An Occupational Perspective on Psychedelic Therapy: A Scoping Review.
Gabriella Ann Hogan, Karen Elaine Wagner, Erin Tichenor and 1 others
PMID 38377676WHAT IT FOUND
Participants described psychedelic experiences as making daily activities more meaningful, deepening self-understanding, motivating future change, and increasing connection.
These are subjective accounts, not tested interventions.
Key findings
01Nine qualitative articles described participants' subjective experiences of psychedelics in therapeutic or ceremonial mental health settings.
02Six of nine articles described changes in doing, and all included studies described changes in being.
03Seven of nine articles described changes in becoming, and seven described changes in belonging.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
This is a scoping review of nine qualitative articles, so it maps experiences rather than testing outcomes. Included studies varied in substances, settings, diagnoses, interview timing, and quality; one low, two medium, six high. Authors included both therapeutic and ceremonial contexts and caution against conflating them, but analysis still combined them. Favorable reports may reflect self-selection, prior exposure, expectation bias, highly educated participants, and media hype. Authors are of European settler descent, cis-gendered, three women and one man, and three are Canadian occupational therapists. Search terms were limited to English and Western notions, and total participant numbers were not reported.
Declared interests
No funding or conflict-of-interest declaration is given in the supplied text. Three authors are occupational therapists in Canada.
The easy way to misread this
Do not read this as evidence that psychedelics improve mental health. It is a scoping review of nine qualitative studies, so it reports participants' subjective experiences and cannot show benefit or causation.