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- Title
Importance of Integrating Spiritual, Existential, Religious, and Theological Components in Psychedelic-Assisted Therapies.
- Authors
Palitsky, Roman; Kaplan, Deanna M.; Peacock, Caroline; Zarrabi, Ali John; Maples-Keller, Jessica L.; Grant, George H.; Dunlop, Boadie W.; Raison, Charles L.
- Abstract
This Special Communication argues for the integration of spiritual, existential, religious, and theological components within psychedelic-assisted therapy based on the prevalence and importance of relevant experiences in psychedelic-assisted therapy. Importance: Mounting evidence supports the role of spiritual, existential, religious, and theological components in mediating psychedelic-assisted therapy, yet integration of these elements into the clinical setting is lagging Observations: Although psychedelic-assisted therapy commonly produces spiritually, existentially, religiously, or theologically relevant experiences for patients, these have not been systematically integrated into the psychotherapies that accompany therapeutic uses of psychedelics. As a key feature and potential mediator of therapeutic effects, evidence-based psychedelic-assisted therapies should include these topics in the treatment model. Research across multiple diagnostic targets and treatment contexts suggests that spiritually integrated psychotherapies are effective, feasible, and produce add-on benefits in spiritually, existentially, religiously, and theologically relevant outcomes, which are particularly germane to psychedelics. Established standards in spiritually integrated psychotherapy may be fruitfully applied to psychedelic-assisted therapy. Objectives for spiritually, existentially, religiously, and theologically integrated psychedelic-assisted therapy based on these standards and informed by considerations specific to psychedelics are recommended. Conclusions and Relevance: Spiritual, existential, religious, and theological topics' integration in psychedelic-assisted therapy is needed to ensure culturally competent, evidence-based treatment aligned with the highest standards of clinical care. Neglecting to address these topics can detract from cultural competence, contribute to risks for patients, and potentially undermine treatment success.
- Subjects
CULTURAL competence; PSYCHOTHERAPY; PATIENTS' attitudes; CLINICAL medicine; HALLUCINOGENIC drugs
- Publication
JAMA Psychiatry, 2023, Vol 80, Issue 7, p743
- ISSN
2168-622X
- Publication type
Article
- DOI
10.1001/jamapsychiatry.2023.1554