Science Fictions

Episode 4: Psychedelics and psychotherapy

43 snips
Aug 4, 2023
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INSIGHT

Depression As Rigid Prior Beliefs

  • Depression can be framed as pathologically strong negative beliefs about self and world that resist updating.
  • Psychedelics may flatten the belief landscape, allowing therapy to re-establish less negative beliefs.
ADVICE

Don't Overinterpret Phase II Results

  • Treat small, early-phase trials cautiously and avoid hyped conclusions from secondary outcomes.
  • Demand larger, well-controlled phase III trials before changing clinical practice or policy.
INSIGHT

Blinding Challenges Inflates Expectancy Effects

  • Blinding is especially difficult in psychedelic trials because participants often know if they hallucinate.
  • That weakens comparisons and increases the chance expectancy effects drive outcomes.
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