Chapter 5 Autonomy and autoheteronomy in psychedelically assisted psychotherapy

Psychedelically-enhanced psychotherapy (PAP) looks set to become a common remedy for a range of serious mental health problems. The market for providing PAP, including a secondary market for the training, credentialising and monitoring of therapists, is expanding rapidly. Concerns have been raised r...

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मुख्य लेखक: Davis, Oliver
स्वरूप: Online
भाषा:अंग्रेज़ी
प्रकाशित: Taylor & Francis 2022
विषय:
ऑनलाइन पहुंच:https://library.oapen.org/handle/20.500.12657/59826
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author Davis, Oliver
author_browse Davis, Oliver
author_facet Davis, Oliver
author_sort Davis, Oliver
collection Directory of Open Access Books
description Psychedelically-enhanced psychotherapy (PAP) looks set to become a common remedy for a range of serious mental health problems. The market for providing PAP, including a secondary market for the training, credentialising and monitoring of therapists, is expanding rapidly. Concerns have been raised recently by actors in that secondary market about the potential for abuse in PAP, which have been framed in terms of a failure to respect patient autonomy. Such concerns cannot be adequately addressed without a fundamental reconsideration of the role of autonomy in psychotherapy. Discussing what autonomy means in psychotherapy and thence especially in PAP is the aim of this chapter, which starts from practitioner-focused guidance, before reflecting on the history of autonomy in geopolitics and ethics and finally returning to consider its place in psychotherapy generally and PAP specifically. The conclusion reached is that while protecting autonomy is the primary concern of medical ethics today, autonomy is not equal to the phenomenology of the psychedelic experience, which is better characterised in terms of ‘autoheteronomy’. The chapter’s contribution to the emerging ‘psychedelic humanities’ is to show that PAP brings to crisis longstanding cultural compromises and uncertainties around the way in which psychotherapy has been thought to foster patient autonomy.
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spelling doab-20.500.12854ir-944542025-08-13T13:41:52Z Chapter 5 Autonomy and autoheteronomy in psychedelically assisted psychotherapy Davis, Oliver Autonomy, philospohy, politics, language, Pharmacology, climate thema EDItEUR::D Biography, Literature and Literary studies::D Biography, Literature and Literary studies::DS Literature: history and criticism thema EDItEUR::J Society and Social Sciences::JP Politics and government::JPF Political ideologies and movements thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology::JHMC Social and cultural anthropology thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBF Social and ethical issues::JBFA Social discrimination and social justice thema EDItEUR::D Biography, Literature and Literary studies::D Biography, Literature and Literary studies::DS Literature: history and criticism thema EDItEUR::J Society and Social Sciences::JP Politics and government::JPF Political ideologies and movements thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology::JHMC Social and cultural anthropology thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBF Social and ethical issues::JBFA Social discrimination and social justice Psychedelically-enhanced psychotherapy (PAP) looks set to become a common remedy for a range of serious mental health problems. The market for providing PAP, including a secondary market for the training, credentialising and monitoring of therapists, is expanding rapidly. Concerns have been raised recently by actors in that secondary market about the potential for abuse in PAP, which have been framed in terms of a failure to respect patient autonomy. Such concerns cannot be adequately addressed without a fundamental reconsideration of the role of autonomy in psychotherapy. Discussing what autonomy means in psychotherapy and thence especially in PAP is the aim of this chapter, which starts from practitioner-focused guidance, before reflecting on the history of autonomy in geopolitics and ethics and finally returning to consider its place in psychotherapy generally and PAP specifically. The conclusion reached is that while protecting autonomy is the primary concern of medical ethics today, autonomy is not equal to the phenomenology of the psychedelic experience, which is better characterised in terms of ‘autoheteronomy’. The chapter’s contribution to the emerging ‘psychedelic humanities’ is to show that PAP brings to crisis longstanding cultural compromises and uncertainties around the way in which psychotherapy has been thought to foster patient autonomy. 