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Altered states of consciousness

The broad landscape of consciousness that departs from ordinary waking awareness, however induced.

State of the evidence

Synthesized

Synthesized from 21 studies in the library · AI-generated, grounded in the abstracts below

Found by searching the library for Altered states of consciousness, non-ordinary states, altered consciousness, ASC, then ranked by relevance.

Research indicates that altered states of consciousness (ASCs) share common phenomenological dimensions—such as oceanic boundlessness, dread of ego dissolution, and visionary restructuralization—across different induction methods, and are associated with specific neural changes including altered connectivity and oscillatory activity. Subjective effects appear necessary for therapeutic benefits, and non-pharmacological methods like virtual reality and breathwork can also induce ASCs with positive outcomes. However, evidence is heterogeneous and often limited by small samples, short-term measures, and theoretical rather than empirical approaches.

Evidence by study

Direction is which way each study's own result points, not our rating of the study. All 25 matching studies were reviewed; the 21 that directly address the question are shown here.

What the directions mean
Supports:
the study found the intervention worked, or its hypothesis held.
Opposes:
it found the opposite, no benefit or a harm.
No effect:
no significant difference either way.
Mixed:
effects in both directions within the same study.
Unclear:
the abstract does not report a direction.

The new lower-order scales of the OAV have desirable psychometric properties and are better suited for assessing drug-induced altered states of consciousness.

psychometric study

Argues that current knowledge on altered states of consciousness should be organized into a consistent theoretical system to understand their emergence, manifestations, commonalities, and functions.

theoretical or philosophical paper

Altered states of consciousness share three oblique dimensions—Oceanic Boundlessness, Dread of Ego Dissolution, and Visionary Restructuralization—regardless of induction method.

experimental and field study Sample size: 1133

Subjective effects of psychedelics are necessary for their enduring beneficial effects and account for the majority of those benefits.

review

Proposes that transient hypofrontality is the unifying feature of all altered states of consciousness, with each state's uniqueness resulting from differential viability of frontal circuits.

theoretical or philosophical paper

Altered states of consciousness can be characterized by four dimensions—activation, awareness span, self-awareness, and sensory dynamics—and arise from neurophysiological changes including brain structure compromise, disconnectivity, and neurochemical/metabolic processes.

review

The 5-HT2A receptor is critical for LSD's subjective and neural effects, as ketanserin fully blocked both.

double-blind, randomized, counterbalanced, cross-over study Sample size: 24

Coherent spontaneous BOLD fluctuations, particularly in the default-mode network, persist across various states of unconsciousness, suggesting they reflect default brain connectivity rather than conscious mental activity alone.

review

DMT reduced alpha and beta oscillatory power and increased signal diversity, with delta and theta activity correlating with the peak of the subjective visual experience.

observational cohort Sample size: 13

LSD increased effective connectivity from the thalamus to the posterior cingulate cortex via serotonin 2A receptor activation and decreased connectivity from the ventral striatum to the thalamus independently of those receptors.

double-blind, randomized, placebo-controlled, cross-over study Sample size: 25

Different subjective meditation states are associated with distinct patterns of brain neuronal activity, as measured by EEG gamma-band source localization.

case study Sample size: 1

Dynamic neuroimaging data reveals non-trivial temporal fluctuations compatible with a discrete repertoire of brain states, supporting the dynamic core hypothesis of consciousness.

review

Proposes that a neurophenomenological approach to non-ordinary states of consciousness can serve as a unifying framework for studying their role as catalysts of transformation in clinical practice.

theoretical or philosophical paper

The VR group scored significantly higher than the screen group on all dimensions of the MEQ30, indicating that VR can elicit mystical-type experiences.

controlled experiment Sample size: 70

Proposes that 'noopoietics' and 'doxolysis' provide a metaphysically austere, process-oriented vocabulary for altered states of consciousness, avoiding the evaluative baggage of inherited terms.

