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Daniel Arroyo-Zúñiga1, Javeth Calvo-Molina1, José Manuel Rodríguez-Arce2

  • 1Instituto de Investigaciones Psicológicas, Universidad de Costa Rica (UCR), San José, Costa Rica.. daniel.arroyozuniga@ucr.ac.cr.

Vertex (Buenos Aires, Argentina)
|April 11, 2026
PubMed
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This review highlights how non-pharmacological factors, specifically the patient's mindset (set) and environment (setting), significantly impact psychedelic-assisted therapies (PATs). Optimizing these elements is crucial for enhancing therapeutic outcomes and patient well-being.

Area of Science:

  • Psychopharmacology and Clinical Psychology

Background:

  • Recent literature underscores the significance of non-pharmacological variables in psychedelic-assisted therapies (PATs).
  • The patient's psychological state (set) and the therapeutic environment (setting) are critical modulators of subjective and therapeutic effects.

Purpose of the Study:

  • To synthesize key findings on how set and setting influence treatment outcomes in PATs.
  • To elucidate the impact of these variables on the overall patient well-being experience.

Main Methods:

  • A narrative review of conceptual and empirical articles from the past two decades.
  • Inclusion criteria focused on clinical approaches and contextual descriptions of therapeutic psychedelic use.

Main Results:

  • Findings organized into three phases: pre-therapy preparation, in-session environment, and post-session integration.

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  • Non-pharmacological variables are fundamental for maximizing the therapeutic potential of psychedelic substances like psilocybin and MDMA.
  • Conclusions:

    • Non-pharmacological factors are essential for optimizing psychedelic-assisted therapies.
    • A comprehensive model for clinical application and research is proposed to integrate these variables.