On the varieties of conscious experiences: Altered Beliefs Under Psychedelics (ALBUS).

Psychedelics profoundly impact brain and mind by altering belief systems. The REBUS model proposes that 5-HT2a receptor agonism relaxes prior expectations, enabling new perspectives. An alternative but compatible view, ALBUS (Altered Beliefs Under Psychedelics), suggests that at very high levels of 5-HT2a agonism, opposite effects may occur—synchronous neural activity becomes more powerful, leading to strengthened beliefs (SEBUS). These strengthened beliefs align with enhanced meaning-making in psychedelic therapy, hallucinations, and delusional thinking. ALBUS proposes that the balance between REBUS and SEBUS effects varies across the dose-response curve. Psychedelic experiences are described as waking dream states with varying lucidity, involving mechanisms of conscious perceptual synthesis, dreaming, and episodic memory.

Study at a glance

Abstract

How is it that psychedelics so profoundly impact brain and mind? According to the model of "Relaxed Beliefs Under Psychedelics" (REBUS), 5-HT2a agonism is thought to help relax prior expectations, thus making room for new perspectives and patterns. Here, we introduce an alternative (but largely compatible) perspective, proposing that REBUS effects may primarily correspond to a particular (but potentially pivotal) regime of very high levels of 5-HT2a receptor agonism. Depending on both a variety of contextual factors and the specific neural systems being considered, we suggest opposite effects may also occur in which synchronous neural activity becomes more powerful, with accompanying "Strengthened Beliefs Under Psychedelics" (SEBUS) effects. Such SEBUS effects are consistent with the enhanced meaning-making observed in psychedelic therapy (e.g. psychological insight and the noetic quality of mystical experiences), with the imposition of prior expectations on perception (e.g. hallucinations and pareidolia), and with the delusional thinking that sometimes occurs during psychedelic experiences (e.g. apophenia, paranoia, engendering of inaccurate interpretations of events, and potentially false memories). With "Altered Beliefs Under Psychedelics" (ALBUS), we propose that the manifestation of SEBUS vs. REBUS effects may vary across the dose-response curve of 5-HT2a signaling. While we explore a diverse range of sometimes complex models, our basic idea is fundamentally simple: psychedelic experiences can be understood as kinds of waking dream states of varying degrees of lucidity, with similar underlying mechanisms. We further demonstrate the utility of ALBUS by providing neurophenomenological models of psychedelics focusing on mechanisms of conscious perceptual synthesis, dreaming, and episodic memory and mental simulation.