Symbolic Manufacturing in Biomedicine: Unlocking Placebo Boosters and Markers
Downloads
This paper presents a biosemiotic framework for understanding human performance as an integrated mind-body system, where optimal functioning emerges from the dynamic synchronization of material (physical), energetic (physiological), symbolic (cognitive), and reflective (self-monitoring) sign systems. Drawing on interdisciplinary evidence, we demonstrate how this perspective bridges the artificial divide between biological mechanisms and cognitive experience, revealing that peak performance occurs when these systems achieve semiotic coherence. Key findings highlight the efficacy of interventions combining mental imagery with physical practice, the physiological mechanisms underlying mind-body practices like yoga and tai chi, and the importance of semiotic alignment in ergonomic design. The paper outlines critical directions for future research, including the development of biomarkers for biosemiotic alignment, controlled trials of integrated training protocols, longitudinal studies of epigenetic adaptations, and technological innovations in biofeedback and movement analysis. These investigations will require novel interdisciplinary collaborations to advance both theoretical models and practical applications in sports science, rehabilitation, and occupational performance. By framing human performance as an embodied meaning-making process rather than isolated systems, the biosemiotic approach offers transformative potential for enhancing health, resilience, and achievement across multiple domains.
Downloads
Ashar, Y. K., Chang, L. J., & Wager, T. D. (2017). Brain Mechanisms of the Placebo Effect: An Affective Appraisal Account. Annual review of clinical psychology, 13(1), 73-98. https://doi.org/10.1146/annurev-clinpsy-021815-093015
Benedetti, F. (2013). Placebo and the new physiology of the doctor-patient relationship. Physiological reviews, 93(3), 1207-1246. https://doi.org/10.1152/physrev.00043.2012
Colloca, L., & Miller, F. G. (2011). The Nocebo Effect and Its Relevance for Clinical Practice. Psychosomatic medicine, 73(7), 598-603. https://doi.org/10.1097/PSY.0b013e3182294a50
Friston, K. J., Daunizeau, J., Kilner, J., & Kiebel, S. J. (2010). Action and behavior: a free-energy formulation. Biological cybernetics, 102(3), 227-260. https://doi.org/10.1007/s00422-010-0364-z
Goli, F. (2016). Medical Practice in/with the Semiosphere. In Biosemiotic Medicine: Healing in the World of Meaning (pp. 217-239). Springer. https://doi.org/10.1007/978-3-319-35092-9_9
Goli, F. (2022). Body, meaning, and time: Healing response as a transtemporal and multimodal meaning-making process. In Epigenetics and Anticipation (pp. 79-97). Springer. https://doi.org/10.1007/978-3-031-17678-4_6
Goli, F. (2024). Biosemiotic medicines: Symbolic formulations for placebo enhancements. Journal of Education and Health Promotion, 13(1), 156. https://doi.org/10.4103/jehp.jehp_1888_23
Goli, F., & Farzanegan, M. (2016). The ritual effect: the healing response to forms and performances. In Biosemiotic medicine: Healing in the world of meaning (pp. 117-132). Springer. https://doi.org/10.1007/978-3-319-35092-9_5
Goli, F., Monajemi, A., Ahmadzadeh, G. H., & Malekian, A. (2016). How to Prescribe Information: Health Education Without Health Anxiety and Nocebo Effects. In Biosemiotic Medicine: Healing in the World of Meaning (pp. 151-193). Springer. https://doi.org/10.1007/978-3-319-35092-9_7
Miller, F. G., & Brody, H. (2011). Understanding and harnessing placebo effects: Clearing away the underbrush. Journal of Medicine and Philosophy, 36(1), 69-78. https://doi.org/10.1093/jmp/jhq061
Moerman, D. E. (2002). Meaning, Medicine, and the" placebo Effect" (Vol. 28). Cambridge University Press, Cambridge. https://doi.org/10.1017/CBO9780511810855
Nadin, E. (2022). To Know: The Intersection Between Anticipatory Action and Epigenetic Processes. God, Science and the Last Question. In Epigenetics and Anticipation (pp. 99-115). Springer. https://doi.org/10.1007/978-3-031-17678-4_7
Wager, T. D., & Atlas, L. Y. (2015). The neuroscience of placebo effects: connecting context, learning, and health. Nature Reviews Neuroscience, 16(7), 403-418. https://doi.org/10.1038/nrn3976
Copyright (c) 2025 International Journal of Body, Mind and Culture

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.