Psychedelics and the ‘inner healer’: Myth or mechanism?

This re-analysis of an RCT (n=59) examines the concept of an ‘inner healer’ effect associated with psilocybin. Participants receiving a high dose of psilocybin (25mg, 2x) reported higher inner healer scores compared to those receiving a placebo (1mg). Furthermore, higher inner healer scores in the high-dose group correlated with improved depressive symptoms two weeks post-dosing, suggesting a potential therapeutic mechanism.

Abstract of Psychedelics and the ‘inner healer’: Myth or mechanism?

Background: Reference to an intrinsic healing mechanism or an ‘inner healer’ is commonplace amongst psychedelic drug-using cultures. The ‘inner healer’ refers to the belief that psychedelic compounds, plants or concoctions have an intrinsically regenerative action on the mind and brain, analogous to intrinsic healing mechanisms within the physical body, for example, after sickness or injury.

Aims: Here, we sought to test and critique this idea by devising a single subjective rating item pertaining to perceived ‘inner healing’ effects.

Methods: The item was issued to 59 patients after a single high (25 mg, n = 30) or ‘placebo’ (1 mg, n = 29) dose of psilocybin in a double-blind randomised controlled trial of psilocybin for depression.

Results: Inner healer scores were higher after the high versus placebo dose of psilocybin (t = 3.88, p < 0.001). Within the high-dose sub-sample only, inner healer scores predicted improved depressive symptomatology at 2 weeks post-dosing.

Conclusions: The principle of activating inner healing mechanisms via psychedelics is scientifically nascent; however, this study takes a positivist and pragmatic step forward, asking whether it warrants further examination.”

Authors: Joseph Peill, Miriam Marguilho, David Erritzoe, Tommaso Barba, Kyle T Greenway, Fernando Rosas, Christopher Timmermann & Robin Carhart-Harris

Summary of Psychedelics and the ‘inner healer’: Myth or mechanism?

Introduction

The principle of intrinsic healing refers to the capacity of living systems to restore or recover after injury or sickness. It is applied to mental health and postulates implicit processes that have an intrinsic directionality or teleology to them.

Analogies are often made between intrinsic psychological and physical healing, as well as self-regulating processes elsewhere in living systems, and ‘inner healing’ is a theme found in many cultures and traditions.

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Find this paper

Psychedelics and the 'inner healer': Myth or mechanism?

https://doi.org/10.1177/02698811241239206

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Cite this paper (APA)

Peill, J., Marguilho, M., Erritzoe, D., Barba, T., Greenway, K. T., Rosas, F., ... & Carhart-Harris, R. (2024). Psychedelics and the ‘inner healer’: Myth or mechanism?. Journal of Psychopharmacology, 02698811241239206.

Study details

Compounds studied
Psilocybin

Topics studied
Depression Treatment-Resistant Depression

Study characteristics
Original Re-analysis Placebo-Controlled Double-Blind Randomized Re-analysis

Participants
59 Humans

Institutes

Institutes associated with this publication

Imperial College London
The Centre for Psychedelic Research studies the action (in the brain) and clinical use of psychedelics, with a focus on depression.

Compound Details

The psychedelics given at which dose and how many times

Psilocybin 25 mg | 2x

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