2022-12-06T04:00:29Z 2022-12-06T04:00:29Z 2022-12-05T13:37:35Z 2023 chapter https://library.oapen.org/handle/20.500.12657/59826 9781032364070 9781032364094 https://directory.doabooks.org/handle/20.500.12854/94454 eng open access image/jpeg image/jpeg Attribution-NonCommercial-NoDerivatives 4.0 International Attribution-NonCommercial-NoDerivatives 4.0 International https://library.oapen.org/bitstream/20.500.12657/59826/1/9781003331780_10.4324_9781003331780-8.pdf https://library.oapen.org/bitstream/20.500.12657/59826/1/9781003331780_10.4324_9781003331780-8.pdf Taylor & Francis Routledge 10.4324/9781003331780-8 10.4324/9781003331780-8 fa69b019-f4ee-4979-8d42-c6b6c476b5f0 New Interdisciplinary Perspectives On and Beyond Autonomy University of Warwick be79e974-26f6-48a0-9dc0-525280506d60 9781032364070 9781032364094 Routledge 19 open access
spellingShingle Autonomy, philospohy, politics, language, Pharmacology, climate
thema EDItEUR::D Biography, Literature and Literary studies::D Biography, Literature and Literary studies::DS Literature: history and criticism
thema EDItEUR::J Society and Social Sciences::JP Politics and government::JPF Political ideologies and movements
thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology::JHMC Social and cultural anthropology
thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBF Social and ethical issues::JBFA Social discrimination and social justice
thema EDItEUR::D Biography, Literature and Literary studies::D Biography, Literature and Literary studies::DS Literature: history and criticism
thema EDItEUR::J Society and Social Sciences::JP Politics and government::JPF Political ideologies and movements
thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology::JHMC Social and cultural anthropology
thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBF Social and ethical issues::JBFA Social discrimination and social justice
Davis, Oliver
Chapter 5 Autonomy and autoheteronomy in psychedelically assisted psychotherapy
title Chapter 5 Autonomy and autoheteronomy in psychedelically assisted psychotherapy
title_full Chapter 5 Autonomy and autoheteronomy in psychedelically assisted psychotherapy
title_fullStr Chapter 5 Autonomy and autoheteronomy in psychedelically assisted psychotherapy
title_full_unstemmed Chapter 5 Autonomy and autoheteronomy in psychedelically assisted psychotherapy
title_short Chapter 5 Autonomy and autoheteronomy in psychedelically assisted psychotherapy
title_sort chapter 5 autonomy and autoheteronomy in psychedelically assisted psychotherapy
topic Autonomy, philospohy, politics, language, Pharmacology, climate
thema EDItEUR::D Biography, Literature and Literary studies::D Biography, Literature and Literary studies::DS Literature: history and criticism
thema EDItEUR::J Society and Social Sciences::JP Politics and government::JPF Political ideologies and movements
thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology::JHMC Social and cultural anthropology
thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBF Social and ethical issues::JBFA Social discrimination and social justice
thema EDItEUR::D Biography, Literature and Literary studies::D Biography, Literature and Literary studies::DS Literature: history and criticism
thema EDItEUR::J Society and Social Sciences::JP Politics and government::JPF Political ideologies and movements
thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology::JHMC Social and cultural anthropology
thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBF Social and ethical issues::JBFA Social discrimination and social justice
topic_facet Autonomy, philospohy, politics, language, Pharmacology, climate
thema EDItEUR::D Biography, Literature and Literary studies::D Biography, Literature and Literary studies::DS Literature: history and criticism
thema EDItEUR::J Society and Social Sciences::JP Politics and government::JPF Political ideologies and movements
thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology::JHMC Social and cultural anthropology
thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBF Social and ethical issues::JBFA Social discrimination and social justice
thema EDItEUR::D Biography, Literature and Literary studies::D Biography, Literature and Literary studies::DS Literature: history and criticism
thema EDItEUR::J Society and Social Sciences::JP Politics and government::JPF Political ideologies and movements
thema EDItEUR::J Society and Social Sciences::JH Sociology and anthropology::JHM Anthropology::JHMC Social and cultural anthropology
thema EDItEUR::J Society and Social Sciences::JB Society and culture: general::JBF Social and ethical issues::JBFA Social discrimination and social justice
url https://library.oapen.org/handle/20.500.12657/59826
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