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'''Pivotal mental states (PiMs) are states of mind created by | '''Pivotal mental states (PiMs) are states of mind created by profound psychological events which permanently shift modes of general thought patterns. PiMs serve an important evolutionary function, that is, to aid psychological transformation when actual or perceived environmental pressures demand this'''<ref>Brouwer A, Carhart-Harris RL. Pivotal mental states. ''Journal of Psychopharmacology''. 2021;35(4):319-352. doi:10.1177/0269881120959637</ref>'''. In nature PiMs are primed by chronic stress and neurotic traits, whereas acute stress can be a trigger. PiMs can also be induced by certain medicines and experiences, evidence for which is presented below.''' | ||
== Strong evidence == | == Strong evidence == |