PMID- 26998697 OWN - NLM STAT- MEDLINE DCOM- 20170529 LR - 20191210 IS - 1539-736X (Electronic) IS - 0022-3018 (Linking) VI - 204 IP - 7 DP - 2016 Jul TI - Effects of 3,4-Methylenedioxymethamphetamine on Patient Utterances in a Psychotherapeutic Setting. PG - 519-23 LID - 10.1097/NMD.0000000000000499 [doi] AB - 3,4-Methylenedioxymethamphetamine (MDMA) administered as an adjunct to talk therapy influences patient speech content and increases improvement in treatment-resistant posttraumatic stress disorder (PTSD). Data came from the recordings of Mithoefer et al. (2011). In the third therapeutic session studied, patients were assigned, double blind, to an MDMA or a placebo group. Condition-blind scorers listened to therapy recordings and scored utterances where patients initiated topics that were empathic (regarding others' emotions), entactic (requesting or appreciating physical touch), or ensuic (describing a change in their sense of themselves). Patients who received MDMA produced high levels of ensuic, empathic, and entactic utterances compared with those who received the placebo. Interrater discourse scoring was reliable. The relationship between the number of scored utterances and the Clinician Administered PTSD Scale scores measuring PTSD severity after the treatment was significant, and reanalysis grouped bimodally into "many" or "few" such utterances remained significant. MDMA assisted these patients in having meaningful and disorder-resolving thoughts and discourse in talk therapy. FAU - Corey, Vicka Rael AU - Corey VR AD - *Harvard Medical School, Boston; daggerThe Laboratory for Integrative Psychiatry, Division of Alcohol and Drug Abuse, McLean Hospital, Belmont; and double daggerClinical Trials Network Institute, Massachusetts General Hospital, Boston. FAU - Pisano, Vincent D AU - Pisano VD FAU - Halpern, John H AU - Halpern JH LA - eng PT - Controlled Clinical Trial PT - Journal Article PL - United States TA - J Nerv Ment Dis JT - The Journal of nervous and mental disease JID - 0375402 RN - 0 (Serotonin Agents) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Combined Modality Therapy MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/administration & dosage/*pharmacology MH - Outcome Assessment, Health Care/*methods MH - Psychotherapy/*methods MH - Serotonin Agents/administration & dosage/*pharmacology MH - Stress Disorders, Post-Traumatic/drug therapy/*therapy MH - Verbal Behavior/*drug effects EDAT- 2016/03/22 06:00 MHDA- 2017/05/30 06:00 CRDT- 2016/03/22 06:00 PHST- 2016/03/22 06:00 [entrez] PHST- 2016/03/22 06:00 [pubmed] PHST- 2017/05/30 06:00 [medline] AID - 10.1097/NMD.0000000000000499 [doi] PST - ppublish SO - J Nerv Ment Dis. 2016 Jul;204(7):519-23. doi: 10.1097/NMD.0000000000000499.