Understanding and harnessing psychological and social forces to improve healthcare

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Abstract/Contents

Abstract
Relative to the attention paid to biological forces, little attention has been spent trying to understand how psychological and social forces can be harnessed as tools for healing inside the doctor's office. By helping care teams realize that they can use biological, psychological, and social interventions to help their patients, we can expand providers' healing arsenal. In this dissertation, I design, implement, and assess four studies to help us better understand and leverage psychological and social forces in healthcare. Together, these studies demonstrate how psychological and social forces matter with placebo treatment (chapter 2), without treatment (chapter 3), with active treatment (chapter 3), and how they can be leveraged at scale (chapter 4). Findings from these studies demonstrate that: 1) patient beliefs are a previously-overlooked variable influencing the effects of open-label placebo treatments; 2) provider assurance alone can have a healing effect, even without the presence of medication or treatment; 3) instilling the mindset that minor, non-life threatening side effects are a sign that treatment is working can improve treatment experience and outcomes in children undergoing oral immunotherapy for life-threatening food allergies, and; 4) care teams are receptive to a training designed to help them harness psychological and social forces in clinical practice. Together, these studies use a variety of methods and research settings to demonstrate that psychological and social forces in the healthcare encounter can be systematically unpacked, manipulated, and studied, and then deliberately leveraged to improve healthcare. The overall goal of this research is to bring us closer to realizing the promise of the biopsychosocial model of health by underscoring the impact of psychological and social forces on patient health outcomes and implementing novel techniques for using these forces in practice.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2021; ©2021
Publication date 2021; 2021
Issuance monographic
Language English

Creators/Contributors

Author Leibowitz, Kari Alyse
Degree supervisor Crum, Alia
Thesis advisor Crum, Alia
Thesis advisor Dweck, Carol S, 1946-
Thesis advisor Zaki, Jamil, 1980-
Degree committee member Dweck, Carol S, 1946-
Degree committee member Zaki, Jamil, 1980-
Associated with Stanford University, Department of Psychology

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Kari Alyse Leibowitz.
Note Submitted to the Department of Psychology.
Thesis Thesis Ph.D. Stanford University 2021.
Location https://purl.stanford.edu/qx019vr3714

Access conditions

Copyright
© 2021 by Kari Alyse Leibowitz
License
This work is licensed under a Creative Commons Attribution 3.0 Unported license (CC BY).

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