23/09/2026
The molecule is only part of the story.
In psychedelic-assisted therapy, outcomes may be shaped not only by pharmacology - the substance itself -, but also by the context in which the experience takes place, among other important aspects.
Researchers often describe this through the concept of set and setting.
Set (Mindset): Refers to the internal state of the individual prior to and during the experience. This encompasses personal expectations, intention, psychological preparation, emotional state, personality traits, and baseline beliefs.
āSettingā refers to the external factors influencing the experience. This includes the immediate physical environment, the interpersonal/therapeutic context, and the broader socio-cultural environment.
More recently, Hartogsohn (2016), writing in the Journal of Psychopharmacology, argued that these extra-pharmacological factors are central to understanding responses to psychedelic substances.
Research continues to examine preparation, therapeutic support and integration as potentially important components of psychedelic-assisted therapy, while also making clear that their individual contribution to clinical outcomes is still being investigated.
This matters because a psychedelic session does not happen in isolation. Expectations may influence experience. The therapeutic relationship may affect how safety and trust