A randomized controlled trial tested whether an eight-week compassion meditation program (cognitive-based compassion training, CBCT) improves the ability to infer others' mental states from facial expressions. Twenty-one healthy adults completed the Reading the Mind in the Eyes Test during fMRI scans before and after either CBCT or a health discussion control group. Those who completed CBCT showed significantly greater improvement in empathic accuracy scores and increased brain activity in the inferior frontal gyrus and dorsomedial prefrontal cortex compared to controls. Changes in these brain regions correlated with changes in empathic accuracy. The findings suggest CBCT may enhance empathic accuracy and its underlying neural mechanisms.
Spiritual health practitioners bring unique expertise to psychedelic-assisted therapy based on their training and professional experience. Interviews with 15 such practitioners revealed seven themes in two domains: unique contributions (competency with spiritual material, awareness of power dynamics, familiarity with non-ordinary states, holding space, counterbalancing biomedical perspectives) and general contributions (using general therapeutic skills and supporting interdisciplinary collaboration). Their skills complement other clinical team members, and psychedelic-assisted therapy teams may benefit from including them. Further work is needed to define roles, qualifications, and training for these clinicians.