Altered States and Social Bonds: Effects of MDMA and Serotonergic Psychedelics on Social Behavior as a Mechanism Underlying Substance-Assisted Therapy
Biological Psychiatry Cognitive Neuroscience and Neuroimaging – February 09, 2024
Source: OpenAlex
Summary
Psychedelics and Drug Studies reveal that MDMA and serotonergic hallucinogens uniquely foster prosocial behavior, crucial for mental health. Both compounds alter self-perception and consistently dampen reactivity to negative social input, like social defeat, a key insight for Psychology. Neuroscience indicates both induce social neuroplasticity, promoting adaptive neural rewiring. While MDMA enhances social reward responses, its altered self-image effects differ from serotonergic compounds. Understanding these neurotransmitter receptor influences on behavior is vital for therapeutic strategies, informing fields like Forensic Toxicology and Drug Analysis about their distinct mechanisms.
Abstract
There has been renewed interest in the use of 3,4-methylenedioxy-methamphetamine (MDMA) and serotonergic psychedelics in the treatment of multiple psychiatric disorders. Many of these compounds are known to produce prosocial effects, but how these effects relate to therapeutic efficacy and the extent to which prosocial effects are unique to a particular drug class is unknown. In this article, we present a narrative overview and compare evidence for the prosocial effects of MDMA and serotonergic psychedelics to elucidate shared mechanisms that may underlie the therapeutic process. We discuss 4 categories of prosocial effects: altered self-image, responses to social reward, responses to negative social input, and social neuroplasticity. While both categories of drugs alter self-perception, MDMA may do so in a way that is less related to the experience of mystical-type states than serotonergic psychedelics. In the case of social reward, evidence supports the ability of MDMA to enhance responses and suggests that serotonergic psychedelics may also do so, but more research is needed in this area. Both drug classes consistently dampen reactivity to negative social stimuli. Finally, preclinical evidence supports the ability of both drug classes to induce social neuroplasticity, promoting adaptive rewiring of neural circuits, which may be helpful in trauma processing. While both MDMA and serotonergic psychedelics produce prosocial effects, they differ in the mechanisms through which they do this. These differences affect the types of psychosocial interventions that may work best with each compound.