Purging to Cleanse: A Qualitative Study of Ayahuasca Healing at a Drug Treatment Center in Peru.

IF 2.4 3区 医学 Q2 PSYCHOLOGY
Journal of studies on alcohol and drugs Pub Date : 2024-09-01 Epub Date: 2024-06-12 DOI:10.15288/jsad.22-00429
Svět Lustig Vijay, Magdalena Harris, Fabio Friso, Matteo Politi
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引用次数: 0

Abstract

Objective: Ayahuasca, an entheogen from the Amazon rainforest, has garnered growing interest for treating substance dependence. To date, there is little research concerning the act of ayahuasca-related purging (mainly vomiting), which is considered to be central to healing during ayahuasca rituals. This study explored practitioner perspectives on purging during ayahuasca rituals at the Takiwasi Center in Peru.

Method: We conducted in-depth interviews with curanderos (healers), plant preparers, and psychotherapists (N = 11) at the Takiwasi Center between August and October 2021. Interviews were conducted and transcribed in Spanish. Interviews were analyzed using a thematic analysis approach.

Results: Participants described purging as a fluid concept that went beyond the act of vomiting. Participant narratives around purging were organized into three central themes or accounts: spiritual-oriented, which highlighted the relationship between purging and spiritual development; Amazonian-oriented, which emphasized purging as a cathartic expulsion of embodied cargas (loads) that are perceived to lead to sickness; and clinical-oriented, which stressed that purging generates a range of empirically observable therapeutic benefits. All of these explanatory models emphasized the pivotal interconnection between purging and healing during ayahuasca-assisted treatment for substance dependence at Takiwasi.

Conclusions: This study highlights practitioner perspectives on purging at the Takiwasi Center, who offer three main explanatory models for this aspect of healing during ayahuasca-assisted therapy for substance dependence. This research contributes to the limited literature on the role of purging in ayahuasca-related healing, which may inform further investigation into differential understandings of the role of purging for therapeutic benefits.

净化:秘鲁一家戒毒中心对死藤水疗法的定性研究。
目的:死藤水是一种产自亚马逊雨林的迷幻剂,其治疗药物依赖性的效果日益受到关注。迄今为止,有关与死藤水相关的净化行为(主要是呕吐)的研究很少,而这种行为被认为是死藤水仪式中治疗的核心。本研究探讨了秘鲁塔基瓦西中心(Takiwasi Centre)的从业人员对死藤水仪式中的净化行为的看法:2021 年 8 月至 10 月间,我们在塔基瓦西中心对治疗师、植物制备师和心理治疗师(11 人)进行了深入访谈。访谈以西班牙语进行并誊写。访谈采用主题分析法进行分析:参与者将 "清除 "描述为一个不固定的概念,超越了呕吐行为的范畴。参与者关于清肠的叙述分为三个中心主题或 "叙述":以精神为导向,强调清肠与精神发展之间的关系;以亚马逊流域为导向,强调清肠是对被认为会导致疾病的躯体载荷(负荷)的一种宣泄性排泄;以临床为导向,强调清肠会产生一系列经验上可观察到的治疗效果。所有这些解释模式都强调了在塔基瓦西阿亚华斯卡辅助治疗药物依赖过程中,净化与治疗之间的重要联系:本研究强调了塔基瓦西中心的从业人员对净化的看法,他们对青藤辅助药物依赖治疗过程中的净化提供了三种主要的解释模式。这项研究为有关净化在与死藤水有关的治疗中的作用的有限文献做出了贡献,它可能为进一步调查对净化在治疗中的作用的不同理解提供信息。
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来源期刊
CiteScore
4.80
自引率
5.90%
发文量
224
审稿时长
3 months
期刊介绍: The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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