Psychedelic-Assisted Psychotherapy: When Two Traditions Meet
European psychiatry June 1, 2022 E. Frecska, A. Kazai, P. Bokor et al.
After a long pause since the 1970 Controlled Substances Act, research on psychedelic compounds for therapy has revived. Two traditional psychological approaches have emerged: psycholytic therapy, using low to moderate doses with psychoanalytic talk therapy to release emotional content, and psychedelic therapy, using high doses for an overwhelming experience followed by integration sessions. It remains unclear which is better, and they are often mixed as psychedelic-assisted psychotherapy. To provide anchor points and warn of limitations, the authors draw on anthropological observations of cultures with long-standing psychedelic use, where administration occurs in a tight community with shared cosmology (set) and ritual context (setting)—conditions difficult to replicate in Western traditions.