Positive psychology in the investigation of psychedelics and entactogens: a critical review
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Rationale We reviewed the concepts and empirical findings in studies with psychedelics and entactogens related to positive psychology - the study of healthy human functioning, well-being and eudaemonia. It is an unresolved question how beneficial effects of psychedelics and entactogens are related to the potential risks of these substances - particularly in non-clinical settings.Methods We searched in PubMed, PsychINFO and the Cochrane Library for controlled clinical and epidemiological studies which applied concepts from positive psychology. We included N = 77 eligible studies with 9876 participants published before November 1st, 2017: (1) quantitative studies (N = 54), (2) preliminary or exploratory studies and reviews not including meta-analyses (N = 17), and (3) studies evidencing primarily negative results (N = 6).Results Positive psychology concepts have been applied for measuring effects of clinical trials, recreational and ceremonial use of psychedelics and entactogens. Psychedelics and entactogens were shown to produce acute and long-term effects on mood, well-being, prosocial behaviours, empathy, cognitive flexibility, creativity, personality factors like openness, value orientations, nature-relatedness, spirituality, self-transcendence and mindfulness-related capabilities.Conclusions There is preliminary evidence for beneficial effects of psychedelics and entactogens on measures of positive psychology in clinical and healthy populations, however their sustainability remains largely unresolved. The reported results must be considered preliminary due to methodological restrictions. Since longitudinal data on both positive and adverse effects of psychedelics are lacking, more rigorous and standardized measures from positive psychology should be applied in less biased populations with prospective longitudinal designs to carefully assess the benefit-risk-ratio. This article is part of the Special Issue entitled 'Psychedelics: New Doors, Altered Perceptions'.
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People ingesting MDMA report feeling peace, safety, and love and a subjective sense of desire to be with others.
“At a subjective level, people ingesting MDMA report feeling peace, safety, and love (27) and a subjective sense of desire to be with others (44), which comports with observations that MDMA increases motivation to affiliate with others during active dosing.”
The tendency for MDMA to strengthen emotional responses to positive social stimuli is likely to make therapists' responses of compassion and warmth more salient at a visceral level.
“Furthermore, the tendency for MDMA to strengthen emotional responses to positive social stimuli (44, 122) is likely to make therapists' responses of compassion and warmth more salient at a visceral level.”
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Psychedelics and Psychedelic-Assisted Psychotherapy
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Current Perspective on the Therapeutic Preset for Substance-Assisted Psychotherapy
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The phases of self in transformative experiences
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Psychedelics and Psychedelic-Assisted Psychotherapy
Reiff, C. M., Richman, E. E., Nemeroff, C. B., Carpenter, L. L., Widge, A. S., Rodríguez, C. I., Kalin, N. H., & McDonald, W. M. (2021) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.19104 · Cited by 21 · see citing works
Can Psychedelic Drugs Attenuate Age-Related Changes in Cognition and Affect?
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Not in the drug, not in the brain: Causality in psychedelic experiences from an enactive perspective
Meling, D., & Scheidegger, M. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1100058 · Cited by 20 · see citing works
Self-citationModlin, N. L., Creed, M., Sarang, M., Maggio, C., Rucker, J., & Williamson, V. (2024) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s432537 · Cited by 19 · see citing works
Psychedelic Experiences and Mindfulness are Associated with Improved Wellbeing
Qiu, T. T., & Minda, J. P. (2022) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2022.2060773 · Cited by 16 · see citing works
Utilizing Psychedelics to Enhance Well-Being: A Systematic Review
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The selective 5-HT2A receptor agonist 25CN-NBOH does not affect reversal learning in mice
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Social anxiety and MDMA-assisted therapy investigation: a novel clinical trial protocol
Lear, M. K., Smith, S. M., Pilecki, B. C., Stauffer, C. S., & Luoma, J. B. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1083354 · Cited by 14 · see citing works
Opening to Awe: Psychedelic-Assisted Self-Transcendence and Positive Adult Development
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The Relationship Between Psychedelic Use, Mystical Experiences, and Pro-Environmental Behaviors
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Luoma, J., & Lear, M. K. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.733893 · Cited by 11 · see citing works
“Furthermore, the tendency for MDMA to strengthen emotional responses to positive social stimuli (44, 122) is likely to make therapists’ responses of compassion and warmth more salient at a visceral level.”
