Placebo responses are highly variable across individuals. Explaining this variability is one of the keys to understanding endogenous regulatory processes, and is critical for measuring and controlling placebo effects in all kinds of studies. In this chapter, we review literature on the personality and brain correlates of individual differences in placebo analgesia. An emerging brain literature has used functional magnetic resonance imaging (fMRI), opioid binding, dopamine binding, and structural brain imaging to predict the magnitude of individual placebo responses. Brain predictors in prefrontal cortices and ventral striatum/nucleus accumbens are relatively consistent across studies and methodologies, showing promise for understanding the neural bases of placebo analgesia. However, most studies use voxel-wise correlation maps to relate brain measures and placebo analgesia, which do not provide unbiased measures of predictive accuracy. Thus, the utility of these brain measures remains to be determined by larger-scale studies using appropriate analytic methods. Finally, we address an apparent paradox in the placebo literature: placebo responses appear to be both related to stable person-level variables (e.g. brain structure, genetics, personality) and highly variable across situational contexts. We suggest that a resolution lies in recognizing that placebo responses, like many other psychologic phenomena, arise from person × situation interactions, and that both must be considered jointly in order to understand and predict who will be a placebo ‘responder’ in a given situation.
Human behavior and decision making is subject to social and motivational influences such as emotions, norms and self/other regarding preferences. The identification of the neural and psychological mechanisms underlying these factors is a central issue in psychology, behavioral economics and social neuroscience, with important clinical, social, and even political implications. However, despite a continuously growing interest from the scientific community, the processes underlying these factors, as well as their ontogenetic and phylogenetic development, have so far remained elusive. In this Research Topic we collect articles that provide challenging insights and stimulate a fruitful controversy on the question of “what determines social behavior”. Indeed, over the last decades, research has shown that introducing a social context to otherwise abstract tasks has diverse effects on social behavior. On the one hand, it may induce individuals to act irrationally, for instance to refuse money, but on the other hand it improves individuals’ reasoning, in that formerly difficult abstract problems can be easily solved. These lines of research led to distinct (although not necessarily mutually exclusive) models for socially-driven behavioral changes. For instance, a popular theoretical framework interprets human behavior as a result of a conflict between cognition and emotion, with the cognitive system promoting self-interested choices, and the emotional system (triggered by the social context) operating against them. Other theories favor social norms and deontic heuristics in biasing human reasoning and encouraging choices that are sometimes in conflict with one’s interest. Few studies attempted to disentangle between these (as well as other) models. As a consequence, although insightful results arise from specific domains/tasks, a comprehensive theoretical framework is still missing. Furthermore, studies employing neuroimaging techniques have begun to shed some light on the neural substrates involved in social behavior, implicating consistently (although not exclusively) portions of the limbic system, the insular and the prefrontal cortex. In this context, a challenge for present research lies not only in further mapping the brain structures implicated in social behavior, or in describing in detail the functional interaction between these structures, but in showing how the implicated networks relate to different theoretical models. This is Research Topic hosted by members of the Swiss National Center of Competence in Research “Affective Sciences – Emotions in Individual Behaviour and Social Processes”. We collected contributions from the international community which extended the current knowledge about the psychological and neural structures underlying social behavior and decision making. In particular, we encouraged submissions from investigators arising from different domains (psychology, behavioral economics, affective sciences, etc.) implementing different techniques (behavior, electrophysiology, neuroimaging, brain stimulations) on different populations (neurotypical adults, children, brain damaged or psychiatric patients, etc.). Animal studies are also included, as the data reported are of high comparative value. Finally, we also welcomed submissions of meta-analytical articles, mini-reviews and perspective papers which offer provocative and insightful interpretations of the recent literature in the field.
Placebo responses are highly variable across individuals. Explaining this variability is one of the keys to understanding endogenous regulatory processes, and is critical for measuring and controlling placebo effects in all kinds of studies. In this chapter, we review literature on the personality and brain correlates of individual differences in placebo analgesia. An emerging brain literature has used functional magnetic resonance imaging (fMRI), opioid binding, dopamine binding, and structural brain imaging to predict the magnitude of individual placebo responses. Brain predictors in prefrontal cortices and ventral striatum/nucleus accumbens are relatively consistent across studies and methodologies, showing promise for understanding the neural bases of placebo analgesia. However, most studies use voxel-wise correlation maps to relate brain measures and placebo analgesia, which do not provide unbiased measures of predictive accuracy. Thus, the utility of these brain measures remains to be determined by larger-scale studies using appropriate analytic methods. Finally, we address an apparent paradox in the placebo literature: placebo responses appear to be both related to stable person-level variables (e.g. brain structure, genetics, personality) and highly variable across situational contexts. We suggest that a resolution lies in recognizing that placebo responses, like many other psychologic phenomena, arise from person × situation interactions, and that both must be considered jointly in order to understand and predict who will be a placebo ‘responder’ in a given situation.
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