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Current Perspective on the Therapeutic Preset for Substance-Assisted Psychotherapy

Sascha Thal, Stephen Bright, Jason M. Sharbanee, Tobias Wenge, Petra Skeffington

Frontiers in Psychology July 13, 2021 DOI: 10.3389/fpsyg.2021.617224

Summary

A compelling finding in Psychedelics and Drug Studies reveals that the therapeutic effect of substance-assisted psychotherapy hinges on the therapeutic relationship and interpersonal communication, not just specific models. This foundational Psychology review, offering a comprehensive perspective, integrates insights from Mindfulness and Compassion Interventions and Cannabis and Cannabinoid Research. It's like an archaeology of therapeutic principles, guiding Psychotherapists in ethical conduct and understanding the spiritual emphasis crucial for effective practice.

Abstract

The present narrative review is the first in a series of reviews about the appropriate conduct in substance-assisted psychotherapy (SAPT). It outlines a current perspective onpreconditions and theoretical knowledge that have been identified as valuable in the literaturefor appropriate therapeutic conduct in SAPT. In this context, considerations regarding ethics and the spiritual emphasis of the therapeutic approaches are discussed. Further, current methods, models, and concepts of psychological mechanism of action and therapeutic effects of SAPT are summarized, and similarities between models, approaches, and potential mediators for therapeutic effects are outlined. It is argued that a critical assessment of the literature might indicate that the therapeutic effect of SAPT may be mediated by intra- and interpersonal variables within the therapeutic context rather than specific therapeutic models per se . The review provides a basis for the development and adaptation of future investigations, therapeutic models, training programs for therapists, and those interested in the therapeutic potential of SAPT. Limitations and future directions for research are discussed.

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