Depressive DisordersSubstance Use Disorders (SUD)Palliative & End-of-Life DistressSet & SettingAnxiety Disorders

Psychedelics and music: neuroscience and therapeutic implications

This review (2018) finds that music may play a larger (active) role in psychedelic therapy and could be responsible for (part of the positive) outcomes.

Authors

  • Katrin Preller
  • Mendel Kaelen
  • Frederick Barrett

Published

International Review of Psychiatry
meta Study

Abstract

From the beginning of therapeutic research with psychedelics, music listening has been consistently used as a method to guide or support therapeutic experiences during the acute effects of psychedelic drugs. Recent findings point to the potential of music to support meaning-making, emotionality, and mental imagery after the administration of psychedelics, and suggest that music plays an important role in facilitating positive clinical outcomes of psychedelic therapy. This review explores the history of, contemporary research on, and future directions regarding the use of music in psychedelic research and therapy, and argues for more detailed and rigorous investigation of the contribution of music to the treatment of psychiatric disorders within the novel framework of psychedelic therapy.

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Research Summary of 'Psychedelics and music: neuroscience and therapeutic implications'

Introduction

Barrett and colleagues frame the review within renewed interest in classic psychedelics (for example LSD, psilocybin, DMT, mescaline) as treatments for conditions such as addiction, end-of-life distress and depression. They note that psychedelic-assisted therapies are distinctive because clinically meaningful improvements can follow only one or a small number of sessions, and that a central premise of this therapeutic model is that the phenomenology of the acute drug experience predicts and mediates longer-term clinical outcomes. Music listening has been a pervasive element of psychedelic therapy since mid-20th century practice, but methods for selecting and delivering music are not standardised and have received little systematic empirical evaluation. This paper sets out to review the historical use of music in psychedelic contexts, and to synthesise contemporary neurobiological, psychopharmacological and clinical findings about how music and psychedelics interact. The authors aim to identify mechanisms by which music may support therapeutic effects (notably emotion modulation, imagery and autobiographical meaning-making), and to highlight gaps and future research directions needed to develop evidence-based guidelines for music use in psychedelic therapy.

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