Psilocybin

Psychedelic Experiences Increase Mind Perception but do not Change Atheist-Believer Status: A Prospective Longitudinal Study

This prospective longitudinal survey (n=657) finds that people who use psychedelics recreationally increase in prescribing 'mind perception' to living and non-living targets (e.g. plants and animals). However, unlike previous studies, they didn't find changes in metaphysical beliefs along the Atheist-Believer scale.

Authors

  • Albert Garcia-Romeu

Published

Journal of Psychoactive Drugs
individual Study

Abstract

Recent studies suggest psychedelic use may be associated with changes in a variety of beliefs or belief-like states, including increased 1) mind perception, 2) non-naturalistic beliefs, and 3) Atheist-Believer status (e.g., believer, agnostic, or non-believer). We conducted a prospective longitudinal study among participants (N = 657) who planned to have a psychedelic experience. We asked participants about their beliefs concerning mind perception of various entities, specific metaphysical positions, and Atheist-Believer status both before and after their experience. Replicating previous findings, we observed increases in mind perception across a variety of living and non-living targets (e.g., plants, animals). However, we found little to no change in metaphysical beliefs (e.g., dualism) or Atheist-Believer status. Taken together, these findings contrast with those from cross-sectional studies that psychedelic experiences result in changes to Atheist-Believer status and non-naturalistic beliefs but support the relevance of mind perception and mentalization.

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Research Summary of 'Psychedelic Experiences Increase Mind Perception but do not Change Atheist-Believer Status: A Prospective Longitudinal Study'

Introduction

Psilocybin and other classical psychedelics have longstanding associations with spiritual and religious practices, and recent empirical work has suggested they may sometimes shift beliefs or belief-like states. Prior studies have reported increases after psychedelic use in constructs such as mind perception (the attribution of experience or agency to various entities), non-naturalistic or metaphysical beliefs (for example, dualism or idealism), and self-reported religious identification (Atheist-Believer status). However, much of that evidence comes from cross-sectional or retrospective surveys that are vulnerable to selection and recall biases, and some controlled trials lacked effective blinding or did not focus directly on belief change as a primary outcome. Nayak and colleagues set out to examine belief-related changes prospectively in a large sample of people who planned naturalistic psilocybin experiences. The study aimed to measure changes over time in three domains: mind perception toward a range of living and non-living targets, several metaphysical belief items (materialism, dualism, idealism, determinism), and self-classified Atheist-Believer status. The investigators hypothesised increases in mind perception, shifts toward non-naturalistic metaphysical beliefs, and movement from “nonbeliever” toward “believer.” The prospective design and multiple follow-up timepoints were intended to reduce recall bias and better characterise the magnitude and persistence of any changes occurring after naturalistic psilocybin use.

Methods

This was a prospective longitudinal survey of adults (18+) who reported planning to use psilocybin in a naturalistic, non-laboratory setting. Recruitment occurred online via paid social media advertising and word-of-mouth; the recruitment materials framed the study as an investigation of variables such as demographics, mindset, dosage, and setting and did not mention belief change. An institutional review board at Johns Hopkins approved procedures and all participants provided informed consent. Participants completed questionnaires before and after their planned psilocybin session. Measures relevant to this paper were added to the ongoing study at different times, producing varying sample sizes for each domain. Atheist-Believer status was assessed at consent (baseline, N = 7,989 at consent) and again 2–3 months after the session (final analytic N = 657). Metaphysical belief items were collected at baseline, 2–4 weeks, and 2–3 months (analytic N = 623). Mind perception items were added later and were collected 2 weeks before the session, 2–4 weeks after, and 2–3 months after (analytic N = 255). Analyses were restricted to participants who provided both baseline and relevant follow-up data for each measure. Mind perception comprised ten items asking participants to rate the capacity for conscious experience of targets (four mammals, five non-mammal entities, and the universe) on a seven-point Likert scale from −3 to +3; Cronbach’s alpha = 0.87. The metaphysical battery included four items addressing materialism, dualism, idealism and determinism on the same −3 to +3 scale; Cronbach’s alpha = 0.3, indicating poor internal consistency. A single-item Atheist-Believer measure asked participants to classify themselves as Non-believer (scored −1), Agnostic (0), or Believer (1). Primary analyses used separate linear mixed-effects models for each item (15 total tests across the three domains). Outcomes were Z-scored so that standardized beta coefficients (βstd) could be interpreted akin to covariate-adjusted Cohen’s d. Models included time, Mystical Experience Questionnaire (MEQ) score, the interaction of MEQ and time, and indicators for first-time psychedelic use and ceremonial setting. Results were Bonferroni-corrected for 15 tests (alpha = .003333). Exploratory subgroup analyses examined psychedelic-naïve participants and those without a mood disorder; these were not corrected for multiple comparisons.

