Ted Kaptchuk

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Ted Kaptchuk in an NCCIH interview about the use of placebos in research Ted Kaptchuk in NCCIH interview.png
Ted Kaptchuk in an NCCIH interview about the use of placebos in research

Ted Jack Kaptchuk (born August 17, 1947) is an American medical researcher who holds professorships in medicine and in global health and social medicine at Harvard Medical School. He researches the placebo effect within the field of placebo studies.

Contents

Early life and education

Kaptchuk was born in Brooklyn, New York; [1] his parents were both Polish Holocaust survivors. [2] He holds a B.A. in East Asian Studies from Columbia University, where he co-founded the university's chapter of Students for a Democratic Society, [2] and a degree in Traditional Chinese medicine from the Macao Institute of Chinese Medicine. [3]

Career

Kaptchuk had an herbal and acupuncture clinic in Boston for many years starting in 1976. [2] In the 1980s he was clinical director of the Pain Unit at Lemuel Shattuck Hospital. [3] In 1990, he became associate director of the Center for Alternative Medicine Research and Education at Beth Israel Deaconess Medical Center, also in Boston. [2] In 2011, he became Director of the Harvard Program in Placebo Studies and the Therapeutic Encounter at Beth Israel Deaconess. [2] [4] Although he does not have a medical degree, [2] he has been a faculty member at Harvard Medical School since 1998, a professor of medicine since 2013, and professor of global health and social medicine since 2015. [3]

Working with Kathryn T. Hall and others Kaptchuk has led many studies of the placebo effect, including the role of genetic markers that identify people who people who respond best to placebos. [5] Some of this work suggests that placebos may still work despite disclosure that they are placebos. [6] [7]

Kaptchuk has served on panels for the NIH and FDA, and worked as a medical writer for the BBC. [8] He has written more than 300 peer-reviewed publications (h-index=100, i-index=275). [9]

Kaptchuk has been awarded three Lifetime Achievement Awards including Society of Acupuncture in 2015, Society of Interdisciplinary Placebo Studies in 2021, and the William Silen Lifetime Achievement Award in Mentoring from Harvard Medical School in 2022. [10] [11]

On October 10, 2023, an article, entitled "No Better Than Placebo", in The New York Times by Kaptchuk noted that some current medicines on store shelves were found to be "ineffective" (notwithstanding the "1962 Drug Efficacy Admendment" of the "Federal Food, Drug, and Cosmetic Act") based on studies and acted, if at all, as placebos. [12]

Personal life

Kaptchuk is an observant Jew. [2]

Books

Related Research Articles

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Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientific knowledge, and it has been characterized as quackery.

Alternative medicine is any practice that aims to achieve the healing effects of medicine despite lacking biological plausibility, testability, repeatability or evidence of effectiveness. Unlike modern medicine, which employs the scientific method to test plausible therapies by way of responsible and ethical clinical trials, producing repeatable evidence of either effect or of no effect, alternative therapies reside outside of medical science and do not originate from using the scientific method, but instead rely on testimonials, anecdotes, religion, tradition, superstition, belief in supernatural "energies", pseudoscience, errors in reasoning, propaganda, fraud, or other unscientific sources. Frequently used terms for relevant practices are New Age medicine, pseudo-medicine, unorthodox medicine, holistic medicine, fringe medicine, and unconventional medicine, with little distinction from quackery.

<span class="mw-page-title-main">Placebo</span> Substance or treatment of no therapeutic value

A placebo can be roughly defined as a sham medical treatment. Common placebos include inert tablets, inert injections, sham surgery, and other procedures.

<span class="mw-page-title-main">Quackery</span> Promotion of fraudulent or ignorant medical practices

Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman". The term quack is a clipped form of the archaic term quacksalver, from Dutch: kwakzalver a "hawker of salve". In the Middle Ages the term quack meant "shouting". The quacksalvers sold their wares at markets by shouting to gain attention.

