AyahuascaAyahuasca

Ayahuasca enhances creative divergent thinking while decreasing conventional convergent thinking

This study (n=26) found that ayahuasca decreased convergent thinking (a part of creativity) on very experienced participants in an ayahuasca ceremony. The conclusion about divergent thinking (increased) was found on only one of the measures (ratio).

Authors

  • Jordi Riba

Published

Psychopharmacology
individual Study

Abstract

Introduction: Ayahuasca is a South American psychotropic plant tea traditionally used in Amazonian shamanism. The tea contains the psychedelic 5-HT2A receptor agonist N,N-dimethyltryptamine (DMT), plus β-carboline alkaloids with monoamine oxidase-inhibiting properties. Increasing evidence from anecdotal reports and open-label studies indicates that ayahuasca may have therapeutic effects in treatment of substance use disorders and depression. A recent study on the psychological effects of ayahuasca found that the tea reduces judgmental processing and inner reactivity, classic goals of mindfulness psychotherapy. Another psychological facet that could potentially be targeted by ayahuasca is creative divergent thinking. This mode of thinking can enhance and strengthen psychological flexibility by allowing individuals to generate new and effective cognitive, emotional, and behavioral strategies. The present study aimed to assess the potential effects of ayahuasca on creative thinking.Methods: We visited two spiritual ayahuasca workshops and invited participants to conduct creativity tests before and during the acute effects of ayahuasca. In total, 26 participants consented. Creativity tests included the Bpattern/line meanings test^ (PLMT) and the Bpicture concept test^ (PCT), both assessing divergent thinking and the latter also assessing convergent thinking.Results: While no significant effects were found for the PLMT, ayahuasca intake significantly modified divergent and convergent thinking as measured by the PCT. While convergent thinking decreased after intake, divergent thinking increased.Conclusions: The present data indicate that ayahuasca enhances creative divergent thinking. They suggest that ayahuasca increases psychological flexibility, which may facilitate psychotherapeutic interventions and support clinical trial initiatives.

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Research Summary of 'Ayahuasca enhances creative divergent thinking while decreasing conventional convergent thinking'

Introduction

Ayahuasca is a traditional South American plant brew that contains the serotonergic 5-HT2A agonist N,N-dimethyltryptamine (DMT) together with monoamine oxidase–inhibiting β-carboline alkaloids, rendering oral DMT active. Earlier work has reported acute visionary effects, mixed findings on cognition depending on user experience, no evidence of long-term cognitive harm in follow-up studies, and potential therapeutic benefits for substance use disorders and depression. Psychedelics more broadly have been associated with lasting changes in well‑being and reductions in psychological distress in population surveys. Separate studies indicate that ayahuasca can enhance mindfulness-related capacities and reduce judgmental processing, and neuroimaging work has found altered connectivity in networks implicated in cognition and perception after ayahuasca ingestion. Kuypers and colleagues framed creative thinking—distinguishing divergent thinking (generating many novel ideas) from convergent thinking (finding a single correct solution)—as a psychological facet that could be modulated by ayahuasca and might contribute to therapeutic change through increased psychological flexibility. The present quasi‑experimental study therefore set out to assess whether acute ayahuasca intake alters divergent and convergent creative thinking. Creativity was measured before and during the acute inebriation in two separate ayahuasca‑using groups to test whether effects were robust across settings and participant characteristics.

