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Capacity Building Through Psychedelic-Assisted Therapy: Navigating Social Determinants of Health
Logan Neitzke-Spruill1, Jarrett Rose2
1Center for Medical Ethics & Health Policy - Baylor College of Medicine, One Baylor Plaza Suite 310D, Houston, TX 77030-3411, USA.
The Psychiatric Clinics of North America
|August 3, 2026
Summary
Psychedelic-assisted therapy (PAT) requires a holistic, relational approach, not just neurobiology. Framing PAT as capacity-building enhances self-perception and meaningful action for better mental health outcomes.
Area of Science:
- Psychiatry
- Psychopharmacology
- Mental Health
Background:
- A neurocentric bias in psychiatry risks oversimplifying psychedelic-assisted therapy (PAT).
- This bias neglects the crucial experiential, social, and relational dimensions of PAT.
- The resurgence of psychedelics in therapy necessitates a broader, more humanistic approach.
Purpose of the Study:
- To advocate for an ecological and relational perspective in psychedelic-assisted therapy (PAT).
- To challenge the reductionist neurobiological view of psychedelics in mental health treatment.
- To reframe PAT as a capacity-building process.
Main Methods:
- Conceptual analysis of current psychiatric approaches to psychedelics.
- Literature review on the holistic and relational aspects of psychedelic experiences.
- Argumentation for a capacity-building framework for PAT.
Main Results:
- PAT is currently threatened by a narrow neurocentric bias.
- An ecological and relational orientation is essential for understanding PAT phenomena and outcomes.
- Psychedelics offer an opportunity to adopt more holistic and socially grounded therapeutic models.
Conclusions:
- Psychedelic-assisted therapy (PAT) must integrate experiential, social, and relational factors.
- PAT should be viewed as a means to build patient capacity for meaningful action.
- A shift towards humanistic and socially grounded approaches is needed in psychedelic research and practice.
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