Participant Reports of Mindfulness, Posttraumatic Growth, and Social Connectedness in Psilocybin-Assisted Group Therapy: An Interpretive Phenomenological Analysis
Participant Reports of Mindfulness, Posttraumatic Growth, and Social Connectedness in Psilocybin-Assisted Group Therapy: An Interpretive Phenomenological Analysis
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DOI：
10.1177/00221678211022949
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发表时间：
2021-06-12
影响因子：
1.7
通讯作者：
Woolley, Josh
中科院分区：
文献类型：
--
作者：
Agin-Liebes, Gabrielle;Ekman, Eve;Woolley, Josh
本定性研究的主要目的是探讨接受裸盖菇素辅助团体治疗的个体的治疗轨迹。这种解释现象学分析集中在一个丰富的研究样本的同性恋确定的顺性别男性（n = 9）与人类免疫缺陷病毒诊断1996年之前和临床显着的创伤症状。在参与者的单独裸盖菇素治疗后1天进行微观现象学访谈，以引起对裸盖菇素辅助治疗的精细描述。两个主要的主题变化过程中确定使用解释现象学分析。在他们的裸盖菇素会议期间，参与者报告说，从习惯的、评价性的处理模式过渡到正念的、经验性的处理模式（从“自动驾驶”到“元感知”）。从他们的情感回避倾向中解放出来，参与者能够处理和释放以前否认的感觉（悲伤，羞耻），并获得关系和自我超越的感觉和亲社会的态度（喜悦，感激，爱，关怀，同情）。治疗还支持意义的形成过程和创伤后成长的实现（在心理，关系，精神层面），因为参与者将过去的创伤融入他们的生活叙事和身份（从“创伤主导”到“成长主导”）。这些研究结果表明，管理与psilocybin的连续性团体治疗可以通过加强社会凝聚力，安全性，信任和归属感来提高创伤处理的有效性。这些数据提供了裸盖菇素在缓解创伤症状的疗效在一组促进格式的第一个经验性建议，并提供了一个更深入的了解，在这种新的治疗方法所涉及的潜在的心理变化过程。
The primary objective of this qualitative study was to explore the therapeutic trajectories of individuals undergoing psilocybin-assisted group therapy. This interpretive phenomenological analysis focused on an enriched study sample of gay-identified cisgender men (n = 9) with human immunodeficiency virus diagnosed before 1996 and clinically significant trauma symptoms. Microphenomenological interviews were carried out 1 day after participants' individual psilocybin sessions to elicit fine-grained descriptions of the psilocybin-assisted treatment. Two major thematic change processes were identified using Interpretive Phenomenological Analysis. During their psilocybin sessions, participants reported transitioning out of habitual, evaluative modes of processing and into mindful, experiential modes of processing (from "autopilot" to "meta-aware"). Freed from their emotionally avoidant tendencies, participants were able to process and release previously disowned feelings (grief, shame) and access relational and self-transcendent feelings and prosocial attitudes (joy, gratitude, love, care, compassion). The treatment also supported processes of meaning-making and the realization of posttraumatic growth (in psychological, relational, spiritual dimensions) as participants integrated past traumas into their life narratives and identities (from "trauma-dominant" to "growth-dominant"). These findings suggest that administering adjunctive group therapy with psilocybin may enhance the effectiveness of trauma processing by reinforcing social cohesion, safety, trust, and belonging. These data provide the first empirical suggestion of psilocybin's efficacy in alleviating trauma symptoms in a group-facilitated format and provide a deeper understanding of the potential psychological change processes involved in this novel treatment approach.