Michael M. Patterson. Research in OMT: What Is the Question and Do We Understand It?. J Am Osteopath Assoc 2007;107(1):8–11. doi: 10.7556/jaoa.2007.107.1.8.
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It is essential...that assessments of effectiveness of OMT be of OMT as it is practiced, as an integral part of the total interaction between physician and patient, and not as an isolated, contrived, and standardized procedure.... The placebo response is an integral, inseparable part of the patient's total response to osteopathic medical care.
The osteopathic physician...is aware that spontaneous recovery or the placebo effect is a response—an active response of the patient's recuperative mechanisms and a demonstration of their potency. The response is evoked, not by the sugar pill or nontreatment, but by such factors as confidence in the treatment, positive beliefs, expectations, and attitudes with respect to the illness and its outcome or even by desperation—”this has got to work!”
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