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Wolves Among Sheep: Sexual Violations in Psychedelic-Assisted Therapy.
Tahlia R Harrison1, Sonya C Faber1, Manzar Zare1
1University of Ottawa.
The American Journal of Bioethics : AJOB
|January 13, 2025
Summary
Psychedelic-assisted therapy requires careful ethical consideration, particularly regarding power dynamics and sexual abuse risks. This paper explores these concerns to promote safer therapeutic practices and regulatory frameworks.
Area of Science:
- Psychiatry
- Psychology
- Neuroscience
Background:
- The resurgence of psychedelic substances in Western therapy necessitates a thorough review of their application.
- Concerns exist regarding the efficacy of psychedelics without concurrent psychotherapeutic intervention.
- Ethical dilemmas, especially concerning altered states of consciousness and power dynamics, are paramount.
Purpose of the Study:
- To critically examine the ethical implications of psychedelic-assisted therapy.
- To address the specific issue of sexual abuse within this therapeutic context.
- To propose pathways for ethical practice and regulatory oversight.
Main Methods:
- Literature review and critical analysis of existing research and ethical guidelines.
- Exploration of therapeutic dynamics in psychedelic-assisted contexts.
- Examination of power imbalances and their potential for abuse.
Main Results:
- Psychedelic-assisted therapy presents unique ethical challenges due to altered states of consciousness.
- Power dynamics in therapy can be exacerbated, leading to risks of sexual abuse.
- Current regulatory frameworks may be insufficient to address these specific risks.
Conclusions:
- Robust ethical guidelines and regulatory frameworks are essential for safe psychedelic-assisted therapy.
- Training therapists to manage power dynamics and prevent abuse is crucial.
- Further research is needed to establish best practices for ethical psychedelic interventions.
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