LSD-assisted psychotherapy for anxiety associated with a life-threatening disease: A qualitative study of acute and sustained subjective effects

LSD-assisted psychotherapy for anxiety associated with a life-threatening disease: A qualitative study of acute and sustained subjective effects
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DOI:
10.1177/0269881114555249
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发表时间:
2015-01-01
影响因子:
4.1
通讯作者:
Passie, Torsten
Passie, Torsten
中科院分区:
医学3区
文献类型:
--
作者:
Gasser, Peter;Kirchner, Katharina;Passie, Torsten

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目的:最近发表的一项研究表明,LSD辅助心理治疗对与危及生命的疾病相关的焦虑患者的安全性和有效性。本研究的参与者包括在前瞻性follow-up.Method:12个月后完成LSD心理治疗,10名参与者进行了焦虑测试(STAI),并参加了一个半结构式访谈。定性内容分析(QCA)进行了访谈,阐述LSD的影响和持久的心理changes.Results:没有参与者报告持久的不良反应。用STAI衡量的显著效益持续了12个月。在QCA中,参与者一致报告了深刻的,宣泄的和人际交往的经验,伴随着焦虑的减少(77.8%)和生活质量的提高(66.7%)。主观经验的评估表明,促进获得情绪,对抗以前未知的焦虑,担忧,资源和强烈的情绪高峰体验作为主要的心理工作机制。创建的经验导致重组的人的情感信任,情境理解,习惯和世界view.Conclusions:LSD管理在医疗监督的心理治疗设置可以是安全的,并产生持久的利益,患者有生命危险的疾病。LSD治疗效果的解释模型需要进一步研究。
Objective: A recently published study showed the safety and efficacy of LSD-assisted psychotherapy in patients with anxiety associated with life-threatening diseases. Participants of this study were included in a prospective follow-up.Method: 12 months after finishing LSD psychotherapy, 10 participants were tested for anxiety (STAI) and participated in a semi-structured interview. A Qualitative Content Analysis (QCA) was carried out on the interviews to elaborate about LSD effects and lasting psychological changes.Results: None of the participants reported lasting adverse reactions. The significant benefits as measured with the STAI were sustained over a 12-month period. In the QCA participants consistently reported insightful, cathartic and interpersonal experiences, accompanied by a reduction in anxiety (77.8%) and a rise in quality of life (66.7%). Evaluations of subjective experiences suggest facilitated access to emotions, confrontation of previously unknown anxieties, worries, resources and intense emotional peak experiences a la Maslow as major psychological working mechanisms. The experiences created led to a restructuring of the person's emotional trust, situational understanding, habits and world view.Conclusions: LSD administered in a medically supervised psychotherapeutic setting can be safe and generate lasting benefits in patients with a life-threatening disease. Explanatory models for the therapeutic effects of LSD warrant further study.