Methods

The study used a quasi‑experimental, pre/post design conducted in two separate non‑religious ayahuasca workshop groups. A total of 26 participants consented and completed testing: group 1 (n = 15; mean age 37.4 years; 10 women) and group 2 (n = 11; mean age 52.0 years; 7 women). All participants had prior ayahuasca experience (group 1 mean ~27.5 occasions; group 2 mean ~103.6 occasions). Exclusion criteria included current psychiatric disorders, alcohol or other substance use disorders, and significant current medical illness. Participants abstained from ayahuasca, other psychotropics, alcohol and medications for at least 2 days before testing. The protocol received local ethics approval and all volunteers gave written informed consent. Assessments occurred twice for each participant: a baseline session approximately 3 hours before the ceremony, and a post‑dose assessment during acute intoxication roughly 1.5–2 hours after the initial dose (a second optional dose was offered later). Two parallel versions of the creativity battery were administered in counterbalanced order; total testing time was about 35 minutes. The investigators recorded total ayahuasca volume consumed and collected 10 ml samples of each tea for alkaloid quantification using liquid chromatography–tandem mass spectrometry. Alkaloid concentrations differed between the two groups' teas. Group 1's tea contained 0.65 mg/ml DMT, 0.84 mg/ml harmine, 0.76 mg/ml tetrahydroharmine and 0.10 mg/ml harmaline; mean total ingestion was 116.7 ml (≈75.5 mg DMT). Group 2's tea contained 0.96 mg/ml DMT, 0.48 mg/ml harmine, 0.69 mg/ml tetrahydroharmine and 0.10 mg/ml harmaline; mean total ingestion was 44.5 ml (≈42.8 mg DMT). Two creativity tasks were used. The Picture Concept Task (PCT) assesses convergent thinking by asking participants to select the one correct association between rows of pictures; divergent thinking was measured by instructing participants to list as many alternative associations as possible for each stimulus, producing fluency (number of alternatives), originality (scored relative to others' responses: unique = 2, shared with one = 1, shared by 3+ = 0) and a ratio originality/fluency. Twenty‑eight PCT stimuli were shown with 1 minute per item. The Pattern/Line Meanings Task (PLMT) asked participants to generate multiple meanings for abstract patterns (eight items, 2 minutes each), with fluency and originality scored similarly. After the acute phase subsided, participants completed multiple visual analogue scales (VAS; 0–100) rating aspects of the ayahuasca experience (visuals, bodily sensations, emotions, memory phenomena, unity, well‑being, etc.). Statistical analysis used IBM SPSS v21. Independent t tests compared sociodemographic variables between groups. Primary inferential testing employed a mixed factorial general linear repeated measures model with group (1, 2) as the between‑subjects factor and ayahuasca (before, after) as the within‑subjects factor. VAS scores were analysed within each group using one‑sample t tests against zero (based on prior work indicating negligible placebo VAS scores) and between groups via independent t tests. Significance was set at p = .05.

Results

Groups differed significantly on demographic variables: group 2 was older than group 1 (mean difference 14.6 years; t = -3.47; p = .004) and had slightly more education (mean difference 2.9 years; t = -3.04; p = .006). The number of prior ayahuasca occasions did not differ significantly between groups. Subjective effects rated on VAS were significantly elevated relative to zero in both groups across the measured items (group 1 and group 2 one‑sample t tests all significant, p values ranged approximately from ≤ .001 to .023 and ≤ .001 to .017 respectively). No significant differences between groups were found on VAS mean scores. Creativity task performance showed task‑ and measure‑specific effects. For the PCT (which yields both convergent and divergent measures), there was a main effect of group on fluency, originality and the originality/fluency ratio: group 1 produced higher fluency and originality scores than group 2, while group 2 had a higher ratio score. An interaction between ayahuasca and group was observed for PCT fluency: under ayahuasca, fluency decreased in group 1 relative to baseline but increased in group 2. Importantly, a main effect of ayahuasca on the PCT ratio (originality corrected for fluency) indicated that originality per unit of fluency increased during the acute ayahuasca state compared with baseline. By contrast, the PLMT showed no significant effects of ayahuasca, group, or their interaction on any dependent measures. Convergent thinking, operationalised as the number of correct responses on the PCT, declined after ayahuasca ingestion compared with baseline (main effect of ayahuasca). There was no significant main effect of group on correct PCT responses.

