Psychedelic Iatrogenic Structural Dissociation (PISD): An Exploratory Hypothesis on Amplified Dissociative Processes

Title:
Psychedelic Iatrogenic Structural Dissociation (PISD): An Exploratory Hypothesis on Amplified Dissociative Processes

Authors:
Steven Elfrink, Leigh Bergin

Abstract:
As psychedelic-assisted therapies continue to demonstrate promise in treating mental health conditions like depression, PTSD, and anxiety, concerns about potential adverse effects have also emerged. This presentation introduces the exploratory hypothesis of Psychedelic Iatrogenic Structural Dissociation (PISD), which suggests that psychedelics may inadvertently amplify dissociative processes in trauma-exposed individuals, potentially leading to adverse psychological outcomes.

Grounded in the trauma theory of structural dissociation, the hypothesis proposes that psychedelics may reduce the defenses of the Apparently Normal Personality (ANP) and trigger unresolved trauma stored in the Emotional Personality (EP), leading to a destabilization of identity integration. Drawing on clinical evidence, historical perspectives, and recent research, this presentation will explore the intersection between dissociative disorders and the therapeutic use of psychedelics, examining both their therapeutic potential and risks.

We will also discuss trauma-informed approaches that could mitigate these risks, including advanced psychological screening, personalized preparation, and integrative strategies tailored to vulnerable populations. By bridging clinical research with emerging therapeutic practices, this presentation calls for further empirical investigation into PISD to enhance the safety and efficacy of psychedelic therapies.

Key Words:
Psychedelic therapy, dissociation, trauma, iatrogenic effects, structural dissociation, mental health

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© 2024 Steve Elfrink. All rights reserved.

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