The Nocebo Effect: the Power of Expectations and Outlook

A butterfly is sitting on the flower of purple coneflowers.

The nocebo effect is the opposite of a placebo effect, so it is a negative response to a sham treatment where the person believes that they are getting the treatment but actually are not. What is amazing is how powerful expectations and outlook are as the placebo response is often close to that for those…

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Do We Need to Forgive People Who Abuse Us?

A garden with many flowers and trees

I’ve had several patients tell me that they couldn’t forgive people who had abused them but they were no longer troubled by thinking about them. Then a few other patients told me that they were finally able to forgive their abusers and felt more at peace about it now.  So, do we need to forgive…

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Revisiting Guns and Violence in Our Country

A field of red flowers with the sun setting in the background.

We own more than 310 million guns [2009 National Institute of Justice report]. This is the most of any nation in the world with India coming in second with an estimated 46 million guns. So, we have more than seven times the number of guns compared to the second place country. We are also the…

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Wisdom From the Last Happy Doctor

Three purple and orange flowers in a garden.

In a guest column in the November 5, 2017 edition of the Asheville Citizen Times by Marsha Fretwell, M.D., she has concluded that she might be the last happy doctor.  This is because she had practiced as a geriatrician and thus had only Medicare to interact with as more than 96% of her patients were…

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It is Time to Act

A river flowing through the middle of a canyon.

It is time for us [Americans] to take action to keep our children safe [and thus reduce the rate that our children die]. An opinion piece in the February 18, 2028 New York Times by David Leonhardt reports that the United States is now “the most dangerous of affluent nations for a child to be…

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