Discussion

Kuypers and colleagues interpret their findings as showing an acute double dissociation: ayahuasca increased measures of creative divergent thinking (improved originality when adjusted for fluency on the PCT) while impairing conventional convergent thinking (fewer correct PCT solutions) during the intoxication period. The lack of effects on the PLMT led the authors to note that stimulus complexity may matter—the PCT stimuli are colourful and more complex and may have elicited richer associations than the simpler black‑and‑white PLMT stimuli. The investigators link these behavioural effects to prior neurobiological findings on psychedelics, proposing that altered thalamic gating, changes in default mode, salience and central executive network interactions, increased integration across normally distinct networks, and reduced top‑down control could promote associative, bottom‑up processing and thus enhance divergent thinking while disrupting the focused processing needed for convergent solutions. They acknowledge that the precise neural mechanisms remain uncertain and that previous imaging work presents a complex picture rather than a single unifying change. Several limitations are acknowledged. The quasi‑experimental design and the lack of a placebo control limit causal inference and raise the possibility of order or practice effects; the authors argue that counterbalancing of test versions and the observed double dissociation mitigate this concern but do not eliminate it. Mood may have influenced divergent thinking, but mood was measured only after ayahuasca so baseline comparisons were not possible. The investigators also note the sample comprised experienced, self‑selected ayahuasca users in non‑religious workshop settings, which constrains generalisability. They recommend future placebo‑controlled studies incorporating baseline and longitudinal mood measures, additional creativity tasks that assess usefulness (for example alternate uses tests), and follow‑up assessments to determine whether convergent thinking recovers or other cognitive changes persist beyond the acute phase. In terms of implications, the authors suggest the acute enhancement of divergent thinking could facilitate psychotherapeutic processes by allowing patients to recall events and form novel associations more freely, while sub‑acute integration sessions might then be used to translate insights into adaptive strategies. Nonetheless, they emphasise that while ayahuasca may promote psychological flexibility relevant to therapy, the concurrent acute impairment of convergent thinking means further controlled research is required before clinical applications can be recommended.

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INTRODUCTION

Ayahuasca is a South American psychotropic plant tea used around the world for curing, divination, and to get in contact with another supernatural dimension. It contains the serotonergic 2A receptor agonist N,N-dimethyltryptamine (DMT) and monoamine oxidase inhibitors that render DMT orally active. Acute subjective effects usually start between 45 and 60 min post-administration and include visionary experiences with more intense emotions and increased rates of thinking when the eyes are closed. Working memory impairment after ayahuasca intake was shown to be limited to less experienced users while absent in more experienced users. It was suggested that the latter group has developed mechanisms to compensate for the acute impairing effects of ayahuasca. A study into the long-term effects found no evidence for detrimental effects on psychological or mental health, or cognitive abilities, in a 1-year follow-up study, compared to controls. Psychedelic drugs have gained a renewed interest as potential tools in therapy. Doubleblind studies on the acute and long-term effects of psilocybin on psychological function suggest that a psychedelic session can produce life-altering experiences and long-term improvements in personal well-being and induce a positive behavior change (e.g.,. A majority of participants in a study ofreported that the session was one of the most spiritually significant experiences of their lives). More recently, the National Survey on Drug Use and Health in the USA revealed that lifetime classic psychedelic use was associated with a significant reduction in psychological distress and suicidal thinking. It has been suggested that psychedelics such as ayahuasca might be, within an appropriate psychotherapeutic setting, useful in the treatment of substance use disorders because it can result in positive and lasting lifestyle changes. A recent study showed that ayahuasca enhances mindfulness-related capacities, a classic goal of certain psychotherapeutic interventions. Changes in behavior and lifestyle may also result from a psychedelic's capacity to stimulate creative, divergent thinking, which has also been shown to be an important aspect in cognitive therapy. Divergent thinking is taken to represent a style of thinking that allows many new ideas being generated, in a context where more than one solution is correct. The best example is probably a brainstorming session, which has the aim of generating as many ideas on a particular issue as possible. In contrast, convergent thinking is considered a process of generating a single optimal solution to a particular problem. The latter emphasizes speed and relies on high accuracy and logic. Both divergent and convergent thinking are seen as two main ingredients of most creative activities even though other processes may also contribute. Creative divergent thinking can enhance and strengthen psychological flexibility by allowing individuals to generate new and effective cognitive, emotional, and behavioral strategies on their own which helps them to adopt adaptive interpretations and coping styles. Interestingly, it was shown that acute administration of ayahuasca causes a decrement in the functional connectivity in parts of the default mode network. It was suggested that as a result, there is more cognitive flexibility and consequently potential enhanced creative thinking. Interestingly, the acute effects of ayahuasca on creativity may also outlast the acute intoxication phase.showed that creative thinking, especially originality, was increased 2 days after the end of a 2-week ayahuasca ceremony, when the acute intoxication subsided. The present study aimed to assess creative thinking in participants of ayahuasca sessions in a quasi-experimental study. Assessments of creative divergent thinking, as well as conventional convergent thinking, were scheduled prior to and during the acute effects of ayahuasca in two separate groups involving two different settings.

