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Biofeedback Games and The Placebo Effect

vrml writes In medicine, it is well-known that sugar pills sometimes produce the same effects as real drugs (Placebo Effect). But could that happen with computers too? The first scientific study of the Placebo Effect in computing, just published by the International Journal of Human-Computer Studies , gives an affirmative answer. The experiment considered affective computing, that is those fancy applications that claim to know user's emotions by detecting physiological parameters with sensors. Researchers took two well-known affective computing systems and used them to control in real-time the state of an avatar that looked more and more nervous as users' stress level increased, and more and more relaxed as it decreased. But they also considered a third system in which, unbeknown to users, the sensors were disconnected from the computer and the avatar state was controlled by a random stream of physiological data instead of the real user's data. Results show that participants believed that the sham application was able to display their stress level. Even worse, only one of the two (costly) affective computing systems produced better results than the placebo. This suggests that evaluations of such novel computer applications should include also a placebo condition, as it is routinely done in medicine but not yet in computer science.

57 comments

  1. Or maybe it works the other way arround by erice · · Score: 2

    The emotional state of the player is influenced by what he sees on the screen.

    1. Re:Or maybe it works the other way arround by Livius · · Score: 2

      It sounds like highly subjective inferences are unreliable and indistinguishable from background randomness.

      Which has nothing to do with the placebo effect.

    2. Re:Or maybe it works the other way arround by Mr0bvious · · Score: 3, Informative

      I think the reference to the placebo effect it the users belief that the system can understand their emotions and not about if, why or how the devices fail.

      The author also seems to suggest that the study/awareness of the placebo effect is only routinely used in medicine, but it's the one of the reasons why double blind tests are used and they are used in many industries besides medicine, including computer science.

      --
      Never happened. True story.
    3. Re:Or maybe it works the other way arround by TapeCutter · · Score: 1

      The thing is there are very good feedback therapies, I saw an application recently that was originally designed to help dancers perfect their moves. A neuroscientists working near the Sydney opera house who was interested in dance found it also helped stroke patients, undermining 35yrs of her own work in the field. But like any real scientists she had found a "better answer", so her opinion spun on a dime.

      The fact that scammers make similar claims for a $5 app doesn't distract from the real benefits "biofeedback" can have, it distracts from the app store selling it and the ignoramus buying it.

      --
      And did you exchange a walk on part in the war for a lead role in a cage? - Pink Floyd.
    4. Re:Or maybe it works the other way arround by globaljustin · · Score: 1

      I think it's this "other way around"...

      maybe affective computing is just wishful thinking...

      first, it's established fact that we have sensors that can detect changes in brain waves from outside the body, and further that by intentionally thinking a certain way, those signal alterations can be detected and connected to control systems

      that's scientific fact & is really interesting...been around for decades, but still, mind control and all that

      2nd, saying you're testing "the placebo effect" is a good way to confuse a scientific conversation..."the placebo effect" and using a placebo in a research study are mutually exclusive concepts. The whole point is to properly design the research by establishing experimental and control variables. A control group in an experiment might be given an inert pill (called a "placebo") as a dummy pill and results compared with the experimental pill's effects

      "the placebo effect" is when those in the control group, those given the inert pill which will not have a biochemical effect on them, exhibit signs as if they have taken the experimental group pill. consult wikipedia for famous examples.

      in common parlaince of popular science media, "the placebo effect" is used as a term to describe many kinds of research phenomena that is counter-intuitive and not readily explainable in the context of the research

      this research shows that ("really expensive") affective control is about as good as a random generator...

      ***THAT'S NOT A PLACEBO EFFECT......THAT'S EVIDENCE THAT AFFECT CONTROL IS BULLSHIT***

      bringing "the placebo effect" into the discussion only serves to obfuscate the data...which clearly shows that BCI controls may not be related to "emotions" in the way popular media and marketing and TED talks suggest

      look...

      this brain wave reading stuff is awesome...really...but just because your brain waves take a certain patter when you get "teh sadz" doesn't mean that bombarding your cranium with that wave will make you "teh sadz"

      google glass has a BCI interface that can snap a photo with a thought...****AWESOME****

      that's great...let's do more...but let's not pretend this explains "emotions" and let's not ever use "the placebo effect" in this manner as TFA does again :)

      --
      Thank you Dave Raggett
    5. Re:Or maybe it works the other way arround by Anonymous Coward · · Score: 0

      Can you link to the published evidence of a treatment helping brain injured (TBI/Stroke) people along with the independent replication?

