Psychedelics, placebo effects, and set and setting: Insights from common factors theory of psychotherapy

2021 ◽  
pp. 136346152098368
Author(s):  
Natalie Gukasyan ◽  
Sandeep M. Nayak
Keyword(s):  
Therapeutic Relationship ◽  
Common Factors ◽  
Drug Effects ◽  
Contextual Effects ◽  
Future Research ◽  
Therapeutic Effects ◽  
Conceptual Scheme ◽  
Placebo Effects ◽  
The West ◽  
Major Criticism

Psychedelic-assisted treatment is at first glance markedly different in structure and approach from mainstream forms of psychotherapy in the West. A major criticism of clinical psychedelic research rests on the difficulty of executing placebo-controlled studies and distinguishing drug effects from those of the psychotherapeutic container in which psychedelics are typically presented. Detractors also tend to find fault in spiritual or mystical themes that often arise in the context of psychedelic use. Common factors theory of psychotherapy is a useful and extensively studied framework that can help make sense of these issues, and has much to contribute to our understanding of contextual effects that are often discussed in psychedelic literature as “set and setting.” In this article, we examine four major contextual “common factors” shared by various healing traditions: 1) the therapeutic relationship; 2) the healing setting; 3) the rationale, conceptual scheme, or myth; and 4) the ritual. We explain how these factors show up in psychedelic-assisted treatment and how they may contribute to therapeutic effects. Lastly, we discuss the implications of these factors for the concept of placebo, and for future research.

Celebrity Worship Among University Students in Malaysia

2011 ◽  
Vol 16 (4) ◽  
pp. 334-342 ◽  
Author(s):  
Viren Swami ◽  
Tomas Chamorro-Premuzic ◽  
Khairul Mastor ◽  
Fatin Hazwani Siran ◽  
Mohammad Mohsein Mohammad Said ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Structural Equation Modeling ◽  
Structural Equation ◽  
Attitude Scale ◽  
Equation Modeling ◽  
Future Research ◽  
The West ◽  
Factor Solution ◽  
Movie Stars ◽  
Three Factor

The present study examined conceptual issues surrounding celebrity worship in a Malay-speaking population. In total, 512 Malay and 269 Chinese participants from Malaysia indicated who their favorite celebrity was and completed the Celebrity Attitude Scale (CAS) as well as a range of demographic items. Results showed that the majority of Malay and Chinese participants selected pop stars and movie stars as their favourite celebrities, mirroring findings in Western settings. In addition, exploratory factor analysis revealed a three-factor solution of the CAS that was consistent with previous studies conducted in the West. Structural equation modeling further revealed that participant’s age was negatively associated with celebrity worship and that self-rated attractiveness was positively associated with celebrity worship. Overall, the present results suggest that celebrity worship in Malaysia may be driven by market and media forces, and future research may well be guided by use of the CAS.

Yogic Intervention in Sexual Dysfunction - A Review

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Rakshith K. R. ◽  
Shivakumar . ◽  
Kaushal Sinha ◽  
Vijeth Kumar L. A.
Keyword(s):  
Psychological Functioning ◽  
Empirical Studies ◽  
Empirical Literature ◽  
Future Research ◽  
Therapeutic Effects ◽  
Yoga Therapy ◽  
Cognitive Component ◽  
Beneficial Effects ◽  
Breathing Exercises ◽  
The Mind

Yoga is an ancient practice with Eastern roots that involves both physical postures (Asanas) and breathing techniques (Pranayamas). Yoga therapy for male sexual problems can effectively be treated through Yoga therapy, particularly with the help of Yoga poses and breathing exercises, Yoga has proven itself highly very effective in the treatment of a number of incurable and sometimes terminable diseases. Then again, Yoga's therapeutic effects are just a spin-off and supplementary. Yoga which has proved to be very effective in the treatment of many impossible and incurable diseases, the therapeutic effect of Yoga is only a by product and incidental. Problems related to sex can very well be handled with Yoga as most often these problems are more related to the mind than body. Either they are caused by lack of confidence or stress or fatigue or fear and very few times some physical cause is there. There is also a cognitive component focusing on meditation and concentration, which aids in achieving the goal of union between the self and the spiritual. Although numerous empirical studies have found a beneficial effect of Yoga on different aspects of physical and psychological functioning, claims of Yoga's beneficial effects on sexuality derive from a rich but no empirical literature. The goal of this article is to review the philosophy and forms of Yoga, to review the no empirical and (limited) empirical literatures linking Yoga with enhanced sexuality, and to propose some future research avenues focusing on Yoga as a treatment for sexual disorder.