<span class="mw-page-title-main">Deepak Chopra</span> Indian-American alternative medicine advocate

Deepak Chopra is an Indian-American author and alternative medicine advocate. A prominent figure in the New Age movement, his books and videos have made him one of the best-known and wealthiest figures in alternative medicine. His discussions of quantum healing have been characterised as technobabble – "incoherent babbling strewn with scientific terms" which drives those who actually understand physics "crazy" and as "redefining Wrong".

The National Center for Complementary and Integrative Health (NCCIH) is a United States government agency which explores complementary and alternative medicine (CAM). It was initially created in 1991 as the Office of Alternative Medicine (OAM), and renamed the National Center for Complementary and Alternative Medicine (NCCAM) before receiving its current name in 2014. NCCIH is one of the 27 institutes and centers that make up the National Institutes of Health (NIH) within the United States Department of Health and Human Services.

<span class="mw-page-title-main">Beth Israel Deaconess Medical Center</span> Hospital in Boston, Massachusetts, US

Beth Israel Deaconess Medical Center (BIDMC) in Boston, Massachusetts is a teaching hospital of Harvard Medical School. It was formed out of the 1996 merger of Beth Israel Hospital and New England Deaconess Hospital. Among independent teaching hospitals, Beth Israel Deaconess Medical Center consistently ranks in the top three recipients of biomedical research funding from the National Institutes of Health. Research funding totals nearly $200 million annually. BIDMC researchers run more than 850 active sponsored projects and 200 clinical trials. The Harvard-Thorndike General Clinical Research Center, the oldest clinical research laboratory in the United States, has been located on this site since 1973.

<span class="mw-page-title-main">Henry K. Beecher</span> American medical academic

Henry Knowles Beecher was a pioneering American anesthesiologist, medical ethicist, and investigator of the placebo effect at Harvard Medical School.

<span class="mw-page-title-main">Massachusetts College of Pharmacy and Health Sciences</span> Private university in the United States

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Energy medicine is a branch of alternative medicine based on a pseudo-scientific belief that healers can channel "healing energy" into a patient and effect positive results. The field is defined by shared beliefs and practices relating to mysticism and esotericism in the wider alternative medicine sphere rather than any sort of unified terminology, leading to terms such as energy healing or vibrational medicine being used as synonymous or alternative names. In most cases there is no empirically measurable energy involved: the term refers instead to so-called subtle energy. Practitioners may classify the practice as hands-on, hands-off, and distant where the patient and healer are in different locations. Many schools of energy healing exist using many names: for example, biofield energy healing, spiritual healing, contact healing, distant healing, therapeutic touch, Reiki or Qigong.

Herbert Benson was an American medical doctor, cardiologist, and founder of the Mind/Body Medical Institute at Massachusetts General Hospital (MGH) in Boston. He was a professor of mind/body medicine at Harvard Medical School and director emeritus of the Benson-Henry Institute (BHI) at MGH. He was a founding trustee of The American Institute of Stress. He contributed more than 190 scientific publications and 12 books. More than five million copies of his books have been printed in different languages.

The word placebo was used in a medicinal context in the late 18th century to describe a "commonplace method or medicine" and in 1811 it was defined as "any medicine adapted more to please than to benefit the patient". Although this definition contained a derogatory implication, it did not necessarily imply that the remedy had no effect.

<span class="mw-page-title-main">Irving Kirsch</span>

Irving Kirsch is an American psychologist and academic. He is the Associate Director of the Program in Placebo Studies and a lecturer in medicine at the Harvard Medical School and Beth Israel Deaconess Medical Center. He is also professor emeritus of psychology at the Universities of Hull and Plymouth in the United Kingdom, and the University of Connecticut in the United States. Kirsch is a leading researcher within the field of placebo studies who is noted for his work on placebo effects, antidepressants, expectancy, and hypnosis. He is the originator of response expectancy theory, and his analyses of clinical trials of antidepressants have influenced official treatment guidelines in the United Kingdom. He is the author of the 2009 book The Emperor's New Drugs, which argued most antidepressant medication is effective primarily due to placebo effects.

