Placebo from an enactive perspective
dc.contributor.author | Romero Arandia, Iñigo | |
dc.contributor.author | Di Paolo, Ezequiel | |
dc.date.accessioned | 2021-07-29T10:24:10Z | |
dc.date.available | 2021-07-29T10:24:10Z | |
dc.date.issued | 2021-06-02 | |
dc.identifier.citation | Frontiers in Psychology 12 : (2021) // Article ID 660118 | es_ES |
dc.identifier.issn | 1664-1078 | |
dc.identifier.uri | http://hdl.handle.net/10810/52589 | |
dc.description.abstract | [EN] Due to their complexity and variability, placebo effects remain controversial. We suggest this is also due to a set of problematic assumptions (dualism, reductionism, individualism, passivity). We critically assess current explanations and empirical evidence and propose an alternative theoretical framework—the enactive approach to life and mind—based on recent developments in embodied cognitive science. We review core enactive concepts such as autonomy, agency, and sense-making. Following these ideas, we propose a move from binary distinctions (e.g., conscious vs. non-conscious) to the more workable categories of reflective and pre-reflective activity. We introduce an ontology of individuation, following the work of Gilbert Simondon, that allow us to see placebo interventions not as originating causal chains, but as modulators and triggers in the regulation of tensions between ongoing embodied and interpersonal processes. We describe these interrelated processes involving looping effects through three intertwined dimensions of embodiment: organic, sensorimotor, and intersubjective. Finally, we defend the need to investigate therapeutic interactions in terms of participatory sense-making, going beyond the identification of individual social traits (e.g., empathy, trust) that contribute to placebo effects.We discuss resonances and differences between the enactive proposal, popular explanations such as expectations and conditioning, and other approaches based onmeaning responses and phenomenological/ecological ideas. | es_ES |
dc.description.sponsorship | This work was supported by the Basque Government under grant IT 1228-19 to the IAS-Research group. IA was supported by a Juan de la Cierva-Formación Research Fellowship by the Spanish Ministry of Economy and Competitiveness, and partially supported by the Government of Aragon (Spain) under grant cod T3317D to ISAAClab and by the Spanish Ministry of Economy and Competitiveness under project TIN2016-80347-R. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Frontiers Media | es_ES |
dc.relation | info:eu-repo/grantAgreement/MINECO/TIN2016-80347-R | es_ES |
dc.rights | info:eu-repo/semantics/openAccess | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.subject | enaction | es_ES |
dc.subject | embodiment | es_ES |
dc.subject | meaning response | es_ES |
dc.subject | agency | es_ES |
dc.subject | participatory sense-making | es_ES |
dc.subject | Gilbert Simondon | es_ES |
dc.subject | placebo & nocebo effects | es_ES |
dc.title | Placebo from an enactive perspective | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.holder | © 2021 Arandia and Di Paolo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. | es_ES |
dc.rights.holder | Atribución 3.0 España | * |
dc.relation.publisherversion | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.660118 | es_ES |
dc.identifier.doi | 10.3389/fpsyg.2021.660118 | |
dc.departamentoes | Filosofía | es_ES |
dc.departamentoeu | Filosofia | es_ES |
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