
Placebos reduce pain by creating an expectation of relief. Distraction -- say, doing a puzzle -- relieves it by keeping the brain busy. But do they use the same brain processes? Neuromaging suggests they do. When applying a placebo, scientists see activity in the dorsolateral prefrontal cortex. That's the part of the brain that controls high-level cognitive functions like working memory and attention -- which is what you use to do that distracting puzzle.
Now a new study challenges the theory that the placebo effect is a high-level cognitive function. The authors -- Jason T. Buhle, Bradford L. Stevens, and Jonathan J. Friedman of Columbia University and Tor D. Wager of the University of Colorado Boulder -- reduced pain in two ways -- either by giving them a placebo, or a difficult memory task. lacebo. But when they put the two together, "the level of pain reduction that people experienced added up. There was no interference between them," says Buhle. "That suggests they rely on separate mechanisms." The findings, published inPsychological Science, a journal of the Association for Psychological Science, could help clinicians maximize pain relief without drugs.