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The lack of an identified mechanism of action for the placebo response contributes to its perception as clinically unimportant in Western medicine and minimizes its value as a contributing factor to the effectiveness of both conventional and alternative medical treatments. The therapeutic ritual is one of the principle contributors to the placebo response. Two key elements predicting salutogenic outcomes in both the placebo response and therapeutic ritual are patient meaning making and the patient/healer relationship. A detailed examination of human biofield dynamics shows its role in storing, communicating, and regulating the flow of information associated with healing in Western and non-Western medical models. The human biofield is particularly responsive to psychospiritual inputs, which may provide a model explaining the mechanism of action for these otherwise anomalous healing responses. Transpersonal studies provide methodological tools suitable to addressing the multiple paradigms found to be effective within the placebo response and therapeutic rituals, leading to the possible development of a transpersonal medicine. [ABSTRACT FROM AUTHOR]

The article offers information on the field of transpersonal psychology. It is said that human needs left unaddressed by previous psychoanalytic and behavioral models gave rise to humanistic psychology. People have relied on complementary and alternative medicine (CAM) for wellness needs left unaddressed by conventional medical care.

Abstract: Introduction: Physician-delivered tobacco treatment using the 5As is clinically recommended, yet its use has been limited. Lack of adequate training and confidence to provide tobacco treatment is cited as leading reasons for limited 5A use. Tobacco dependence treatment training while in medical school is recommended, but is minimally provided. The MSQuit trial (Medical Students helping patients Quit tobacco) aims to determine if a multi-modal and theoretically-guided tobacco educational intervention will improve tobacco dependence treatment skills (i.e. 5As) among medical students. Methods/design: 10 U.S. medical schools were pair-matched and randomized in a group-randomized controlled trial to evaluate whether a multi-modal educational (MME) intervention compared to traditional education (TE) will improve observed tobacco treatment skills. MME is primarily composed of TE approaches (i.e. didactics) plus a 1st year web-based course and preceptor-facilitated training during a 3rd year clerkship rotation. The primary outcome measure is an objective score on an Objective Structured Clinical Examination (OSCE) tobacco-counseling smoking case among 3rd year medical students from schools who implemented the MME or TE. Discussion: MSQuit is the first randomized to evaluate whether a tobacco treatment educational intervention implemented during medical school will improve medical students' tobacco treatment skills. We hypothesize that the MME intervention will better prepare students in tobacco dependence treatment as measured by the OSCE. If a comprehensive tobacco treatment educational learning approach is effective, while also feasible and acceptable to implement, then medical schools may substantially influence skill development and use of the 5As among future physicians. [Copyright &y& Elsevier]