An enactive account of placebo effects.
Ontology highlight
ABSTRACT:
SUBMITTER: Ongaro G
PROVIDER: S-EPMC5524854 | biostudies-other | 2017
REPOSITORIES: biostudies-other
Similar Datasets
Project description:An abundant literature reports on 'sequential effects' observed when humans make predictions on the basis of stochastic sequences of stimuli. Such sequential effects represent departures from an optimal, Bayesian process. A prominent explanation posits that humans are adapted to changing environments, and erroneously assume non-stationarity of the environment, even if the latter is static. As a result, their predictions fluctuate over time. We propose a different explanation in which sub-optimal and fluctuating predictions result from cognitive constraints (or costs), under which humans however behave rationally. We devise a framework of costly inference, in which we develop two classes of models that differ by the nature of the constraints at play: in one case the precision of beliefs comes at a cost, resulting in an exponential forgetting of past observations, while in the other beliefs with high predictive power are favored. To compare model predictions to human behavior, we carry out a prediction task that uses binary random stimuli, with probabilities ranging from 0.05 to 0.95. Although in this task the environment is static and the Bayesian belief converges, subjects' predictions fluctuate and are biased toward the recent stimulus history. Both classes of models capture this 'attractive effect', but they depart in their characterization of higher-order effects. Only the precision-cost model reproduces a 'repulsive effect', observed in the data, in which predictions are biased away from stimuli presented in more distant trials. Our experimental results reveal systematic modulations in sequential effects, which our theoretical approach accounts for in terms of rationality under cognitive constraints.
| S-EPMC10789490 | biostudies-literature
Project description:Medical treatments typically occur in the context of a social interaction between healthcare providers and patients. Although decades of research have demonstrated that patients' expectations can dramatically affect treatment outcomes, less is known about the influence of providers' expectations. Here we systematically manipulated providers' expectations in a simulated clinical interaction involving administration of thermal pain and found that patients' subjective experiences of pain were directly modulated by providers' expectations of treatment success, as reflected in the patients' subjective ratings, skin conductance responses and facial expression behaviours. The belief manipulation also affected patients' perceptions of providers' empathy during the pain procedure and manifested as subtle changes in providers' facial expression behaviours during the clinical interaction. Importantly, these findings were replicated in two more independent samples. Together, our results provide evidence of a socially transmitted placebo effect, highlighting how healthcare providers' behaviour and cognitive mindsets can affect clinical interactions.
| S-EPMC7494051 | biostudies-literature
Project description:Endogenous opioid and cannabinoid systems are thought to act synergistically regulating antinociceptive and reward mechanisms. To further understand the human implications of the interaction between these two systems, we investigated the role of the common, functional missense variant Pro129Thr of the gene coding fatty acid amide hydrolase (FAAH), the major degrading enzyme of endocannabinoids, on psychophysical and neurotransmitter (dopaminergic, opioid) responses to pain and placebo-induced analgesia in humans. FAAH Pro129/Pro129 homozygotes, who constitute nearly half of the population, reported higher placebo analgesia and more positive affective states immediately and 24 h after placebo administration; no effects on pain report in the absence of placebo were observed. Pro129/Pro129 homozygotes also showed greater placebo-induced μ-opioid, but not D(2/3) dopaminergic, enhancements in neurotransmission in regions known involved in placebo effects. These results show that a common genetic variation affecting the function of the cannabinoid system is serving as a probe to demonstrate the involvement of cannabinoid and opioid transmitters on the formation of placebo effects.