Results

The analytic sample varied by outcome: Atheist-Believer status N = 657, metaphysical beliefs N = 623, and mind perception N = 255 (all participants had data at the relevant timepoints). The sample was majority male (57–60%), predominantly White (86–88%), mostly US-resident (72–86%), and included elevated rates of self-reported current mood disorder (26–31%). Thirteen to fourteen per cent reported this as their first psychedelic experience; 2–4% reported ceremonial use. Mean MEQ scores were 0.5 (SD 0.3). The MEQ score did not predict greater belief change in the primary tests. Mind perception: Participants increased their attribution of conscious experience to a range of non-human targets from baseline to both follow-ups. Items already near ceiling (self and other humans) showed little change. Significant small-to-moderate increases (βstd ≈ 0.15–0.28) were observed at both follow-ups for non-human primates, quadrupeds, insects, fungi, plants, and inanimate man-made objects. The largest effects were for insects (βstd = 0.28 [95% CI 0.18, 0.39] at 2–4 weeks; βstd = 0.35 [0.24, 0.45] at 2–3 months). Changes from the first to the final follow-up were generally small. Some inanimate natural targets (e.g., rock), a robot, and the universe showed small, significant change at one follow-up but not the other. Exploratory analyses indicated larger effect sizes for mind-perception change among psychedelic-naïve participants. Metaphysical beliefs: Overall there was little to no change in the four-item metaphysical set. Materialism, dualism, and idealism showed no significant shifts over time (βstd ranged approximately from −0.06 to 0.03). Determinism showed a small but statistically significant increase at 2–3 months (βstd = 0.12 [95% CI 0.06, 0.19]). In the psychedelic-naïve subgroup, materialism appeared to decrease more at 2–3 months (βstd ≈ −0.27, p = .001) in exploratory analyses. Atheist-Believer status: No meaningful change was detected in religious/spiritual self-identification. At baseline 24% identified as non-believer and 46% as believer, versus 25% and 47% respectively at 2–3 months. Among psychedelic-naïve participants there was likewise no clear change (26% to 28% non-believer; 33% to 34% believer). A reported subgroup effect showed decreases toward atheism in psychedelic-naïve participants (βstd reported as 0.22 with 95% CI spanning −0.43 to −0.02, p = .035), but this was exploratory and not corrected for multiple comparisons. First-time use was associated with a medium-sized increase for the single item “The universe is conscious” (βstd = 0.68 [0.36, 1.01], p < .0033).

Discussion

Nayak and colleagues interpret their findings as showing a clear divergence across belief domains: naturalistic psilocybin experiences were associated with increased mind perception but produced little or no average change in metaphysical beliefs or self-classified Atheist-Believer status. Replicating prior work, the team observed increased attributions of consciousness to various non-human entities (notably insects, fungi, and plants), with larger changes among participants who were psychedelic-naïve. The authors note that their mind-perception measure probed attribution of conscious experience broadly rather than separating experience from agency, and they caution that increased perception of mind could have a range of downstream consequences—potentially beneficial (increased social-like connection), pathological (relations to conspiratorial or delusional attributions of agency), or mixed. Regarding metaphysical beliefs, the study found little evidence for a shift toward non-naturalism at the group level. The lone exception was a small increase in determinism at 2–3 months and an exploratory decrease in materialism among psychedelic-naïve participants. The investigators argue these results contrast with some prior retrospective and ceremonial-setting studies and suggest that those earlier findings may have been inflated by selection and recall biases, contextual factors (for example, ceremonial framing), or may require particular individual predispositions or repeated exposures to emerge. On Atheist-Believer status, the prospective design failed to replicate large shifts reported in retrospective surveys: overall religious self-identification remained essentially unchanged. The authors assert this outcome reduces, though does not eliminate, the urgency of ethical concerns about psychedelics causing widespread conversion or large-scale changes in religious affiliation in typical naturalistic use. They nevertheless emphasise that their null findings do not rule out sizeable belief changes in specific contexts or subgroups and do not obviate the need for informed consent and safeguards against undue influence. The paper acknowledges key limitations: the belief measures lack comprehensive psychometric validation (the metaphysical scale showed poor internal consistency, alpha = 0.3), there was no non-psychedelic control group, and the sample was heavily weighted toward experienced psychedelic users which could attenuate observed change. The authors recommend incorporating validated belief measures into randomized controlled trials and further research to establish when, for whom, and under what conditions psychedelic experiences alter different belief domains. They caution that these results should not be used to downplay ethical safeguards around potential belief changes, even while suggesting that some prior estimates of widespread conversion effects may be overstated.

