This systematic review assesses six experimental studies into the mech
anism of placebo analgesia in human subjects suffering from clinical p
ain or experimentally induced ischaemic arm pain. Due to their sophist
icated designs, these studies probably provide the best evidence that
placebo analgesia exists. They also indicate that placebo analgesia is
mediated by endogenous opiates. However, there seems to be room for a
dditional studies. (C) 1998 International Association for the Study of
Pain. Published by Elsevier Science B.V.