William W. Howells wrote that shamans know that their tricks are impostures, but that all who studied them agree that they really believe in their power to deal with spirits. According to Howells, their main purpose is an honest one and they believe that this justifies the means of hoodwinking their followers in minor technical matters.[1]
One of the most successful physicians I have ever known, has assured me, that he used more bread pills, drops of coloured water, and powders of hickory ashes, than of all other medicines put together. It was certainly a pious fraud.
— Placebo Effects and Science Journalism at the Mind/Body Boundary. Steve Silberman, The Journal of Mind-Body Regulation, 2011