MAIN IDEA:

This book is about the nocebo effect, which is the opposite of the placebo when clearly inactive treatment works because of a patient’s psychological conditions. Here is the authors’ definition: “In our view, the nocebo effect can be summarized as “the occurrence of a harmful event that stems from consciously or subconsciously expecting it.” The core of the nocebo effect is that adverse health effects occur as a result of negative expectations.”.  The authors present the history of research in this area since the early 1950s, the mechanics of its working, and its impact not only on the outcomes of medical treatments and the well-being of patients but also on healthcare costs. They also provide recommendations for minimizing this effect’s negative impact. Finally, the authors present their view on the nocebo effect’s impact on society overall and its ability or inability to handle various challenges from the environment to various political, economic, or personal risks. 

Here is a nice diagram of how the nocebo effect works:

MY TAKE ON IT:

For me, the analysis in this book presents an interesting demonstration of the interconnection between the reality of life, human perception, and modeling of this reality, which leads to conscious or unconscious actions that, in turn, change reality. This topic goes way beyond the medical side of the placebo/nocebo effect. It could be used to understand human actions in all areas of life, including the economy and politics.

From this point of view, the currently popular contentions of information vs. disinformation, fake news, DEI, and such are just attempts to use the psychology of the nocebo effect to achieve specific population behaviors. In a democracy, even if flawed, such attempts usually fail because of the difficulty of isolating people from accurate information. That’s why people benefiting from COVID and Climate alarmism distortions of resource allocation fail to achieve complete dominance despite mass propaganda efforts and relatively limited violent actions such as the cancelation of non-compliant individuals.

Their ideological peers of the Communist and Nazi variety were more successful because the concentration camps and outright executions were much more effective than losing jobs and prestige. However, even their success was limited in time due to the nasty habit of reality to undermine any ideology that deviates too much from this reality.

The problem for individuals is that they do not have enough time and ability to recover from mistakes to afford too much of a nocebo effect impacting their lives. The solution is to control one’s perception of reality by seeking a variety of views and, most importantly, evaluating these views based on their ability to predict future events rather than the authority of their presenters, how much good feeling of virtue they provide, or even how logically consistent these views are.