BackgroundThe potential of psilocybin use to enhance well-being in healthy individuals – A scoping review
Wiepking, L., de Bruin, E. J., & Ghiţă, A. (2023) · Journal of Psychedelic Studies · doi:10.1556/2054.2023.00244 · Cited by 11 · see citing works
Psychedelics and critical theory
Tempone-Wiltshire, J., & Dowie, T.-I. (2023) · Journal of Psychedelic Studies · doi:10.1556/2054.2023.00270 · Cited by 11 · see citing works
Ching, T. H. W., Williams, M. T., Reed, S. J., Kisicki, M. D., Wang, J. B., Yazar‐Klosinski, B., Emerson, A., & Doblin, R. (2022) · Journal of Humanistic Psychology · doi:10.1177/00221678221076993 · Cited by 10 · see citing works
Initiation of drug and alcohol use and personality development during adolescence
Wright, A. J., & Jackson, J. J. (2022) · European Journal of Personality · doi:10.1177/08902070221090107 · Cited by 11 · see citing works
An evaluation of the role of mystical experiences in transpersonal ecopsychology
Harrild, F., & Luke, D. P. (2020) · Transpersonal Psychology Review · doi:10.53841/bpstran.2020.22.1.45 · Cited by 9 · see citing works
Psychedelics and psychological strengths
Brasher, T. J., Rosen, D., & Spinella, M. (2023) · International Journal of Wellbeing · doi:10.5502/ijw.v13i1.2325 · Cited by 8 · see citing works
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“Ontological shocks”: new transformations for sustainability through psychedelic tourism
Coghlan, A., & Prayag, G. (2025) · Journal of Sustainable Tourism · doi:10.1080/09669582.2025.2493313 · Cited by 7 · see citing works
Psychedelics – Re-opening the doors of perception
Heal, D. J., Henningfield, J. E., Frenguelli, B. G., Nutt, D., & Smith, S. L. (2018) · Neuropharmacology · doi:10.1016/j.neuropharm.2018.08.024 · Cited by 7 · see citing works
Psychedelika in der Psychiatrie – Entwicklungen und die Stellung in Deutschland
Herwig, U., Mertens, L. J., Rosal, S. P., Koller, G., Jungaberle, A., Borgwardt, S., & Gründer, G. (2023) · Fortschritte der Neurologie · Psychiatrie · doi:10.1055/a-1981-3152 · Cited by 6 · see citing works
Advancing elite athlete mental health treatment with psychedelic-assisted psychotherapy
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Meaningful Psychedelic Experiences Predict Increased Moral Expansiveness
Olteanu, W., & Moreton, S. G. (2025) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2025.2478095 · Cited by 5 · see citing works
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Psychedelics and Mindfulness: A Systematic Review and Meta-AnalysisPreprint
Radakovic, C., Radaković, R., Peryer, G., & Geere, J. (2021) · doi:10.31234/osf.io/yu7jf · Cited by 5 · see citing works
Antisocial and prosocial behaviors as predictors of subsequent substance use in adolescence
Jangard, S., Olsson, A., Molero, Y., Jayaram‐Lindström, N., & Raninen, J. (2025) · Addictive Behaviors · doi:10.1016/j.addbeh.2025.108308 · Cited by 4 · see citing works
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Spiritual Well-Being Among Users and Non-Users of Psychedelics: A Cross-Sectional Study
Garcia, A. C. M., Maia, L. O., Meireles, E., Nogueira, D. A., & Tófoli, L. F. (2023) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2023.2284343 · Cited by 3 · see citing works
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Initiation of drug and alcohol use and personality development during adolescencePreprint
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Aicher, H., Wicki, I. A., Meling, D., Mueller, M. J., Dornbierer, D., & Scheidegger, M. (2025) · Journal of Psychopharmacology · doi:10.1177/02698811251344689 · Cited by 2 · see citing works
Self-citationUse of psychedelics in the Czech Republic: results of recent population surveys
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Exploring the Role of Psychedelic Experiences on Wellbeing and Symptoms of Disordered Eating
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How Psychedelics Can Increase Moral Concern
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Sources of creativity through happiness and role conflict
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Psychological support in psychedelic-assisted therapy clinical trials: A systematic review
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Appendix B: Metabolism of Major Illicit Drugs
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The Promise and the Paradox: Exploring Eating Disorder Discourse in Psychedelic Reddit CommunitiesPreprint
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- Authors
- Jungaberle, H., Thal, S., Zeuch, A., Rougemont-Bücking, A., von Heyden, M., Aicher, H., & Scheidegger, M.
- Affiliations
- University of Groningen (NL)
- University of Fribourg (CH)
- University Hospital Zurich (CH)
- Corresponding author
- Jungaberle, Henrik
- Venue
- Neuropharmacology
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 142
- Pages
- 179-199
- ISSN
- 0028-3908 (ISSN-L)
- OpenAlex
- W2809718318
- Cited by
- 70
- References
- 108
- Citations by year
- 2026: 3 · 2025: 14 · 2024: 7 · 2023: 10 · 2022: 11 · 2021: 13 · 2020: 8 · 2019: 3 · 2018: 1
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Neuropharmacology (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
- Murdoch University Research Portal (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Social Psychology › Paranormal Experiences and Beliefs
- Keywords
- psychedelics, entactogens, positive psychology, well-being, eudaimonia, mood, prosocial behavior, empathy, creativity, openness to experience, spirituality, self-transcendence, mindfulness, nature relatedness, risk-benefit ratio, recreational drug use, ceremonial use, adverse effects
- MeSH terms
- Behavior, Hallucinogens, Humans, Mental Processes, Models, Psychological
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