| S-EPMC4222079 | biostudies-literature
Project description:Biopolymer homeostasis underlies the health of organisms, and protective osmolytes have emerged as one strategy used by Nature to preserve biopolymer homeostasis. However, a great deal remains unknown about the mechanism of action of osmolytes. Trehalose, as a prominent example, stabilizes proteins against denaturation by extreme temperature and denaturants, preserves membrane integrity upon freezing or in dry conditions, inhibits polyQ-mediated protein aggregation, and suppresses the aggregation of denatured proteins. The underlying thermodynamic mechanisms of such diverse effects of trehalose remain unclear or controversial. In this study, we applied the surface-additive method developed in the Record laboratory to attack this issue. We characterized the key features of trehalose-biopolymer preferential interactions and found that trehalose has strong unfavorable interactions with aliphatic carbon and significant favorable interactions with amide/anionic oxygen. This dissection has allowed us to elucidate the diverse effects of trehalose and to identify the crucial functional group(s) responsible for its effects. With (semi)quantitative thermodynamic analysis, we discovered that 1) the unfavorable interaction of trehalose with hydrophobic surfaces is the dominant factor in its effect on protein stability, 2) the favorable interaction of trehalose with polar amides enables it to inhibit polyQ-mediated protein aggregation and the aggregation of denatured protein in general, and 3) the favorable interaction of trehalose with phosphate oxygens, together with its unfavorable interaction with aliphatic carbons, enables trehalose to preserve membrane integrity in aqueous solution. These results provide a basis for a full understanding of the role of trehalose in biopolymer homeostasis and the reason behind its evolutionary selection as an osmolyte, as well as for a better application of trehalose as a chemical chaperone.
| S-EPMC4572414 | biostudies-literature
Project description:In the Stroop task, participants identify the print color of color words. The congruency effect is the observation that response times and errors are increased when the word and color are incongruent (e.g., the word "red" in green ink) relative to when they are congruent (e.g., "red" in red). The proportion congruent (PC) effect is the finding that congruency effects are reduced when trials are mostly incongruent rather than mostly congruent. This PC effect can be context-specific. For instance, if trials are mostly incongruent when presented in one location and mostly congruent when presented in another location, the congruency effect is smaller for the former location. Typically, PC effects are interpreted in terms of strategic control of attention in response to conflict, termed conflict adaptation or conflict monitoring. In the present manuscript, however, an episodic learning account is presented for context-specific proportion congruent (CSPC) effects. In particular, it is argued that context-specific contingency learning can explain part of the effect, and context-specific rhythmic responding can explain the rest. Both contingency-based and temporal-based learning can parsimoniously be conceptualized within an episodic learning framework. An adaptation of the Parallel Episodic Processing model is presented. This model successfully simulates CSPC effects, both for contingency-biased and contingency-unbiased (transfer) items. The same fixed-parameter model can explain a range of other findings from the learning, timing, binding, practice, and attentional control domains.
| S-EPMC5110540 | biostudies-literature
Project description:The replacement of Neanderthals by Anatomically Modern Humans has typically been attributed to environmental pressure or a superiority of modern humans with respect to competition for resources. Here we present two independent models that suggest that no such heatedly debated factors might be needed to account for the demise of Neanderthals. Starting from the observation that Neanderthal populations already were small before the arrival of modern humans, the models implement three factors that conservation biology identifies as critical for a small population's persistence, namely inbreeding, Allee effects and stochasticity. Our results indicate that the disappearance of Neanderthals might have resided in the smallness of their population(s) alone: even if they had been identical to modern humans in their cognitive, social and cultural traits, and even in the absence of inter-specific competition, Neanderthals faced a considerable risk of extinction. Furthermore, we suggest that if modern humans contributed to the demise of Neanderthals, that contribution might have had nothing to do with resource competition, but rather with how the incoming populations geographically restructured the resident populations, in a way that reinforced Allee effects, and the effects of inbreeding and stochasticity.
