There are only few experimental studies that assess the hypothesis that pla
cebo analgesia is mediated by endogenous opioids; One of these studies [Gre
vert P, Albert LH, Goldstein A: Partial antagonism of placebo analgesia by
naloxone. Pain 1983;16:129-143] had a rather complicated design and data pr
esentation. In this commentary we attempt to clarify the experimental desig
n of that study. Based on a clearer understanding of the study procedures a
nd data analysis we propose some alternative interpretations of the results
.