    6. Re:Or maybe it works the other way arround by Anonymous Coward · · Score: 0

      Exactly what I thought.

      If the player gets the visual feedback that he's relaxing he might actually relax because everything seems to work.
      The other way around he might get a higher stress level, because the results don't match and he gets frustrated...

    7. Re:Or maybe it works the other way arround by geekoid · · Score: 1

      The placebo effect isn't just in medicine. Anytime someone has done something that they feel should act a certian way, there is a change of a placebo effect.
      The wikipedia article focuses solely on the medical aspect use aspect of it, but external things can also cause an placebo effect.

      For exanple: the more people pay for wine, the higher quality they think it is. It tasted better to them. Same mechanism

      also, it An placebo effect, not THE placebo effect. There are different type, different categories, and thing you can do to change the likely hood it happens. It seems to happen 35% of the time, but the more invasive the placebo action is, the more likely the uptake and the longer the duration.
          A placebo surgery is going to be more likely to trigger a placebo effect, and when it does it's likely to be around longer.

      This is why acupuncture does nothing but increase infection risk, yet people claim it works becasue the feel better...for a while.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    8. Re:Or maybe it works the other way arround by Anonymous Coward · · Score: 0

      I wasn't being snarky in the above post. I do this type of research and to my knowledge what I asked for does not exist. So if you know of any I'd appreciate if you shared.

  2. Turing test with placebo by Anonymous Coward · · Score: 0

    How about adding the placebo effect to the turing test. The "turing macine" should be able to re-act to idiots as well as live people.

  3. Therapeutic Use by Scottingham · · Score: 2

    I wonder if this effect could be used therapeutically. Have the biofeedback and all, but maybe provide a nudge/bias towards stress relief...

    But then, that's not much better than putting crystals over a client's (rube's) body to let the negatons out.

  4. Lie detector by Strange+Attractor · · Score: 1

    Isn't this the same con perpetrated by the lie detector industry?

    1. Re:Lie detector by Anonymous Coward · · Score: 1

      As a representative of the respectable lie detector industry, I must say that there is no con. I'm ready to take a polygraph test to prove it, or, if you prefer, we could use a Ouija board and ask the opinion of an unliving party.

    2. Re:Lie detector by Belial6 · · Score: 1

      Lie detectors are fine if you understand their limits, and what the results mean.

    3. Re: Lie detector by theCzechGuy · · Score: 1

      I.e. they don't actually detect lies.

    4. Re:Lie detector by stephanruby · · Score: 2

      Lie detectors are fine if you understand their limits, and what the results mean.

      I feel the same way about fortune tellers. Most fortunes told are fine if you understand their limits, and what their results mean.

      Thankfully, I'm smart enough to know all of that, because I've actually studied fortune telling just like you must have studied lie detectors and you could say I've become quite the authority on the subject of fortune telling and writing fortune cookies.

    5. Re:Lie detector by Anonymous Coward · · Score: 0

      No, you're thinking of Obamacare.

    6. Re:Lie detector by i+kan+reed · · Score: 1

      If you can draw a comic book character, you can invent complex biofeedback machines that read 4 streams of hard data to yield a subjective determination on a subjective statement run through any number of mental processes.

      I don't see why one wouldn't give you all the skills for the other.

    7. Re: Lie detector by Belial6 · · Score: 1

      Actually, that is accurate enough, although doesn't tell the whole story. Lie detectors are means of trying to detect a 'Tell' . The specifically try to find a 'Tell' by measuring bodily functions that the vast number of people have no voluntary control over. Placing 0% faith in lie detectors is even more foolish than placing 100% faith in them.

    8. Re:Lie detector by Belial6 · · Score: 1

      Lie detectors are means of trying to detect a 'Tell' . The specifically try to find a 'Tell' by measuring bodily functions that the vast number of people have no voluntary control over.

      You are either completely ignorant of how lie detectors work, or you are hoping that if you wish hard enough, you can make unpleasant realities go away.

  5. Magic 8-ball by Anonymous Coward · · Score: 0

    Could have saved themselves a lot of effort just by researching how people actually believe magic 8-balls.

  6. Re:could be used therapeutically by TaoPhoenix · · Score: 4, Insightful

    The Placebo Effect is just our poor bodies reaching some limits vs more and more clever scientific studies.

    As I understood it, it was self healing abilities only triggered by "someone gives a damn about me" that we don't easily access every day to fix other problems.

