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I think the issue is that they hear the word "placebo" and that means "fake" in their minds. They become enraged because they think you're denying the pain they are in as "fake." And they refuse to hear or believe that you have experienced the same kinds of pain because the marketplace designated them as sacred victims and you, mere mortal, could not possibly relate.

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Surely the whole intention of administering a placebo is to not tell the patient it's a placebo ,instead have them believe it's a drug which will cure them ? Their psychology will do the rest if their symptoms are merely psychosomatic !!

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"Ask them to conceptualize what sham-gender affirming care would look like. If they can't, to a reasonable person, that's a sign that perhaps this is an elaborate placebo."

Brilliant. Will credit you wherever I can while I use this "wrong answers only"-type question. They are very effective.

What is the "true self"? Wrong answers only. What is a "woman"? Wrong answers only. And so on.

There must be a name for this type of question.

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My husband used to work with people using a type of placebo method to help with health and psychological problems. I've seen it work often enough to understand the power of the mind to heal without the use of drugs or surgery.

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I remember Dr. Andrew Weil saying back in the mid-Nineties that the placebo effect itself should be studied, and he’s gone on to start an Integrative Medicine program at the University of Arizona. I don’t follow him personally, but that sounds like a very good idea to me. I don’t believe that it is correct to call treatments placebos that work from a different scientific paradigm. Materialism would claim that, but “Science” isn’t nearly as scientific as it is claimed to be. The Earth isn’t a nice layered marble inside like their Big Bang Theory predicted. Turns out it has lots of irregular lumps inside. I’ve made the switch to an electric universe paradigm, and my healthcare activities are quite sensible from that perspective! The exponential rise in the number of scientific papers published on cosmology in 2019 should be seen as the crisis that it is. The universe isn’t “known” already with just a few pesky details to be worked out. Live in the mystery, folks! ⚡️ ☮️❤️🐾

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I think of the placebo effect as tapping into the same healing system we all inherently have which is also affected by acupuncture, yoga, therapy, sham surgeries, etc, and possibly mediated by the endogenous opiate ( or cannabinoid) systems. Having had chronic pain since 1992, I have tried lots of therapies, but recently find low-dose Naltrexone to be helpful at reducing some of the pain to tolerable levels. I think this up-regulation of the opiate receptors could be a placebo or could be affecting the opiate system! Very difficult to separate those in this case. But I do think severe pain can overwhelm placebo effects and thus take more of an active intervention to have any effect. Lately I hear the word "Trans" and I think "Trance", as in people who are in a trance....mesmerized by the hypnosis of the cult...

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LDN is being phenomenal for me for the past year, and I'm pretty resistant to suggestion.

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I've been thinking about this a lot since I watched this. https://www.cbc.ca/natureofthings/episodes/brain-magic-the-power-of-the-placebo

Its probably a bit simplistic for you but I found the part about children's susceptibility most interesting.

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"Knowing that you are taking a placebo treatment will not magically block the placebo effect. You can only block the placebo effect with drugs. If you tke medications that are known to blunt or block the opiate system--" interesting way of defining placebo.

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