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Clinical competency

Elicit and formulate positive intentions

Help the patient identify personally meaningful, positive intentions to guide the session and future change. Intentions should be active, concrete, and framed toward desired gains rather than avoidance.

Primary clinical guidelineModern clinical

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Guidelines

3

Courses

0

Providers

0

Protocols

2

Classification

Protocol families

Source quality

Lab manualProtocol paperSOP / guidebookTrial supplement

Also known as

Intention setting facilitationIntentionality facilitation

Across the manuals

The manuals converge on the idea that intention setting is a preparatory part of the work, used to orient the participant before dosing or ceremony. Across the extracts, intentions are described as something to be clarified in advance, with support for making them personally meaningful, concise, and easy to return to during the session. They also agree that intentions are not meant to function as rigid controls over the experience, but as a guide that can coexist with flexibility and, in the 5-MeO-DMT manual, surrender. The sources also align in preferring intentions that are active and positively framed. The psilocybin trial manual explicitly recommends goals focused on what the patient wants to change, gain, or do, and warns against passive or negation-based wording. The Yale manual similarly links intentions to values and meaningful life change rather than symptom control alone, while the 5-MeO-DMT manual recommends a clear personal or group intention that can be written succinctly if helpful. The main differences are in emphasis and process. The Yale manual places more weight on revisiting and refining intentions over time, including between preparation and later dosing sessions, and describes intention as a compass during challenging or expansive experiences. The psilocybin trial manual is more explicit about wording, recommending one to three sentences that can be read aloud before administration and using open-ended questioning to refine understanding.

Synthesised from the linked source documents; refreshed as the library updates.

Linked sources

The guidelines, courses, and providers that evidence this competency. Full lists are a Blossom Pro feature.

Linked guidelines (3)

  • Psilocybin in alcohol use disorder and comorbid depressive symptoms: Results from a feasibility randomized clinical trial

    PsilocybinEvidence score: 90

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Elicit and formulate positive intentions - Clinical Competency | Blossom