PARTICIPANTS

The investigators visited two spiritual ayahuasca-using groups and invited participants to enter the current study. Two different groups were approached to test whether potential effects of ayahuasca on creativity occur independently of setting or participant characteristics. A total of 26 participants consented after the goals and methods of the study were explained. Exclusion criteria included current psychiatric disorder and alcohol or other substance use disorders and evidence of current significant medical illness. All participants were Caucasian individuals of European and American (North and South American) and middle-Eastern descent. They all had an interest in psychoactive drugs for personal experimentation, and their reported motivation for ayahuasca use was to enhance introspection, self-knowledge, and personal growth. Group 1 included 15 participants (10 women) with a mean ± SD age of 37.4 ± 5.8 and 15.5 ± 3.2 years of education. They all had prior experience with ayahuasca, having taken it on an average of 27.5 ± 33.4 occasions. Group 2 included 11 participants (7 women) with a mean ± SD age of 52.0 ± 13.0 and 18.4 ± 1.5 years of education. All had also prior experience with ayahuasca, having taken it on an average of 103.6 ± 152.9 occasions. The study was conducted in accordance with the Declaration of Helsinki and subsequent amendments concerning research in humans and was approved by the Sant Pau Hospital Ethics Committee. All volunteers gave their written informed consent to participate. All participants had abstained from ayahuasca, other psychotropic substances, alcohol, and medications for at least 2 days before the assessment session.

STUDY PROCEDURE

The assessment of each participant group was conducted separately. The setting in which ayahuasca was taken was quite similar in both ayahuasca groups. Ayahuasca was taken in a non-religious setting, and participants were not affiliated to any ayahuasca religion. The main motivation of the participants was to use ayahuasca as a tool for self-knowledge and introspection. Participants remained in dimly lit rooms, and recorded music was played throughout the sessions. Sessions were held in the evening, and in both groups, an initial ayahuasca dose was served and approximately 1 h after this initial dose, a second one was offered that the participants could take or not. Creativity tests were administered twice: the pre-ayahuasca assessment was conducted in the afternoon around 3 h before the start of the session. The post-ayahuasca assessment was conducted during the acute inebriation around 1.5-2 h after the initial dose, after which the second dose was offered. The total ayahuasca volume taken by each participant was recorded, and samples (10 ml) of the ayahuasca teas were taken in both groups to determine the concentrations of DMT, harmine, tetrahydroharmine, and harmaline afterward. Alkaloid concentrations were determined using a previously described method and conducted by one of the researchers (SB) using a previously described method implementing liquid chromatography-electrospray ionization-tandem mass spectrometry).

AYAHUASCA

The ayahuasca tea used by group 1 contained the following alkaloid concentrations: 0.65 mg/ml DMT, 0.84 mg/ml harmine, 0.76 mg/ml tetrahydroharmine, and 0.10 mg/ml harmaline. Participants ingested an average ± SD total volume of ayahuasca of 116.7 ± 17.1 ml, which contained the following amounts of alkaloids: 75.5 ± 11.1 mg DMT, 98.4 ± 14.4 mg harmine, 88.6 ± 13.0 mg tetrahydroharmine, and 11.3 ± 1.7 mg harmaline. The ayahuasca tea used by group 2 contained the following alkaloid concentrations: 0.96 mg/ml DMT, 0.48 mg/ml harmine, 0.69 mg/ml tetrahydroharmine, and 0.10 mg/ml harmaline. Participants ingested an average ± SD total volume of ayahuasca of 44.5 ± 15.6 ml, which contained the following amounts of alkaloids: 42.8 ± 14.9 mg DMT, 21.4 ± 7.5 mg harmine, 30.8 ± 10.8 mg tetrahydroharmine, and 4.6 ± 1.6 mg harmaline. Two parallel versions of the creativity tests were administered before and after ayahuasca intake. The order of administration was counterbalanced between participants, and the total time to complete the battery was around 35 min.

