Altered States of Context - podcast cover

Altered States of Context

Nathan Gates & Brian Pileckialtered-states-of-conte.captivate.fm
Brian Pilecki and Nathan Gates, two therapists and long-time psychedelic advocates explore the uneasy fit between a medicalized view of individual mental illness and a psychedelic view of suffering and change. We'll also explore many of the possibilities, opportunities and pitfalls that emerge from this union. In addition, we'll keep it weird, and talk about some of the aspects of psychedelic experiencing that make it so interesting, fun, and transformative. This will hold interests for anyone interested in behavior change, cultural trends, and for professionals eager to explore how psychedelics are poised to change many of our therapeutic orientations and approaches.
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Episodes

Episode 45: Nate interviews the Perspectives Crew

A bit of an ASOC origin story! In this Episode Nate interviews the Perspectives Retreats crew, which include our very own Brian Pilecki, Jenna LeJeune, Miranda Morris and Temple Morris. The idea for Perspectives Retreats originated in the same place as Altered States of Context- at a psilocybin retreat in Jamaica 6 years ago. Since then the Perspectives crew have worked to develop the most thorough and clinically informed retreat model in the business- and they are here to tell us about it....

Jan 03, 20251 hr 1 minEp. 45

Episode 44: EMBARK and the Role of Therapy in Psychedelics with Alex Belser

Dr. Alex Belser joins us to further discuss EMBARK and how his passion for training psychedelic therapists led to the development of a broadly applicable model that includes all aspects of psychedelic experiences. With the recent rejection of MDMA-assisted therapy by the FDA, we discuss the future role of psychotherapy, in contrast to more minimal psychological support, in future psychedelic medicine. We also discuss how you might get involved in psychedelic-assisted therapy (spoiler alert: ther...

Nov 11, 20241 hr 25 minEp. 44

Storytelling and Biograffs with Jennifer Beman

Humans are natural storytellers, for better or worse. How can we become more aware of the stories that embed our lives? How do psychedelics help us see the stories that we live inside and help us have more agency about being an author to our stories? Our guest Jennifer Beman is a documentary film editor who has created a method for visual story-telling called BioGraffs. Hear her describe how BioGraffs can be used to get underneath language and serve as a tool for a range of applications includin...

Sep 25, 202452 minEp. 43

Dr. William Brennan discusses EMBARK

Dr. William Brennan describes EMBARK, a transdiagnostic flexible model of psychedelic facilitation that builds on existing approaches in clinical research of psychedelic-assisted therapy. He describes the six clinical domains and four care cornerstones, and how they can be flexibly applied to a range of conditions and settings. We discuss some of the pros and cons of a unifying model of change in psychedelics, as well as the tension between individualism in psychotherapy with a systemic, context...

Jul 24, 20241 hr 24 minEp. 42

GABBY LEHIGH, Music and Psychedelics

Gabby Lehigh recently earned her PhD from the Department of Anthropology at the University of South Florida (USF). She holds a bachelor’s degree from Indiana University of Pennsylvania and a master’s degree in anthropology from USF. Her dissertation research focused on transformative psychedelic experiences at music events to understand how psychedelic use in everyday contexts creates meaningful and impactful experiences. She recently accepted a position as a research coordinator at Moffitt Canc...

Jul 24, 20241 hr 11 minEp. 41

SEASON INFINITY

New EPISODES After a bit of a break, we are back with three new episodes and a new format. Instead of biweekly episodes during a season, we are simply going to release episodes whenever we feel like it! We are hoping that this intermittent schedule of reinforcement works well for all of our loyal listeners, as it makes it much easier for us to keep recording these interesting and in-depth conversations and putting them out, without feeling bound to a schedule. We're excited to keep bringing you ...

Jul 24, 202456 minEp. 40

Andy Mitchell, Author of "Ten Trips"

Andy Mitchell, author of “Ten Trips,” describes his experience having ten different psychedelic experiences in very different types of contexts ranging from academic settings to indigenous communities. Andy provides a fresh take on psychedelics with a unique perspective of sampling several sub-communities within the larger psychedelic community, including therapists and scientists, psychonauts and inner travelers, and spiritual or religious practitioners. Andy describes how he has come to see ho...

