Going Underground: Demographics, Services, and Best Practices Endorsed by Practitioners Providing Support for Naturalistic Psychedelic Use.

Psychedelic-assisted therapy (PAT) has shown preliminary efficacy for psychiatric and physical health conditions. Although some people report naturalistic psychedelic use with so-called "underground" practitioners, little is known about PAT that occurs outside of controlled clinical settings or perspectives of these practitioners. We conducted an anonymous online survey of individuals who reported providing psychedelic support services (e.

Psychedelic-assisted psychotherapy: where is the psychotherapy research?

Rationale: Psychedelic-assisted psychotherapy (PAP) has emerged as a potential treatment for a variety of mental health conditions, including substance use disorders and depression. Current models of PAP emphasize the importance of psychotherapeutic support before, during, and after ingestion of a psychedelic to maximize safety and clinical benefit. Despite this ubiquitous assumption, there has been surprisingly little empirical investigation of the "psychotherapy" in PAP, leaving critical questions about the necessary and sufficient components of PAP unanswered.

Psychedelic substitution: altered substance use patterns following psychedelic use in a global survey.

Introduction: Recent research suggests that psychedelics may have potential for the treatment of various substance use disorders. However, most studies to date have been limited by small sample sizes and neglecting to include non-North American and European populations.

Methods: We conducted a global, cross-sectional online survey of adults (n = 5,268, 47.

Effects of Ayahuasca on Gratitude and Relationships with Nature: A Prospective, Naturalistic Study.

Qualitative studies and anecdotal reports suggest that experiences with ayahuasca, a psychedelic brew found in Central and South America, may be followed by individuals enduringly feeling more grateful and connected to nature. Yet, to date, these changes have been understudied. Here, participants ( = 54) completed validated surveys related to gratitude, nature relatedness, and nature appreciation one-week before, one-week after, and one-month after attending an ayahuasca retreat center.

Eye-size effects in the dot-probe task: Greater sclera exposure predicts delayed disengagement from fearful faces.

Fearful facial expressions are nonverbal and biologically salient signals of potential threat that automatically hold, capture, and direct observers' attention. They are characterized by enlarged eye whites and dilated pupils, and fearful eyes alone are sufficient to capture attention. The morphological properties of the eye region, such as sclera exposure, are thought to play an important role in nonverbal communication.

Great Expectations: recommendations for improving the methodological rigor of psychedelic clinical trials.

Rationale: Psychedelic research continues to garner significant public and scientific interest with a growing number of clinical studies examining a wide range of conditions and disorders. However, expectancy effects and effective condition masking have been raised as critical limitations to the interpretability of the research.

Objective: In this article, we review the many methodological challenges of conducting psychedelic clinical trials and provide recommendations for improving the rigor of future research.

Adverse effects of psychedelics: From anecdotes and misinformation to systematic science.

Background: Despite an increasing body of research highlighting their efficacy to treat a broad range of medical conditions, psychedelic drugs remain a controversial issue among the public and politicians, tainted by previous stigmatisation and perceptions of risk and danger.

Objective: This narrative review examines the evidence for potential harms of the classic psychedelics by separating anecdotes and misinformation from systematic research.

Methods: Taking a high-level perspective, we address both psychological and psychiatric risks, such as abuse liability and potential for dependence, as well as medical harms, including toxicity and overdose.

Debunking the myth of 'Blue Mondays': No evidence of affect drop after taking clinical MDMA.

Background: Incorporating 3,4-methylenedioxymethamphetamine (MDMA) as an adjunct to psychotherapy has shown promise in recent years for treating various mental health conditions, particularly those involving trauma. However, concerns about declines in mood and cognition during the days following dosing, also known as 'Blue Mondays', have been raised as limitations to its clinical use. Although these changes have been well-documented among recreational users, there are critical confounds to these reports that limit generalizability to clinically administered MDMA.

Predicting Reactions to Psychedelic Drugs: A Systematic Review of States and Traits Related to Acute Drug Effects.

Psychedelic drugs are increasingly being incorporated into therapeutic contexts for the purposes of promoting mental health. However, they can also induce adverse reactions in some individuals, and it is difficult to predict before treatment who is likely to experience positive or adverse acute effects. Although consideration of setting and dosage as well as excluding individuals with psychotic predispositions has thus far led to a high degree of safety, it is imperative that researchers develop a more nuanced understanding of how to predict individual reactions.

Psychedelic drugs and perception: a narrative review of the first era of research.

