Glynos Nicolas G, Baker Anne, Aday Jacob S, Pouyan Niloufar, Barron Julie, Herberholz Moss, Kruger Daniel, Boehnke Kevin F
Anesthesiology Department, University of Michigan Medical School, Ann Arbor, MI, USA.
Chronic Pain and Fatigue Research Center, University of Michigan Medical School, Ann Arbor, MI, USA.
J Psychoactive Drugs. 2024 Sep 19:1-11. doi: 10.1080/02791072.2024.2405685.
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.g. trip sitting and/or preparatory/follow-up psychotherapy) in naturalistic settings. We investigated demographics, including education and licensing, details about services provided, and reported client outcomes. Among 107 participants, 40.2% held a full or in-progress license and 44.9% had not obtained a relevant graduate degree. Almost all participants reported pre-screening clients before treatment, offering preparation, integration, and trip-sitting services, and most employed a range of therapeutic modalities, centering primarily on non-directive approaches. Participants reported that clients most commonly consumed psilocybin, and treated numerous conditions, primarily aligning with indications targeted in psychedelic clinical research. Perceptions of clients' symptom changes were largely positive, although a small proportion reported worsened personality disorder symptoms. Further research delineating client and practitioner perspectives of naturalistic PAT services is warranted, and such work may shed light on the benefits and risks specific to naturalistic PAT as well as inform best practices for practitioners.
迷幻辅助疗法（PAT）已显示出对精神和身体健康状况的初步疗效。尽管有些人报告称在所谓的“地下”从业者那里有非正规使用迷幻剂的情况，但对于在受控临床环境之外进行的PAT或这些从业者的观点却知之甚少。我们对那些报告在自然环境中提供迷幻支持服务（如陪伴旅程和/或准备/后续心理治疗）的个人进行了一项匿名在线调查。我们调查了人口统计学特征，包括教育程度和执照情况、所提供服务的细节以及报告的客户治疗结果。在107名参与者中，40.2%持有完整或正在获取的执照，44.9%没有获得相关的研究生学位。几乎所有参与者都报告在治疗前对客户进行了预筛查，提供准备、整合和陪伴旅程服务，并且大多数人采用了一系列治疗方式，主要以非指导性方法为核心。参与者报告说客户最常使用裸盖菇素，治疗了多种病症，主要与迷幻剂临床研究针对的适应症相符。对客户症状变化的看法大多是积极的，尽管有一小部分人报告人格障碍症状恶化。有必要进一步研究以明确自然环境下PAT服务中客户和从业者的观点，这样的工作可能会揭示自然环境下PAT特有的益处和风险，并为从业者提供最佳实践参考。