Jan 15, 202454 minSeason 3Ep. 39

DOWN ON THE FARM

In this episode we take a slight detour from our main topic to discuss Nate’s experiences with farming in central Illinois. Hear Nate describe how he got into farming and how his experiences with animals have shaped the way he thinks about everything from diet to psychotherapy. You’ll hear Nate defend why he is virulently "pro-savanna" and discuss how living in a sustainable ecosystem allows for regular experiences of abundance, as well as staying close to the cycle of life and death. And yes, w...

Dec 05, 20231 hr 8 minSeason 3Ep. 38

Episode 37: The Towering Franklin King

Join us for a conversation with Franklin King, is a psychiatrist with expertise in neuroscience and psychedelics. Hear him discuss his history of working in a psych ER and his perspectives on how public health interventions can help people attain greater wellness. Dr. King’s unique experience in mental health care and research on psychedelic-assisted therapy leads to an engaging discussion about how psychedelic medicine is evolving in our current health care system. Dr. King is a psychiatrist at...

Nov 13, 20231 hr 21 minSeason 3Ep. 37

Episode 36: Holotropic Breathwork Christine Calvert

Holotropic breathwork, developed by Stan and Christina Grof, [BP1] was developed as a method to induce altered states of consciousness after LSD was made illegal and therefore no longer available. Christine Calvert is a certified Holotropic Breathwork facilitator who discusses the history and development of holotropic breathwork and how it is related to psychedelic-assisted therapy. With decades of experience, Christine highlights the importance of supporting the inner wisdom of clients and bein...

Sep 25, 20231 hr 32 minSeason 3Ep. 36

Victor Cabral

In this compelling episode, Nate and Brian are joined by Victor Cabral, a licensed social worker and therapist, who currently serves as the Director of Policy and Regulatory Affairs at Fluence Training. Victor has a passion for equity and justice in relation to drug policies and hopes to emphasize community views, oppression, and harm that has been done in relation to psychedelics and drug policy. Previous to this role, he had worked in the Pennsylvania Governor’s Office of Advocacy and Reform; ...

Aug 21, 20231 hr 8 minSeason 3Ep. 35

Episode 34: The indefatigable Max Wolff

OSMIND Osmind is the premier platform for psychedelic-assisted psychotherapy practices. The all-in-one platform includes purpose-built charting for ketamine, SPRAVATO, psychotherapy and more; as well as patient tools for the therapeutic alliance that include 40+ validated rating scales and a patient app for journaling and secure messaging too. Visit Osmind using our link below: osmind.org/asoc Episode Description: In this episode, we interview Max Wolff. Max Wolff is a psychologist and psychothe...

Jul 31, 20231 hr 21 minSeason 3Ep. 34

Episode 33: An interview with practitioner Denise Rue

Show Description: In this fascinating episode, Brian is joined by Denise Rue, who is a hypnotherapist, social worker, and experienced psilocybin retreat facilitator. Brian and Denise dive deep into the nature of psychedelic therapy and the retreat experience, from preparation through integration. Denise shares her perspective on the role of a psychedelic therapist and what it takes to successfully facilitate psychedelic experiences for clients with a wide range of goals and backgrounds. The part...

Jul 18, 20231 hr 14 minSeason 3Ep. 33

Ep. 32: PSYCHEDELIC SCIENCE: The big MAPS carnival

OSMIND Osmind is the premier platform for psychedelic-assisted psychotherapy practices. The all-in-one platform includes purpose-built charting for ketamine, SPRAVATO, psychotherapy and more; as well as patient tools for the therapeutic alliance that include 40+ validated rating scales and a patient app for journaling and secure messaging too. Visit Osmind using our link below: osmind.org/asoc Did you miss out on Psychedelic Science 2023? Or did you go and want to spend time revisiting some of t...

