Evidence-based medicine, efficacia terapeutica ed efficacia simbolica. Cara ASL TI SCRIVO – analisi di corpus di lettere inviate all’Ufficio Relazioni con il Pubblico della ASLTO4 Piemonte
Abstract
The article focused on the semiotic analysis of a corpus of complaint letters sent by patients to the Public Relations Office of a Hospital ASLTO4 Piemonte. The analysis of the letters provided information and data on the relationship between the perception of therapeutic efficacy and the positive relationship between doctor and patient. The semiotic analysis of the letters confirms recent outcomes of neurophysiology research, which show that the patient’s medical relationship influences the effects of placebo and nocebo and affects the perception of therapeutic and pharmacological efficacy.