ARC: a framework for access, reciprocity and conduct in psychedelic therapies

The field of psychedelic assisted therapy (PAT) is growing at an unprecedented pace. The immense pressures this places on those working in this burgeoning field have already begun to raise important questions about risk and responsibility. It is imperative that the development of an ethical and equi...

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Main Authors: Meg J. Spriggs, Ashleigh Murphy-Beiner, Roberta Murphy, Julia Bornemann, Hannah Thurgur, Anne K. Schlag
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1119115/full
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author Meg J. Spriggs
Meg J. Spriggs
Ashleigh Murphy-Beiner
Ashleigh Murphy-Beiner
Roberta Murphy
Roberta Murphy
Julia Bornemann
Julia Bornemann
Hannah Thurgur
Anne K. Schlag
Anne K. Schlag
author_facet Meg J. Spriggs
Meg J. Spriggs
Ashleigh Murphy-Beiner
Ashleigh Murphy-Beiner
Roberta Murphy
Roberta Murphy
Julia Bornemann
Julia Bornemann
Hannah Thurgur
Anne K. Schlag
Anne K. Schlag
author_sort Meg J. Spriggs
collection DOAJ
description The field of psychedelic assisted therapy (PAT) is growing at an unprecedented pace. The immense pressures this places on those working in this burgeoning field have already begun to raise important questions about risk and responsibility. It is imperative that the development of an ethical and equitable infrastructure for psychedelic care is prioritized to support this rapid expansion of PAT in research and clinical settings. Here we present Access, Reciprocity and Conduct (ARC); a framework for a culturally informed ethical infrastructure for ARC in psychedelic therapies. These three parallel yet interdependent pillars of ARC provide the bedrock for a sustainable psychedelic infrastructure which prioritized equal access to PAT for those in need of mental health treatment (Access), promotes the safety of those delivering and receiving PAT in clinical contexts (Conduct), and respects the traditional and spiritual uses of psychedelic medicines which often precede their clinical use (Reciprocity). In the development of ARC, we are taking a novel dual-phase co-design approach. The first phase involves co-development of an ethics statement for each arm with stakeholders from research, industry, therapy, community, and indigenous settings. A second phase will further disseminate the statements for collaborative review to a wider audience from these different stakeholder communities within the psychedelic therapy field to invite feedback and further refinement. By presenting ARC at this early stage, we hope to draw upon the collective wisdom of the wider psychedelic community and inspire the open dialogue and collaboration upon which the process of co-design depends. We aim to offer a framework through which psychedelic researchers, therapists and other stakeholders, may begin tackling the complex ethical questions arising within their own organizations and individual practice of PAT.
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spelling doaj.art-a0e84df006e74fdfa6794b70a9a0e4022023-05-11T14:19:11ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-05-011410.3389/fpsyg.2023.11191151119115ARC: a framework for access, reciprocity and conduct in psychedelic therapiesMeg J. Spriggs0Meg J. Spriggs1Ashleigh Murphy-Beiner2Ashleigh Murphy-Beiner3Roberta Murphy4Roberta Murphy5Julia Bornemann6Julia Bornemann7Hannah Thurgur8Anne K. Schlag9Anne K. Schlag10Division of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, United KingdomDrug Science, London, United KingdomDivision of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, United KingdomDepartment of Psychology, Royal Holloway University of London, London, United KingdomDivision of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, United KingdomSouth West London and St George’s Mental Health NHS Trust, London, United KingdomDivision of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, United KingdomDrug Science, London, United KingdomDrug Science, London, United KingdomDivision of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, United KingdomDrug Science, London, United KingdomThe field of psychedelic assisted therapy (PAT) is growing at an unprecedented pace. The immense pressures this places on those working in this burgeoning field have already begun to raise important questions about risk and responsibility. It is imperative that the development of an ethical and equitable infrastructure for psychedelic care is prioritized to support this rapid expansion of PAT in research and clinical settings. Here we present Access, Reciprocity and Conduct (ARC); a framework for a culturally informed ethical infrastructure for ARC in psychedelic therapies. These three parallel yet interdependent pillars of ARC provide the bedrock for a sustainable psychedelic infrastructure which prioritized equal access to PAT for those in need of mental health treatment (Access), promotes the safety of those delivering and receiving PAT in clinical contexts (Conduct), and respects the traditional and spiritual uses of psychedelic medicines which often precede their clinical use (Reciprocity). In the development of ARC, we are taking a novel dual-phase co-design approach. The first phase involves co-development of an ethics statement for each arm with stakeholders from research, industry, therapy, community, and indigenous settings. A second phase will further disseminate the statements for collaborative review to a wider audience from these different stakeholder communities within the psychedelic therapy field to invite feedback and further refinement. By presenting ARC at this early stage, we hope to draw upon the collective wisdom of the wider psychedelic community and inspire the open dialogue and collaboration upon which the process of co-design depends. We aim to offer a framework through which psychedelic researchers, therapists and other stakeholders, may begin tackling the complex ethical questions arising within their own organizations and individual practice of PAT.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1119115/fullpsychedelic assisted therapy (PAT)ethicsequityco-designpsychotherapy
spellingShingle Meg J. Spriggs
Meg J. Spriggs
Ashleigh Murphy-Beiner
Ashleigh Murphy-Beiner
Roberta Murphy
Roberta Murphy
Julia Bornemann
Julia Bornemann
Hannah Thurgur
Anne K. Schlag
Anne K. Schlag
ARC: a framework for access, reciprocity and conduct in psychedelic therapies
Frontiers in Psychology
psychedelic assisted therapy (PAT)
ethics
equity
co-design
psychotherapy
title ARC: a framework for access, reciprocity and conduct in psychedelic therapies
title_full ARC: a framework for access, reciprocity and conduct in psychedelic therapies
title_fullStr ARC: a framework for access, reciprocity and conduct in psychedelic therapies
title_full_unstemmed ARC: a framework for access, reciprocity and conduct in psychedelic therapies
title_short ARC: a framework for access, reciprocity and conduct in psychedelic therapies
title_sort arc a framework for access reciprocity and conduct in psychedelic therapies
topic psychedelic assisted therapy (PAT)
ethics
equity
co-design
psychotherapy
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1119115/full
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