The placebo effect is the effect that follows the administration of an inert treatment (the placebo), be it pharmacological
or not. It is important to understand that a placebo procedure simulates a therapy through the surrounding psychosocial context.
Therefore, the study of the placebo effect is the study of the psychosocial context around the patient and its effects on
the patient’s brain. The real placebo response is a psychobiological phenomenon that can be due to different mechanisms, for
example expectation and conditioning. Thus, there is not a single placebo effect but many, so that we have to look for different
mechanisms in different conditions and in different systems and apparatuses. Today we are beginning to understand some of
the neurobiological mechanisms of the placebo response, and this knowledge may help better understand the topdown control
of the incoming sensory input, like pain, and the intricate interaction between mind and body.
Key words Placebo - Pain - Analgesia - Endogenous opioids - Cholecystokinin