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Published (Version of Record)CC BY-NC V4.0, Open Access
Journal article
Therapeutic frameworks in integration sessions in substance-assisted psychotherapy: A systematised review
Clinical psychology and psychotherapy, Early View
2023
PMID: 38148518
Abstract
Serotonergic psychedelics and related substances have been explored as potential adjuncts in substance-assisted psychotherapy (SAPT) for treating various disorders. SAPT can be divided into three phases: preparation, administration and integration. Integration is commonly defined as the comprehension and effective application of insights from psychedelic experiences into everyday life. However, there is limited research regarding the most appropriate therapeutic approach during SAPT. In this article, we discuss the current evidence for different therapeutic frameworks for integration sessions when serotonergic psychedelics and entactogens are used as adjuncts to psychotherapy. We conducted a systematised review of the literature following PRISMA guidelines and searched PsycINFO, MEDLINE and Cochrane Library databases. The final synthesis included 75 clinical trials, mixed-methods investigations, treatment manuals, study protocols, quasi-experiments, qualitative investigations, descriptive studies, opinion papers, reviews, books and book chapters, published until 11 November 2022. The effects that various therapeutic approaches for integration sessions have on therapeutic outcomes have not been investigated by means of rigorous research. Most of the available evidence we retrieved was not supported by empirical data, thus limiting any conclusive statements regarding appropriate therapeutic frameworks for integration sessions for SAPT. Current clinical studies have used a range of therapeutic frameworks with the majority drawing from the humanistic–experiential tradition. While integration is regarded as crucial for the safe application of SAPT, there is currently an insufficient evidence base to suggest that any type of therapy is effective for guiding integration sessions. A systematic investigation of different therapeutic frameworks for integration and additional therapy-related factors is needed.
Details
- Title
- Therapeutic frameworks in integration sessions in substance-assisted psychotherapy: A systematised review
- Authors/Creators
- Sascha B Thal - Curtin UniversityParis Baker - University of TasmaniaJonathon Marinis - Orygen Youth HealthMichelle Wieberneit - The University of Western AustraliaJason M Sharbanee - Curtin UniversityRaimundo Bruno - School of Medicine (Psychology), University of Tasmania, Hobart, Tasmania, AustraliaPetra M Skeffington - Murdoch UniversityStephen J Bright - Edith Cowan University
- Publication Details
- Clinical psychology and psychotherapy, Early View
- Publisher
- John Wiley & Sons Ltd.
- Identifiers
- 991005621855907891
- Copyright
- © 2023 The Authors.
- Murdoch Affiliation
- College of Health and Education; School of Allied Health; School of Psychology
- Language
- English
- Resource Type
- Journal article
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