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Dan ArielyA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Chapter 10 looks at “how previously held impressions can cloud our point of view” (201). Alongside colleagues, Ariely designed an experiment to see whether individuals’ expectations for a certain kind of beer would influence their taste perception. The experiment included two kinds of beer: One was an unaltered beer (either Budweiser or Sam Adams), and the other included drops of balsamic (known as MIT brew).
There were two phases of the experiment. In the first phase, the researchers offered the bar patrons free samples of two beers. The students then selected the beer they wanted as a full glass. In the second phase, they provided the students with more details about the beers, including that the second contained balsamic vinegar. Ariely found that without foreknowledge about the vinegar, most students chose the second, vinegar-tinged beer for their full glass. However, when they knew about this ingredient, participants chose the unaltered beer. Ariely tried a similar experiment with coffee and had the same results.
These results suggest that “when we believe beforehand that something will be good, therefore, it generally will be good—and when we think it will be bad, it will be bad” (204-05). Ariely wanted to see whether previous expectations altered neural activity underlying taste. He and his colleagues altered the beer experiment, telling participants about the presence of vinegar after they tasted the beers. The results indicated that students liked the beer more when they were told about the addition of vinegar after they drank it than when they were told beforehand. The findings demonstrate that expectations influence our decision-making processes.
This chapter explores the placebo effect, including the role that price plays in this phenomenon. There are different applications for the placebo effect, but in Ariely’s study, the phenomenon is when a person’s brain tricks their body into believing that a fake health treatment (called the placebo) is efficacious.
Ariely investigates whether the price of a placebo treatment affects the subject’s response to it. Specifically, he examines whether patients find cheaper painkillers less effective than more expensive ones. For the first experiment, Ariely and colleagues subjected participants to a series of electric shocks, which they would rate along a spectrum of “‘no pain at all’ to ‘the worst pain imaginable’” (234). Prior to these electric shocks, participants read a brochure about Veladone, which cost $2.50 and reduced pain. After the electric shocks, patients received a Veladone capsule and repeated the shock about 15 minutes later. Despite Veladone being a capsule of vitamin C, most participants reported less pain for the second experiment. This result suggests that the Veladone capsule had a placebo effect.
Ariely and colleagues repeated the study but changed the price of the Veladone capsule in the brochures to 10 cents. In this experiment, only half of participants reported a drop in pain levels. Moreover, some participants had experience with recent pain and depended more on pain medications, and these participants received even less benefit from the capsule when it was 10 cents versus $2.50. The findings suggest that “price can change the experience” (236). Humans irrationally believe that they benefit less from a discounted item.
The placebo effect “represents the amazing way our mind controls our body” (241). Little is known about how the brain achieves these outcomes, but it might include reducing stress levels, changing the immune system or hormonal secretions, and so on. Placebos are ubiquitous, appearing in medicine, soft drinks, cars, drugstore cosmetics, and so on. For example, physicians commonly provide placebos. They will give patients antibiotics even when the patients have a viral infection, because the doctors know the patient wants immediate relief.
These two chapters focus on expectations. Chapter 10 examines how expectations change the way people appreciate and perceive experiences. Ariely explores how expectations influence all aspects of life. While he provides examples about how expectations impact a person’s view of drinks and food, he also focuses on less trivial items, like stereotypes. Stereotypes are not inherently bad. The brain creates stereotypes, or short-cuts, to help make sense of a complicated environment. Stereotypes become problematic when they “unfavorably influence both our perceptions and our behavior” (212). One particularly vivid example was when women and Asian-Americans were primed to think about their gender and race and then take a math exam. The women, who were reminded of their gender, did worse than Asian-Americans. The stereotype that women are bad at math impacted the results. These findings demonstrate that stereotypes influence behaviors. Moreover, this influence has real-world consequences: Such stereotypes are why fewer women go into STEM fields, which are higher paying than non-STEM fields. Not only do STEM fields have less gender diversity because of this stereotype, but the stereotype impacts women’s long-term economic outcomes.
Chapter 11 expands on the findings from Chapter 10 to look at how expectations affect sense perception and subjective and objective experiences. As one example, Ariely and colleagues conducted an experiment where they offered students the same energy drink at two different prices. Students who drank the pricier beverage self-reported less fatigue than those who drank the discounted beverage. To test the phenomenon’s persistence, Ariely and colleagues asked the same students to complete a series of anagrams, which are words or phrases spelled by rearranging other words or phrases. The students who drank the full-priced energy drink outperformed those who had the discounted drinks. This experiment highlights human irrationality: The energy drink is the same, yet its price influences how people perceive its benefits. However, through other experiments, Ariely found that when individuals stop to reflect about the relationship between quality and price of an item, they are less likely to assume the discounted item has fewer benefits. The key is taking the time to slow down and think before making a decision.
At the end of Chapter 11, Ariely encourages readers to ponder placebos’ morality. Placebos are ethically tricky, and, in medical research, using a placebo can mean that the experiment is sacrificing the wellbeing and perhaps life of participants in order to discover a treatment’s efficacy. However, research also makes trade-offs by not carrying out placebo experiments to determine efficacy.
Ariely shares his own personal story to underscore this point. During the first few months he was in the hospital, he tried to wear a Jobst suit, which is a compression suit meant to help burn victims’ skin heal. He recalls that “he suffered with this treatment for months—itching, aching, struggling to wear it, and tearing my new delicate skin while trying to put it on (and when this new thin skin tears, it takes a long while to heal)” (245). He eventually learned that the suit did not have any real benefits for him. While it might have been morally questionable to have burn victims test the efficacy of these suits relative to other methods and a placebo suit, it might have also saved him and other victims from suffering. To him, “my wasted suffering, and the suffering of other patients like me, is the real cost of not doing such [placebo] experiments” (246).