Hastings Cent Rep. 2024 Jul;54(4):32-46. doi: 10.1002/hast.1602.
Well-trained, competent therapists are crucial for safe and effective psychedelic-assisted therapy (PAT). The question whether PAT training programs should require aspiring therapists to undergo their own PAT-commonly referred to as "experiential training"-has received much attention within the field. In this article, we analyze the potential benefits of experiential training in PAT by applying the framework developed by Rolf Sandell et al. concerning the functions of any training therapy (the therapeutic, modeling, empathic, persuasive, and theoretical functions). We then explore six key domains in which risks could arise through mandatory experiential training: physical and psychological risks; negative impact on therapeutic skill; justice, equity, diversity, and inclusion; dual relationships; privacy and confidentiality; and undue pressure. Ultimately, we argue that experiential training in PAT should not be mandatory. Because many PAT training programs already incorporate experiential training methods, our exploration of potential harms and benefits may be used to generate comprehensive risk-mitigation strategies.
训练有素、能力胜任的治疗师对于安全有效的迷幻药辅助治疗（PAT）至关重要。PAT 培训计划是否应该要求有抱负的治疗师接受自己的 PAT——通常称为“体验式培训”——这在该领域引起了广泛关注。在本文中，我们通过应用 Rolf Sandell 等人针对任何培训治疗的功能（治疗、建模、共情、说服和理论功能）开发的框架来分析 PAT 中体验式培训的潜在好处。然后，我们探讨了通过强制性体验式培训可能出现风险的六个关键领域：身体和心理风险；对治疗技能的负面影响；正义、公平、多样性和包容性；双重关系；隐私和保密性；以及过度压力。最终，我们认为 PAT 中的体验式培训不应是强制性的。因为许多 PAT 培训计划已经包含了体验式培训方法，所以我们对潜在危害和益处的探讨可以用于制定全面的风险缓解策略。
