在迷幻辅助治疗中支持性触摸
Logan Neitzke-Spruill1, Caroline Beit1,2, Lynnette A Averill1,3
1Baylor College of Medicine.
The American journal of bioethics : AJOB
|January 13, 2025
概括
美国食品和药物管理局 (FDA) 由于安全问题,包括在试验期间涉嫌不当行为,拒绝将中胺用于PTSD治疗. 这篇论文讨论了在迷幻辅助疗法 (PAT) 中支持性触摸的风险和益处.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 美国食品和药物管理局 (FDA) 在2024年8月拒绝了Lykos Therapeutics对中胺与心理干预 (MDMA-AT) 治疗创伤后应激障碍 (PTSD) 的申请.
- 在MDMA的第二阶段研究中,一名未经授权的治疗师在涉嫌性行为不端的公开案件引起了人们的担忧.
- 这一事件,与其他在迷幻复习场的不当行为案例一起,质疑迷幻辅助治疗 (PAT) 中身体接触的适当性.
研究的目的:
- 分析心理辅助疗法 (PAT) 中支持性触摸的风险和益处.
- 提出关于PAT中身体接触的减少危害策略,考虑到迷幻药的独特影响.
主要方法:
- 对临床环境中支持性触摸现有研究的审查.
- 分析可能增加与身体接触相关的风险的迷幻物质的特定特性.
- 关于PAT中患者安全和治疗边界的伦理考虑.
主要成果:
- 迷幻药可以加剧情绪和感官体验,可能在治疗期间增加脆弱性.
- 支持性触摸虽然可能有益,但在PAT的背景下,它会增加伤害或虐待的风险.
- 需要一个细微的方法,平衡潜在的治疗效益与强大的安全协议.
结论:
- 预防原则应指导PAT中使用支持性触摸来减轻风险.
- 支持性触摸不应该完全被禁止,但必须非常谨慎和严格的道德准则来处理.
- 进一步的研究和明确的协议对于在心理治疗中安全实施身体接触至关重要.
相关概念视频
01:29Psychodynamic Therapy
53
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
53
01:26Group Therapy
23
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
23
01:22CNS Stimulants: Psychedelic Agents
123
Hallucinogens, also known as psychedelic drugs, are a class of substances known for their ability to alter perception, cognition, and emotions. Despite their profound effects on the mind, these drugs are non-addictive, setting them apart from many other abused substances. The mechanism of action of these drugs lies in their impact on the 5-HT2A receptor in the brain. Upon activation, this receptor couples to Gq-type G proteins, triggering a cascade that releases intracellular calcium. This...
123
01:28Psychotherapy
74
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
74
01:24Humanistic Therapy
33
Humanistic therapies emphasize personal growth, self-understanding, and the fulfillment of human potential. Rooted in the belief that individuals inherently strive toward self-actualization, these approaches encourage clients to explore their feelings and experiences in a supportive, nonjudgmental environment. Humanistic therapies differ from psychodynamic approaches by focusing on conscious experiences, present circumstances, and the potential for self-improvement rather than past conflicts...
33
01:06Altered States of Awareness
147
Altered states of consciousness represent significant deviations from one's normal mental state. These deviations can range from subtle changes in awareness to profound transformations in perception, thought processes, and sensory experiences. Altered states of consciousness can be triggered by various factors, including drug use, meditation, hypnosis, illness, or even intense fatigue.
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
147