Psychedelic Science of Spirituality and Religion: An Attachment-Informed Agenda Proposal

In this paper, we set an agenda for a psychedelic science of spirituality and religion, based on a synthesis of attachment theory with the Relaxed Beliefs Under pSychedelics (REBUS) model. Attachment theory proposes that people develop internal working models (IWMs) of interactions with others from their relational experiences with caregivers. Such IWMs then function as high-level priors enabling people, for better and for worse, to predict and organize their interpersonal and religious/spiritual relationships. One mechanism by which efficacious psychedelic interventions may work is by relaxing the grip of rigid, defensive priors (e.g., insecure IWMs with regard to others and God), further amplified by corrective relational experiences with the therapist, God, or others. We outline three key proposals to steer future research. First, individual differences in attachment security predict the phenomenology and integration of psychedelic experiences. Second, efficacious psychedelic therapy facilitates increased attachment security as a clinically relevant outcome. Third, attachment-related dynamics (e.g., a sense of connection to others and God, alleviation of attachment-related worries and defenses) are process-level mechanisms involved in the clinical utility of psychedelic treatment. Finally, we discuss the role of religion and spirituality in psychedelic experiences from an attachment perspective.

[1]  M. Nour,et al.  The Watts Connectedness Scale: a new scale for measuring a sense of connectedness to self, others, and world , 2022, Psychopharmacology.

[2]  D. Nutt,et al.  Therapeutic Alliance and Rapport Modulate Responses to Psilocybin Assisted Therapy for Depression , 2022, Frontiers in Pharmacology.

[3]  H. Morishita,et al.  Critical Period Plasticity as a Framework for Psychedelic-Assisted Psychotherapy , 2021, Frontiers in Neuroscience.

[4]  R. Carhart-Harris,et al.  Does Psychedelic Therapy Have a Transdiagnostic Action and Prophylactic Potential? , 2021, Frontiers in Psychiatry.

[5]  M. Liechti,et al.  Role of the 5-HT2A Receptor in Acute Effects of LSD on Empathy and Circulating Oxytocin , 2021, Frontiers in Pharmacology.

[6]  Chris Letheby Philosophy of Psychedelics , 2021 .

[7]  R. Carhart-Harris,et al.  Psychedelics alter metaphysical beliefs , 2021, Scientific Reports.

[8]  Monnica T. Williams,et al.  Ethnoracial health disparities and the ethnopsychopharmacology of psychedelic-assisted psychotherapies. , 2021, Experimental and clinical psychopharmacology.

[9]  Jennifer M. Mitchell,et al.  MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study , 2021, Nature Medicine.

[10]  A. Garcia-Romeu,et al.  Whitewashing psychedelics: racial equity in the emerging field of psychedelic-assisted mental health research and treatment , 2021 .

[11]  Jacob S. Aday,et al.  Predicting Reactions to Psychedelic Drugs: A Systematic Review of States and Traits Related to Acute Drug Effects. , 2021, ACS pharmacology & translational science.

[12]  Matthew W. Johnson,et al.  Set and Setting: A Randomized Study of Different Musical Genres in Supporting Psychedelic Therapy. , 2021, ACS pharmacology & translational science.

[13]  Elizabeth M. Nielson,et al.  Development and Evaluation of a Therapist Training Program for Psilocybin Therapy for Treatment-Resistant Depression in Clinical Research , 2021, Frontiers in Psychiatry.

[14]  C. Healy The acute effects of classic psychedelics on memory in humans , 2021, Psychopharmacology.

[15]  J. Vencovský,et al.  Plasma Hsp90 levels in patients with systemic sclerosis and relation to lung and skin involvement: a cross-sectional and longitudinal study , 2021, Scientific Reports.

[16]  D. E. Olson The Subjective Effects of Psychedelics May Not Be Necessary for Their Enduring Therapeutic Effects. , 2020, ACS pharmacology & translational science.

[17]  R. Griffiths,et al.  The Subjective Effects of Psychedelics Are Necessary for Their Enduring Therapeutic Effects. , 2020, ACS pharmacology & translational science.

[18]  J. Woolley,et al.  Psilocybin-Assisted Group Therapy and Attachment: Observed Reduction in Attachment Anxiety and Influences of Attachment Insecurity on the Psilocybin Experience. , 2020, ACS pharmacology & translational science.

[19]  Matthew W. Johnson,et al.  Psychedelics and Psychotherapy , 2020, Pharmacopsychiatry.

[20]  R. Carhart-Harris,et al.  Pivotal mental states , 2020, Journal of psychopharmacology.

[21]  Aaron D. Cherniak,et al.  Implicit and explicit attitudes towards God and life satisfaction. , 2020 .

[22]  D. Nutt,et al.  Therapeutic effects of classic serotonergic psychedelics: A systematic review of modern‐era clinical studies , 2020, Acta psychiatrica Scandinavica.