Conclusion

2017 ◽  
Author(s):  
Harald Schoen ◽  
Sigrid Roßteutscher ◽  
Rüdiger Schmitt-Beck ◽  
Bernhard Weßels ◽  
Christof Wolf
Keyword(s):  
Political Behavior ◽  
Voting Behavior ◽  
Contextual Effects ◽  
Democratic Politics ◽  
Voter Behavior ◽  
Future Research ◽  
Opinion Formation ◽  
Context Sensitive ◽  
Contextual Features ◽  
And Behavior

This concluding chapter summarizes the main findings of the preceding chapters in light of the model of contextual effects on voter behavior. Accordingly, the processes of communication and politicization are of key importance for contextual effects. By implication, we cannot take for granted that contextual features exert sizable effects on voters’ opinion formation and behavior in each and every case. Findings about contextual effects are also context-sensitive and thus do not lend themselves to generalization by default. These observations suggest that context plays a nuanced and conditional role in voting behavior. Exploring it further should be a focal topic of future research on political behavior and democratic politics.

Placebos and Movies: What Do They Have in Common?

2021 ◽  
pp. 096372142110038
Author(s):  
Fabrizio Benedetti
Keyword(s):  
Everyday Life ◽  
Common Sense ◽  
Placebo Effect ◽  
Psychological Factors ◽  
General Framework ◽  
Physiological Responses ◽  
Therapeutic Effects ◽  
Physiological Effects ◽  
Placebo Effects ◽  
What Matters

Placebos are fake therapies that can induce real therapeutic effects, called placebo effects. It goes without saying that what matters for inducing a placebo effect is not so much the fake treatment itself, but rather the therapeutic ritual that is carried out, which is capable of triggering psychobiological mechanisms in the patient’s brain. Both laypersons and scientists often accept the phenomenon of the placebo effect with reluctance, as fiction-induced clinical improvements are at odds with common sense. However, it should be emphasized that placebo effects are not surprising after all if one considers that fiction-induced physiological effects occur in everyday life. Movies provide one of the best examples of how fictitious reality can induce psychological and physiological responses, such as fear, love, and tears. In the same way that a horror movie induces fear-related physiological responses, even though the viewer knows everything is fake, so the sight of a syringe may trigger the release of pain-relieving chemicals in the patient’s brain, even if the patient knows there is a fake painkiller inside. From this perspective, placebos can be better conceptualized as rituals, actions, and fictions within a more general framework that emphasizes the power of psychological factors in everyday life, including the healing context.

scholarly journals Does the model of additive effect in placebo research still hold true? A narrative review

JRSM Open ◽  
2017 ◽  
Vol 8 (3) ◽  
pp. 205427041668143 ◽  
Author(s):  
Katja Boehm ◽  
Bettina Berger ◽  
Ulrich Weger ◽  
Peter Heusser
Keyword(s):  
Context Effects ◽  
Experimental Studies ◽  
Additive Model ◽  
Drug Effects ◽  
Future Research ◽  
Inclusion Criteria ◽  
Integrative Study ◽  
Additive Relation ◽  
Specific Factors ◽  
Study Designs