George Lewith was a professor at the University of Southampton researching alternative medicine and a practitioner of complementary medicine. He was a prominent and sometimes controversial advocate of complementary medicine in the UK.

<span class="mw-page-title-main">German acupuncture trials</span>

The German acupuncture trials were a series of nationwide acupuncture trials set up in 2001 and published in 2006 on behalf of several German statutory health insurance companies because of a dispute as to the usefulness of acupuncture. They consisted of one observational study on acupuncture side effects, and four randomized controlled trials (RCTs) investigating acupuncture treatment for low back pain, knee osteoarthritis, migraine prophylaxis, and tension-type headache. The trials are considered to be one of the largest clinical studies in the field of acupuncture.

Franklin G. Miller is an American bioethicist and senior faculty member at the National Institutes of Health (NIH).

Asbjørn Hróbjartsson is a Danish medical researcher. He is Professor of Evidence-Based Medicine and Clinical Research Methodology at the University of Southern Denmark, as well as head of research at Odense University Hospital's Center for Evidence-Based Medicine. He is the former editor-in-chief of the Danish journal Bibliotek for Læger. He is also affiliated with the Nordic Cochrane Centre in Copenhagen. He received his Ph.D. in June 2001 from the University of Copenhagen, with a thesis entitled Are placebo interventions associated with clinically important effects? He is best-known for a 2001 article he co-authored with Peter C. Gotzsche on the placebo effect. The article reviewed 114 studies comparing placebo treatment to no treatment, and concluded that placebos did not have clinically important effects for any condition, with the exception of self-reported pain and other continuous subjective outcomes. He has also co-authored a subsequent paper on placebo effect research with Ted Kaptchuk and Franklin G. Miller.

Vitaly Napadow is a Ukrainian-born American neuroscientist and acupuncturist. He is a full professor of Physical Medicine & Rehabilitation and Radiology at Harvard Medical School. He is also the Director of the Scott Schoen and Nancy Adams Discovery Center for Recovery from Chronic Pain at Spaulding Rehabilitation Hospital and Director of the Center for Integrative Pain NeuroImaging at the Martinos Center for Biomedical Imaging at Massachusetts General Hospital. He is a former president of the Society for Acupuncture Research. He has been a pain neuroimaging researcher for more than 20 years. Somatosensory, cognitive, and affective factors all influence the malleable experience of chronic pain, and Dr. Napadow’s Lab has applied human functional and structural neuroimaging to localize and suggest mechanisms by which different brain circuitries modulate pain perception. Dr. Napadow’s neuroimaging research also aims to better understand how non-pharmacological therapies, from acupuncture and transcutaneous neuromodulation to cognitive behavioral therapy and mindfulness meditation training, ameliorate aversive perceptual states such as pain. In fact, his early career was known for researching acupuncture and its effects on the brain. He has also researched the brain circuitry underlying nausea and itch. He is also known for developing a novel approach in applying measures of resting state brain connectivity as potential biomarkers for spontaneous clinical pain in chronic pain disorders such as fibromyalgia.

Charlotte Blease is a Northern Irish philosopher of medicine from Belfast, Northern Ireland. She is a healthcare researcher at General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston USA. Formerly she was a Fulbright Scholar to the Program in Placebo Studies at Harvard Medical School. She is a former Irish Research Council fellow and a Queen's University, Belfast lecturer.

Kathryn T. Hall is a leader in public health, professor of medicine and molecular biologist who directs research or teaches at several institutions, including the following:

References

Selected publications

  1. All the world's a stage: including the doctor's office: National Public Radio's Hidden Brain.
  2. Placebo: Can the mind cure you? https://gimletmedia.com/shows/science-vs/5whgzd/placebo-can-the-mind-cure-you