[23]  Sveinung Sandberg,et al.  Making "bad trips" good: How users of psychedelics narratively transform challenging trips into valuable experiences. , 2020, The International journal on drug policy.

[24]  P. Shaver,et al.  Attachment theory and religion. , 2020, Current opinion in psychology.

[25]  A. Niemeijer,et al.  Psychedelic Treatments for Psychiatric Disorders: A Systematic Review and Thematic Synthesis of Patient Experiences in Qualitative Studies , 2020, CNS Drugs.

[26]  R. Duschinsky Cornerstones of Attachment Research , 2020 .

[27]  Alan K. Davis,et al.  A Meta-Analysis of Placebo-Controlled Trials of Psychedelic-Assisted Therapy , 2020, Journal of psychoactive drugs.

[28]  B. Vervliet,et al.  A learning theory of attachment: Unraveling the black box of attachment development , 2020, Neuroscience & Biobehavioral Reviews.

[29]  P. Vrtička,et al.  A functional neuro-anatomical model of human attachment (NAMA): Insights from first- and second-person social neuroscience , 2020, Cortex.

[30]  M. Crockett,et al.  Transformative experience and social connectedness mediate the mood-enhancing effects of psychedelic use in naturalistic settings , 2020, Proceedings of the National Academy of Sciences.

[31]  M. Riva,et al.  Acute Stress Induces Cognitive Improvement in the Novel Object Recognition Task by Transiently Modulating Bdnf in the Prefrontal Cortex of Male Rats , 2020, Cellular and Molecular Neurobiology.

[32]  A. Wagner,et al.  Exploring the case for research on incorporating psychedelics within interventions for borderline personality disorder , 2020 .

[33]  D. Hermans,et al.  Trust development as an expectancy-learning process: Testing contingency effects , 2019, PloS one.

[34]  R. Carhart-Harris,et al.  Emotional breakthrough and psychedelics: Validation of the Emotional Breakthrough Inventory , 2019, Journal of psychopharmacology.

[35]  Karl J. Friston,et al.  REBUS and the Anarchic Brain: Toward a Unified Model of the Brain Action of Psychedelics , 2019, Pharmacological Reviews.

[36]  Frederick S. Barrett,et al.  Classic psychedelics: An integrative review of epidemiology, therapeutics, mystical experience, and brain network function , 2019, Pharmacology & therapeutics.

[37]  Don E. Davis,et al.  Measures of God representations: Theoretical framework and critical review. , 2019 .

[38]  P. Shaver,et al.  Apostasy and conversion: Attachment orientations and individual differences in the process of religious change. , 2018, Psychology of Religion and Spirituality.

[39]  Richard E. Daws,et al.  Predicting Responses to Psychedelics: A Prospective Study , 2018, Front. Pharmacol..

[40]  Kenneth N. Levy,et al.  Adult attachment as a predictor and moderator of psychotherapy outcome: A meta-analysis. , 2018, Journal of clinical psychology.

[41]  Don E. Davis,et al.  Religious meaning making and attachment in a disaster context: A longitudinal qualitative study of flood survivors , 2018, The Journal of Positive Psychology.

[42]  P. Hendricks Awe: a putative mechanism underlying the effects of classic psychedelic-assisted psychotherapy , 2018, International review of psychiatry.

[43]  Matthew W. Johnson,et al.  Psychedelic therapy for smoking cessation: Qualitative analysis of participant accounts , 2018, Journal of psychopharmacology.

[44]  B. Wright Field Experiments in Religion: A Dream Whose Time Has Come , 2018, Journal for the Scientific Study of Religion.

[45]  Robin L Carhart-Harris,et al.  Psychedelics and the essential importance of context , 2018, Journal of psychopharmacology.

[46]  David J. Nutt,et al.  Quality of Acute Psychedelic Experience Predicts Therapeutic Efficacy of Psilocybin for Treatment-Resistant Depression , 2018, Front. Pharmacol..

[47]  Matthew W. Johnson,et al.  Psilocybin-occasioned mystical-type experience in combination with meditation and other spiritual practices produces enduring positive changes in psychological functioning and in trait measures of prosocial attitudes and behaviors , 2017, Journal of psychopharmacology.

[48]  Jared A. Nielsen,et al.  Reward, salience, and attentional networks are activated by religious experience in devout Mormons , 2016, Social neuroscience.

[49]  R. Carhart-Harris,et al.  Psychedelics and connectedness , 2018, Psychopharmacology.

[50]  Adele Lafrance,et al.  Nourishing the Spirit: Exploratory Research on Ayahuasca Experiences along the Continuum of Recovery from Eating Disorders , 2017, Journal of psychoactive drugs.

