如何使心理辅助疗法更安全
1Uehiro Oxford Institute, University of Oxford, Oxford, UK.
概括
迷幻药物辅助疗法需要仔细准备患者,因为迷幻状态造成的脆弱性. 把一个值得信赖的人带到会议上是一个非常有效的,被忽视的安全措施.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 经典的血类迷幻药的临床复兴需要对迷幻药辅助疗法的伦理考虑.
- 在迷幻状态下患者的脆弱性是一个关键的伦理问题,需要强有力的安全协议.
研究的目的:
- 检查心理药物引起的患者脆弱性的性质,特别是自主权的损害.
- 分析现有的心理辅助治疗安全措施的优缺点.
- 提出一个被忽视但有效的安全措施,用于迷幻会话.
主要方法:
- 心理学诱导的脆弱性的概念分析,专注于减少决策,可控性和对影响的抵抗力.
- 在文献中对五项拟议的安全措施进行系统评估.
- 识别和提出一种新的安全干预措施.
主要成果:
- 迷幻药引起的脆弱性源于自主权的受损,影响决策,控制和对外部影响的抵抗力.
- 准备性会议,预先指示和培训/监督是有益的安全措施.
- 降低剂量和省略治疗是不太有效的安全策略.
结论:
- 在迷幻疗法中优化安全性包括理解和减轻自主障碍.
- 现有的安全措施可以得到加强,应该考虑新的策略,比如包括一个值得信赖的伴侣.
- 将一个亲密的人纳入迷幻会话提供了一个可行的和有效的安全增强.
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