Personalised and contextualised care has been turned into a major demand by people involved in healthcare suggesting to move toward person-centred medicine. The assessment of person-centred medicine can be most effectively achieved if treatments are investigated using ‘with versus without’ person-centredness or integrative study designs. However, this assumes that the components of an integrative or person-centred intervention have an additive relationship to produce the total effect. Beecher’s model of additivity assumes an additive relation between placebo and drug effects and is thus presenting an arithmetic summation. So far, no review has been carried out assessing the validity of the additive model, which is to be questioned and more closely investigated in this review. Initial searches for primary studies were undertaken in July 2016 using Pubmed and Google Scholar. In order to find matching publications of similar magnitude for the comparison part of this review, corresponding matches for all included reviews were sought. A total of 22 reviews and 3 clinical and experimental studies fulfilled the inclusion criteria. The results pointed to the following factors actively questioning the additive model: interactions of various effects, trial design, conditioning, context effects and factors, neurobiological factors, mechanism of action, statistical factors, intervention-specific factors (alcohol, caffeine), side-effects and type of intervention. All but one of the closely assessed publications was questioning the additive model. A closer examination of study design is necessary. An attempt in a more systematic approach geared towards solutions could be a suggestion for future research in this field.

scholarly journals Attending to Methodological Challenges in Qualitative Research to Foster Participation of Individuals with Chronic Critical Illness and Communication Impairments

2021 ◽  
Vol 8 ◽  
pp. 233339362110000
Author(s):  
Fuchsia Howard ◽  
Sarah Crowe ◽  
Scott Beck ◽  
Gregory Haljan
Keyword(s):  
Qualitative Research ◽  
Critical Illness ◽  
Therapeutic Relationship ◽  
Prolonged Mechanical Ventilation ◽  
Future Research ◽  
Interpretive Description ◽  
Study Participation ◽  
Chronic Critical Illness ◽  
Conducting Research ◽  
Communication Impairments

Individuals with chronic critical illness experience multiple complex physiological disturbances including ongoing respiratory failure, requiring prolonged mechanical ventilation, and thus communication impairments. In conducting a qualitative interpretive description study, we sought to ensure that individuals with chronic critical illness themselves were included as participants. Our commitment to recruiting these individuals to the study and ensuring their data meaningfully informed the analysis and findings required us to reconsider and challenge some of the traditional notions of high-quality qualitative research and develop appropriate practical strategies. These strategies included: (1) centering participant abilities and preferences, (2) adopting a flexible approach to conducting interviews, (3) engaging in a therapeutic relationship, and (4) valuing “thin” data. In this article, we extend existing literature describing the complexities of conducting research with individuals with communication impairments and strategies to consider in the hopes of informing future research with other populations historically excluded from study participation.

scholarly journals Effects of Electrical Stimulation in Tinnitus Patients: Conventional Versus High-Definition tDCS

2018 ◽  
Vol 32 (8) ◽  
pp. 714-723 ◽  
Author(s):  
Laure Jacquemin ◽  
Giriraj Singh Shekhawat ◽  
Paul Van de Heyning ◽  
Griet Mertens ◽  
Erik Fransen ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Depression Scale ◽  
Future Research ◽  
Therapeutic Effects ◽  
Long Term Effects ◽  
High Definition ◽  
Tinnitus Questionnaire ◽  
Temporal Area ◽  
Clinically Significant ◽  
The Right

Background. Contradictory results have been reported for transcranial direct current stimulation (tDCS) as treatment for tinnitus. The recently developed high-definition tDCS (HD tDCS) uses smaller electrodes to limit the excitation to the desired brain areas. Objective. The current study consisted of a retrospective part and a prospective part, aiming to compare 2 tDCS electrode placements and to explore effects of HD tDCS by matched pairs analyses. Methods. Two groups of 39 patients received tDCS of the dorsolateral prefrontal cortex (DLPFC) or tDCS of the right supraorbital–left temporal area (RSO-LTA). Therapeutic effects were assessed with the tinnitus functional index (TFI), a visual analogue scale (VAS) for tinnitus loudness, and the hyperacusis questionnaire (HQ) filled out at 3 visits: pretherapy, posttherapy, and follow-up. With a new group of patients and in a similar way, the effects of HD tDCS of the right DLPFC were assessed, with the tinnitus questionnaire (TQ) and the hospital anxiety and depression scale (HADS) added. Results. TFI total scores improved significantly after both tDCS and HD tDCS (DLPFC: P < .01; RSO-LTA: P < .01; HD tDCS: P = .05). In 32% of the patients, we observed a clinically significant improvement in TFI. The 2 tDCS groups and the HD tDCS group showed no differences on the evolution of outcomes over time (TFI: P = .16; HQ: P = .85; VAS: P = .20). Conclusions. TDCS and HD tDCS resulted in a clinically significant improvement in TFI in 32% of the patients, with the 3 stimulation positions having similar results. Future research should focus on long-term effects of electrical stimulation.