Psychedelic drugs are well-known for transiently altering perception, and in particular, for their visual effects. Although scientific interest into the substances' effects on perception increased during the first era of psychedelic research during the early to mid-20th century, there is currently no source where these findings have been synthesized. In addressing this gap, the current narrative review found that psychedelics were examined for their influences across all levels of the visual system (e.

Psychedelics and virtual reality: parallels and applications.

Psychedelic drugs and virtual reality (VR) each have the capacity to disrupt the rigidity and limitations of typical conscious experience. This article delineates the parallels among psychedelic and VR states as well as their potential synergistic applications in clinical and recreational settings. Findings indicate that, individually, psychedelics and VR are used in analogous ways to alter sensory experience and evoke awe.

Meditation alters representations of peripersonal space: Evidence from auditory evoked potentials.

Meditation commonly gives rise to the feeling that the self and the surrounding world are no longer separate, as if the boundary between them has dissolved. We propose this may occur due to alterations in representations of peripersonal space (PPS), the reachable space surrounding the body which is integral to a sense of where one's bodily "self" is located in space. Thirty-one participants completed an auditory oddball paradigm before and after a guided meditation, during which we measured their P3 evoked potential, a marker of attentional salience.

Long-term effects of psychedelic drugs: A systematic review.

Research into the basic effects and therapeutic applications of psychedelic drugs has grown considerably in recent years. Yet, pressing questions remain regarding the substances' lasting effects. Although individual studies have begun monitoring sustained changes, no study to-date has synthesized this information.

Slowhand: Does time perception change in peri-hand space?

A variety of attentional and perceptual changes occur in peri-hand space, including increases in visual temporal acuity. These changes in cognition have been related to an increase in magnocellular visual processing. Other magnocellular-related processes have been shown to enhance temporal sensitivity and lead to time overestimation.

Beyond LSD: A Broader Psychedelic Zeitgeist during the Early to Mid-20 Century.

During the 1950s and 1960s, there was a tremendous surge in research into the effects of psychedelic drugs. When discussing this period of research, the discovery of the psychoactive properties of LSD in 1943 is often presented as the main, and sometimes only, driving force of the boom in research. This "Great Person," or "Great Chemical," historiographical lens fails to acknowledge other factors that were fundamental in setting the stage for the research.

Temporal dynamics in attention bias: effects of sex differences, task timing parameters, and stimulus valence.

New methods of calculating indices from the dot-probe task measure temporal dynamics in attention bias or fluctuations in attention bias towards and away from emotional stimuli over time. However, it is unclear how task-specific parameters such as stimulus valence and stimulus onset asynchrony (SOA) as well as participant sex affect temporal dynamics in attention bias. To address this, male and female participants ( = 106) completed either a fearful or happy face dot-probe task with four levels of SOA (84 ms, 168 ms, 336 ms, and 672 ms).

Extended testing with the dot-probe task increases test-retest reliability and validity.

The dot-probe task is used to measure attentional biases toward threat. However, the test-retest reliability and validity of the task have been called into question. No studies to date have included an extended number of testing sessions or tailored the task to individual participants by incorporating self-relevant stimuli-doing so may improve reliability.

Structural MRI-based measures of neuroplasticity in an extended amygdala network as a target for attention bias modification treatment outcome.

Increased attentional bias to threat has been identified as a causal mechanism in the development of anxiety. As such, attention bias modification (ABM) was conceived as a treatment option where anxiety is alleviated through a computerized cognitive training regimen that reduces an individual's attentional bias to threat. Although ABM appears to be a promising treatment option for anxiety, the mechanism of action by which the treatment is effective is unknown.

In the presence of conflicting gaze cues, fearful expression and eye-size guide attention.

Humans are social beings that often interact in multi-individual environments. As such, we are frequently confronted with nonverbal social signals, including eye-gaze direction, from multiple individuals. Yet, the factors that allow for the prioritisation of certain gaze cues over others are poorly understood.

Neurotensin NTS and NTS receptor agonists produce anxiolytic-like effects in the 22-kHz ultrasonic vocalization model in rats.

Neurotensin is a neuropeptide neurotransmitter that interacts with multiple neurotransmitter systems, including those regulating amygdalar function, via NTS and NTS receptors. Both receptors are expressed in the amygdala and agonists for NTS or NTS receptors have exhibited anxiolytic effects in animal models. Systemic adminstration of NTS receptor agonist PD149163 was recently shown to reduce footshock conditioned 22-kHz ultrasonic vocalizations in rats, suggesting that PD149163 produced an anxiolytic effect.