I previously posted an article on White matter and some felt it was a little old. This article, and I do not pretend to understand it all, was published 30th October 2019. What it does show is that by highlighting the FND case and condition some professionals are starting to take note. They are asking for more research, about time to. What a placebo pathway is I am sure someone out there will tell us.
The Journal of Neuropsychiaty and the placebo pathway.
neuro.psychiatryonline.org/...
David
"In conclusion, we provide a mechanism-based rationale that supports the potential use of placebo effects for the treatment of FND". Trying to argue it's not a real disease after all?
Are they trying to find out why in most illnesses a similar perceived improvement is seen with medication and placebo. Are they starting to question more thoroughly just what's happening in the brain.
My only concern is that if research is not carried out multidisciplinary then like telling history there will be a biased view point.
The placebo pathway or effects is when the mind/body adapt to treatment (improvement) when no treatment was actually received. For example, in say a anti-depressant drug trial the placebo group receiving the sugar pill and not the actual drug, reports improved mood and reduced depressive symptoms. They were unaware they were receiving a pill that does nothing, yet still gain perceived benefit.
Hope that explains it well.
Thanks, a minefield.
Afraid I can’t face reading another article tonight (though thank you for your time and effort on the research front and please don’t stop!), but isn’t that exactly what they think when they dx fnd? I just read on another thread someone’s neuro saying ‘I love giving this dx as it means the patient will get better’ (I paraphrase). That if you ‘believe’ in the dx you’re more likely to get better. That you just have to believe that what’s wrong with you is not organic therefore think-away-able, and you’ll be fine. All this is eminently treatable with a placebo? But I don’t think being told it’s ‘all in your mind’ is a placebo, it’s just a lack of treatment. And that’s what a dx of fnd gets you by and large.
Or does it mean have a positive attitude, to believe in improvement.
Any condition will respond better to a positive outlook.
Sure as hell doesn't mean it's easy.
Actually no I don’t think they do mean that. I think they mean, if you accept this is in no way based in any physical malfunction you will get better. Immediately in some cases. That’s very different from having a positive approach. It’s blind faith. Faith healing? That’s what it says to me anyway. Not the same as a placebo. Guess maybe it’s a fine line?
Information regarding my wife's recent Neurology appointment.
Factors influencing triage to rehabilitation in FMD ..Feb 2024
Dr Jon Stone research
Gray is my thing...
