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仪式使用阿亚瓦斯卡治疗甲基苯丙胺使用障碍及其他心理健康挑战:墨西哥索诺拉州一个原住民社区的案例研究

Therapeutic Effects of Ceremonial Ayahuasca Use for Methamphetamine Use Disorders and Other Mental Health Challenges: Case Studies in an Indigenous Community in Sonora, Mexico.

作者信息

Loizaga-Velder Anja, Giovannetti Cecile, Campoy Gomez Ricardo, Castillo Valenzuela Teresa Eduwiges, Ochoa Jaime Gloria Rachel, Agin-Liebes Gabrielle, Marcus Olivia, Rush Brian

机构信息

Department of Research, Nierika Institute for Intercultural Medicine A.C, Ocuilan, Mexico.

Independent researcher.

出版信息

J Psychoactive Drugs. 2023 Nov-Dec;55(5):549-557. doi: 10.1080/02791072.2023.2255182. Epub 2023 Sep 7.

Abstract

This paper describes three case studies from an outpatient intercultural therapeutic program founded and run by Yaqui health professionals and traditional healers to serve members of the Yaqui tribe residing in Sonora, Mexico. This pilot therapeutic program has been designed specifically for Indigenous individuals, incorporating the ceremonial use of naturally derived psychedelics in addressing substance use disorders and other mental health issues. The program employs a community-based approach, integrating various traditional Indigenous healing practices like the sweatlodge (), medicinal plant preparations, and the ritualistic use of selected psychedelics from natural sources (such as ayahuasca, peyote, and secretions from ). These approaches are complemented by culturally attuned group and individual psychotherapy sessions, as well as group sports, community meals, collaborative construction efforts for a permanent clinical infrastructure, and cultural engagements such as art, crafts, and collective music. To evaluate the program's efficacy, safety, and cultural implications, an ongoing observational study is being conducted by an international team of researchers. The preliminary results demonstrate therapeutic progress and improved psychometric outcomes observed in the three case studies presented, indicating promise for this intercultural therapeutic intervention.

摘要

本文描述了一个门诊跨文化治疗项目的三个案例研究,该项目由亚基族健康专业人员和传统治疗师创立并运营,服务于居住在墨西哥索诺拉州的亚基族部落成员。这个试点治疗项目是专门为原住民设计的,将天然来源的迷幻剂的仪式性使用纳入到解决物质使用障碍和其他心理健康问题中。该项目采用基于社区的方法,整合了各种传统的原住民治疗方法,如发汗小屋(此处括号内容原文缺失具体信息)、药用植物制剂以及对天然来源的特定迷幻剂(如死藤水、佩奥特仙人掌和某些分泌物)的仪式性使用。这些方法辅以符合文化特点的团体和个体心理治疗课程,以及团体运动、社区聚餐、为永久性临床基础设施开展的合作建设工作,还有艺术、手工艺和集体音乐等文化活动。为了评估该项目的疗效、安全性和文化影响,一个国际研究团队正在进行一项正在进行的观察性研究。初步结果表明,在所呈现的三个案例研究中观察到了治疗进展和心理测量结果的改善,这表明这种跨文化治疗干预具有前景。

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