1981
DOI: 10.1037/0033-2909.90.3.467
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Placebo-psychotherapy combinations: Inappropriate representations of psychotherapy in drug-psychotherapy comparative trials.

Abstract: In studies comparing drugs with psychotherapy, the practice of using placeboplus-psychotherapy combinations to represent psychotherapy has been extensive, totaling 78% of all comparisons. Such a procedure is seen in this article as being unjustifiable. These combinations involve potential additive or interactive effects derived from the patient's or the therapist's perception that the patient is receiving an active medication. This perception renders this condition nonrepresentative of psychotherapy as it is t… Show more

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Cited by 61 publications
(36 citation statements)
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“…It is unclear why poorer results were obtained with the combined treatment than the biofeedback training alone. However, some investigators have cautioned that patients who receive combined pharmacologic and nonpharmacologic treatment attribute their improvement to pharmacotherapy and may discontinue or limit their use of self-regulation skills, thereby limiting the efficacy of the combined treatment [24].…”
Section: Combined Cognitive-behavioral Treatment and Pharmacotherapymentioning
confidence: 97%
“…It is unclear why poorer results were obtained with the combined treatment than the biofeedback training alone. However, some investigators have cautioned that patients who receive combined pharmacologic and nonpharmacologic treatment attribute their improvement to pharmacotherapy and may discontinue or limit their use of self-regulation skills, thereby limiting the efficacy of the combined treatment [24].…”
Section: Combined Cognitive-behavioral Treatment and Pharmacotherapymentioning
confidence: 97%
“…On the other hand, drug therapy, at least when successful, might be expected to decrease chance headache locus of control and increase medical professionals headache locus of control. However, drug therapy also has been postulated to undermine internal headache locus of control [28]. Unfortunately, empirical data bearing on these hypotheses for migraine treatment is lacking.…”
Section: Effects Of Behavioral Treatment On Expectanciesmentioning
confidence: 99%
“…In such a case, exposure instructions would be beneficial, but only in the context of the morale boost from the placebo. Thus, in the absence of a fifth cell in which patients receive only psychological treatment, confident conclusions about the efficacy of the psychological intervention are precluded (for a further discussion of these issues, see Hollon & DeRubeis, 1981 ).…”
Section: Combination Treatmentsmentioning
confidence: 99%