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A challenge to the standard medical "placebo effect" framework, arguing the distinction between "real" and "placebo" effect is culturally arbitrary and philosophically shaky. Critics contend that the label "placebo" can be applied to virtually any secular system—the belief in democracy, the trust in a currency, the confidence in a leader—that works because people believe in it. The ultimate critique is that the belief in the placebo effect is itself the greatest placebo. The theory suggests healing (and social function) is a complex negotiation of meaning, faith, and biology that the rigid placebo/active dichotomy tragically oversimplifies.
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