Psychedelic Harm Reduction and Integration: A Transtheoretical Model for Clinical Practice.
Xiaojue Hu, Ingmar Gorman, Elizabeth M. Nielson
Curr Top Behav Neurosci December 10, 2024 DOI: 10.1007/7854_2024_529 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Theoretical or philosophical paper Peer reviewed |
|---|---|
| Topics | Psychedelic-assisted therapy |
| Keywords | Psychedelic treatment Psychedelic medicine Entheogenic therapy Therapeutic frameworks Clinical models Structured approaches Stage-based frameworks Intervention strategies Treatment protocols Guidance models Roadmap Stages Phases . Post-experience integration Psychological integration Personal growth Well-being Profound experience processing Healing Transformation Harm reduction Safety protocols Risk mitigation Minimizing harms Safe practice Responsible use |
| Citations | 3 |
| Key points | Proposes the Psychedelic Harm Reduction and Integration (PHRI) model as a transtheoretical clinical framework for preparing for and integrating psychedelic experiences without directly administering psychedelics. |
Abstract
Psychedelic Harm Reduction and Integration (PHRI) is a transtheoretical clinical model for working with psychedelic experiences in therapeutic settings. Drawing from harm reduction psychotherapy, psychedelic-assisted therapy, mindfulness-based modalities, and psychodynamic therapy, PHRI offers a framework for clinicians to assist clients in preparing for and integrating psychedelic experiences without directly administering psychedelics. This approach emphasizes non-pathologizing, client-empowering strategies to address both challenging and positive psychedelic experiences. PHRI incorporates principles such as non-directive and inner-directed approaches, somatic awareness, and psychological flexibility. The model addresses common integration challenges including fear, ego dissolution, and increased emotional sensitivity. By bridging various therapeutic modalities, PHRI aims to support clients in translating psychedelic experiences into enduring positive changes while decreasing potential harms. This chapter outlines the theoretical foundations of PHRI, distinguishes it from existing approaches, and explores its application in clinical practice, with a focus on the integration phase of psychedelic experiences.