Centre for Gender and Sexual Health Equity, University of British Columbia, Vancouver, Canada.
BC Centre on Substance Use, Vancouver, Canada.
Drug Alcohol Rev. 2019 Nov;38(7):781-789. doi: 10.1111/dar.12985. Epub 2019 Sep 5.
A previous observational study of ayahuasca-assisted therapy demonstrated statistically significant reductions in self-reported problematic cocaine use among members of an Indigenous community in Canada. This paper aims to qualitatively explore the impact of ayahuasca-assisted therapy on addiction and other substance use-related outcomes and elucidate the lived experiences of participants.
Qualitative interviews were conducted with 11 adult Indigenous participants of the ayahuasca-assisted 'Working with Addiction and Stress' ceremonial retreats (June-September 2011). Semi-structured interviews assessed experiences of participants following the retreats at 6-month follow up. Thematic analysis of interview transcripts was conducted.
Narratives revealed that the retreats helped participants identify negative thought patterns and barriers related to their addiction in ways that differed from conventional therapies. All participants reported reductions in substance use and cravings; eight participants reported complete cessation of at least one substance at follow up. Increased connectedness with self, others and nature/spirit was described as a key element associated with reduced substance use and cravings.
This analysis expands upon prior quantitative results highlighting the therapeutic potential of ayahuasca-assisted therapy and provides important contextual insights into why ayahuasca-assisted therapy may have been beneficial for members of an Indigenous community seeking to address their problematic use of substances. Given limited efficacy of conventional treatments for resolving addiction issues, further research should investigate the role of ayahuasca and other psychedelic-assisted therapies in enhancing connectedness and other key factors that may improve well-being and reduce harmful substance use.
一项之前对亚马孙传统植物致幻剂(ayahuasca)辅助治疗的观察性研究表明,在加拿大的一个原住民社区中,自我报告的可卡因使用问题显著减少。本文旨在从定性的角度探讨 ayahuasca 辅助治疗对成瘾和其他与物质使用相关的结果的影响,并阐明参与者的生活体验。
对 11 名参加过 ayahuasca 辅助“处理成瘾和压力”仪式静修(2011 年 6 月至 9 月)的成年原住民参与者进行了定性访谈。半结构式访谈评估了参与者在 6 个月随访时的 Retreat 体验。对访谈记录进行主题分析。
参与者的叙述表明, Retreat 以不同于传统疗法的方式帮助他们识别与成瘾相关的消极思维模式和障碍。所有参与者均报告减少了物质使用和渴望;8 名参与者报告在随访时至少完全停止了一种物质的使用。参与者描述说,与自我、他人和自然/精神的联系增加是与减少物质使用和渴望相关的关键因素。
本分析扩展了先前的定量结果,强调了 ayahuasca 辅助治疗的治疗潜力,并提供了关于为什么 ayahuasca 辅助治疗可能对寻求解决药物使用问题的原住民社区成员有益的重要背景见解。鉴于传统治疗方法在解决成瘾问题方面的效果有限,应进一步研究 ayahuasca 和其他迷幻剂辅助治疗在增强联系和其他可能改善幸福感和减少有害物质使用的关键因素方面的作用。