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Australian psychologists' attitudes towards psychedelic‐assisted therapy and training following a world‐first drug down‐scheduling

Jordan J. Negrine, Cheneal Puljević, Jason Ferris, Paul Liknaitzky, Christopher Perlman, Timothy Piatkowski

Drug and Alcohol Review November 5, 2024 DOI: 10.1111/dar.13973 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 20
Population Australian psychologists
Topics MDMA Psilocybin Psychedelic-assisted therapy
Keywords Psychedelic‐assisted therapy Psychologists Pap Psychedelics MDMA Hallucino
Citations 8
Key findings Australian psychologists show positive attitudes toward psychedelic-assisted therapy but have limited detailed knowledge and express concerns about evidence, risks, and training needs.

Abstract

Abstract Introduction This study explores the attitudes of psychologists towards psychedelics and psychedelic‐assisted therapy (PAT) following the world‐first regulatory changes in 2023 in Australia which permitted psilocybin and 3,4‐methylenedioxy‐methamphetamine (MDMA) to be used in clinical services.

Methods: A purposive sample of 20 Australian psychologists was recruited using snowball sampling. Semi‐structured interviews were conducted which explored participants' attitudes, knowledge and concerns about PAT. Data were coded and analysed to identify and develop theme categories.

Results: Most psychologists exhibited positive attitudes towards psychedelics and their therapeutic potential, viewing them as promising for addressing chronic mental health conditions like depression. However, there was a notable concern regarding the limited evidence on efficacy and potential adverse experiences, as well as the complexity of the individualised treatment protocol. Despite enthusiasm, many psychologists had limited detailed knowledge about the interventions themselves. The need for comprehensive education and training programs, including exposure to psychedelic experiences and credible higher education institutions, was emphasised to ensure competence in administering PAT. Discussion and Conclusions Psychologists displayed notably positive attitudes towards PAT, likely reflecting both shifting perceptions of psychedelics and self‐selection bias within the sample. Despite this optimism, concerns were raised about psychiatric risks and the necessity for comprehensive and reputable training and supervision. The cohort showed openness to both novel treatments and innovative training methods, underscoring the importance of enhancing educational frameworks to ensure effective implementation of PAT.

Comparable studies

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

Study Year Design Participants
Perceived Benefits of MDMA-Assisted Psychotherapy beyond Symptom Reduction: Qualitative Follow-Up Study of a Clinical Trial for Individuals with Treatment-Resistant PTSD Veterans, firefighters, and police officers with chronic, treatment-resistant PTSD 2019 Qualitative study using interpretative phenomenological analysis n = 19
MDMA-assisted psychotherapy; Inclusion of transgender and gender diverse people in the frontiers of PTSD treatment trials Transgender and gender diverse adults with a history of receiving trauma-related mental... 2022 Qualitative study n = 17
Expert Opinion on Psychedelic-Assisted Psychotherapy for People with Psychopathological Psychotic Experiences and Psychotic Disorders Experts in psychiatry, clinical psychology, medicine, and psychedelic effects 2024 Qualitative study n = 12
Perceived key change phenomena of MDMA-assisted psychotherapy for the treatment of severe PTSD: an interpretative phenomenological analysis of clinical integration sessions. Participants with severe PTSD 2023 Qualitative study n = 7
A taxonomy of regulatory and policy matters relevant to psychedelic-assisted therapy in Australia Professionals with expertise in fields relating to psychedelic-assisted therapy 2024 Qualitative study

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