Modified: January 26, 2026
placebo
This page is from my personal notes, and has not been specifically reviewed for public consumption. It might be incomplete, wrong, outdated, or stupid. Caveat lector.I really liked Max Shen's take on the placebo effect in this episode: https://themetagame.substack.com/p/43-max-shen-this-book-heals-chronic Paraphrasing my understanding:
Some instances of chronic pain and bodily dysfunction are trapped priors: feedback loops where the belief that something is wrong actually creates or reinforces the symptoms (John Sarno's thesis is that most back pain is like this; it's driven by muscle tension that is fundamentally of emotional origin). When this belief is itself a causal factor, removing the belief actually does fix (or help fix) the problem. It's not a fake cure, it is the necessary and correct cure.
The important thing about a placebo treatment here is that it actually shifts the patient's self-image. If you tell a religious person "we're doing a ritual that will fix your emotional problems", and they believe this should work, then it does!
Max talks about Sarno's work as an energetic transmission from a master: for his patients (and readers of his book), hearing an expert doctor say "there is nothing wrong with you", in a tone of total relaxed confidence, is sufficient to override their trapped prior.
In a sense, this is where the healing power of love comes from. To be loved is to know, deeply, that you are loveable, that there is nothing fundamentally wrong with you.