"without putting in hard work pre- and post-session, nothing much is going to happen in the long term"
Sounds a lot like cognitive bias to me. It's ultimately a placebo if you still need to put the work in. Ergo, you could achieve the same results even without taking it. It's attributing personal growth to a drug rather than to your own willpower to do something.
If you take a doping pill to run faster, you still need to train and to expand heavy personal effort during the race. Is the doping pill "placebo"?
Heck, if you have leg surgery after an accident, depending on the type of surgery, you often need (and are advised by the doctor, and asked to take it up with physiotherapist and such) to put in personal work and exercize properly for months, to be able to walk and regain use of your leg again. Is the leg surgery placebo?
Or how about a debugger. It wont solve your problem automatically. You still need to write the program yourself, to look into different places, and to know how to find a bug etc. Is the debugger a placebo?
Needing to put personal work to get a result is not what's the distinction between a placebo and a drug.
A placebo is not that which is only effective when combined with additional personal effort (that can hold for any regular drug).
A placebo is a neutral drug that does nothing at all itself (it's just water, or some neutral powder or saline solution, etc) and it's effectiveness is all about the belief that it helps.
Besides, psychedelics (even assuming what they do have no bearing at all to getting better from depression, etc, an assumption with which research disagrees), have huge immediate effects on mental state when taken. So they're not neutral in the way a placebo is even on that account.
My original comment is my opinion. When there's further studies done rather than anecdotal rubbish pertaining to woowoo in the comments, then I'll reconsider my stance.
Analogies are unnecessary and distracting.
Not at all. "The sky is blue, therefore dogs are green" is not an opinion but a statement, factually incorrect, and annoyingly incomprehensible.
The idea that you presented, that if something doesn't solve everything then it is useless is just not true. Maybe you should keep this in mind.
The logic of the comment should hold for any analogous scenario.
You either have to argue why one or all of the above analogies doesn't hold (what element is crucially different, so that the same counter-argument can't apply to your psychedelics argument), or to argue that the points made for those other things are wrong.
Except if you believe that you've discovered some unique logic that only applies to a single specific case.
My opinion: people are likely commonly capable of working through things without the use of psychedelics, and we are crediting the substance and not the human being.
I'm not anti-drugs by any stretch, just feel like a lot more research needs to be done before we can start stating things like they're facts. Can you otherwise disprove that it wasn't placebo effect and the individual wouldn't have otherwise figured it out without a placebo or with a sugar pill he was told was a microdose of psychedelics that would unlock the secrets of the universe?
Not sure why you think studies aren't controlling for placebo? Although it's obviously notoriously hard with psychedelics.
Just to be clear: I agree that more studies are needed, just disagree with the rest of your statements.
So you openly admit that this is difficult to assess? That much we can agree on at least.
You can't control if exercising is placebo either, can you? But the consensus is that it's physically and mentally beneficial. I don't think controlling for placebo is of great use here although it obviously has to be taken into account.
Michael Pollan’s “How to change your mind” talks about psychedelic studies where the more effective, longer lasting changes are seen by the people who had more “mystic” experiences.
It’s not just about good intentions, or just taking psychedelics, but seemingly priming your mind to use the psychedelics to (temporarily) change fundamental thought patterns.
Say without drugs 20% of the depressed population gets better, and with drugs 80% of them. Why would you call this 'placebo' (which is an entirely different topic), and from this word deduce that it is bad? Nonsense.
If I tell someone that a tablet will make them able to do something and it's just a sugar pill, they'll likely be able to do it. The blocking factor is usually a confidence issue.