CREATIVITY TASKS

Two verbal creativity tasks with non-verbal stimuli were used, i.e., the Pattern/Line Meanings task (PLMT) and the Picture Concept Task (PCT). The PCT was composed of stimuli from the Wechsler Preschool and Primary Scale of Intelligence and the Wechsler Intelligence Scale for Children. Each stimulus contains between 4 and 12 color pictures shown in two or three rows. Participants have to find an association between one of the pictures in each row. They are instructed to provide the correct solution as there is only one correct answer. Correct answers are taken as the dependent measure of convergent thinking. In order to be also able to assess divergent thinking, we additionally asked participants to provide as many alternative answers as possible. This is the regular instruction included in measures of divergent thinking, and it is used to calculate several parameters, i.e., fluency, originality, and the ratio of both, which reflect quantity and quality of divergent thinking. Fluency is defined as the number of alternative associations. The second parameter, i.e., originality, is calculated by evaluating the originality of the alternative association relative to those provided by all other participants in a session. Alternative answers that were uniquely reported by a single participant received an originality score of 2. Answers that were shared with a single participant were valued as 1, and answers that were shared by 3 or more participants were rated zero. Mean originality (creativity) scores and ratio originality scores weighed for fluency (originality/fluency) were used as measures of divergent thinking. In total, 28 stimuli were shown and participants had 1 min per stimulus. In the PLMT, the participant had to give meaning to a configuration of patterns or lines and generate as many explanations for it as possible, trying to be as creative as possible. In total, eight items were shown and participants were allowed 2 min for each pattern. The total number of interpretable, meaningful, and relevant ideas generated in response to the stimulus (i.e., fluency) and the originality of these ideas were taken as dependent measures of divergent thinking. Originality and the ratio between originality and fluency were calculated as described in the description of the PCT.

SUBJECTIVE EFFECTS-VISUAL ANALOG SCALES

Once the acute effects had subsided, participants were asked to rate the intensity of various aspects of the acute ayahuasca experience using visual analog scales (VAS). These VAS were horizontal lines ranging from 0 (minimum) to 100 (maximum). VAS items included the following: Bvisual effects with eyes closed Bvisual effects with eyes open,^Bbodily sensations,^Bauditory phenomena,^Bmodifications of affect,^Bautobiographic memories,^Bemotional memories,^Bdetachment from own thoughts,^Bconfronted with past events,B confronted with personal issues,^Boverwhelmed by the experience,^Bfear,^Bincreased closeness to others,^Bincreased detachment from others,^Bexperience of unity with universe,B physical comfort,^Bphysical discomfort,^Bself-acceptance,B forgiving oneself,^Bforgiving others,^Bwellbeing,^Beuphoria,^Bsense of contact with god or a supernatural force,^Bhappiness,^Bsadness,^Bsense of rebirth,^Bnew intuitive revelations,^and Boverall intensity of the experience.^Participants had to make a vertical mark on each line according to the intensity with which they had felt a given effect during the acute inebriation.

STATISTICS

Data was analyzed by means of the statistical package IBM SPSS version 21. Independent sample t tests were conducted on sociodemographic measures to check for potential differences between groups. A mixed factorial general linear repeated measures model with Bgroup^(1, 2) as between subject factor and BAyahuasca^(before (baseline), after (ayahuasca ingestion)) as within subject factor was conducted. Subjective effects induced by ayahuasca were analyzed separately for each group using one-sample t tests comparing the scores on each VAS after ayahuasca versus a zero distribution since previous studies have shown that placebo scores are typically very low, not rising above 0 in a scale from 0 to 100 (e.g.,. Additionally, potential differences in VAS scores between groups were analyzed using independent samples t tests. The significance level for all analyses was set at p = .05.

SOCIODEMOGRAPHIC VARIABLES

Independent sample t tests showed significant differences between groups on age (t 12.90 = -3.47; p = .004) and years of education (t 21.43 = -3.04; p = .006). With a mean difference of 14.6 years, participants in group 2 were older than those in group 1. Participants in group 2 had on average 2.9 years more education compared to group 2. The two groups did not differ in the number of times participants had used ayahuasca (t 10.70 = -1.62; p = ns).

