agree with Iarus - that is really off topic.

    What are peoples thoughts on the placebo effect?
    • CommentAuthorgsmyth
    • CommentTimeJun 13th 2009
     
    I feel that the placebo effect is something which is poorly understood, poorly studied, and poorly appreciated. I seem to recall the BMJ devoting a week to the placebo effect a few years ago discussing the many issues surrounding it.

    I also think it is important to realise that the placebo effect is something that is present in every patient-doctor interaction, and perhaps in nearly every healthcare intervention, with the exception of a few. Some people seem to think, the placebo effect is something confined to complementary medicine, when in actual fact, it is present throughout conventional medicine also. What we do not know, is to what degree.

    With regard to homeopathy, the research section of this site details studies which have clearly shown an effect of homeopathy beyond that of placebo.

    So, returning to your original question, badsciencemonk, I believe that the placebo effect has a role to play, however the exact mechanism of action of homeopathy remains the subject of intense debate and research. It is clear there is an effect beyond that of placebo, however it is proving difficult to determine the exact mechanism of action. There are of course a number of theories, however the critics rubbish these and take the unhelpful and unscientific view of "it can't work, therefore it mustn't work"! Bad science indeed!
  4.  
    I am fascinated by the area of placebo and believe it should be positively utilised in the administration of treatment protocols. I know that, for instance, in conventional medication for anxiety and depression a colour for a tablet is often chosen so that the placebo response may increase the overall effect of the tablet. This seems to make perfect sense to me.

    I know some homeopathic remedies are given in the form of tablets. Do they also use this strategy?
    • CommentAuthorlpeacock
    • CommentTimeJun 15th 2009
     
    The only homeopathic medicines I have seen have either been in liquid form or white tablets. I have never seen homeopathic tablets in different colours.
  5.  
    Maybe it would be an idea for companies like Boiron to consider it. Even as a sceptic I can see how practitioners of conventional medicine can adapt the practices of people in CAM for their own use. Why not the other way round?
    • CommentAuthordocboz
    • CommentTimeJun 17th 2009
     
    there are two main reasons for thinking there is something above placebo in homeopathy.

    Firstly the in-vitro reasearch, which I am not well placed to discuss.
    Second is the clinical assessment of patients
    The one thing you learn if you train in homeopathy is to attend and listen very carefully to what patients are saying, describing and experiencing. Without doing this you can't prescribe. The same goes for follow up: when you follow a patient up you need to ask yourself
    how likely is this to be the natural history of the disease, a non-specific placebo effect, the effect of the conversation itself, or the effect of other changes in treatment or the patients circumstances. Or is it a classic homeopathic response
    Sometimes you can't tell.
    But we see these other effects all the time in medicine anyway and we are well used to them.
    A classic homeopathic response can include such oddities as an aggravation followed by a progressive improvement, changes following an order known as "Hering's law", old complaints breifly returning, sometimes in reverse chronological order. Problems, not actually previuosly regarded by the patient as problems resolving and becoming obvious by their absence. When I was first taught about all these phenomena I was somewhat disbeleiving, but I've seen them all happen over and over again and they are not classic placebo responses.
    Patients also frequently voice scepticism saying they considered the treatment couldn't possibly work but were amazed to find that it did.
  6.  
    Thanks Docboz

    My main point in my last post on this thread was (if placebo is considered to be an issue in both conventional and homeopathic medicine) whether it should not be used in both to increase the effects of the treatment as far as possible. The colour of tablets appears to be an easily manipulated variable for instance.
    • CommentAuthorBrigid
    • CommentTimeJun 26th 2009
     
    Homoeopathy works, whether some of you like that fact or not. I have used homeopathic remedies for more than thirty years, not only on myself and family, but also on my animals. The placebo effect isn't possible in animals - it can't imagine that it will be cured by some small white tablets - in fact have you ever tried putting *anything* into the mouth of a cat? I used to keep goats, and if giving a tablet to a cat can be a problem, you should try it with a goat. Put a tablet between gum and cheek and wait for ten minutes - and then she will delicately spit out the tablet through the side of her moth. Give it to her in half a litre of rolled oats and watch carefully as she eats. Almost without a pause in the chewing, the tablet appears at the cornetr of her mouth - oh she's clever! And if there could be such a thought in her head it would be, "This woman's not going to poison me!"
    With the knowledge gained from reading Materia Medicas and by talking to lay practitioners, I treated all my goats with homoeopathic remedies; one tablet at 200 potency cured a large patch of ringworm within 24 hours; two weeks saw a cure of goatpox, which a vet had failed to do over two years; a swollen eye which the vet wanted to remove and stitch up - cured over 24 hours; bad case of hair loss dramatically reversed - and much more.
    If a placebo effect does come into play with human animals, then well and good, but the fact that homoeopathy works for non-human animals who can't think 'placebo', surely is proof of its effectiveness on its own?
    • CommentAuthorjdc325
    • CommentTimeJun 26th 2009
     