scholarly journals Patterns of blunt force homicide in the West Metropole of the City of Cape Town, South Africa

2017 ◽  
Vol 113 (5/6) ◽  
Author(s):  
Courtnee Clark ◽  
Calvin G. Mole ◽  
Marise Heyns ◽  
◽  
◽  
...  
Keyword(s):  
South Africa ◽  
Cape Town ◽  
Future Research ◽  
The West ◽  
Blunt Force ◽  
Blunt Force Trauma ◽  
Lack Of Information ◽  
Salt River ◽  
The City ◽  
Ballistic Trauma

There is currently a lack of information regarding the prevalence of and characteristics associated with blunt force trauma related homicides in South Africa. Information relating to the patterns of blunt force trauma could assist in the development and implementation of interventions targeted at specific areas or individuals as well as direct future research towards areas in need of investigation. This study is a 5-year retrospective review of autopsy reports obtained from Salt River Mortuary (Cape Town, South Africa). The prevalence of blunt force trauma was considered for unnatural deaths with a focus on homicide. The patterns of homicidal blunt force trauma are also presented. A total of 15 519 autopsy cases was analysed. In 1198 (7.72%) of these cases, the cause of death was found to be blunt force trauma and 828 (5.32%) of these cases were classified as homicides. Approximately 11% of blunt force homicide cases occurred in combination with sharp and/or ballistic trauma. Men from poor socio-economic areas were shown to be most at risk of blunt force homicide in the City of Cape Town.

Conclusions

2020 ◽  
pp. 349-366
Author(s):  
Stephen A. Kowalewski
Keyword(s):  
Cultural Diversity ◽  
Future Research ◽  
The West ◽  
Critical Data ◽  
West Mexico ◽  
Individual Contributions ◽  
Nuanced Understanding ◽  
The Individual

This concluding chapter seeks to tie the individual contributions to this volume into a coherent whole. Drawing on points raised in the various chapters, it summarizes critical data and provides a synthesis of the current research presented in constituent chapters that highlight spatial, temporal, and cultural diversity in ancient west Mexico. The author offers comments and observations on all chapters, highlighting common threads and lines of thought or evidence that bind the individual chapters together into a complete dialogue. It emphasizes the significance of the evidence from the west—presented in the volume—in crafting a more complex and nuanced understanding of both the west in particular and Mesoamerica as a whole. The chapter concludes by offering thoughts and suggestions for how future research may enhance archaeological understanding of this vast and understudied region.

Religion and International Crimes

2019 ◽  
pp. 192-207 ◽  
Author(s):  
Pieter Nanninga
Keyword(s):  
Religious Studies ◽  
Religious Violence ◽  
Primary Sources ◽  
Future Research ◽  
Primary Role ◽  
Islamic State ◽  
The West ◽  
International Crimes ◽  
The Relationship

This chapter introduces insights from the field of religious studies to research on perpetrators in order to examine the relationship between religion and international crimes. To this end, the chapter focuses on the case of the Islamic State, and particularly its crimes against the Iraqi Yazidi community and its attacks in the West. Based on primary sources, it argues that religion plays a primary role in the perpetrators self-understandings, serving as a significant framework through which they shape, justify, and give meaning to their violence. However, the chapter also demonstrates that religion cannot be consistently distinguished from non-religious or secular aspects of violence. Therefore, it argues, attributing a particular role to religion in explaining international crimes is inconsistent, and distinguishing between ‘religious violence’ and its secular counterpart not very helpful. Based on these observations, the chapter concludes by providing suggestions for future research on the topic.

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