theoretical or philosophical paper

Pharmacological and pathological loss of responsiveness involve distinct neurotransmitter system contributions across basal ganglia nuclei, with different correlations in anaesthesia versus patients.

observational cohort study with fMRI Sample size: 38

Lower experiential avoidance during a high ventilation breathwork session significantly predicted higher mental well-being after the session, and altered states of consciousness during the session significantly predicted lower experiential avoidance.

cross-sectional online study Sample size: 324

Proposes that intentional sensory overstimulation in a neurogastronomic setting may inhibit analytical processing and reduce Default Mode Network activity, potentially shifting brain oscillatory states from alpha toward theta.

theoretical or philosophical paper

Music-induced trance across traditional shamanism and contemporary rave culture engages partially overlapping neural dynamics, including increased low-frequency synchronization and shifts from executive control to limbic and default mode networks.

review

Non-ordinary states of consciousness involve coordinated shifts across brain, body, and lived experience that may contribute to psychological transformation by loosening ordinary patterns of self-reference and opening access to expanded awareness, meaning, connection, and potential.

narrative literature review

Guided meditation significantly reduced arousal and time-related thoughts compared to both the control and Ganzfeld conditions, and higher trait absorption predicted diminished body boundary salience in the control and Ganzfeld conditions.

within-subjects design Sample size: 48

Points of agreement

  • Altered states of consciousness share common phenomenological dimensions across different induction methods.
  • Altered states are associated with changes in brain connectivity and oscillatory activity, particularly involving the default mode network and frontoparietal regions.
  • Subjective effects are important for therapeutic benefits.
  • Non-pharmacological methods like virtual reality and breathwork can induce altered states with positive outcomes.

Conflicts

  • Some studies emphasize common dimensions across ASCs, while others highlight distinct neural patterns for different states.
  • The role of specific neurotransmitter systems varies between pharmacological and pathological loss of responsiveness.
  • Theoretical frameworks propose different unifying mechanisms (e.g., hypofrontality vs. dynamic core).

Gaps

  • Durability of effects is often not assessed.
  • Many studies have small sample sizes or are case studies.
  • Blinding is difficult in psychedelic studies.
  • Long-term outcomes and integration are understudied.
  • Most research focuses on acute effects rather than lasting changes.
  • Heterogeneity in methods and measures limits comparability.
Browse these studies in the library
How we analyze this

This synthesis reads the 15 most-cited and 10 most recent studies whose primary subject is Altered states of consciousness, up to 25 in all. The most-cited set anchors the established evidence, and the recent set surfaces work that is too new to have gathered citations yet.

A study qualifies only when Altered states of consciousness or a known alias appears in its title or keywords, so broad reviews that mention it only in passing are left out. Each study is read from its abstract, strongest evidence first, and the summary reports the direction of the results along with any conflicts and gaps.

Latest monthly recap: June 2026 →

2,246 articles · 832 from the last two years · 199,411 participants across 603 studies reporting sample size

Common study designs

review 306 experimental study 67 observational study 76 observational cohort 151 theoretical or philosophical paper 775

Cannabis Is a Psychedelic, and a Beneficial One at That - The Overlooked Cannabinoid Path Into Altered Consciousness

Zenodo (CERN European Organization for Nuclear Research) September 7, 2026 Christian Alexander Brown

This research essay/article argues that cannabis can reasonably be described as psychedelic in a phenomenological sense, even though it is not pharmacologically classified as a classic serotonergic psychedelic such as LSD or psilocybin. The central distinction is between pharmacology and phenomenology: THC acts primarily through the endocannabinoid system, especially CB1 receptor signaling, yet...

Immersive virtual reality: distinct impact on altered states of consciousness

Virtual Reality August 25, 2026 Liat Abouhav, Keren Nitzan, Ravid Doron

Abstract As mental health challenges continue to rise, there is increasing interest in interventions that promote psychological change through emotionally and experientially rich states. One well-studied example involves mystical-type experiences, typically reported in psychedelic-assisted interventions. Virtual reality (VR), with its immersive and embodied qualities, has emerged as a promising...

