1. Pharmacological, neural, and psychological mechanisms underlying psychedelics: A critical review.
- Author
-
van Elk, Michiel and Yaden, David Bryce
- Subjects
- *
HALLUCINOGENIC drugs , *REWARD (Psychology) , *SEROTONIN receptors , *THERAPEUTICS - Abstract
This paper provides a critical review of several possible mechanisms at different levels of analysis underlying the effects and therapeutic potential of psychedelics. At the (1) biochemical level, psychedelics primarily affect the 5-HT 2A receptor, increase neuroplasticity, offer a critical period for social reward learning, and have anti-inflammatory properties. At the (2) neural level, psychedelics have been associated with reduced efficacy of thalamo-cortical filtering, the loosening of top-down predictive signaling and an increased sensitivity to bottom-up prediction errors, and activation of the claustro-cortical-circuit. At the (3) psychological level, psychedelics have been shown to induce altered and affective states, they affect cognition, induce belief change, exert social effects, and can result in lasting changes in behavior. We outline the potential for a unifying account of the mechanisms underlying psychedelics and contrast this with a model of pluralistic causation. Ultimately, a better understanding of the specific mechanisms underlying the effects of psychedelics could allow for a more targeted therapeutic approach. We highlight current challenges for psychedelic research and provide a research agenda to foster insight in the causal-mechanistic pathways underlying the efficacy of psychedelic research and therapy. • This paper comprehensively reviews the pharmacological, neural and psychological mechanisms underlying psychedelics. • We critically evaluate the merits and pitfalls of each explanatory mechanism. • We provide a research agenda for psychedelic research, including a theory of pluralistic causation. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF