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Psilocybin occasioned mystical‐type experiences

Edward James, Thomas L Robertshaw, Mathew Hoskins, Ben Sessa

Human Psychopharmacology Clinical and Experimental June 23, 2020 Peer reviewed DOI: 10.1002/hup.2742 via OpenAlex

Summary

Psilocybin-occasioned mystical experiences profoundly correlate with therapeutic benefits for psychiatric conditions. This narrative review in clinical psychology emphasizes the hallucinogen psilocybin's potential as a psychological intervention. Since 2006, medicine and psychiatry have seen significant advancements in psilocybin-assisted psychotherapy. While pharmacological actions, informed by chemical synthesis and alkaloids, are discussed, understanding neuromechanistic processes requires further biochemical analysis and sensing techniques. Future clinical trials integrating a psychotherapist show promise, despite funding and societal resistance impacting Psychedelics and Drug Studies.

Abstract

Abstract Objective Research into psychedelic therapy models has shown promise for the treatment of specific psychiatric conditions. Mystical‐type experiences occasioned by psilocybin have been correlated with therapeutic benefits and long‐term improvements in positive mental outlook and attitudes. This article aims to provide an overview of the topic, highlight strengths and weaknesses in current research, generate novel perspectives and discussion, and consider future avenues for research. Design This narrative review was designed to summarise and assess the state of research on psilocybin occasioned mystical‐type experiences and applications for the treatment of specific psychiatric conditions. Results Contemporary methods on the quantification of mystical‐type experiences and their acute subjective effects are discussed. Recent studies provide some understanding of the pharmacological actions of psychedelics although the neurological similarities and differences between spontaneous and psychedelic mystical‐type experiences are not well described. Applicability to modern clinical settings is assessed. Potential novel therapeutic applications include use in positive psychology interventions in healthy individuals. Conclusions Since 2006 significant advancements in understanding the therapeutic potential of psilocybin‐assisted psychotherapy have been made; however, more work is required to understand the neuromechanistic processes and applicability in modern clinical settings. Despite promising results in recent studies, funding issues for clinical trials, legal concerns and socio‐cultural resistance provide a counterpoint to experimental evidence.

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