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Re:Why do placebos work? Scientists identify key brain pathway by pygy_ on Thursday October 28, 2021 @10:41AM (#29026650)
For social species, when resources are limited, evolution favors groups whose rejected members fall sick and die.

The placebo effect comes from social support and goes beyond pain.

As for the implementation details, expectations play a role. A drug that modulates the cholecystokinin neurotransmission in the brain (involved in expectation processing) was found to enhance the placebo effect of a placebo pill (on mobile, can’t search right now, but with “ cholecystokinin” and “placebo” you should find the paper on google scholar).

Re:Why do placebos work? Scientists identify key brain pathway by jagraff on Thursday October 28, 2021 @11:02AM (#29026920)
> evolution favors groups whose rejected members fall sick and die.

Do you have a source on this? I don't understand how evolution could favor such a negative trait on the individual level, and as far as I understand group selection has been mostly rejected by modern evolutionary biologists

Re:Why do placebos work? Scientists identify key brain pathway by notshift on Thursday October 28, 2021 @11:17AM (#29027105)
It's true that some reject the idea of group selection, but there are lots of scientists too who embrace the idea. Lots of very good talks/interviews on YouTube with scientists & researchers on the subject.

IMO there are too many phenomena that are very difficult to explain only with individual selection, but trivial to explain with group selection.

Not sure about the claim that evolution favors groups whose rejected members die (not sure what rejected even means in this context), seems to me like that would depend a lot on environmental context and vary across species and across time.

Re:Why do placebos work? Scientists identify key brain pathway by Pyramus on Thursday October 28, 2021 @01:22PM (#29028546)
> IMO there are too many phenomena that are very difficult to explain only with individual selection, but trivial to explain with group selection.

Homosexuality is an obvious example that comes to mind. If you know others please do post them.

Re:Why do placebos work? Scientists identify key brain pathway by coolso on Thursday October 28, 2021 @04:33PM (#29031535)
> group selection has been mostly rejected by modern evolutionary biologists

Not all things rejected by modern science is rejected for scientific reasons, unfortunately.

Re:Why do placebos work? Scientists identify key brain pathway by pygy_ on Thursday October 28, 2021 @11:34AM (#29027306)
Putting it another way: there’s a well established link between health and social status in social species.

Group selection looks like the most logical explanation to me.

Re:Why do placebos work? Scientists identify key brain pathway by jagraff on Thursday October 28, 2021 @01:29PM (#29028642)
It seems to me that you have cause and effect backwards. I think the most likely chain of events is something like this:

Member gets sick

Member gets rejected from the group (because for each individual in the group, it's better to avoid the sick member - no group selection necessary)

Member dies

So the member doesn't get sick because they're rejected - they get rejected because they are sick. This would have obvious benefits for each individual that rejects the sick member, regardless of the behavior of the rest of the group (https://esajournals.onlinelibrary.wiley.com/doi/abs/10.2307/...)

Re:Why do placebos work? Scientists identify key brain pathway by bumby on Thursday October 28, 2021 @12:22PM (#29027821)
Could you explain that link between health and status a bit more?

I vaguely remember reading adverse health outcomes in lower status individuals may be linked to the chronic stress attributed to being low status, but can't remember the exact source but this one came up in a quick search:

https://www.sciencedirect.com/science/article/pii/S235228951...

Re:Why do placebos work? Scientists identify key brain pathway by DenisM on Thursday October 28, 2021 @11:18AM (#29027114)