Illusion of control

Xavier Prida dr.xavier.prida at GMAIL.COM
Sat Apr 2 21:38:38 UTC 2016


Rob,
        I believe that the placebo effect is alive and well in
diagnosticians and patients, and, bidirectionally. Diagnosticians intent on
a pre-ordained diagnosis often derive such by a leading and suggestive
interview of the patient, selective application of objective data, and
influenced by the patient's desire of the yield of the
diagnositic/therapeutic encounter.

The patient often suggests back- "I think there is nothing wrong. I just
want to got home" vs "something is just not right" (e.g. hospital
encounter). We call this intuition, but can also be illusory and we often
supply the diagnosis that most fits both patient's and diagnostician's
peace of mind(satisfaction).

But, the essence of the encounter should be pathophysiologic and
therapeutic correctness with mutual satisfaction of both(or all).

Xavier

On Sat, Apr 2, 2016 at 4:34 PM, robert bell <rmsbell200 at yahoo.com> wrote:

> Dear Xavier,
>
> Could the therapeutic illusion be “real” if the placebo effect was
> stronger in some patients than others?
>
> Also, one would also suspect that certain ineffective treatments
> themselves would have a greater perceived value by some patients than other
> treatments.
>
> And certain providers may be better placebo producers than others?
>
> Isn’t it the placebo effect that drives the $14.4 billion alternative
> medicine market?
>
> Rob
>
> On Apr 2, 2016, at 5:23 AM, Xavier Prida <dr.xavier.prida at GMAIL.COM>
> wrote:
>
> Publication of interest to the society- "The Science of Choosing Wisely-
> Overcoming the Therapeutic Illusion".
> Although framed by the context of "therapeutic illusion", this readily
> translates to "diagnostic illusion"- the cognitive bias of illusion of
> control. Perhaps, best embodied behaviorally by overconfidence.
>
>
> http://www.nejm.org/doi/full/10.1056/NEJMp1516803.
>
>
>
> --
> Xavier E. Prida MD FACC FSCAI
> Assistant Professor of Medicine
> USF Morsani College of Medicine
> Department of Cardiovascular Sciences
> 2 Tampa General Circle
> STC 5 th Floor
> Tampa, Fl 33606
> 813 259 0992(O)
>
>
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-- 
Xavier E. Prida MD FACC FSCAI
Assistant Professor of Medicine
USF Morsani College of Medicine
Department of Cardiovascular Sciences
2 Tampa General Circle
STC 5 th Floor
Tampa, Fl 33606
813 259 0992(O)






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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