SUBJECTIVE EFFECTS-VISUAL ANALOG SCALES

Mean ± SD ratings on the different VAS items after ayahuasca are shown in Fig.separately for each group. The one-sample t tests showed ayahuasca-induced significant increases in all VAS items in the two groups relative to 0, i.e., group 1 (t 14 = 2.56-11.79; p ≤ .001-.023) and group 2 (t 10 = 2.86-7.57; p ≤ .001-.017). Comparisons between groups did not find differences in mean scores for any of the VAS items (F 24 = .003-1.77; p > .05).

DIVERGENT THINKING

Analyses of PCT measures showed a significant main effect of group on fluency, originality, and ratio (originality/fluency). Fluency and originality scores were higher in group 1 compared to group 2 while ratio was higher in group 2 compared to group 1. PCT analyses also revealed an interaction effect of ayahuasca by group on fluency. The latter indicating that while fluency decreased in group 1 after ayahuasca ingestion compared to baseline performance, the opposite effect was seen in group 2, i.e., they improved under influence of ayahuasca. A main effect of ayahuasca on ratio was shown in the PCT demonstrating that when corrected for fluency, originality scores improved under influence of ayahuasca compared to baseline (see Table). There were no statistical significant effects of ayahuasca, group, or their interaction on the dependent measures of the PLMT.

CONVERGENT THINKING

Statistical analysis showed a main effect of ayahuasca on the number of correct responses in the PCT indicating that convergent thinking decreased after ingestion of ayahuasca compared to baseline performance (see Table). There was no significant effect of group on the number of correct responses in the PCT (Fig).