    "The placebo effect isn't possible in animals..."
    Really? So the perceptions of the owner have nothing to do with whether the owner thinks that homeopathy works on their animals?
    • CommentAuthorBrigid
    • CommentTimeJun 27th 2009
     
    Your last sentence is rubbish. I think you really do know what I mean. The animal can't 'think' that homoeopathy will cure it, whereas a human *can* think that he/she will be cured.
    • CommentAuthorjdc325
    • CommentTimeJun 29th 2009
     
    Just to be clear: you are arguing that the owner's perception of an improvement in the health of the animal given an inert treatment (e.g., a homeopathic remedy containing zero molecules of the active ingredient) couldn't be an example of what is commonly referred to as 'the placebo effect' then?

    Symptoms in animals may vary over time for all sorts of reasons. If the owner believes in homeopathy then they will expect to see their pet "get better". Any lessening of symptoms - in fact, any perceived improvement in health at all - will be interpreted by the owner as meaning that the homeopathy is working. (Some homeopaths will even tell you that symptoms *worsening* means the homeopathic remedy is working - and call it a healing crisis or aggravation.)

    And I haven't even mentioned the possibility that conditioning may be a part of the placebo effect that can affect animals as well as humans...
  7.  
    Yes. Animals can be very good at picking up on the feelings of their masters. Look up "Clever Hans" It really is fascinating.
    • CommentAuthorBrigid
    • CommentTimeJul 1st 2009
     
    Homoeopathic remedies are not 'inert', which means inactive. They contain the molecular energy of the substance which is potentised, and this energy stimulates the body to help itself.
    I didn't 'perceive' an improvement in my goats, I saw it with my own eyes. One doesn't imagine the disappearance of pox on a milking goat's udder, nor the disappearance of large areas of excema like patches on areas of skin.
    Unlike allopathic medicines which mask symptoms and drive dis-ease inside, homoeopathic remedies actually 'cure'. And yes, there can be a worsening first as the problem is driven out. In this household we took Allium Cepa 3x fifteen years ago when we had sniffling colds, we had two days of worsening symnptoms, and have never had a cold or flu since.
    Sorry guys, but Homoeopathy does work, and if you came down from just 'thinking in your heads' and perhaps tried the system (guided by someone who knows what they are doing)you may change your minds. But if you want to carry on trying to rubbish something you have never tried, then you have my sympathy. .
    • CommentAuthorDavidJ
    • CommentTimeJul 7th 2009
     
    "They contain the molecular energy of the substance which is potentised"

    What exactly does this mean?
    How do you measure the claimed difference in "molecular energy"?
    What does being "potentised" do to the substance in question?
    How does a different "molecular energy" affect the body - i.e. what is the physical energy and how could one observe or measure it?
    Is it really the case that using sciency sounding words is really an attempt to impress rather than a description of anything actually happening?
    • CommentAuthorimageh
    • CommentTimeFeb 26th 2013
     
    Brigid - you said in an earlier post "Homoeopathy works, whether some of you like that fact or not." However loudly you shout or stamp your feet, your argument is - not an argument. You also say "homeopathic "remedies" contain the molecular energy of the substance which is potentised" (the quotes round remedies are mine). Clearly you bought into this nonsense from some pseudosciency reading you have done. It is strange that you use the internet and a computer, both derived from a long and complex history of use of the scientific method, yet turn out to trust in pseudo-science - with emphatic and strident tones.
    Patients who benefit from a visit to a homeopathic practitioner do so thanks to only one thing - the placebo effect - which is both very powerful and affects us all - including scientists like myself and advocates of note - like Peter Hain. The placebo effect is in itself an area of scientific research and understanding. However there is no doubt that the so-called medicines proffered by homeopaths are clinically ineffective - to be otherwise would upturn centuries of scientific research and understanding - and in fact be more surprising than finding evidence that the earth were not a sphere (roughly)after all. Clearly you are not a scientist - neither are the doctors who belong to the British Homeopathic Association. It is easy even for scientists to be fooled; much easier for non-scientists to be so. Evidence and understanding from evidence is the basis and it isn't easy. Please do not pontificate about things well beyond your possible understanding. It is not clever.
    Practising via placebo is immoral. Learning why that would work is valuable. It might lead to an understanding of where psychological methods are appropriate and where they are not. Eczema is an example of the latter - Peter Hain - take note - people have been sent to prison for using homeopathy in the treatment of that ailment.