    So having computer programs just goes more towards the whole "look, it's now on a computer" we've seen in darker scenarios. I'll stay positive on this note.

    If you just stick 300 fortune cookies into a computer program, a few of them will strike home and then you get "therapeutic benefit". (I know, because I have a file of over a hundred of them, from asking my Chinese restaurant to give me a bunch each time. A few of them are really pretty good.)

    Studies keep trying to go super narrow to carefully limit "complexity" but I am beginning to think the "Scientific Method" is on the verge of missing "Emergent Results" when they risk small details but leave behind controlling micro-scenarios.

    Sideways from the Slashdot tradition, I didn't read the article because one look at the summary says it's too narrow, and it's become the Press's job to "expand them". Some journalists try hard, a few are hacks.

    Much more broadly, I have smashed together a few projects I know have helped me.

    --
    My first Journal Entry ever, in 8 years! http://slashdot.org/journal/365947/aphelion-scifi-fantasy-horror-poetry-webzine
  7. What if... by sd4f · · Score: 3, Interesting

    I wonder if this has any implications for internet crap that goes viral. Reason for it is, that so much stuff has gone silly, but I am never able to discern why, it always seems just stupid to me like gangnam style or the old spice commercial. It would be interesting to see if people were led to believe it was going viral, would it change their opinion, as opposed to just regular crap on the internet which goes nowhere. Is this a case of placebo effect as well, where people are told to like something because everyone else does, if you remove the everyone else and telling aspect, would the same content matter?

    1. Re:What if... by Anonymous Coward · · Score: 0

      I don't have a complete answer for you but I've seen plenty of offers to create viral advertising and suggestions that people make content specifically to "go viral"; people know how to seed things to make them more likely to be shared widely.

    2. Re:What if... by bluegutang · · Score: 1

      That's why TV shows have laugh tracks.

      Oh yeah, and slashdot comments are definitely funnier when they have been modded to +5 Funny.

    3. Re:What if... by Anonymous Coward · · Score: 0

      you get 3 more points and I might just crack a smile

    4. Re:What if... by Anonymous Coward · · Score: 0

      Memetic content went viral long before viral was even considered a word to refer to it.
      Fads happen, they come, they go.

      Being part of it often leads to success since it is involving with a large group of people, which would possibly have been seen as an attractive quality.

    5. Re:What if... by geekoid · · Score: 1

      I wold like t see a study about laugh tracks in todays society. I have stopped watching show becasue laugh tracks are so damn annoying, AS are live study laughing.
      If the joke hits, it hits, if not you are just waiting a second while the luagh track happens, taking away form the show.
      Watch a how with a laugh track with the volume turned off. Actors more to spot, lips move, everyone stops and stares at each other for a second, rinse repeat.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    6. Re:What if... by Anonymous Coward · · Score: 0

      fyi....I laughed at yours even though its not +5 Funny

  8. Not done in computer science? by Anonymous Coward · · Score: 1

    So all of those papers using computer science to process control vs non-control didn't have a control. Darn...

    1. Re:Not done in computer science? by Anonymous Coward · · Score: 0

      I don't think the existence of such apps makes the claims behind them "computer science" to begin with, in the same way the existence of an electronic barometer does not make meteorology become 'electronics science'.

  9. I'll stick with Chocolate Frosted Sugar Bombs by Anonymous Coward · · Score: 0

    or plain Sugar Frosted Sugar Bombs, when I need a change.

  10. Re: could be used therapeutically by Anonymous Coward · · Score: 0

    "You are getting smarter and smarter, day by day."

    "Fortune favors the bold."

    Tomorrow's winning lottery numbers are: 3 14 17 21 30 34

    Did one of those hit home? :)

  11. Obligatory Abstruse Goose by wonkey_monkey · · Score: 1

    Reminds me of this.

    --
    systemd is Roko's Basilisk.
  12. In another news ... by Anonymous Coward · · Score: 0

    The USPTO granted yet another patent yesterday with the magic enchantment "on a computer" to the lead researcher of the placebo experiment.

    In yet another news troll company number 1 was granted a patent for placebo on ....wait for it ...."mobile phone" today.

  13. All computers have an emotion detecting chip by Bruce66423 · · Score: 1

    The 'placebo' one is merely successful using the data collected by this feature. And we all know that it exists - every computer will go wrong just when you are most dependent on it working right...

  14. Re:could be used therapeutically by Anonymous Coward · · Score: 0

    The Placebo Effect is just our poor bodies reaching some limits vs more and more clever scientific studies.

