Andrew Huberman· PhD
Was there a relationship between pre-trial expectancy? Even though it was high, it didn't predict-- pre-trial expectancy didn't predict response to the psilocybin therapy.
The headline is broadly defensible, but the qualifications matter. Effect sizes vary by population, the strongest claims rest on shorter trials, and credible voices push back on how it's typically framed.
Was there a relationship between pre-trial expectancy? Even though it was high, it didn't predict-- pre-trial expectancy didn't predict response to the psilocybin therapy.
Every Sunday: the week’s new conflicts and verdict changes — and nothing else.
Native comments, Twitter mentions, and Reddit threads about this claim — surfaced together so the conversation isn't fragmented across platforms.
Bookmarking — the dossier-vs-overview split is the right call. Most of the time I want overview; sometimes I want receipts.
Would love a "what would change this verdict" RSS feed. Sign me up if it exists.
Speaking to that point a bit in our psilocybin therapy versus escitalopram trial, we measured pre-trial expectancy. And we did it for both conditions. So what kind of improvement do you expect with the Lexapro, the escitalopram at the end of the trial? And what kind of improvement if you go into the psilocybin arm and get two big doses of psilocybin. What kind of improvement do you think you'll see in that arm? And of course, it was a coin flip as to what arm people went into and there was no crossover. What we found was that it was true that we had a sample bias, so most people had higher expectation stations. On average, there were higher expectations for psilocybin and its efficacy or effectiveness versus the SSRI, the Lexapro. However, when we looked at the correlation or the predictive relationship between pre-trial expectancy and response, we saw that pre-trial expectancy for the escitalopram predicted response to escitalopram across virtually every single measure, all these different measures of depression and anxiety and well-being, and I think none of the scales. I'm pretty sure it was none of about 12 or so mental health rating scales. Was there a relationship between pre-trial expectancy? Even though it was high, it didn't predict-- pre-trial expectancy didn't predict response to the psilocybin therapy.