A testable theoretical framework linking cranial osteopathic still-point induction to altered consciousness via convergent autonomic, default-mode, and interoceptive mechanisms.

Explore (New York, N.Y.) August 23, 2026 Siddhant Nikam, Nimisha S Narayan

Patients undergoing Still Point induction via compression of the fourth ventricle (CV4) in cranial osteopathy commonly report a distinctive quality of profound mental quiet, described as qualitatively different from ordinary relaxation. Cranial osteopathy, however, entered a prolonged crisis of scientific credibility once controlled work indicated that its founding construct, the Primary...

Noopoietics and Doxolysis: A Process-Oriented Vocabulary for Deliberately Altered Consciousness

Zenodo (CERN European Organization for Nuclear Research) August 18, 2026 Christian Dombrowe

Abstract The scholarly, legal, and regulatory discourse on deliberately altered states of consciousness lacks a neutral vocabulary: its inherited terms — hallucinogen, psychedelic, entheogen — each embed a verdict on the nature of the states they name, forcing a position before argument begins. This essay proposes two process-oriented terms to close the gap. Noopoietics (from νοῦς and ποίησις)...

Mapping basal ganglia circuitry in altered states of consciousness: from pathology to pharmacology.

Brain : a journal of neurology August 7, 2026 Dorottya Szocs, Andrea I. Luppi, Peter Coppola et al.

The precise neuromodulatory mechanisms underlying consciousness and its disorders, despite growing evidence in both animals and humans, remain poorly understood at the subcortical level. The basal ganglia, a key component of the cortico-basal ganglia-thalamo-cortical loop, are known to play a crucial role in mediating consciousness and behavioural responsiveness to the environment. Here, we...

Exploring the benefits of altered states of consciousness and reduced experiential avoidance for mental well-being: insights from a global study on high ventilation breathwork

Frontiers in Psychology July 30, 2026 Lena Erdmann, Barbara Breitenstein, Maria Badanova et al.

BackgroundResearch suggests that high ventilation breathwork (HVB) improves mental health by reducing experiential avoidance (EA) through altered states of consciousness (ASCs). The present study examined whether EA during participants’ most recent breathwork session predicted mental well-being afterward. Additionally, the study examined the relationships between EA, ASCs, emotional...

The rhythms of trance: Cultural phenomenology and neural mechanisms of music-induced non-ordinary states of consciousness.

Neuroscience and Biobehavioral Reviews July 1, 2026 Athanasia Kontouli, Michael J Hove, Alexandre Lehmann et al.

This review integrates anthropological and neuroscientific perspectives to elucidate music-induced trance processes and their relevance to non-ordinary states of consciousness (NSCs). The objectives are to deepen the understanding of trance phenomena, delineate links across diverse trance expressions, and inform future neuroscientific research. Drawing on anthropological insights, we examine...

Non-Ordinary States of Consciousness and Human Transformation: A Narrative Literature Review of Neural, Physiological, and Phenomenological Patterns Through a Quantum Science Lens

Journal of Quantum Science of Consciousness. June 29, 2026 Allison Saltzman

Non-ordinary states of consciousness (NOSC) have long been described across cultures and spiritual traditions, while contemporary research increasingly examines them through neural, physiological, and phenomenological dimensions.This narrative literature review explores nonpathological NOSC across meditation, yoga, breathwork, psychedelic experiences, near-death experiences, and mystical...

Trait absorption as predictor of altered states of consciousness across three relaxation induction methods

PsyArXiv June 26, 2026 preprint

This study investigates the effects of three variants of Restricted Environmental Stimulation Techniques (REST)—guided meditation, multimodal Ganzfeld (MMGF), and a control resting condition—on subjective experiences related to altered states of consciousness (ASC). Specifically, the study examines emotional responses, time perception, and perceived body boundaries, while also assessing the...

Clinical trials

All Altered states of consciousness trials →