Psychedelic Journeys and Psychological Flexibility
Article Title: “Acceptance as a Possible Link Between Past Psychedelic Experiences and Psychological Flexibility”
Authors: Andreas Krabbe, Pilleriin Sikka, Jussi Jylkkä
Publication Date: 2024
Background
The potential for psychedelics, like psilocybin and LSD, to positively impact mental health has been recognised in both clinical and naturalistic studies. These substances are often associated with transformative experiences that can enhance well-being. One promising mechanism for these benefits is the concept of psychological flexibility (PF), defined as the ability to adapt one’s thoughts and actions to serve meaningful goals, even in the face of emotional challenges. This study investigated how specific elements of psychedelic experiences, like psychological insights, relate to psychological flexibility. It further examined whether PF mediates the link between these experiences and changes in mental well-being and distress.
Study Overview
The research involved a cross-sectional survey of 629 participants with past experiences using classical psychedelics. The study used a network analysis approach to determine how features of these experiences, such as mystical-type encounters or psychological insights, correlated with various aspects of PF. Additionally, mediation analysis was performed to examine whether PF mediated the effects of these experiences on mental well-being or ill-being.
Key Findings
Insight over Frequency: The study found that psychological insight, rather than the frequency of past psychedelic use, was significantly associated with the PF component of Acceptance. Mystical-type experiences did not show this significant association.
Psychological Flexibility as a Mediator: PF mediated the relationship between past psychedelic insights and both increased well-being and reduced anxiety and depression. The study found that psychological insights alone were associated with increased symptoms of anxiety and depression, but this effect was mitigated when psychological flexibility mediated the relationship.
Self-as-Context Centrality: The PF aspect called Self-as-Context, which involves viewing oneself as an observer of thoughts rather than being controlled by them, was a pivotal node, strongly connected to other PF components. It was central within the psychological flexibility network but did not show a strong association with past psychedelic experiences after controlling for other components. This aligns with the study’s emphasis on Acceptance being the most directly relevant component linked to insights.
Discussion
The research emphasises that the depth and quality of a psychedelic experience, especially psychological insights, are more crucial for promoting Acceptance and PF than the mere quantity or frequency of psychedelic use. This aligns with therapeutic practices such as Acceptance and Commitment Therapy (ACT), often used in psychedelic-assisted therapy. However, the finding that insights alone could exacerbate anxiety or depression highlights the need for supportive environments that encourage PF, like structured retreat settings.
Implications
These results suggest that designing psychedelic experiences, such as those offered in retreats, should focus on facilitating meaningful insights and fostering acceptance. Integration practices that promote PF, such as mindfulness exercises or guided reflection, could enhance the therapeutic benefits of these experiences.
Potential Application
This research supports the importance of creating intentional settings that encourage profound psychological insights. Implementing therapeutic frameworks that emphasise acceptance, like ACT, could amplify the positive outcomes of psychedelic journeys, helping participants achieve lasting improvements in mental well-being.
Conclusions
The research underlines the significance of psychological flexibility, particularly Acceptance, as a crucial factor in harnessing the mental health benefits of psychedelics. It appears that it’s not how often one uses psychedelics but the depth of insight and the capacity for acceptance that truly makes a difference.
Reference:
Krabbe, A., Sikka, P., & Jylkkä, J. (2024). Acceptance as a possible link between past psychedelic experiences and psychological flexibility. Scientific Reports. https://doi.org/10.1038/s41598-024-75595-8