Conclusion

In this prospective longitudinal survey of naturalistic psilocybin experiences, participants showed reliable increases in attributions of conscious experience to a range of non-human targets but little to no average change in metaphysical belief items or self-classified Atheist-Believer status. The authors conclude that psychedelics may meaningfully affect constructs related to mind perception and mentalization, while widespread shifts in metaphysical worldview or religious identification appear less common in naturalistic use. They call for further validated measurement, controlled trials, and continued ethical vigilance despite these largely null findings for metaphysical and religious affiliation changes.

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METHODS

This prospective longitudinal study recruited participants who indicated that they were going to have a psychedelic experience in the near future with psilocybin in a naturalistic (i.e., non-laboratory) setting. Recruitment was conducted online via paid advertisements on social media and word of mouth sharing of study-related information. The study was sponsored by Unlimited Sciences, a community-based psychedelic education and research nonprofit organization dedicated to advancing evidence-based research on psychedelic medicine. Participants were recruited using online advertisements indicating that participants were being sought to gain more information regarding the so-called "set and setting" of psychedelic use. Notably, this advertisement did not mention belief changes or beliefs in any way. Specifically, the main information page related to study recruitment read: By collecting data from more than 1,000 individuals, 18 years and older, who are already planning to use psilocybin, we aim to investigate variables such as demographics, lifestyle, mindset, and personality traits. Additionally, we want to know more about the characteristics of the experience itself such as dosage, ingestion method, intention, guidance, and setting-all of which could influence psilocybin's short-and longterm effects. An Institutional Review Board at the Johns Hopkins University School of Medicine approved all study procedures and all participants consented to joining the study after reviewing the study information. Participants were English-speaking adults aged 18 or older who planned to use psilocybin in a real-world setting, and who were willing to complete a battery of questionnaires before and after their planned psilocybin experience. The survey included questions about demographics, specifics about psychedelic use (e.g., dosage), the setting in which the psychedelic experience occurred, and a variety of well-being related and therapeutic outcomes.

RESULTS

Results varied across measures related to mind perception, metaphysical beliefs, and Atheist-Believer status. A total of 657 unique participants were included across all three measures (Atheist-Believer status N = 657 respondents at both timepoints; metaphysical beliefs N = 623 respondents at all three timepoints; and mind perception N = 255 respondents at all three timepoints). The sample was mostly male (57-60%), white (86-88%), residing in the United States (72-86%), with relatively high rates of a current mood disorder (26-31%). A minority of participants endorsed the reported experience as their first psychedelic experience (13-14%). The changes in measure responses reported below were statistically significant at p < .00333 unless otherwise stated.

