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Integration is commonly defined as the comprehension and effective application of insights from psychedelic experiences into everyday life. However, there is limited research regarding the most appropriate therapeutic approach during SAPT. In this article, we discuss the current evidence for different therapeutic frameworks for integration sessions when serotonergic psychedelics and entactogens are used as adjuncts to psychotherapy. We conducted a systematised review of the literature following PRISMA guidelines and searched PsycINFO, MEDLINE and Cochrane Library databases. The final synthesis included 75 clinical trials, mixed\u2010methods investigations, treatment manuals, study protocols, quasi\u2010experiments, qualitative investigations, descriptive studies, opinion papers, reviews, books and book chapters, published until 11 November 2022. The effects that various therapeutic approaches for integration sessions have on therapeutic outcomes have not been investigated by means of rigorous research. Most of the available evidence we retrieved was not supported by empirical data, thus limiting any conclusive statements regarding appropriate therapeutic frameworks for integration sessions for SAPT. Current clinical studies have used a range of therapeutic frameworks with the majority drawing from the humanistic\u2013experiential tradition. While integration is regarded as crucial for the safe application of SAPT, there is currently an insufficient evidence base to suggest that any type of therapy is effective for guiding integration sessions. A systematic investigation of different therapeutic frameworks for integration and additional therapy\u2010related factors is needed.<\/jats:p>","DOI":"10.1002\/cpp.2945","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T00:29:46Z","timestamp":1703636986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Therapeutic frameworks in integration sessions in substance\u2010assisted psychotherapy: A systematised review"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9028-9335","authenticated-orcid":false,"given":"Sascha B.","family":"Thal","sequence":"first","affiliation":[{"name":"Curtin School of Population Health Curtin University  Bentley Western Australia Australia"},{"name":"School of Psychology, College of Health &amp; Education Murdoch University  Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paris","family":"Baker","sequence":"additional","affiliation":[{"name":"School of Medicine (Psychology) University of Tasmania  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathon","family":"Marinis","sequence":"additional","affiliation":[{"name":"Orygen Youth Health University of Melbourne  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Wieberneit","sequence":"additional","affiliation":[{"name":"Law School University of Western Australia  Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1822-9092","authenticated-orcid":false,"given":"Jason M.","family":"Sharbanee","sequence":"additional","affiliation":[{"name":"Enable Institute, Discipline of Psychology, Curtin School of Population Health Curtin University  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raimundo","family":"Bruno","sequence":"additional","affiliation":[{"name":"School of Medicine (Psychology) University of Tasmania  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra M.","family":"Skeffington","sequence":"additional","affiliation":[{"name":"School of Psychology, College of Health &amp; Education Murdoch University  Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Bright","sequence":"additional","affiliation":[{"name":"School of Medical and Health Sciences Edith Cowan University  Joondalup Western Australia Australia"},{"name":"Psychedelic Research in Science and Medicine (PRISM)  Balwyn North Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10879-020-09461-9"},{"key":"e_1_2_10_3_1","volume-title":"Psychedelic integration: Psychotherapy for non\u2010ordinary states of consciousness","author":"Aixal\u00e0 M.","year":"2022"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1066480719852360"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ACPS.13249"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100538"},{"key":"e_1_2_10_7_1","volume-title":"Recognition of psychotherapy effectiveness","author":"APA","year":"2012"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2011.00270"},{"key":"e_1_2_10_9_1","first-page":"135","volume-title":"Bergin and Garfield's handbook of psychotherapy and behavior change: 50th anniversary edition","author":"Barkham M.","year":"2021"},{"key":"e_1_2_10_10_1","volume-title":"Bergin and Garfield's handbook of psychotherapy and behavior change","author":"Barkham M.","year":"2021"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.2019.1580805"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/FPSYG.2022.824077"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674221127186"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2174\/15733998113099990002"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022167816673493"},{"key":"e_1_2_10_16_1","volume-title":"Behavioral Neurobiology of Psychedelic Drugs. 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