PMID- 25990558 OWN - NLM STAT- MEDLINE DCOM- 20160622 LR - 20150923 IS - 1461-7285 (Electronic) IS - 0269-8811 (Linking) VI - 29 IP - 9 DP - 2015 Sep TI - Recreational 3,4-methylenedioxy-N-methylamphetamine (MDMA) or 'ecstasy' and self-focused compassion: Preliminary steps in the development of a therapeutic psychopharmacology of contemplative practices. PG - 961-70 LID - 10.1177/0269881115587143 [doi] AB - 3,4-methylenedioxy-N-methylamphetamine (MDMA) produces diverse pro-social effects. Cognitive training methods rooted in Eastern contemplative practices also produce these effects through the development of a compassionate mindset. Given this similarity, we propose that one potential mechanism of action of MDMA in psychotherapy is through enhancing effects on intrapersonal attitudes (i.e. pro-social attitudes towards the self). We provide a preliminary test of this idea. Recreational MDMA (ecstasy) users were tested on two occasions, having consumed or not consumed ecstasy. Self-critical and self-compassionate responses to self-threatening scenarios were assessed before (T1) and after (T2) ecstasy use (or non-use), and then after compassionate imagery (T3). Moderating roles of dispositional self-criticism and avoidant attachment were examined. Separately, compassionate imagery and ecstasy produced similar sociotropic effects, as well as increases in self-compassion and reductions in self-criticism. Higher attachment-related avoidance was associated with additive effects of compassionate imagery and ecstasy on self-compassion. Findings were in line with MDMA's neuropharmacological profile, its phenomenological effects and its proposed adjunctive use in psychotherapy. However, although conditions were balanced, the experiment was non-blind and MDMA dose/purity was not determined. Controlled studies with pharmaceutically pure MDMA are still needed to test these effects rigorously. CI - (c) The Author(s) 2015. FAU - Kamboj, Sunjeev K AU - Kamboj SK AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK sunjeev.kamboj@ucl.ac.uk. FAU - Kilford, Emma J AU - Kilford EJ AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. FAU - Minchin, Stephanie AU - Minchin S AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. FAU - Moss, Abigail AU - Moss A AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. FAU - Lawn, Will AU - Lawn W AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. FAU - Das, Ravi K AU - Das RK AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. FAU - Falconer, Caroline J AU - Falconer CJ AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. FAU - Gilbert, Paul AU - Gilbert P AD - Mental Health Research Unit, University of Derby, Derby, UK. FAU - Curran, H Valerie AU - Curran HV AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. FAU - Freeman, Tom P AU - Freeman TP AD - Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150518 PL - United States TA - J Psychopharmacol JT - Journal of psychopharmacology (Oxford, England) JID - 8907828 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Affect/*drug effects MH - Empathy/drug effects MH - Female MH - Hallucinogens/*pharmacology MH - Humans MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*pharmacology MH - Psychopharmacology/methods MH - Psychotherapy/methods OTO - NOTNLM OT - MDMA OT - compassion OT - compassion-focused therapy OT - psychotherapy OT - self-criticism EDAT- 2015/05/21 06:00 MHDA- 2016/06/23 06:00 CRDT- 2015/05/21 06:00 PHST- 2015/05/21 06:00 [entrez] PHST- 2015/05/21 06:00 [pubmed] PHST- 2016/06/23 06:00 [medline] AID - 0269881115587143 [pii] AID - 10.1177/0269881115587143 [doi] PST - ppublish SO - J Psychopharmacol. 2015 Sep;29(9):961-70. doi: 10.1177/0269881115587143. Epub 2015 May 18.