
Contents
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What Are “Psychedelic” Substances? What Are “Psychedelic” Substances?
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Varieties of Psychedelic Compounds Varieties of Psychedelic Compounds
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Applicability of This Book to Other Psychedelic Medicines Applicability of This Book to Other Psychedelic Medicines
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Applicability of EMBARK to Classic Psychedelics Applicability of EMBARK to Classic Psychedelics
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Applicability of EMBARK to MDMA-Assisted Therapy Applicability of EMBARK to MDMA-Assisted Therapy
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Applicability of EMBARK to Ketamine-Assisted Therapy Applicability of EMBARK to Ketamine-Assisted Therapy
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A Short History of PAT A Short History of PAT
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The Psychotomimetic Paradigm (1920s–1950s) The Psychotomimetic Paradigm (1920s–1950s)
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Shift Toward PAT (1950s–1970) Shift Toward PAT (1950s–1970)
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The Rising Tide of Regulations and Cultural Shifts: The Ebbing of PAT Research (1962–1970) The Rising Tide of Regulations and Cultural Shifts: The Ebbing of PAT Research (1962–1970)
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Underground Networks (1970–2006 and Present) Underground Networks (1970–2006 and Present)
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The Founding of Psychedelic Advocacy and Research Organizations (1986–Present) The Founding of Psychedelic Advocacy and Research Organizations (1986–Present)
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The Resurgence of Psychedelic Research (2006–Present) The Resurgence of Psychedelic Research (2006–Present)
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What Is Missing From This Story? What Is Missing From This Story?
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Marginalization of Indigenous Perspectives and Lineages Marginalization of Indigenous Perspectives and Lineages
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Western Underground Psychedelic Practices Western Underground Psychedelic Practices
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Systemic Psychedelic Harms Perpetrated Against LGBTQ+, BIPOC, Incarcerated, and Other Oppressed Groups Systemic Psychedelic Harms Perpetrated Against LGBTQ+, BIPOC, Incarcerated, and Other Oppressed Groups
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Harmful Boundary Transgressions in PAT Harmful Boundary Transgressions in PAT
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Where Are We in the Story? Where Are We in the Story?
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Common Elements of PAT Common Elements of PAT
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Three-Phase Treatment Structure Three-Phase Treatment Structure
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Preparation Sessions: Common Elements Preparation Sessions: Common Elements
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Medicine Sessions: Common Elements Medicine Sessions: Common Elements
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Integration Sessions: Common Elements Integration Sessions: Common Elements
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Multiple-Dose Treatment Designs Multiple-Dose Treatment Designs
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Therapist Dyads Therapist Dyads
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Set and Setting Set and Setting
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The Importance of Providing a Therapeutic Container The Importance of Providing a Therapeutic Container
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Psychedelic Therapy Versus Psychedelic Support Psychedelic Therapy Versus Psychedelic Support
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1 An Overview of Psychedelic-Assisted Therapy
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Published:March 2024
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Abstract
Chapter 1 introduces the concept of psychedelic-assisted therapy (PAT) and the EMBARK psychedelic therapy model, a new approach to PAT and psychological support. The chapter serves as an orientation to the book, outlining its structure and intended audiences. It discusses the growing interest in psychedelic medicines for treating mental health disorders, particularly depression. The authors provide a conventional history of PAT research and criticize this history for missing critical histories of harm and the stories of marginalized groups. The EMBARK model is introduced, offering a transdiagnostic and trans-drug approach adaptable to various indications and psychedelic medicines. The authors review common PAT elements, including the preparation, medicine, and integration phases of treatment; therapist dyads; set and setting; and the importance of providing a therapeutic container. The chapter also characterizes the emerging evidence base for EMBARK, mentioning ongoing randomized clinical trials piloting the EMBARK model and the free EMBARK Open Access training program.
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