Not Too Tight, Not Too Loose

Dr. Joe Flanders and Andrew Rose

Not Too Tight, Not Too Loose is a podcast about finding balance in the pursuit of wellbeing. Inspired by an ancient teaching about meditation, music, and finding a middle path, NTTNTL explores developments in psychology, psychedelics, meditation, spirituality, AI and more. We talk with leading thinkers and practitioners to make sense of both cutting edge and traditional wisdom. Rather than searching for ways to fix what’s wrong, NTTNTL invites us to stay humble, pay attention, and realize that wellbeing isn’t about flipping the right switch, but more like keeping an instrument in tune.

Episodes

  1. 4 days ago

    S2E1 - Season two launch: How do you play a paradigm?

    Season Two Launch: How Do You Play a Paradigm? Andrew and Joe Flanders launch season two by reflecting on the major ideas that shaped the first season of Not Too Tight, Not Too Loose. They connect experiential therapy, predictive processing, trauma, AI, psychedelics, community, and the podcast’s central philosophy: finding a workable middle ground without becoming rigid or resigned.In this episode: Andrew and Joe review the first season and explain how spirituality, psychedelics, mental health, well-being, and AI fit together.Joe describes how Tori Olds introduced him to experiential therapy and helped connect cognitive therapy, mindfulness, trauma work, and Internal Family Systems.Bruce Ecker’s work on brain mechanisms and transformative change gives Joe a more grounded explanation for why IFS, somatic therapy, psychedelic therapy, and memory reconsolidation can work.Andrew identifies predictive processing as a central theme of season one and explains how the brain’s predictions shape lived reality.They discuss trauma as a disruption in memory consolidation, creating a tension between the need to process an experience and the urge to avoid it.The phrase “the body keeps the score” is reconsidered through an integrated brain-body model rather than a strict mind-body split.Joe offers a broader definition of trauma: an experience that constrains a person’s future behavioral repertoire and reduces their sense of agency.They examine AI as both a potentially powerful therapeutic tool and a possible source of psychosis, delusion, compulsive productivity, and social disconnection.Andrew and Joe discuss the coming changes in psychedelic regulation, including the possibility of approved psilocybin or MDMA treatments, and the risks of reducing psychedelic care to medication access without therapy.They close by considering how to remain hopeful and engaged amid political, technological, and mental health crises without falling into denial or cynicism.Timestamps:00:00 - Welcome to season two and the meaning of “not too tight, not too loose” 01:28 - Refuge Psychology’s workshops, training, and local community 04:22 - Joe’s biggest season one takeaway: experiential therapy 05:16 - From cognitive therapy and mindfulness to trauma work and IFS 07:44 - Bruce Eckert and the mechanisms behind therapeutic breakthroughs 10:28 - Predictive processing as the hidden thread of season one 13:37 - Why the brain’s predictions can make people feel unsafe 17:06 - How the brain builds predictive models of the world 18:30 - “The brain keeps the score” and the limits of mind-body dualism 23:10 - Using neuroscience responsibly while staying humble about metaphors 25:29 - A broader, more practical definition of trauma 29:34 - Internal fragmentation beneath diagnoses such as depression and anxiety 31:45 - Why psychedelic therapy requires education beyond the search for a pill 33:53 - AI, mental health, and a new source of therapeutic risk 37:09 - AI’s promise as a therapy tool 39:06 - The possible environmental and social costs of AI 41:26 - Why human connection and ordinary activities may become more valuable 44:19 - Refuge’s focus on real-world community and relationships 45:25 - Social media, solitude, and the story we tell about ourselves 46:55 - The possible arrival of regulated psychedelic treatments 49:00 - Preventing a race to the bottom in psychedelic care 51:05 - Hope, pessimism, and responding to a difficult world 54:55 - How do you play a paradigm?

  2. 18 Jul

    Episode 10 - From bad trips to AI psychosis: Navigating the mental health frontier with Jules Evans

    In this episode, Jules Evans shares his unique journey from researching philosophy and therapy to uncovering the complex world of psychedelic experiences and AI. We dive into the challenges of post-psychedelic difficulties, the impact of digital culture, and the emerging risks and opportunities in psychedelic and AI technology. Whether you're interested in mental health, harm reduction, or the societal implications of technology, this conversation offers deep insights into the future of human well-being. Main Topics Covered: Jules Evans’ background in philosophy, therapy, and psychedelic culturePersonal experiences with psychedelics and subsequent mental health challengesThe Challenging Psychedelic Experiences Project: research and findingsCommon post-psychedelic difficulties: anxiety, derealization, and longer-term issuesThe significance of frameworks like spiritual emergency and biomedical modelsCultural narratives: banding together around shared experiences and social identitiesImpact of AI on mental health: AI psychosis, spiritual cults, and therapeutic potentialsThe parallels between psychedelic experiences and AI-induced altered statesRisks, harms, and the importance of language and storytelling in new tech ecosystemsThe role of responsibility, resilience, and societal narratives in mental healthJules Evans’ Substack: Ecstatic IntegrationChallenging Psychedelic Experiences ProjectStanislav Grof’s Work on Spiritual EmergenciesMichael Pollan’s Book: How to Change Your MindEvan Lewis, Neurologist Specializing in Functional Neurological DisordersWilloughby Britton and Cheetah House on Meditation DifficultiesTwitterLinkedIn 00:00 — Intro to Jules Evans01:19 — Psychedelic difficulties and recovery03:40 — Challenging Psychedelic Experiences Project06:16 — Cultural narratives and healing08:00 — AI-related mental health crises09:50 — AI as harm and healing tool12:42 — Psychedelics and AI parallels15:28 — Safety, support, and adoption18:20 — Research, terminology, and ethics20:00 — Final reflections

