Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Oct 2015
Review[Exploiting placebo and nocebo effects in patients with chronic pain].
In recent years, the knowledge behind placebo analgesia has strongly increased. The underlying mechanisms are depictable in a comprehensive way. ⋯ Expectations of the patient are pivotal and can be influenced specifically by learning processes and instructions, both in the positive direction (placebo response), as well as in the negative direction (nocebo response). In conversations, these principles can be considered to optimize the expectation with respect to treatment outcome and to reduce negative cognitions.
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Dtsch. Med. Wochenschr. · Oct 2015
[People with Intellectual and Multiple Disabilities in the Acute-In-Patient Care - Selected Results of a Qualitative Exploratory Study].
National and international publications indicate a higher importance of people with disabilities in health and nursing care. From the international literature it can be seen that for this target group the hospital care is to be regarded as deficient in many ways. ⋯ The results point to an inadequate care of people with disabilities in hospitals. It is necessary to reflect critically on the medical and nursing care and to develop adequate measures, concepts, interventions and policies.