DISCUSSION

The aim of the present study was to further investigate the psychological mechanisms underlying the ayahuasca experience, and specifically whether ayahuasca acutely affects creative thinking. It was shown that during the acute inebriation, ayahuasca caused a decrease in conventional convergent thinking and enhanced creative divergent thinking, as measured by the PCT. All dependent variables associated with the PLMT remained unaffected. The ayahuasca-induced enhancement of divergent thinking could potentially be linked to the effects ayahuasca exerts on brain regions involved in creativity. Three core networks, i.e., the default mode network (DMN), including the ventromedial prefrontal cortex and posterior cingulate cortices, the central executive network (CEN), including dorsolateral prefrontal cortex and posterior parietal cortices, and the salience network (SN), including dorsal anterior cingulate cortex and anterior insula, interact during divergent thinking via corticostriatal-thalamocortical loops. The thalamus feeds information into the SN which in turn coordinates the other mentioned networks. The SN monitors events occurring outside of the body as well as internal consciousness and is able to direct attention to whatever is more important at a certain moment in time. It is suggested that especially these shifts between these externally (CEN) internally (DMN) oriented cognitive networks are very important in creative divergent thinking. Interestingly, previous research has shown that ayahuasca reduced thalamic gating of sensory and cognitive information. Taking into account the neuronal pathways previously described, this could lead to an increase in information fed into the salience network. Consistent with this line of thinking is the fact thatshowed an increase in blood perfusion in the SN after ayahuasca ingestion. Previously, other imaging studies with psychedelics also showed increased blood perfusion or a higher metabolic rate of glucose in the frontal and paralimbic areas during (e.g., anterior insula, anterior cingulate) psilocybin and mescaline). In addition,found broad-band power decrements in the EEG signal after ayahuasca compared to placebo. Based on the knowledge about negative correlations between EEG and BOLD, this was interpreted as reflecting increased activation of areas involved in visual processing and in the cognitive-emotional processing anterior cingulate cortex (ACC), an area that is central to the SN.also showed a temporary induced disruption of neural hierarchies by ayahuasca, i.e., by reducing top-down control and increasing bottom-up information transfer in the human brain. It was suggested that the higher excitability of posterior regions in combination with the loosening of the cognitive grip exerted by frontal regions responsible for executive control may underlie the associations and insights that emerge during the experience. Palhano-Fontes and colleagues (2015) also found other parts of these networks to be influenced by ayahuasca, i.e., they showed a decrement in the functional connectivity in parts of the DMN after ayahuasca ingestion. It was suggested that this could result in more cognitive flexibility and consequently potentially enhanced divergent thinking). However,suggest that the picture is more complex as they showed that the brain does not become a random system after psilocybin administration but still has stable connections which are different from the placebo state and only present in the psychedelic state. Likewise,showed an increase in resting state functional connectivity under psilocybin across normally distinct brain networks. This increased integration between cortical areas could give rise to more associations) and an increased influence of imagination on visual perception. Still, the precise neurobiological underpinning of how psychedelics may enhance divergent creative thinking remains largely unknown, and further research is warranted. Convergent thinking can be seen as the second phase in the creative thinking process, i.e., focused on narrowing possibilities to a workable solution after the ideas have been generated through divergent thinking. Studies have shown this phase to be associated with an increase in CEN activity. In the present study, ayahuasca caused deterioration in convergent thinking.found that ayahuasca only influenced activity in the DMN without changing the connection between. The absence of ayahuasca enhancing effects on the CEN, together with the decrease in thalamic gating and loosened cognitive control described by, could explain the negative effect of ayahuasca on convergent thinking. However, research with other psychedelics, e.g., psilocybin, showed an increase in functional connectivity between the DMN and the taskpositive network or CEN. Ayahuasca selectively affected performance in the PCT and not in the PLMT. Anecdotal reports from participants suggest that the stimuli of the PCT elicited more novel thoughts due to their more complex and colorful nature. In contrast, the stimuli in the PLMT contrast were very simple black-and-white line drawings. The latter probably gave less input into the system involved in the generation of new ideas. Another point to be mentioned is the quasi-experimental design of this study which potentially limits the conclusions that can be drawn from it. It could be argued that because ayahuasca sessions always followed the baseline session, and as it is known that ideas can get more creative over time, a potential order effect could have influenced the results. However, besides the fact that parallel versions of tasks were used in a randomized order to counter potential order effects, the double dissociation, i.e., improvement of divergent thinking and impairment of convergent thinking, suggests that results were not subjected to the serial order effect. Previously, it has been shown that the connection between divergent thinking and mood is particularly strong and, i.e., more positive mood improves divergent thinking. In contrast, convergent thinking and mood are related in a way: more positive mood lowers convergent thinking. Mood of participants in the present study was generally very positive, which may have contributed to their openness to creative ideas. Mood ratings were only taken after drinking ayahuasca and could not be compared to mood states before drinking; nonetheless, they differed statistically from 0. In the future, placebocontrolled studies including measures of mood could test whether mood changes are a moderator in the effects of ayahuasca. Another point which could be addressed in future research is the usefulness of ideas generated in the divergent thinking task as this is part of the definition of divergent creative thinking. By including for example a task in which this quality can be assessed, e.g., the Balternate uses task,^it can be tested whether ayahuasca also improves this aspect of divergent thinking. It would be interesting and important in the light of potential clinical applications of ayahuasca to investigate whether the effects are stable or also vary in time. It is known that ayahuasca induces an intense modified state of consciousness, starting between 35 and 40 min after administration and lasting approximately 4 h. We showed that during this period, divergent thinking was enhanced and convergent thinking distorted.demonstrated that 24 h after ayahuasca intake, mindfulness-related capacities were enhanced. Mindfulness, a state of nonjudgmental, sustained, and alert awareness which improves people's cognitive, emotional, and interpersonal functioning, has been shown to be linked with convergent thinking and less with divergent thinking. Based on these findings, it could be interesting to see whether convergent thinking is recovered 24 h after ayahuasca administration. It is suggested, based on a study ofon MDMA-assisted psychotherapy in post-traumatic stress disorder, that the potential effect pattern of ayahuasca would make it suited for psychedelic-assisted psychotherapy. The increase in divergent thinking during the acute phase could help patients relive events, recalling various associations without feeling inhibited. The sub-acute effects could then be suited in a second, Bintegration^session in which patients discuss the experiences they had on ayahuasca and find strategies that help them cope with intensive emotions. Future studies should therefore not only focus on either the acute or sub-acute phase but also take both stages into account. In the past decade, a renewed interest in the therapeutic potential of psychedelics has emerged. The present study has shown that ayahuasca promotes divergent thinking, an ability which has been shown to be an important aspect in cognitive therapy. It can therefore be suggested that ayahuasca possesses qualities that can promote a therapeutic process. However, since convergent thinking is also a critical aspect in therapy, and the current findings show that ayahuasca impairs this facet during the acute phase, future studies have to investigate whether this effect profile changes over time. Additional research utilizing a placebo-controlled experimental design, including additional creativity measures, is warranted, before results can be generalized.

Study Details

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