The placebo effect has sometimes been defined as a physiological effect caused by the placebo, but Moerman and Jonas have pointed out that this seems illogical, as a placebo is an inert substance that does not directly cause anything. Instead they introduced the term "meaning response" for the meaning that the brain associates with the placebo, which causes a physiological placebo effect. They propose that the placebo, which may be unethical, could be avoided entirely if doctors comfort and encourage their patients' health. [24] Ernst and Resch also attempted to distinguish between the "true" and "perceived" placebo effect, as they argued that some of the effects attributed to the placebo effect could be due to other factors. [32]
Research suggests that for psychological reasons, some placebos are more effective than others. Large pills seem to work better than small pills, colored pills work better than white pills, an injection is more powerful than a pill, and surgery gives a stronger placebo effect than injections do. [33]
Research has also shown when it comes to specific psychological disorders, such as mild or moderate depression, placebos have the same effects compared to antidepressants. [34]
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