Placebo treatment can alter primary visual cortex activity and connectivity

• A placebo pill was presented with the suggestion that it reduces disgust symptoms.
• Disgust-inducing pictures were presented with and without the pill.
• The ‘disgust placebo’ reduced primary visual cortex activity and connectivity.

Placebo treatment can alter brain activation in regions implicated in affective processing and cognitive control of emotions. This functional magnetic resonance imaging (fMRI) study investigated whether a placebo can additionally modulate visual cortex activity and connectivity during affective picture perception. The participants underwent a retest design where they were presented with disgusting, fear-eliciting and neutral pictures both with, and without a placebo (inert pill presented with the suggestion that it can reduce disgust symptoms). The placebo provoked a strong decrease in experienced disgust. This was accompanied by a reduced activation of the primary visual cortex, which showed reduced interaction with the amygdala and the insula. Accordingly, placebos are able to affect basic perceptive processes.