CONCLUSION

Our findings showed different patterns across the measures of 1) mind perception, 2) metaphysical beliefs, and 3) Atheist-Believer status. We discuss each of these in turn. First, replicating effects from Nayak and Griffiths (2022) andwe found that mind perception was increased over a range of targets after psilocybin use. For example, compared to pre-drug baseline, participants indicated more perception of mind at both post-drug follow-up time points to nonhuman primates, quadrupeds, fungi, and plants. Individuals who were psychedelic-naive generally had greater increases in mind perception. These targets of consciousness attribution are most relevant to mind perception research conducted by. Mind perception refers to the capacity for experience (feel pleasure and pain) and agency (make decisions and act) across a range of entities. Research using this measure has found systematic changes in mind perception related to certain mental disorders. Figure. Percentage of respondents identifying as "non-believer (e.g., atheist)," Agnostic, and "believer (e.g., in ultimate reality, higher power, and/or god, etc.)" at baseline and 2-3 month follow-up only negligible changes were observed in Atheist-believer status. Table. Percentage of participants identifying as atheist, agnostic, or believer at baseline and 2-3-month follow-up (n = 657). For example, people with autism show decreased perception of the capacity for agency in other people (but not experience). People with psychopathy show decreased perception of the capacity for experience in other people (but not agency). People with schizotypy show increased attribution of agency and experience across nearly all targets. The present study did not differentiate between agency and experience, but rather asked participants to rate the capacity "of having conscious experience" to a range of entities, where we found across the board increases in consciousness attribution (i.e., mind perception). Some mind perception research has focused on issues related to mental illness, and there are reasons to examine a link to delusions in the context of increased attribution of agency. For example, conspiratorial thinking often rests on an attribution of (malevolent) agency to current events. Others have proposed that the perception of mind may result in increased feelings of social-like connection which could enhance well-being (e.g., "a social-spatial conflation,". It is likely that the increased mind perception from psychedelic increases can have positive, pathological, or mixed consequences. This is an area for future study. Second, contrary to recent psychedelic research findings showing shifts in metaphysical beliefs, we found little evidence of such shifts in this prospective study. For example, we found no significant change in endorsement of items relating to dualism, materialism, or idealism while all three of these were found to increase significantly after a psychedelic experience in one or both previously referenced papers. We did find a small difference in determinism endorsement in this study at 2-3 months post session, which supports a previously reported finding in, and in the subsample of first-time psychedelic users, materialism appeared to decrease at 2-3 months. Psychedelics may cause such belief changes, but the present data suggest they do not occur on average in naturalistic use. To the extent that such belief changes do occur, they may 1) be more likely in a particular subset of individuals, 2) rely on particular contextual factors, and/or 3) require multiple psychedelic experiences over time. The measurement of these non-naturalistic beliefs is difficult and the relationship between the items administered to the normal population in this study and the technical philosophical views they represent remains in question. Substantial additional validation is required for these measures (see. However, given the concerns raised about changes in these kinds of beliefs from psychedelic experiences (e.g., Jacobs 2020; Smith and Sisti 2021), our findings provide evidence that concerns around changes to such beliefs may have been inflated given the general lack of changes observed in the present study. Third, contrary to recent psychedelic research finding increases in endorsements of Atheist-Believer status in retrospective self-report surveys, this prospective longitudinal self-report survey did not observe such changes. As with the lack of change in non-naturalistic beliefs, the lack of change to Atheist-Believer status should reduce the urgency of bioethical discourses regarding the potential of non-therapeutic belief changes in general. Again, however, the absence of changes in Atheist-Believer status after naturalistic psilocybin use does not preclude the possibility that these changes may happen in people with certain predispositions or under particular circumstances yet to be characterized. The present study complements in parts and contradicts in parts the Timmermann et al. () component, which found increased non-naturalistic beliefs in a population using psychedelics in a ceremonial setting (N = 386 who completed follow-up measures at 4 weeks post-retreat). The present study, by prospectively recruiting a population that planned to use psilocybin mushrooms in a variety of settings (mostly not in ceremonial ones), provides a more fine-grained sense of the kinds of belief changes that occur with naturalistic psilocybin use across a range of settings.demonstrated larger belief change in psychedelic-naive individuals, and we did see some indication of larger belief changes in psychedelic naive participants in exploratory analyses (see Tables). Effect sizes for mind perception were greater in the psychedelic-naive, and materialism appeared to decrease at 2-3 months in the psychedelic-naive subgroup, but not the full sample. The present study represents a substantial increase in methodological rigor over. In particular, thesurvey study format asked participants to retrospectively indicate their beliefs before and after a psychedelic experience as well as their current beliefs. The "pre-drug" ratings regarding consciousness-attribution fromwere lower than baseline ratings of the same items in the present study. Meanwhile, findings across baseline and follow-up timepoints in the present study are relatively close to the "post-drug" and current ratings from the Nayak et al. () study, raising the potential of recall bias inherent in retrospective, cross-sectional studies. It is possible that the retrospective self-report format may artificially suppress endorsements in the "pre-drug" category. Alternatively, respondents with lower baseline belief may have greater capacity for belief change and be more likely to respond to a survey about a belief-changing psychedelic experience. In any case, we believe that appropriate caution should be taken when engaging in retrospective self-report research and interpretation of those results going forward.

Study Details

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