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MDMA-assisted psychotherapy

A. C. Parrott

Routledge eBooks June 14, 2018 DOI: 10.4324/9781315642765-12 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics MDMA Psychedelic-assisted therapy
Citations 7
Key points Argues that MDMA-assisted psychotherapy requires critical psychobiological evaluation: acute MDMA is followed by a neurochemical recovery period in which many psychobiological indices of wellbeing are impaired. Proposes oxytocin as a potentially more focused co-drug for PTSD therapy and contends future trials should use active control conditions with drugs of known PTSD efficacy. Also contends the public misunderstands core notions of MDMA-assisted psychotherapy, mistakenly believing MDMA is safe and can resolve clinical distress.

Abstract

This chapter aims to critically evaluate methamphetamine derivative (MDMA) proposal from a psychobiological perspective. It overviews the early years of MDMA-assisted psychotherapy up to 1986, when MDMA was scheduled as a Class A drug. The chapter also reviews the psychobiology of MDMA, focusing on its diverse mood effects, while also covering other psychobiological functions. It presents a detailed psychobiological analysis of the processes thought to underlie MDMA-assisted psychotherapy. Psychotherapists label MDMA an &s;entactogen&s; which allows the person to get in contact with their &s;true self&s;. Acute MDMA is followed by a period of neurochemical recovery, when many different psychobiological indices of wellbeing are impaired. Oxytocin might provide a more focused co-drug for post-traumatic stress disorder (PTSD) therapy. Future trials of MDMA-assisted therapy should include active control conditions, using drugs with known efficacy for PTSD. The public misunderstands the core notions of MDMA-assisted psychotherapy; people may mistakenly believe that MDMA is safe to take and can resolve clinical distress.

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