Evidence map›Paper›PMID 24550805›Full record

ArticleFrontiers in human neuroscience2014

The entropic brain: a theory of conscious states informed by neuroimaging research with psychedelic drugs.

Robin L Carhart-Harris, Robert Leech, Peter J Hellyer, Murray Shanahan, Amanda Feilding, Enzo Tagliazucchi, Dante R Chialvo, David Nutt

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 464 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
464citing papers in PubMed, 6 pooled it
46.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03866174 phase2completednot on this mapstarted 2020, after this paper: background citation

A Randomized, Double-Blind Study of Single-Dose Psilocybin for Major Depressive Disorder (MDD)

TypeinterventionalSponsorUsona InstituteRan2020 to 2022Enrolled347ConditionsDepressive Disorder, MajorArmsPsilocybin, Niacin, Set and Setting (SaS) Protocol
NCT05478278 phase1completednot on this mapstarted 2022, after this paper: background citation

A Phase 1, Two-Part Study in Healthy Volunteers to Evaluate The Effect of Psilocybin on Cardiac Repolarization and The Effect of Food on Psilocybin Pharmacokinetics

TypeinterventionalSponsorUsona InstituteRan2022 to 2023Enrolled60ConditionsQTc Interval, PharmacokineticsArmsPsilocybin, Moxifloxacin, Micro-Crystalline Cellulose
NCT06731335 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Psilocybin for Enhanced Analgesia in Chronic nEuropathic PAIN

TypeinterventionalSponsorUnity Health TorontoRan2025 to 2026Enrolled30ConditionsChronic Neuropathic Pain, Pain ManagementArmsPsilocybin, Active Placebo
3 · Its place in the literature

Who cites it

464 citing papers in PubMed, 6 syntheses or guidelines pooled it, 1,236 citations in OpenAlex.

  1. Pooled it
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  6. Default Mode Network Modulation by Psychedelics: A Systematic Review.The international journal of neuropsychopharmacology · 2023
    Pooled it
  7. Trial
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  13. Neural complexity is increased after low doses of LSD, but not moderate to high doses of oral THC or methamphetamine.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Trial
  14. Psychedelics and the 'inner healer': Myth or mechanism?Journal of psychopharmacology (Oxford, England) · 2024
    Trial
  15. Article
  16. Article
  17. Article
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  19. The entropic brain today.Brain : a journal of neurology · 2026
    Review
  20. Review

404 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Robin L Carhart-HarrisDivision of Brain Sciences, Department of Medicine, Centre for Neuropsychopharmacology, Imperial College London London, UK.
Robert LeechC3NL, Division of Brain Sciences, Department of Medicine, Imperial College London London, UK.
Peter J HellyerC3NL, Division of Brain Sciences, Department of Medicine, Imperial College London London, UK.
Murray ShanahanDepartment of Computing, Imperial College London London, UK.
Amanda FeildingThe Beckley Foundation, Beckley Park Oxford, UK.
Enzo TagliazucchiNeurology Department and Brain Imaging Center, Goethe University Frankfurt am Main, Germany.
Dante R ChialvoConsejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET) Buenos Aires, Argentina.
David NuttDivision of Brain Sciences, Department of Medicine, Centre for Neuropsychopharmacology, Imperial College London London, UK.
Imperial College London · GBBeckley Foundation · GBConsejo Nacional de Investigaciones Científicas y Técnicas · ARGoethe University Frankfurt · DE

Funding

Medical Research Council MR/J00460X/1
6 · The paper itself

Abstract

Entropy is a dimensionless quantity that is used for measuring uncertainty about the state of a system but it can also imply physical qualities, where high entropy is synonymous with high disorder. Entropy is applied here in the context of states of consciousness and their associated neurodynamics, with a particular focus on the psychedelic state. The psychedelic state is considered an exemplar of a primitive or primary state of consciousness that preceded the development of modern, adult, human, normal waking consciousness. Based on neuroimaging data with psilocybin, a classic psychedelic drug, it is argued that the defining feature of "primary states" is elevated entropy in certain aspects of brain function, such as the repertoire of functional connectivity motifs that form and fragment across time. Indeed, since there is a greater repertoire of connectivity motifs in the psychedelic state than in normal waking consciousness, this implies that primary states may exhibit "criticality," i.e., the property of being poised at a "critical" point in a transition zone between order and disorder where certain phenomena such as power-law scaling appear. Moreover, if primary states are critical, then this suggests that entropy is suppressed in normal waking consciousness, meaning that the brain operates just below criticality. It is argued that this entropy suppression furnishes normal waking consciousness with a constrained quality and associated metacognitive functions, including reality-testing and self-awareness. It is also proposed that entry into primary states depends on a collapse of the normally highly organized activity within the default-mode network (DMN) and a decoupling between the DMN and the medial temporal lobes (which are normally significantly coupled). These hypotheses can be tested by examining brain activity and associated cognition in other candidate primary states such as rapid eye movement (REM) sleep and early psychosis and comparing these with non-primary states such as normal waking consciousness and the anaesthetized state.

Indexed as

5-HT2A receptorconsciousnesscriticalitydefault mode networkentropymetastabilityREM sleepserotonin

Identifiers

PMID24550805
PMCPMC3909994
OpenAlexW2109543774

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.