Earlier quoted context omitted.
> Isn't all psychotherapy in a way just a placebo? Absolutely not. It is one thing to just give someone a sugar pill or a random ritual and tell them "this will make you feel better". That's placebo. (Not saying it never works, just that's the definition of placebo.) It is another thing completely to help people realize which thought patterns and which conscious focus and which memories keep them stuck in old loops.…
It's not completely clear whether there are any psychotherapies that are better than placebos. Though you have to be careful how you define your placebo. One approach would be a sugar pill. But the patient would know that this is not psychotherapy. So it doesn't work as a proper placebo. A slightly better example is a heartwarming chat with a high status individual who is not schooled in any psychotherapy. Say a rand…
What can be said for sure, and which was my original point, is that regardless of which one is "better", they are not the same thing at all. They are two very different distinct concepts that describe two very different existing phenomena.
Incidentally, it is very clear to me, based on my life experience (and that includes using critical thinking to approach life) and experience of many other people I've met that in most cases real psychotherapy is quite effective, unlike most uses of placebo. Although there seem to be cases of placebo that are exceptionally effective too, so who knows?
This is of course just an anecdote and I don't have any studies at my fingertips right now that somehow calculate and compare the relative effectiveness of the two. I would imagine that using and especially scaling placebo in effective manner is difficult because it relies on active ignorance of the user.