Creative consulting: what modifies a healing response
In the fourth article in his series David Reilly begins exploring placebo and nocebo responses
You are convinced that you need to make the consultation positive,1 you have tried to prepare yourself and “made the room disappear,” 2 and the potential for change sits there waiting in the patient.3 Now what? Remember that your main job is to do no harm, while people recover naturally, remaining vigilant for when this “masterful inactivity” is not safe. Your simple respect, courtesy, and expression of needed technical skill are so often more than enough. Carl Rogers boils down the ingredients that make us effective carers as being one's self, having unconditional positive regard for others, and feeling empathy.4 Yes it is easier said than practised. Surgery is not easy at first either, and who said human caring would be? Of the many forces modifying your consultation, affecting the patient's self healing responses, and so reactions to therapy, as the placebo response looms large.
So let's jump in with