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April 27, 2026BMJ0 citations

When I use a word . . . Nocebo

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JAJeffrey K Aronson

Key Points

  • The aim is to explore the nocebo effect, its occurrence following placebo administration, and the historical context of its terminology.
  • Historical overview of the terminology associated with placebo and nocebo effects.
  • Review of existing literature on nocebo responses and their implications.
  • Identification of gaps in current research on nocebo phenomena.
  • The nocebo effect is less studied compared to placebo effects.
  • Adverse effects following placebo administration can lead to nocebo responses.
  • There is a clear call for more detailed research on nocebos.

Abstract

The term “placebo” can be dated back to at least the 1770s, the earliest recorded instances having occurred in the published lectures of two Edinburgh physicians, Andrew Duncan and William Cullen. In contrast, the term “nocebo” dates only from 1961. A nocebo effect or nocebo response can be seen to have occurred when, adapting the Oxford English Dictionary (OED) definition, one or more adverse effects are reported after administration of a placebo. Compared with placebos and the placebo effect, nocebos and the nocebo effect have been little studied, and many of the published papers that feature discussion of nocebos are non-systematic reviews. To quote the old academic phrase, which, although trite, on this occasion is nevertheless apposite, “more research is needed.”

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Cite This Study

Jeffrey K Aronson (2026) studied this question.

synapsesocial.com/papers/69eefcf4fede9185760d3b93https://doi.org/10.1136/bmj.s792
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