| S-EPMC6880983 | biostudies-literature
Project description:ObjectiveStudies with statistically significant results are frequently more likely to be published than those with non-significant results. This phenomenon leads to publication bias or small-study effects and can seriously affect the validity of the conclusion from systematic reviews and meta-analyses. Small-study effects typically appear in a specific direction, depending on whether the outcome of interest is beneficial or harmful, but this direction is rarely taken into account in conventional methods.MethodsWe propose to use directional tests to assess potential small-study effects. The tests are built on a one-sided testing framework based on the existing Egger's regression test. We performed simulation studies to compare the proposed one-sided regression tests, conventional two-sided regression tests, as well as two other competitive methods (Begg's rank test and the trim-and-fill method). Their performance was measured by type I error rates and statistical power. Three real-world meta-analyses on measurements of infrabony periodontal defects were also used to examine the various methods' performance.ResultsBased on simulation studies, the one-sided tests could have considerably higher statistical power than competing methods, particularly their two-sided counterparts. Their type I error rates were generally controlled well. In the case study of the three real-world meta-analyses, by accounting for the favored direction of effects, the one-sided tests could rule out potential false-positive conclusions about small-study effects. They also are more powerful in assessing small-study effects than the conventional two-sided tests when true small-study effects likely exist.ConclusionWe recommend researchers incorporate the potential favored direction of effects into the assessment of small-study effects.
| S-EPMC10014930 | biostudies-literature
Project description:Natural selection operates on the mating strategies of hermaphrodites through their functional gender, i.e. their relative success as male versus female parents. Because functional gender will tend to be strongly influenced by sex allocation, it is often estimated in plants by counting seeds and pollen grains. However, a plant's functional gender must also depend on the fate of the seeds and pollen grains it produces. We provide clear evidence of a paternal effect on the functional gender of a plant that is independent of the resources invested in pollen. In the Mediterranean tree Fraxinus ornus, males coexist with hermaphrodites that disperse viable pollen and that sire seeds; the population would thus appear to be functionally androdioecious. However, we found that seedlings sired by hermaphrodites grew significantly less well than those sired by males, suggesting that hermaphrodites may be functionally less male than they seem. The observed 1 : 1 sex ratios in F. ornus, which have hitherto been difficult to explain in the light of the seed-siring ability of hermaphrodites, support our interpretation that this species is cryptically dioecious. Our results underscore the importance of considering progeny quality when estimating gender, and caution against inferring androdioecy on the basis of a siring ability of hermaphrodites alone.
| S-EPMC1691823 | biostudies-literature
Project description:The issue of placebo response and the extent of its effect on psychotherapy is complex for two specific reasons: i) Current standards for drug trials, e.g., true placebo interventions, double-blinding, cannot be applied to most psychotherapy techniques, and ii) some of the "nonspecific effects" in drug therapy have very specific effects in psychotherapy, such as the frequency and intensity of patient-therapist interaction. In addition, different psychotherapy approaches share many such specific effects (the "dodo bird verdict") and lack specificity with respect to therapy outcome. Here, we discuss the placebo effect in psychotherapy under four aspects: a) nonspecific factors shared with drug therapy (context factors); b) nonspecific factors shared among all psychotherapy traditions (common factors); c) specific placebo-controlled options with different psychotherapy modalities; and d) nonspecific control options for the specific placebo effect in psychotherapy. The resulting framework proposes that the exploration and enumeration of context factors, common factors, and specific factors contributes to the placebo effects in psychotherapy.
| S-EPMC6606790 | biostudies-literature
Project description:In high stakes situations, people sometimes choke under pressure, performing below their abilities. Here, we suggest a novel mechanism to account for this paradoxical effect of motivation: the automatic adjustment of action vigour to potential reward. Although adaptive on average, this mechanism may impede fine motor control. Such detrimental effect was observed in three studies (n = 74 in total), using behavioural tasks where payoff depended on the precision of handgrip squeezing or golf putting. Participants produced more force for higher incentives, which aggravated their systematic overshooting of low-force targets. This reward bias was specific to action vigour, as reward did not alter action timing, direction or variability across trials. Although participants could report their reward bias, they somehow failed to limit their produced force. Such an automatic link between incentive and force level might correspond to a Pavlovian response that is counterproductive when action vigour is not instrumental for maximizing reward.
| S-EPMC6527680 | biostudies-other