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Creating Greater Safety in Psychedelic-Assisted Therapy Spaces

Maira Evelyn Clancy

2023 DOI: 10.46569/20.500.12680/cf95jj52q (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study
Sample size 4
Population Psychedelic therapists
Topics Psychedelic-assisted therapy
Keywords Legalization Harm Certification Abuse of power Safer Psychotherapist Medical education Computer security Law
Citations 1
Key findings To reduce harm and promote safer experiences, psychedelic-assisted therapy needs a multi-faceted system of safeguards including rigorous education, certification, reporting avenues, investigations, and ethical codes.

Abstract

As the medical legalization of psychedelic-assisted therapy quickly approaches in Western society, more stories of abuse by psychedelic therapists against clients are emerging, tracing a disturbing pattern and history of exploitation and abuses of power in the field.Utilizing the survivor-centered approach as a theoretical framework, this research study examines the existing literature about safety within psychedelic-assisted therapy spaces, provides a synthesis of three survivors' accounts of therapy abuse, and analyzes four interviews conducted with psychedelic therapists in order to answer the research questions: 1) What are the protocols and safeguards currently in place to protect clients from sexual abuse or boundary violations during psychedelicassisted therapy treatments? 2) Which have worked, which have failed, and which need to be changed or added?To reduce harm and promote safer experiences for clients, the field of psychedelic-assisted therapy needs to implement a multi-faceted process of safeguards, including more rigorous education and training in the therapist certification process, comprehensive avenues for reporting misconduct, immediate investigations into allegations, and definitive codes of ethics and norms of conduct.

Comparable studies

Other qualitative studies on psychedelic-assisted therapy, most cited first.

Study Year Design Participants
Patients’ Accounts of Increased “Connectedness” and “Acceptance” After Psilocybin for Treatment-Resistant Depression Patients with treatment-resistant depression enrolled in an open-label trial of psilocybin 2017 Qualitative study n = 20
LSD-assisted psychotherapy for anxiety associated with a life-threatening disease: A qualitative study of acute and sustained subjective effects Patients with anxiety associated with life-threatening diseases 2014 Prospective follow-up with qualitative content analysis n = 10
Patient Experiences of Psilocybin-Assisted Psychotherapy: An Interpretative Phenomenological Analysis Adults aged 22 to 69 with clinically elevated anxiety associated with a cancer diagnosis 2017 Qualitative study n = 13
Psychedelic therapy for smoking cessation: Qualitative analysis of participant accounts Participants who completed a psilocybin-facilitated smoking cessation pilot study 2018 Qualitative follow-up study using semi-structured interviews and thematic analysis n = 12
The hidden therapist: evidence for a central role of music in psychedelic therapy Patients undergoing psychedelic therapy with psilocybin for treatment-resistant depression 2018 Qualitative study n = 19

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