Frontiers in Psychology
July 13, 2021
Sascha Thal, Stephen Bright, Jason M. Sharbanee et al.
39 citations
This narrative review, the first in a series on appropriate conduct in substance-assisted psychotherapy (SAPT), outlines preconditions and theoretical knowledge valuable for therapeutic practice. It discusses ethical considerations and the spiritual emphasis of SAPT approaches, and summarizes current methods, models, and concepts of psychological mechanisms and therapeutic effects. Similarities between models and potential mediators for therapeutic effects are highlighted. The review argues 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. It provides a basis for developing future investigations, therapeutic models, and training programs, while discussing limitations and future directions.
Journal of Psychopharmacology
October 20, 2022
Sascha B Thal, Michelle Wieberneit, Jason M Sharbanee et al.
23 citations
A systematized review of 83 sources found consensus that adequate preparation before substance-assisted psychotherapy (SAPT) sessions is important for safety and therapeutic effect. Preparatory practices include screening participants, optimizing set and setting, and preparing therapists with appropriate competencies and roles. However, the extent and specific approaches vary across models, and more rigorous qualitative and quantitative research is needed to determine optimal preparation techniques.
Journal of Humanistic Psychology
May 3, 2023
Sascha Thal, Michelle Wieberneit, Jason M. Sharbanee et al.
6 citations
A systematized review of 82 sources examined best therapeutic practices during administration sessions with serotonergic psychedelics and entactogens as adjuncts to psychotherapy. Information about substances, dosages, number of sessions, common client issues, types of experiences, music, and therapeutic conduct was summarized and compared. The effects of different therapeutic models, methods, techniques, and complex interventions on outcomes have not been rigorously investigated. Most available evidence was anecdotal, limiting conclusive statements about appropriate therapeutic conduct. Essential components of therapeutic interventions remain largely tentative, necessitating systematic investigation.