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WMJ 03 2010 - World Medical Association

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<strong>Medical</strong> Ethics, Humam Rights, Socio-medical affairs and Environmental Policy<br />

http://www.africamasterweb.com & http://<br />

www.nigeriamasterweb.com<br />

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1): 665−7.<br />

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your practice: what matters most Family Practice<br />

Management. 2008; 15: 32–8.<br />

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of health care quality in relation to WHO<br />

measures of achievement in 12 European countries.<br />

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2004; 82 : 106–14.<br />

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85 countries. Trends from the values surveys from<br />

1981 to 2004. Leiden and Boston, Brill, 2008<br />

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accessed 2 July 2008.<br />

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Services Research and Policy. 1999; 4: 193–4.<br />

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care as a social institution. Soc Sci Med. 20<strong>03</strong>;<br />

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22. Audrey B, Graves PE. Predicting Life Expectancy:<br />

A Cross-Country Empirical Analysis.<br />

Emejulu, Jude-Kennedy C, MBBS, FWACS<br />

Neurosurgery Unit, Department of Surgery<br />

& Accident and Emergency Unit<br />

E-mail: judekenny20<strong>03</strong>@yahoo.com<br />

Igwegbe, Anthony O, MBBS, FWACS, FICS<br />

Department of Obstetrics and Gynaecology<br />

Eleje, George U, MBBS<br />

Department of Obstetrics and Gynaecology<br />

Ofiaeli, Robinson O, MBBS,<br />

FMCS, FICS, FWACS<br />

Orthopaedic Surgery Unit,<br />

Department of Surgery<br />

Nwofor, Alexander M E, MBBS,<br />

FMCS, FICS, FWACS<br />

Urology Unit, Department of Surgery<br />

Anumonye, Charles O, BSc, FHR<br />

Department of Health Records and Statistics<br />

The History of the Placebo 1<br />

The term “placebo” has not been part of<br />

medical usage for very long, but the phenomenon<br />

we refer to as the “placebo effect”<br />

has been known in medical as well as lay<br />

circles for a long time. The French philosopher<br />

and writer Michel de Montaigne<br />

(1533–1592) described the powerful effect<br />

of imagination on the human by using the<br />

example of a patient who received regular<br />

non-medical enemas given by his doctor<br />

and experienced the same effect from them<br />

as from enema that actually contained medicinal<br />

substances rather than just warm water<br />

[38]. It was not until the second third of<br />

the 18 th century that the phenomenon, or at<br />

least a partial aspect of it, was first referred<br />

to as “placebo”. It was the Scottish physician<br />

and pharmacologist William Cullen (1710–<br />

1790) who coined the expression. In 1772<br />

he demonstrably used the term for the first<br />

Robert Jütte<br />

Etymology<br />

1. This historical study is part of a larger project on<br />

the placebo effect undertaken by a group of experts<br />

on behalf of the Wissenschaftlicher Beirat<br />

der Bundesärztekammer (Scientific Board of the<br />

German <strong>Medical</strong> <strong>Association</strong>)<br />

109

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