Great Expectations

The skinny:
To determine whether physiologic responses to a drug could be changed by expectation, and what role placebo effect might play, 14 medical students were given
either epinephrine or placebo. Measurements of subjective response and response
of plasma free fatty acids, blood glucose, and heart rate were made, Stimulant
expectation was engendered by suggestion of epinephrine-like effects, and sedative
expectation by suggestion of barbiturate-like effects. Of 8 drug subjects, 8 had a
greater FFA response under stimulant expectations, and 7 had greater subjective,
blood glucose, and heart rate responses. In 6 placebo subjects, there was no dis-
cernible effect of expectation in any measure.
The title of the above abstract is from an old research paper from the 60s entitled Drug-Set Interaction: Psychological and Physiological Effects of Epinephrine Under Differential Expectation. It's something I see cited a fair lot. In plain English, the study went like this: They told a bunch of folks that they were being given either a sedative or a stimulant, but gave them either adrenaline or placebo. The people who were given placebo didn't really feel anything special, but the folks given adrenaline felt what they were told - The sedative-expectation people felt sedated, and the stimulant-expectation people felt stimulated, even though it was all the same chemical being administered... Everyone knows what that chemical feels like, because everyone (save for some head cases) has had an adrenaline rush, so imagine having one but thinking it felt like a sleeping pill just because you were told so!
I always thought that this had a lot to do with not just psychosomatics and pharmacodynamics, but everyday experience. I don't know how that idea can be scientifically validated, but bet some analogous studies have been done somewhere out there on the idea that your expectations prior to the event of any experience determine more than anything the outcome of what you feel about the experience. Outside of science, I've found that my own nonscientific experimentation throughout everyday life inspired by this study has been significant towards making me a happier person. I've also found that certain aspects of spirituality and philosophy (Particularly buddhism) have something to say about this. Not to say that I'm one of those 'the secret' dorks who believes with anything close to absolute conviction that expectations, attitude, and vapid 'positive thinking' have EVERYTHING to do with "manifesting" reality - Just that it's a subject worthy of actual scientific consideration outside of pharmacology. If anyone has any links or anything like that which has to do with non pseudoscientific consideration of this, that would totally make my day! :)






