Something I learned recently which really helped me in understanding exchange is that the case of exchanging two electrons is really a special case of enforcing symmetry (or anti-symmetry) in which the permutations of labels in cycles out to length $N$ are used. $N$ is the number of particles.
Just to write it out, the two-electron exchange integral is defined as, $$K_{ab}=\int d\textbf{r}_1d\textbf{r}_2\psi^*_a(\textbf{r}_1)\psi_b(\textbf{r}_1)r_{12}^{-1}\psi_b^*(\textbf{r}_2)\psi_a(\textbf{r}_2)$$ where everything means what it normally means and I took this integral and notation straight out of Szabo and Ostlund.
Now, this is clearly only a permutation of two electrons, and introduces the only correlation present in Hartree-Fock by allowing for exchange of spin-paired electrons.
Shifting gears, I've been reading Quantum Mechanics and Path Integrals by Richard Feynman and Albert Hibbs. In the chapter on Statistical Mechanics, they talk about liquid helium, which has a peculiar transition around $2K$ in which the heat capacity begins to increase. Feynman was the first to explain that this is due to the exchange interaction, and at this temperature is when permutations of the atom labels larger than just one (i.e. two particle exchange) become important. The following statements from the book are relevant to electrons (as opposed to helium because $\ce{^4He}$ is a boson!).
In a different context, the calculation of partition functions, the authors state:
If we were dealing with Fermi particles, e.g., the isotope of helium which has three nucleons, we would have to include an extra factor of $\pm1$, positive for even permutations and negative for odd permutations. There would also be some extra features which depend upon the spin of the atom in our result.
And more directly about electrons,
Consider the behavior of electrons in a solid metal. The mass of the electron is so much smaller than that of a molecule that the critical temperature is much higher. At room temperature, electrons in a metal are described accurately only by equations which include the exchange effects of these cyclic permutations. From this point of view, room temperature is very cold for electrons.
So, hopefully we have now reached a place where it is clear why I am a bit confused. Namely, to my knowledge, we only ever consider the exchange of two electrons of the same spin in our electronic structure methods. First, is this actually true? That is, are there methods which implement (in principle) $N$-electron integrals to describe all permutations of the labels?
Second, is the comparison I am making even strictly valid? That is, in the case of a partition function, which is what Feynman is talking about, permutations of even length tend to cause the electrons to stay further away from each other. This is the behavior we are used to with exchange. In contrast, for permutations of odd numbers, the contribution to the partition function picks up a minus sign. So, the total partition function for a system of fermions is an alternating sum of positive and negative terms in the path integral formalism. Can I simply substitute partition function for wavefunction and sum for integral and find what would happen in the electronic structure case? That is, will the 3-electron exchange integral (assuming this is real and I'm not mistaken) be a negative number, so that we can picture the wavefunction relaxing a little bit from the so-called "heaps" which form due to exchange?
Finally, if I'm not just delusional about this whole thing, is there evidence that permutations beyond the two labels are important for describing any known chemical processes?
References:
[1]: Szabo, A., & Ostlund, N. S. (2012). Modern quantum chemistry: introduction to advanced electronic structure theory. Courier Corporation.
[2]: Feynman, R. P., Hibbs, A. R., & Styer, D. F. (2010). Quantum mechanics and path integrals. Courier Corporation.