Nowadays, online psychological therapy has become increasingly popular, giving people the possibility of accessing therapeutic services from the comfort of their homes. However, the question arises about the extent of the placebo effect in this type of therapy. The placebo effect has been widely studied in medicine, but its presence and scope in online psychological therapy raise a series of interesting questions in the field of psychology.

The placebo effect in psychological therapy

To understand the scope of the placebo effect in online psychological therapy, it is crucial to be clear about what this phenomenon represents in the field of psychology. The placebo effect is defined as the improvement experienced by a patient after receiving a treatment that, in reality, lacks active or specific ingredients to address their condition. In other words, it is the positive result that is obtained due to the individual's belief in the effectiveness of the treatment, rather than due to its actual components.

Factors that influence the placebo effect

The placebo effect can be influenced by a variety of factors, both in the face-to-face context and in online psychological therapy. Among the main elements that can enhance the placebo effect include:

  • Patient expectations: The trust and expectations that the patient places in the treatment can play a fundamental role. in the manifestation of the placebo effect. If the individual firmly believes that the therapy will be effective, he or she is more likely to experience improvements, even if the actual treatment does not have a solid scientific basis.
  • Therapeutic relationship: The link between the therapist and the patient is a determining factor in the success of any psychological intervention. A relationship of trust and empathy can strengthen the placebo effect, since the patient feels supported and understood during the therapeutic process.
  • Context and ritual of the therapy: The environment in the time in which the therapy is carried out, as well as the associated rituals (such as regular sessions, the arrangement of the virtual space, among others), can contribute to the activation of the placebo effect. The feeling of receiving professional help can generate positive responses in the patient.

Application of the placebo effect in online psychological therapy

In the context of online psychological therapy , the placebo effect can manifest itself in different ways, given the particularities of this intervention modality. Below, some relevant aspects that influence the scope of the placebo effect in online therapy are analyzed:

Asynchronous interaction

One of the most significant differences between face-to-face psychological therapy and online therapy is the asynchronous nature of communication. In virtual environments, the interaction between therapist and patient may present certain limitations in terms of temporal synchronization, which may affect the construction of the therapeutic relationship and, therefore, the potential activation of the placebo effect.

Elements visual and auditory

Online psychological therapy usually makes use of visual and auditory tools to facilitate communication and the therapeutic process. These elements can influence the patient's perception of the effectiveness of the therapy, generating a favorable context for the manifestation of the placebo effect. For example, the quality of the virtual platform, the presence of educational videos, or the therapist's tone of voice can impact the patient's response.

Patient autonomy and comfort

The ability to access therapy from anywhere and at flexible times can increase the patient's sense of autonomy and comfort. This perception of control over the therapeutic process can strengthen their confidence in the effectiveness of the intervention, thus enhancing the placebo effect.

Ethical and practical considerations

Despite the possible benefits of placebo effect in online psychological therapy, it is essential to address some ethical and practical considerations related to its use:

Transparency and honesty

Therapists must be transparent with their patients regarding the nature of the treatments offered and the possible effects they may have. Withholding information or making excessive promises in order to enhance the placebo effect not only violates professional ethics, but can also undermine the patient's confidence in the therapeutic process.

Rigorous evaluation of effectiveness

It is essential that therapists carry out a rigorous evaluation of the effectiveness of online psychological therapy, clearly separating real effects from placebo effects. The implementation of objective evaluation measures, as well as continuous monitoring of the patient's progress, are essential practices to guarantee the quality of the intervention.

Training and training

Healthcare professionals psychologists who offer online therapy must have adequate training and training to discern between legitimate therapeutic effects and placebo effects. Constant updating on the latest research in clinical psychology and the development of specific skills to work in virtual environments are key aspects to provide an ethical and effective therapeutic service.

Conclusions

In short , the placebo effect can play a significant role in online psychological therapy, influencing patients' perception of the effectiveness of the treatments received. Although the placebo effect does not replace scientific evidence nor can it be considered the basis of a solid therapeutic intervention, its presence in online therapy raises the need to address this phenomenon from an ethical and professional perspective.

Therapists must be alert to the influence of the placebo effect in their interventions, always promoting transparency, rigorous evaluation and continuous training as fundamental pillars of their clinical practice. By doing so, we contribute to ensuring the quality and effectiveness of online psychological therapy, offering patients respectful therapeutic support, based on evidence and focused on their individual needs.