Many of the psychological effects of MDMA seem as if they would be helpful in different therapeutic situations. MDMA's effects are varied and hard to predict, it seems as if there will be long time before MDMA's dangers could be shown to outweigh its benefits. For every potentially helpful effect of MDMA there seems to be a potentially harmful effect. Increased feelings of empathy and acceptance certainly sound like they are beneficial to an individual, but time perception alterations and difficulty concentrating are certainly harmful, and these are all reported effects of MDMA. Given the nature of MDMA I would guess that its effects would be most beneficial for patients who are aggressive, defensive, and unwilling to "open up". MDMA appears to break down boundaries in communication that would allow for more quality discussion between a therapist and their patient in the proper setting. The feelings that would seem to most benefit psychotherapy are:

After reading the above list of possible effects of MDMA it is not surprising that the drug has been proposed for use in crowd/riot control, as it appears to create a very aggreeable, non-violent individual. It seems that there is a spot in psychotherapy for MDMA, but we do not yet understand the effects of the drug well enough to weigh the long term effects against the possible benefits of use in therapy.