Roberta Murphy & Jonny Martell- Psilocybin assisted... clinical trials for depression and anorexia

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Psilocybin assisted psychotherapy in clinical trials for depression and anorexia: relational and contextual complexities.

Drawing on our experience of working in psilocybin assisted psychotherapy trials at Imperial College London we will explore the unique opportunities and challenges this approach presents for clients, therapists and health services. The emergence of deep psychic material from the psychedelic experience needs containing and integration within a therapeutic frame and alliance that are tightly constrained by the demands of clinical research.

The intense attachment dynamics stirred by the work add a further layer of complexity to be navigated and worked through, presenting powerful opportunities for growth and healing, as well as risks. We will critically examine the impact of the current cultural context including growing commercial interests and the scientific paradigm on this work. Evidence supporting the importance of the therapeutic relationship in this work from the recent paper 'Therapeutic Alliance and Rapport Modulate Responses to Psilocybin Assisted Therapy for Depression' will be presented.

BIOGRAPHY
Dr Roberta Murphy is an Irish psychiatrist based in London. She is currently training as medical psychotherapist in South West London and St George's NHS Trust. She is a member of the Imperial Centre for Psychedelic Research. She worked as a study doctor and therapy guide on trials of psilocybin for healthy volunteers, severe depression and eating disorders. She has helped to train other research teams and offers support around issues pertaining to screening. She is interested in alternative approaches to severe and enduring mental health issues. She has published a recent paper exploring the impact of the therapeutic alliance on the acute psychedelic experience and clinical outcomes. She has trained with Open Dialogue UK, The Institute of Group Analysis, The Institute of Psychoanalysis and in Ecotherapy. Her work is informed by experiences of Holotropic Breathwork.

Jonny Martell is a trainee medical psychotherapist in Devon. He has worked as study doctor and therapist on psilocybin for depression, anorexia and healthy volunteer studies, as well as on DMT imaging studies at Imperial’s Centre for Psychedelic Research. Prior to medical training he spent time working in Afghanistan and for a literary agency. His main interests in psychedelics are with how broader cultural, historical and political contexts shape the current research renaissance; and western bio-medicine’s capacity to serve as a cultural container.

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