    The Placebo Effect doesn't exist. google "powerless placebo".

  15. Article behind the paywall by WARM3CH · · Score: 1

    Pity that the article is behind a paywall. Anyone has a link to the full text (PDF)?

  16. Placebo effect by Anonymous Coward · · Score: 0

    I believe many brands do that already
    for exemple Apple:Give a random Display to someone and claim it is a "Retina Display"
    and make the person compare it with a display with a much higher DPI,
    the chances the person will say the "Retina" one is better are high

    The test was already done by a few talk shows in USA and France , give an iphone 4 before the release of a newer one, and claim "its the new iphone" some people said "it is much better than the 4"

    One Brand name can have a powerful placebo effect too.
    give a Device with no brand and the very same one with the brand on it, user's judgement will be very biased.

  17. Observations of Apple users anxiety by Anonymous Coward · · Score: 0

    My own observations of those who choose to use Apple products is they are high-strung and prone to anxiety attacks when their high-priced shit doesn't work.

    They also seem to be approximately 50x more likely to be homosexual.

    Can anyone explain to me why homosexuals, who only make up approximately 1% of the population, make up approximately 50% of the Apple luser base?

    Perhaps that is a natural result of Apple fucking them in their asses every time they bend over.

    However, I don't know if there is an actual causality involved in my hypothesis, to wit:

    Do Apple products appeal more to queers or does using Apple products make you more queer?

    There aren't enough female Apple lusers to test my hypothesis for statistical validity.

    I'm left to only hazard a guess that most females stay away from Apple products because they know they will never get any satisfaction from any queer Apple lusers.

    I would like to hear from both straight and lesbian female Apple lusers about this.

  18. Or how about the USEFUL information? by drinkypoo · · Score: 2

    I'd like two know which two systems aren't bullshit

    --
    "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
  19. Let's simplify this by Anonymous Coward · · Score: 0

    They left the "science" part out of "computer science" and now they're amazed that the results of something unscientifically done didn't hold up to scientific scrutiny?

    Fools, the lot of them.

  20. To Paraphrase by metamarmoset · · Score: 1
    Study finds: "Subject trying to learn how to relax, manages to relax, despite the relaxation aid being BS or even counterproductive."
    Conclusion: "Recommend that autonomy of subject is taken into account in future studies, where success during trial is in subject's interest."

    In good biofeedback studies, the subject should not be aware of the parameter they are attempting to control (e.g. I read a study in which the subject learned to raise and lower their body temperature at will, where as far as they were concerned, they were just trying to move a ball across a screen with their mind.)
    Biofeedback is an interesting field with a lot of good scientific support, but suffers from a bad reputation due to prevalence of pseudoscience.

    Disclaimer: I have worked on biofeedback research projects in the past.

    1. Re:To Paraphrase by geekoid · · Score: 1

      "Biofeedback is an interesting field with a lot of good scientific support"
      err.. no, not a lot. a few studies. None that I have read were very good.
      I'd be happy to read a good solid study if you have one you can share, or link to.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    2. Re:To Paraphrase by metamarmoset · · Score: 1
      A quick Google scholar search for biofeedback returns "about 139 000 results", for just papers; patents and citations unchecked.

      I recommend reading anything by John V. Basmajian. He wrote a good criticism of what he saw as common fallacies in EMG research in a chapter of "Mind/body integration : essential readings in biofeedback" (itself a mixed bag of good and poor articles.)

      Some links to articles of interest: Moser et. al. 1997, Rodriguez and Rosa 2012, Andrasik 2010

      Happy reading!

  21. Re:could be used therapeutically by Anonymous Coward · · Score: 0

    Let's not forget the morally questionable Facebook experiment as well. It toyed with peoples emotions in a noticeable way that it made them either wholly positive or negative in regards to replying or posting things.

    Imagine if a service made it a point to make you happy.
    Instead, we get awful interfaces, annoying decisions by people that legally shouldn't be allowed to breathe, operating systems designed for systems they aren't being used on, forcing interfaces on people that do not want them and using hilariously bad statistics to defend them (MS Ribbon!), and so much crap thrown at us it just leaves you feeling empty.

  22. Knew this decades ago by Sloppy · · Score: 1

    Users agree: adding a progress bar makes a thing faster.

    --
    As copyright owner of this comment, I authorize everyone to defeat any technological measure which limits access to it.
  23. Re:could be used therapeutically by Anonymous Coward · · Score: 0

    One swallow does not make a summer. The Placebo Effect has been documented in countless studies, and is the primary mechanism by which anti-depressants work. Read the Wikipedia page, which also mentions the meta-analysis you allude to. Also, tell me how you double-blind the "no treatment" case ...

