Objectives To assess the feasibility, safety and preliminary efficacy of psilocybin-assisted therapy (PAT) for demoralisation in terminally ill patients receiving home hospice care. Methods In this open-label pilot trial, 4607 home hospice patients at a large community hospice were screened over 22 months; 66 were approached, 15 enrolled and 10 received psilocybin. Participants completed two...
The psychedelic drug psilocybin has been successfully explored as a novel treatment for a range of psychiatric disorders. Administration of psilocybin requires careful attention to psychological support and the setting in which the drug is administered. The use of music to support the acute psychoactive effects of psilocybin is recommended in current guidelines, but descriptions of how to...
Music therapy is seen as akin to the healthy re-enactment of the parent-child dyad in which the music stimulates “me and not-me” experiences (Winnicott). Sympathetic music structures stimulate the “me” state, whereas the “not-me” state is stimulated through music that is unfamiliar, evocative, and contains significant tension. The GIM process begins with a “me” experience and then moves beyond...