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  • Title: Is there a place for placebo in management of psychogenic movement disorders?
    Author: Lim EC, Ong BK, Seet RC.
    Journal: Ann Acad Med Singap; 2007 Mar; 36(3):208-10. PubMed ID: 17450268.
    Abstract:
    INTRODUCTION: The management of psychogenic movement disorders is fraught with difficulties. Empathy and a non-judgmental manner are essential in dealing with patients, and a neurobiological explanation of the symptoms may help to foster trust, acceptance, understanding and recovery. CLINICAL PICTURE: We report a 17-year-old Chinese girl with psychogenic blepharospasm. Her parents refused psychotherapy and pharmacotherapy. TREATMENT AND OUTCOME: Placebo therapy (with parental consent) was prescribed with favourable results. CONCLUSION: We examine the ethical considerations for and against placebo therapy, and explore the role of placebo therapy in the management of psychogenic movement disorders.
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