Current Perspective on the Therapeutic Preset for Substance-Assisted Psychotherapy

This narrative review, the first in a series on appropriate conduct in substance-assisted psychotherapy (SAPT), outlines preconditions and theoretical knowledge valuable for therapeutic practice. It discusses ethical considerations and the spiritual emphasis of SAPT approaches, and summarizes current methods, models, and concepts of psychological mechanisms and therapeutic effects. Similarities between models and potential mediators for therapeutic effects are highlighted. The review argues that the therapeutic effect of SAPT may be mediated by intra- and interpersonal variables within the therapeutic context rather than specific therapeutic models per se. It provides a basis for developing future investigations, therapeutic models, and training programs, while discussing limitations and future directions.

Study at a glance

Abstract

The present narrative review is the first in a series of reviews about the appropriate conduct in substance-assisted psychotherapy (SAPT). It outlines a current perspective onpreconditions and theoretical knowledge that have been identified as valuable in the literaturefor appropriate therapeutic conduct in SAPT. In this context, considerations regarding ethics and the spiritual emphasis of the therapeutic approaches are discussed. Further, current methods, models, and concepts of psychological mechanism of action and therapeutic effects of SAPT are summarized, and similarities between models, approaches, and potential mediators for therapeutic effects are outlined. It is argued that a critical assessment of the literature might indicate that the therapeutic effect of SAPT may be mediated by intra- and interpersonal variables within the therapeutic context rather than specific therapeutic models per se . The review provides a basis for the development and adaptation of future investigations, therapeutic models, training programs for therapists, and those interested in the therapeutic potential of SAPT. Limitations and future directions for research are discussed.