The Ritual Effect: The Healing Response to Forms and Performs

Goli, Farzad; Farzanegan, Mahboubeh

doi:10.1007/978-3-319-35092-9_5

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…Every form of treatment takes place in a symbolic and communicative environment, which creates certain expectations of betterment via explanations, rules, rituals, instructions, and narratives. [ 9 10 ] These symbolic signs run a neocortical-sympathetic-immune axis that can induce positive or negative physiological changes. [ 11 ] The bottom-up effects of the physical and chemical interventions are always affected by the top-down effects of the symbolic and reflective elements of the therapy context.…”

Section: Is Placebo the Constant Of Healing Equation?mentioning

confidence: 99%

Biosemiotic medicines: Symbolic formulations for placebo enhancements

Goli

2024

Journal of Education and Health Promotion

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The healing response is a complex and multiform procedure that involves many physical and symbolic interactions and synchronizations. In the clinical research model, certain factors are abstracted during which contextual elements, such as placebo responses and communicative factors, are excluded to reveal the pieces of evidence that are necessary for the mass production of clinical materials and methods. On the other side, clinical practice is a singular and chaotic communicative action in which we should include contextual and discursive factors for prompting proper biological as well as behavioral responses. Placebo responses, personal history and attitudes, and clinical relationships and communication are some of the contextual and individual factors that can be changed effectively if we can communicate with the symbolic and reflective matrices of clinical practice. In this article, the author introduces a biosemiotic formula for healing responses that include symbolic and reflective factors of healing response aligned with the related biological procedures. Not only are psychological interventions beneficial in mental health problems and symptom control but they could also be used as co-treatments to reinforce placebo responses and improve illness behavior and treatment narratives.

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Section: Is Placebo the Constant Of Healing Equation?mentioning

confidence: 99%

Biosemiotic medicines: Symbolic formulations for placebo enhancements

Goli

2024

Journal of Education and Health Promotion

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“…Biosemiotic communications occur at both a pre-linguistic and symbolic, textual or language level; so that, consciously or not, the interpreter (patient or group) is an active participant in the intervention [50].…”

Section: Signs Semiotics Biological Meaningsmentioning

confidence: 99%

“…The triadic sign relations of Peircean semiotics allow physicians to reverse engineer solutions to health problems in which "[m]ental phenomena like thoughts, feelings, beliefs, and the patient's and therapist's personal experiences play a critical role" [51]. Like the placebo effect, biosemiotics provides physicians a tool for generating wellness meanings in patients and populations.…”

Section: Signs Semiotics Biological Meaningsmentioning

confidence: 99%

A mixed-method study of medical students’ perceptions of social accountability in medical education. Comparing the roles of equity identities, empathies, and curriculum regulation.

Whittenbury,

Ward

2023

Preprint

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The decline in students’ empathy during medical school is attributed in part to an informal curriculum that prioritises biomedical knowledge and lacks a patient perspective of illness. Transformation of medical professionalism to include socially accountable justice actions entails a theoretical shift in curriculum regulative discourse, and curricular justice to diverse medical students. A pre-pandemic, mixed-methods study compares the equity identities and justice discourses of medical students learning in divergent curricula; one regulated by a biopsychosocial model (BPS), the other by social accountability (SA). The study sought to identify teaching and learning needs for values transformation that legitimates integration of social change practices in medical professionalism. Participants expressed emotional empathy for the most disadvantaged groups in Australian society, but in both curricula the cognitive empathy owed to patients vulnerable to social systems inequities, and contextual reasoning of social science solutions, were generally weak. Outsiders with intersectional equity identities have greater insights to social inequities, but less intentions for primary care practice than peers with nil or one equity identity. Following clinical training in high health needs populations participants express solidarity with disadvantaged patients, but cognitive empathy is mostly instrumental; equity practices are mis-recognised as proximal and behaviour-related. Closure of this ‘know-do gap’ centres on transformative pedagogy; to induce a sociological imagination of health care justice, legitimate patients’ perspectives and broaden the social context of health causation. Professional development of emotional and cognitive empathy for patients’ social health improvement, and graduates’ prosocial aspirations, may benefit from learning the health communication science of biosemiotics, a biological approach to systems theory. The tools of Legitimation Code Theory, a discursive knowledge management system, may boost the empathic courage of medical educators to transform physician empathy, gaze, and professional capability toward socially accountable practices.

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Body, Meaning, and Time: Healing Response as a Transtemporal and Multimodal Meaning-Making Process

Goli

2022

Epigenetics and Anticipation

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The Ritual Effect: The Healing Response to Forms and Performs

Cited by 5 publications

References 13 publications

Biosemiotic medicines: Symbolic formulations for placebo enhancements

Biosemiotic medicines: Symbolic formulations for placebo enhancements

A mixed-method study of medical students’ perceptions of social accountability in medical education. Comparing the roles of equity identities, empathies, and curriculum regulation.

Body, Meaning, and Time: Healing Response as a Transtemporal and Multimodal Meaning-Making Process

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