4.1 Article

Call for Evidence-Based Psychedelic Integration

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AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/pha0000684

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psychedelic integration; psychedelic-assisted therapy; evidence-based practices

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The use of psychedelics has a long history and has been studied for its potential benefits in mental health. Psychedelic integration (PI) is a practice that aims to minimize harm and maximize benefits of psychedelic use. While several PI models/methods have been proposed, there is a lack of empirical evidence to support them. This article calls for scientific research and evaluation of PI models/methods to ensure safe and effective use of psychedelics.
The use of psychedelics for various purposes was common in different civilizations throughout human history and has been explored scientifically for more than a century. Although the applications of psychedelics show promise in the treatment of various psychiatric and neurological indications, as well as in facilitation of well-being and personal growth, several psychedelic-related risks and challenges have also been identified. Psychedelic integration (PI) refers to various practices that serve to either minimize harms or maximize benefits associated with psychedelic use. PI is also recognized as a substantial part of psychedelic-assisted therapy (PAT), following preparation to and facilitation of the psychedelic experience. In the context of clinical/psychotherapeutic practice, several PI models/methods have already been proposed. However, while a number of these models/methods are theory-driven, or have a history of clinical application, each lack any empirical support and thus cannot be described as evidence based. This is to the disadvantage to countless people who had and who will have their psychedelic experiences in various contexts, as the prevalence of using psychedelics increased in recent years and is expected to grow further. Therefore, consistent with general recommendations for developing and implementing evidence-based mental health practices, this article calls for scientific efforts to the development, examination, and evaluation of psychedelic integration models/methods. This article also briefly summarizes the current literature on psychedelic integration, provides a list of exemplary avenues that research on psychedelic integration might take, as well as anticipates and discusses the limitations and challenges of PI-focused research.

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