DESCRIPTION
In addition to the biological effects of the clinical chiropractic care, other factors create a context for healing to occur. We will review the current evidence for these, including placebo effects, nocebo effects, natural history, intention, empathy, and healing ritual. The use of factors to construct contextual healing scenarios that maximize positive (placebo) and minimize negative (nocebo) effects is a skillful clinical art within the multimodal approach that describes modern chiropractic care and should be presented and defended as a legitimate component of orthodox healthcare. Clinical improvement during chiropractic care, beyond any biologically specific treatment effects.