Jul 03, 202356 minSeason 3Ep. 32

Ep. 31: Season 3 kickoff! An interview with Jon Dennis

This Episode's Sponsor OSMIND Osmind is the premier platform for psychedelic-assisted psychotherapy practices. The all-in-one platform includes purpose-built charting for ketamine, SPRAVATO, psychotherapy and more; as well as patient tools for the therapeutic alliance that include 40+ validated rating scales and a patient app for journaling and secure messaging too. Visit Osmind using our link below: osmind.org/asoc In this episode, we speak with Jon Dennis. Jon is a lawyer by training, and has ...

Jun 19, 20231 hr 18 minSeason 3Ep. 31

Ep. 30: Season 2 WRAP UP

Brian and I wrap things up for season two and lay the groundwork for season 3.

Oct 24, 202247 minSeason 2Ep. 30

Ep. 29: Dr Rosalind Watts

Dr. Rosalind Watts discusses her work in applying Acceptance and Commitment Therapy to psychedelic-assisted therapy. Dr. Watts shares about how her own challenging psychedelic experiences have provided her with valuable insight and perspective in working with depressed clients, as well as the value in opening up to our pain in helping us become more engaged in our lives. Dr. Watts emphasizes the importance of integration and describes it as a lifelong process of growth. She also shares about her...

Oct 24, 20221 hr 5 minSeason 2Ep. 29

Ep. 28: Zach Haigney

Zach Haigney is the author of the Trip Report, a weekly newsletter that synthesizes psychedelic news in the areas of medicine, science, and policy. Looking at the big picture, we discuss where the field is at and where it is going. We review the hype cycle and identify why psychedelics tend to be aggrandized, and Zach discusses his view of how the psychedelic space is an ecosystem filled with checks and balances that is incredibly complex and unique in our culture. We talk about why the DEA does...

Sep 14, 20221 hr 7 minSeason 2Ep. 28

Ep. 27: Psychedelic training, conceptual solvents, and the Czech Republic: An interview with Ingmar Gorman

Dr. Ingmar Gorman discusses the current state of psychedelic training programs and how Fluence, the organization that he helped co-found, is attempting to meet the training needs of mental health professionals. He also discusses the little known history of psychedelics in the Czech Republic and Europe, and describes what it was like for psychedelics to flourish in a conservative region of the world decades ago. We also discuss various metaphors for psychedelic-assisted therapy, including emphasi...

Aug 17, 20221 hr 23 minSeason 2Ep. 27

Ep. 26: Would you Believe it? Psychedelics and Transformed Worldviews

Psychedelics are known for their ability to shake up one’s existing belief system and provoke new ways of seeing the world. Several studies show that people often become more spiritual or religious after a powerful psychedelic experience. There is a trend in moving away from physical or materialistic worldviews into non-physical, fatalistic, or nondual worldviews. In this episode we discussion the function of a worldview in providing a sense of predictability in the world and bring a skeptic’s e...

Aug 02, 20221 hr 23 minSeason 2Ep. 26

Ep. 25: Rachel Harris, Ayahuasca and Women in Psychedelics

Dr. Rachel Harris shares her work in investigating the ceremonial use of ayahuasca and how understanding indigenous cultures can help inform the Westernized medical framework of psychedelic-assisted therapy. Dr. Harris also discusses her upcoming book about the work of female underground guides and elders, and why the voices of women have been largely underrepresented in the modern history of psychedelics. She highlights the role of different options for interfacing with psychedelics, and shares...

Jul 20, 20221 hr 30 minSeason 2Ep. 25

Ep. 24: A Little Fun won't Hurt!

Much of the current discussion around psychedelic drugs center on their therapeutic effects. Clinical conversations, promotion, hype, controversy- who controls them, who are they good for, how can they be used for maximum benefit, who's getting paid... A little something has gotten a bit lost in the mix- FUN. Psychedelics can be a real, real good time. In this Episode, Brian and Nate discuss why conversations so often steers towards the perhaps socially acceptable terrain of the therapeutic and ...