  3. 22 Apr

    Episode 9: Experiential psychotherapy with Dr. Tori Olds

    In this episode, experiential therapist Tori Olds explores how understanding the brain's memory reconsolidation process can unlock profound healing. Discover how experiential therapies offer deep and efficient ways to shift entrenched patterns and heal trauma. Tori shares science-backed techniques like imagery and prediction error exercises that help bring unconscious beliefs into awareness, enabling rapid transformation. Perfect for therapists and individuals eager to harness cutting-edge neuroscience, this conversation dispels the myth that transformation must be slow. Tune in to learn practical frameworks that marry science with soulful change. Chapters: Introduction to Experiential Therapy (0:02 - 2:12)Mindfulness and Self-Exploration (2:12 - 6:33)Understanding Trauma (6:33 - 9:14)Experiential Techniques (9:14 - 13:27)Internal Family Systems (IFS) Model (13:27 - 19:19)Memory Reconsolidation and Healing (19:19 - 25:06)Practical Applications and Case Studies (25:06 - 30:11)Conclusion and Future Directions (30:11 - 35:00)Themes: Experiential Therapy: Exploring how experiential therapy can be both deep and efficient, focusing on memory reconsolidation and prediction errors.Mindfulness and Self-Exploration: The role of mindfulness in self-exploration and how it differs from self-analysis.Trauma and Healing: Understanding trauma through predictive processing and the potential for rapid healing.Internal Family Systems (IFS): The use of IFS in experiential therapy to map out and update unconscious predictions.Memory Reconsolidation: The science behind memory reconsolidation and its application in therapy.

  4. 16 Mar

    Episode 8: AI Risk Reduction in Psychotherapy

    In this episode, Andrew and Joe delve into the transformative potential and the profound risks of integrating AI into mental health practice. Join them as they explore the science, stories, and frameworks shaping the future of AI-assisted psychotherapy, with insights grounded in recent research and ancient philosophies. Key Topics: The emergence of AI tools in therapy, including note-taking, therapeutic alliance, and symptom reductionEvidence from recent randomized controlled trials showing AI’s efficacy in reducing anxiety and depression symptomsThe phenomenon of attachment bonds forming with chatbots and the implications for therapeutic allianceRisks including reality drift, epistemic over-trust, and attachment amplification, illustrated by real-world cases such as AI-induced psychosis and tragic outcomesParallels between AI therapy and psychedelics in terms of amplification and the harm reduction approachThe importance of set and setting, and the role of human oversight in safe AI deploymentRegulatory landscapes, including state bans and professional guidelines from organizations like the APAEthical considerations: confidentiality, bias, therapeutic reliability, and the need for ongoing evaluationAncient frameworks of eudaimonia and the virtues of truth, goodness, and beauty as guiding principles for AI in wellbeingThe analogy of AI as a co-pilot or harm reduction tool, emphasizing the necessity of human-in-the-loop modelsHarm Reduction AI White PaperPsychedelic and Harm Reduction frameworksAPA Guidelines on Digital TherapeuticsAndrew Rose - LinkedIn  Joe Flanders - LinkedIn  Timestamps:00:00 – Introduction to AI and mental health: potentials and perils02:03 – Recent meta-analyses and evidence supporting AI effectiveness04:21 – Personal stories of AI integration in therapy practice06:37 – Cases of AI-induced psychosis and tragic outcomes09:01 – The rapid integration of AI in daily life and mental health support11:04 – Evidence of symptom reduction in clinical populations with AI chatbots13:01 – Limits and risks of AI in psychotherapy15:36 – Therapeutic alliance with AI and attachment bonds16:35 – Challenges with AI handling suicide risk and safety protocols17:41 – Notable cases of AI causing harm: the Adam Rain case21:11 – Real-world stories of problematic AI behavior and vulnerabilities22:49 – The risks of reality drift, epistemic over-trust, and attachment amplification25:33 – The potential for AI to support or undermine contact with reality and values27:27 – Drawing parallels with psychedelics and harm reduction strategies30:36 – The importance of set, setting, and human oversight in AI use34:10 – The role of regulation, policy, and professional standards40:14 – Risks related to bias, confidentiality, and therapeutic reliability46:47 – The importance of ongoing assessment, calibration, and human-in-the-loop models50:23 – Reflection on therapeutic alliance, attachment, and the non-human therapist55:02 – Philosophical framing: Aristotle’s virtues and human flourishing in AI-supported wellbeing58:02 – Cultivating truth, goodness, and beauty with AI in therapy64:17 – The challenge of projecting moral and existential frameworks onto AI tools69:22 – Balancing awe with caution: where do we really stand?73:24 – Empowering practitioners with education and harm reduction strategies75:13 – Closing thoughts on future directions and the continued dialogueResources & Links:Connect with the Hosts:

About

Not Too Tight, Not Too Loose is a podcast about finding balance in the pursuit of wellbeing. Inspired by an ancient teaching about meditation, music, and finding a middle path, NTTNTL explores developments in psychology, psychedelics, meditation, spirituality, AI and more. We talk with leading thinkers and practitioners to make sense of both cutting edge and traditional wisdom. Rather than searching for ways to fix what’s wrong, NTTNTL invites us to stay humble, pay attention, and realize that wellbeing isn’t about flipping the right switch, but more like keeping an instrument in tune.

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