Greń Jakub, Tylš Filip, Lasocik Michał, Kiraly Csaba
Public Health Department, Institute of Psychiatry and Neurology, Warsaw, Poland.
Polish Psychedelic Society, Warsaw, Poland.
Front Psychol. 2023 Oct 12;14:1054692. doi: 10.3389/fpsyg.2023.1054692. eCollection 2023.
The growing interest in and prevalence of the use of psychedelics, as well as the potential benefits and negative consequences associated with psychedelic experiences, create a need for mental health specialists to be able to provide adequate and effective intervention regarding the content and consequences of these experiences, that is, psychedelic integration. At the same time, current graduate training in psychiatry, psychology, psychotherapy, counseling, etc., fails to adequately prepare professionals for such interventions. In order to fill this gap, an international, bottom-up project was established to attempt developing guidelines. This project was conducted by means of literature reviews as well as roundtable discussions among project participants, leading to a consensus on the guidelines' final scope and content. Drawing from the outcomes of this project, this article presents proposed comprehensive guidelines covering both theoretical and practical aspects of psychedelic integration, that are intended to serve as a resource for various mental health specialists who may encounter individuals in need of support considering their psychedelic experiences. These guidelines encompass clinician-friendly information on the effects of psychedelics, a definition of psychedelic integration, the general theoretical considerations linked to utilization of psychedelic experiences in clinical practice, a simple model organizing the course of psychedelic integration practice, as well as an overview of the current models of psychedelic integration, along with a selective presentation of basic and specific interventions derived from various psychotherapeutic approaches that can be employed in the practice of psychedelic integration.
对迷幻剂使用的兴趣日益增长且其使用愈发普遍,以及与迷幻体验相关的潜在益处和负面后果,使得心理健康专家需要能够针对这些体验的内容和后果提供充分且有效的干预,即迷幻整合。与此同时,目前精神病学、心理学、心理治疗、咨询等方面的研究生培训未能让专业人员充分做好进行此类干预的准备。为了填补这一空白,一个国际性的自下而上的项目得以设立,旨在尝试制定指导方针。该项目通过文献综述以及项目参与者之间的圆桌讨论来开展,从而就指导方针的最终范围和内容达成了共识。基于该项目的成果,本文提出了涵盖迷幻整合理论和实践方面的综合指导方针,旨在为可能遇到需要考虑其迷幻体验而寻求支持的个体的各类心理健康专家提供参考资源。这些指导方针包含了对临床医生友好的关于迷幻剂效果的信息、迷幻整合的定义、与在临床实践中利用迷幻体验相关的一般理论考量、一个组织迷幻整合实践过程的简单模型,以及当前迷幻整合模型的概述,同时还选择性地介绍了可用于迷幻整合实践的源自各种心理治疗方法的基本和特定干预措施。