Jul 04, 202245 minSeason 2Ep. 24

Ep. 23 : Group Administration of Psychedelics: An Interview with Chris Stauffer

Dr. Chris Stauffer talks about his research investigating the use of group-administered psilocybin and MDMA. The advantages of group administration are discussed, including the opportunity to increase social connection and deepen capacities to be vulnerable with others. Dr. Stauffer also highlights how group psychedelic-assisted therapy needs to be adapted to the identities of the participants, sharing about his experiences in working with the veteran population and a study with transgender and ...

Jun 23, 20221 hr 5 minSeason 2Ep. 23

Ep. 22: STEVEN C HAYES

In this edition of ASOC, we had the opportunity for a long, in-depth conversation with the one and only Dr. Steven C. Hayes. In this fun and wide-ranging conversation, Steve talks about how his personal experiences with psychedelics contributed to the development of Acceptance and Commitment Therapy and his understanding of the role of language in human suffering. He shares about his involvement in the psychedelic movement of the 60’s and how he is excited about the potential for the modern psyc...

Jun 06, 20221 hr 35 minSeason 2Ep. 22

Ep. 21: Should Therapists Trip? Duh! But wait…

Should psychedelic therapists have their own experiences with psychedelics? While the answer to this question may at first seem obvious, this episode explores some of the nuances in this issue. For example, if personal experience is necessary, who gets to decide how much and under what conditions? Furthermore, we explore how personal experiences may inform one’s work as a psychedelic therapist and discuss precedence in the field for requiring therapists to have personal experience in therapy. Ar...

May 23, 202252 minSeason 2Ep. 21

Ep. 20: Diversity & Quitting Smoking with Dr. Albert Garcia Romeu

In this episode, Nate interviews Dr. Albert Garcia Romeu of Johns Hopkins Center for Psychedelic and Consciousness Research. First, we discuss the state of diversity within psychedelic research, both in terms of the research subjects and the researchers themselves. We pointed out how this may be particularly problematic in psychedelic science, as it tests many deep assumptions about culture and context that a homogenous group (such as monocultural White, Educated, Industrialized, Rich, Democrati...

May 09, 20221 hr 11 minSeason 2Ep. 20

Ep. 19: Taking Apart Bad Trips

What are bad trips and why do they happen? What are the different ways that things can go wrong? In this episode we explore various sub-types of psychedelic experiences and debate the differences between challenging trips and bad trips, and how difficult experiences can often lead to healing and growth with the right support. We dismantle the idea that “there is no such thing as a bad trip” and talk about ways to mitigate difficult experiences when taking psychedelics. Nate also opens up about a...

Apr 25, 202249 minSeason 2Ep. 19

Ep. 18: ACT and Psilocybin-Assisted Psychotherapy with Dr. Jordan Sloshower

ACT has already been used to inform the psychotherapy portions of psilocybin-assisted therapy in several clinical trials. Dr. Jordan Sloshower shares about his experiences working on a clinical trial of psilocybin-assisted therapy for depression. He discusses why his team chose ACT from among several potential therapy models, as well as his views on ACT’s strengths and weaknesses in preparation, dosing, and integration sessions involved in psilocybin-assisted therapy. We discuss how the developm...

Apr 10, 20221 hr 10 minSeason 2Ep. 18

Ep. 17: Season 2- Navigating Turbulence

Season two begins with a summary of recent news in psychedelics, including developments in decriminalization efforts by several states, an update on Oregon’s measure 109 and psilocybin services, and the recent dissolving of Mindcure and what that means for big money players in the psychedelic space. Nate and Brian also speculate on various potential models of psychedelic-assisted therapy and the potential future of novel psychedelic substances currently being researched.

Mar 28, 202253 minSeason 2Ep. 17

Ep. 16: Legalize It! An intermission session.

We're Back! Well, not quite. We are releasing this FULL EPISODE now because it's timely, and because we ARE coming back, and soon! New episodes will be coming back at you every other week starting at the end of March. We've been hard at work and have numerous interviews recorded and queued up for the editing bay. We're very excited to share them with you. This interview is with the fantastic Jean Lacy, founder of World Tree Sanctuary, the Illinois Psychedelic Society and all-around go getter. Sh...

Feb 25, 20221 hr 9 minSeason 2Ep. 16
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