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Updated: Jun 13, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Developing Methods for Observing Awe Narration in Psilocybin-Assisted Therapy.

Elise C Tarbi1,2, Ian Bhatia2, Nabil Balach2

  • 1Department of Nursing, University of Vermont, Burlington, VT 05405, USA.

Healthcare (Basel, Switzerland)
|June 12, 2026
PubMed
Summary
This summary is machine-generated.

Researchers developed a reliable coding system to observe awe experiences during psychedelic-assisted therapy (PAT). This system helps measure key therapeutic moments in clinical trials, advancing our understanding of PAT

Keywords:
aweinterpersonal communicationpsilocybinpsychedelic-assisted therapypsychedelics

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Last Updated: Jun 13, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Research

Background:

  • Understanding psychedelic-assisted therapy (PAT) benefits necessitates studying the interaction between therapeutic context and process.
  • Measuring in-session events during PAT is crucial for large-scale scientific investigation.
  • Awe experiences are a hypothesized therapeutic mechanism in PAT.

Purpose of the Study:

  • To develop and evaluate a direct observation coding system for awe narrations during PAT.
  • To assess the feasibility and reliability of this coding system.
  • To operationalize observable characteristics of awe experiences within the PAT context.

Main Methods:

  • Analysis of 32 encounter recordings from a Phase 2 psilocybin-assisted therapy trial for advanced cancer.
  • Independent coding by two researchers using a structured codebook to identify moments of awe narration (vastness, accommodation, ineffability).
  • Refinement of the coding system based on inter-coder agreement and confidence levels.

Main Results:

  • 246 moments of awe narration were identified across 16,760 minutes of video.
  • Inter-coder agreement was established, with 58% of awe moments identified by both coders.
  • Coder confidence in identifying awe was significantly higher when 'vastness' was present (OR: 4.3).

Conclusions:

  • Awe narration during PAT is directly observable and codable using explicit criteria.
  • The developed coding system demonstrates feasibility and reliability for measuring awe.
  • This research provides an empirical foundation for scalable systems to code awe narration in PAT studies.