[Words like medicine-Therapeutic communication in anesthesia].

Before therapeutic communication, which not only serves to exchange information but also reinforces therapy and has a therapeutic effect in itself, ubiquitous nocebo effects based on learning and expectation as well as negative suggestions enhanced by a natural trance state in emergency situations must be eliminated. Treatment and medication can only be optimally effective through placebo effects, i.e. by announcement with an explanation of meaning. To avoid stressors, the 10 meaningful topics derived from the basic psychological needs must be addressed. To accompany patients during operations, dissociation to an inner safe place of well-being and the appropriate reinterpretation of sensory perceptions can be offered. According to recent evidence of perception even during unconsciousness, for example during general anesthesia, resuscitation or coma, communication should not be limited to awake patients. Hypnotic language directed at the unconscious is appropriate.