  24. Demo mode by Arethereanyleft · · Score: 1

    I remember going into the office next to mine at a game development company and watching a couple of guys playing a boxing game. After a minute or so, I noticed that the movements on the screen seemed to have little to do with what the guys were doing with the controllers. I watched a little longer and asked if they were actually playing the game. They checked, and the game was in demo mode.

  25. close by geekoid · · Score: 1

    ", it is well-known that sugar pills sometimes produce the same effects as real drugs "more correct:
    , it is well-known that sugar pills sometimes make the patient feel like they are experiencing same effects as real drugs

    It's important because charlatan take advantage of the first statement. There are case where people give up real treatment in place for a magical one and swear they 'feel' better.
    Andy Kaufman is a great example.

    More accurate even:
    Deceiving one self based on an emotional buy in to something.
    We see similar things in none medical areas. For example, someone who buys a new car will ignore or excuse away defect. How long they do it goes up with the expense of the car relative to income,.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    1. Re:close by drinkypoo · · Score: 1

      ", it is well-known that sugar pills sometimes produce the same effects as real drugs "more correct:
      , it is well-known that sugar pills sometimes make the patient feel like they are experiencing same effects as real drugs

      How about simply s/effects/results/?

      You can take it as either an endorsement of positivity or an indictment against some drugs, which we hope are not actually approved.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
  26. Double blindness by hawkfish · · Score: 1

    There was some survey done in the UK a few years back where the researcher went around and asked a bunch of people in various disciplines how often they used double-blind experimental designs. The results were kind of depressing. Physics was the worst at about 0.5% or something. Medical stuff was around one third. Oddly enough, the highest rate was for... ESP researchers.

    So this sort of thing seems pretty widespread.

    --
    You will not drink with us, but you would taste our steel? - Walter Matthau, The Pirates
  27. Re:could be used therapeutically by geekoid · · Score: 1

    The placebo effect heals nothing. It makes people feel better, not actually make them better.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  28. snob good by globaljustin · · Score: 1

    For exanple: the more people pay for wine, the higher quality they think it is. It tasted better to them. Same mechanism

    thnx for the response but...i have to respectfully disagree here...not with you per se, but more with common parliance

    the situation you describe is *similar* to "the placebo effect" used in research, but it is not an example proper

    the situation you describe is an *economic* effect, which should not be confused...they call it the "snob effect" http://en.wikipedia.org/wiki/S... In college I learned it as "snob good"

    **yes** by this definition, most things people buy are in some way a "snob good"...ex: buying Charmin Ultra Soft instead of regular TP

    remember, just an example...just like your wine example, it's a purchase of a good, which is governed by different behavior rules than personal actions like taking a sugar pill

    "the placebo effect" that became part of common parliance is really, truly, only should describe the behavior we see in research when the control (placebo) group reports the same effect as the experimental thing

    the problem is human behavior is **COMPLEX** and we have not, in any way, fully described it scientifically

    so, lots of things people do could be called "the placebo effect" in some fashion, and you would have good reason to say so...b/c "the placebo effect" itself is poorly defined!

    i'm aiming at clearing up linguistic differences so we can talk about the real issue

    bottom line, every "placebo effect" we see has an explanation grounded in science that is testable

    --
    Thank you Dave Raggett
  29. Ask yourself... by Anonymous Coward · · Score: 0

    Ask yourself whether you are happy, and you cease to be so. - JS Mill

  30. Therapeutic Use by Anonymous Coward · · Score: 0

    "But then, that's not much better than putting crystals over a client's (rube's) body to let the negatons out."

    See, that is just silly. Look at the facts:

    1. Doing anything will have a placebo effect.
    2. THE PLACEBO EFFECTS WORKS, AND IMPROVES PEOPLES LIVES
    3. Therefore crystal therapy can be quite useful, and far cheaper than conventional therapy.

    Yes, when evaluating new medical procedures we should take into account the placebo effect. But since the placebo effect is one of the strongest "treatments" available, we should also work on maximizing the effect as well.

    Why aren't we doing that? Why the hate on placebo treatments?

  31. Research, not Medicine by Anonymous Coward · · Score: 0

    Double Blind studies are done to isolate placebo effect.
    In medical research with patients who have consented to said research.
    Which is very different from, "routinely done in medicine."