[51]  David J. Nutt,et al.  Patients’ Accounts of Increased “Connectedness” and “Acceptance” After Psilocybin for Treatment-Resistant Depression , 2017 .

[52]  Andrew B. Newberg,et al.  The Varieties of Self-Transcendent Experience , 2017 .

[53]  H. Friedman,et al.  Patient Experiences of Psilocybin-Assisted Psychotherapy: An Interpretative Phenomenological Analysis , 2017 .

[54]  A. Talia,et al.  Assessing Attachment in Psychotherapy: Validation of the Patient Attachment Coding System (PACS). , 2017, Clinical psychology & psychotherapy.

[55]  Matthew W. Johnson,et al.  The Challenging Experience Questionnaire: Characterization of challenging experiences with psilocybin mushrooms , 2016, Journal of psychopharmacology.

[56]  Ido Hartogsohn Set and setting, psychedelics and the placebo response: An extra-pharmacological perspective on psychopharmacology , 2016, Journal of psychopharmacology.

[57]  P. Thomson,et al.  Unresolved mourning, supernatural beliefs and dissociation: a mediation analysis , 2014, Attachment & human development.

[58]  P. Shaver,et al.  An attachment perspective on therapeutic processes and outcomes. , 2013, Journal of personality.

[59]  Baljinder K. Sahdra,et al.  Comparing Attachment Theory and Buddhist Psychology , 2013 .

[60]  P. Shaver,et al.  Experimental findings on God as an attachment figure: normative processes and moderating effects of internal working models. , 2012, Journal of personality and social psychology.

[61]  L. Gurel,et al.  A Study of Ayahuasca Use in North America , 2012, Journal of psychoactive drugs.

[62]  P. Granqvist,et al.  Disorganized Attachment Promotes Mystical Experiences via a Propensity for Alterations in Consciousness (Absorption) , 2012 .

[63]  Glenn I. Roisman,et al.  Patterns of stability in adult attachment: an empirical test of two models of continuity and change. , 2011, Journal of personality and social psychology.

[64]  Matthew W. Johnson,et al.  Mystical experiences occasioned by the hallucinogen psilocybin lead to increases in the personality domain of openness , 2011, Journal of psychopharmacology.

[65]  David H. Barlow,et al.  Negative effects from psychological treatments: a perspective. , 2010, The American psychologist.

[66]  P. Granqvist,et al.  Disorganized attachment, absorption, and new age spirituality: a mediational model , 2009, Attachment & human development.

[67]  Hans Stødkilde-Jørgensen,et al.  Highly religious participants recruit areas of social cognition in personal prayer. , 2009, Social cognitive and affective neuroscience.

[68]  M. Bakermans-Kranenburg,et al.  The first 10,000 Adult Attachment Interviews: distributions of adult attachment representations in clinical and non-clinical groups , 2009, Attachment & human development.

[69]  R. Griffiths,et al.  Human hallucinogen research: guidelines for safety , 2008, Journal of psychopharmacology.

[70]  R. Griffiths,et al.  Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance , 2006, Psychopharmacology.

[71]  D. Larhammar,et al.  Sensed presence and mystical experiences are predicted by suggestibility, not by the application of transcranial weak complex magnetic fields , 2005, Neuroscience Letters.

[72]  P. Shaver,et al.  Attachment-related strategies during thought suppression: ironic rebounds and vulnerable self-representations. , 2004, Journal of personality and social psychology.

[73]  L. Kirkpatrick,et al.  RESEARCH: "Religious Conversion and Perceived Childhood Attachment: A Meta-Analysis" , 2004 .

[74]  J. Harvey,et al.  Role of the serotonin 5-HT(2A) receptor in learning. , 2003, Learning & memory.

[75]  A. Kudoh,et al.  Small-Dose Ketamine Improves the Postoperative State of Depressed Patients , 2002, Anesthesia and analgesia.

[76]  P. Granqvist,et al.  Seeking security in the New Age: On attachment and emotional compensation , 2001 .

[77]  R. Chris Fraley,et al.  Adult Romantic Attachment: Theoretical Developments, Emerging Controversies, and Unanswered Questions , 2000 .

[78]  Marinus H. van IJzendoorn,et al.  Propensities towards absorption are related to lapses in the monitoring of reasoning or discourse during the adult attachment interview. A preliminary investigation. , 1999, Attachment & human development.

[79]  M. Mikulincer Adult attachment style and information processing: individual differences in curiosity and cognitive closure. , 1997, Journal of personality and social psychology.

[80]  Jude Cassidy,et al.  Security in infancy, childhood, and adulthood: A move to the level of representation. , 1985 .

[81]  A. Tellegen,et al.  Openness to absorbing and self-altering experiences ("absorption"), a trait related to hypnotic susceptibility. , 1974, Journal of abnormal psychology.