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Language can harm, be mindful of what you say to patients. The Nocebo effect means that something can cause a change in symptoms (e.g. more pain and reduced function) merely by the expectation that a harmless stimulus will cause damage. Thinking you have a ‘slipped disc’ when experiencing back ache is one example. For some patients, the mere suggestion of side effects is enough to bring on negative symptoms. Louis Gifford argued that our attention is often given to what’s bad, what’s wrong, and
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