Cited by 97Psychedelics and Drug StudiesMusic Therapy and HealthPsychotherapy Techniques and Applications

Set and setting: a randomized study of different musical genres in supporting psychedelic therapy

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Strickland, Justin C., Garcia-Romeu, Albert, Johnson, Matthew W.·2021·ACS Pharmacology & Translational Science

Published version of a preprint

Abstract

Abstract Mounting evidence supports the serotonin 2A receptor agonist psilocybin as a psychiatric pharmacotherapy. Little research has experimentally examined how session “set and setting” impacts subjective and therapeutic effects. We analyzed the effects of the musical genre played during sessions of a psilocybin study for tobacco smoking cessation. Participants (N = 10) received psilocybin (20–30 mg/70 kg) in two sessions, each with a different musical genre (Western classical versus overtone-based), with the order counterbalanced. Participants chose one genre for a third session (30 mg/70 kg). Mystical experiences scores tended to be higher in overtone-based sessions than in Western classical sessions. Six of ten participants chose the overtone-based music for a third session. Biologically confirmed smoking abstinence was similar based on musical choice, with a slight benefit for participants choosing the overtone-based playlist (66.7% versus 50%). These data call into question whether Western classical music typically used in psychedelic therapy holds a unique benefit. Broadly, we call for experimentally examining session components toward optimizing psychedelic therapeutic protocols.

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  • Contextual factors, such as the environment in which the experience takes place (setting), the mindset of the individual (set), and the support available after the experience (integration and setting), have a huge impact on the effects of psychedelics.

    “Contextual factors, such as the environment in which the experience takes place (setting), the mindset of the individual (set), and the support available after the experience (integration and setting), have a huge impact on the effects of psychedelics (85–88).”

    From Potential therapeutic effects of an ayahuasca-inspired N,N-DMT and harmine formulation: a controlled trial in healthy subjects (2024) · cites this paper as [88]

    The paper’s introductory discussion (page unavailable) calls mindset and environment central to psychedelic effects. It also reports an association between greater support and improved wellbeing, but says post-session support varied alongside dose and preparation. It therefore does not establish that support after the experience has a huge, independent impact. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Set and setting are well-known to influence the subjective effects of psychedelics.

    “set and setting are well-known to influence the subjective effects of psychedelics”

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Authors
Strickland, J. C., Garcia-Romeu, A., & Johnson, M. W.
Affiliations
  • Johns Hopkins University (US)
  • Johns Hopkins University School of Medicine , , 5510 Nathan Shock Drive , , ,
Corresponding author
Johnson, Matthew W.
Venue
ACS Pharmacology & Translational Science
Published
2020-12-29
Volume
4
Issue
2
Pages
472-478
ISSN
2575-9108 (ISSN-L)
OpenAlex
W3117921577
Cited by
97
References
31
Citations by year
2026: 14 · 2025: 18 · 2024: 28 · 2023: 11 · 2022: 18 · 2021: 8
FWCI
3.70
Type
journal article
Language
en
Open access
Locations
  • ACS Pharmacology & Translational Science (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • PsyArXiv (OSF Preprints) (submittedVersion)
Funders
  • Johns Hopkins University
  • Heffter Research Institute
  • Steven and Alexandra Cohen Foundation
  • Beckley Foundation
  • National Institute on Drug Abuse (T32-DA07209)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
  • Social Sciences › Psychology › Social Psychology › Music Therapy and Health
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
psilocybin, set and setting, music genres, classical music, psychedelic therapy, smoking cessation, mystical experience, smoking abstinence, music selection

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