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David Luke

41 papers in the library · 1,025 citations · publishing 2010-2026

Papers

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Patterns of Psychedelic Use in Italy: Insights from the Global Psychedelic Survey

Clinical Neuropsychopharmacology and Addiction September 1, 2026 Beatrice Dal Bianco, Matteo Buonarroti, Alessandro Lo Jacono et al.

Background: Epidemiological data on psychedelic use in Italy is limited. In this study, Italian responders in the Global Psychedelic Survey 2025 were subanalyzed to describe patterns of use, motivations, subjective experiences, and health correlates. Methods: Adults (≥21 years) with lifetime psychedelic exposure, residing in or born in Italy or San Marino, were surveyed in a web-based,...

Beliefs in and experiences of sorcery, black magic and brujería among psychedelic users: a quantitative and qualitative survey

June 19, 2026 Jules Evans, Christian Jurlando, David Luke et al. preprint

Sorcery, black magic, and supernatural harm are central to many Amazonian shamanic traditions, yet their role in contemporary Western psychedelic culture has received little systematic empirical attention. Ethnographic work suggests that Western participants in ayahuasca tourism often downplay indigenous sorcery frameworks in favour of psychological or therapeutic interpretations of difficult...

Intentions might matter in unexpected ways: A nuanced exploration of psychedelic intentions beyond their type

Research Square June 9, 2026 Iryana Mosina, David Luke

Abstract Background . It is widely accepted that beyond the pharmacological predictors, individuals’ pre-drug mental disposition, including intentions , influences the psychedelic experience. However, is it not fully clear how intentions and outcomes relate. This study explores the intention qualities beyond classically assessed category and explicitness in association with outcomes. Methods ....

Symptom-Specific Nuances in Psychedelic Integration: A Qualitative Study of Insights from Therapists Supporting Extended Difficulties in Naturalistic Settings

Research Square May 21, 2026 Ali Wright, David Luke, Oliver Robinson et al.

Abstract Background Psychedelic consumption in naturalistic settings is rising, and a significant minority of users experience extended psychological difficulties. Yet, research exploring these challenges remains limited. Despite widespread endorsement of integration practices, little is known about how therapists approach integration for heterogeneous extended difficulties. Methods Nineteen...

Adolescents’ and Young Adults’ Integration Processes for Extended Difficulties Following Challenging Psychedelic Experiences: A Qualitative Investigation

Research Square May 14, 2026 Sam Barfoot, David Luke, Oliver Robinson et al.

Abstract Background As interest in psychedelics grows, concerns remain about ethical use and the documentation of adverse psychological effects. Use is increasing, yet long-term challenges - particularly among adolescents and young adults - are under-researched. This group is especially vulnerable, highlighting the need to understand how psychedelic-related challenges are experienced in...

Extended difficulties after psychedelic experiences: Prevalence and associations in a global, multilingual sample.

Research Square April 8, 2026 Oliver Robinson, David Luke, Jules Evans et al. 1 citation

As psychedelic use increases and integrates with mainstream medicine, understanding the prevalence and nature of postpsychedelic adverse outcomes is critical. We investigated extended difficulties after psychedelic use via the Global Psychedelic Survey (GPS) 2025, which is a multilingual online survey of people who have used psychedelics. Data on the prevalence, characteristics, and...

A lexicon for psychedelic research and treatment

Drug Science Policy and Law September 1, 2025 David Nutt, David Erritzøe, Anne Katrin Schlag et al. 9 citations

Psychedelics are undergoing a clinical research renaissance, with compounds such as psilocybin advancing to Phase 3 trials for treatment-resistant depression and receiving fast-track or breakthrough designations from regulatory agencies. Despite this progress, the field lacks standardized terminology to guide clinical development, dosing, safety monitoring, and regulatory classification. Here,...

Exploring the role of psychedelic experiences on wellbeing and symptoms of disordered eating

Psychoactives March 4, 2025 Nadine Loh, David Luke 2 citations

Accumulating psychedelic research has demonstrated a potential for improving mental health and wellbeing, yet studies in the context of eating disorders (EDs) are lim- ited. This study aims to explore the subjective effects of psychedelic experiences to gain insight into the benefits and risks for people with EDs. Semi-structured interviews were conducted with eight adults aged 25–54 (mean age...

On Minimizing Risk and Harm in the Use of Psychedelics.

Psychiatr Res Clin Pract February 11, 2025 Jules Evans, Marc Aixalà, Brian T Anderson et al. 18 citations

Objective: This article outlines recommendations from 30 psychedelic researchers on how to create a better psychedelic safety net. Methods: A survey of 30 psychedelic researchers asked them to identify key critical research gaps around psychedelic harm and safety. Results: The critical research gaps identified by the authors included defining the main types of psychedelic harm, the predictors...

Navigating groundlessness: An interview study on dealing with ontological shock and existential distress following psychedelic experiences.

PLoS One 2025 Eirini K. Argyri, Jules Evans, David Luke et al. 27 citations

Psychedelic induced mystical experiences have been largely assumed to drive the therapeutic effects of these substances, which may in part be mediated by changes in metaphysical beliefs. However, there is growing evidence that psychedelic experiences can also trigger long lasting distress. Studies of persisting difficulties suggest a high prevalence of ontological challenges (related to the way...

An encounter with death: a comparative thematic and content analysis of naturalistic DMT experiences and the near-death experience.

Frontiers in Psychology 2025 Pascal Michael, David Luke, Oliver Robinson 2 citations

Classical near-death experiences (NDEs) refer to states of disconnected consciousness characterised by a range of features occurring in the context of being close to death. Various psychedelic substances, such as N,N-dimethyltryptamine (DMT), consistently replicate NDE features and may be considered 'near-death-like experiences.' However, a systematic qualitative analysis comparing the...

Smokable "Vine of the Dead": Two Case Studies of Experiencers of Both Changa and Near-Death Experiences

International Journal of Transpersonal Studies December 31, 2024 Pascal Michael, David Luke, Oliver Robinson 3 citations

Introduction: Virtually no studies have looked at psychopharmacological combinations as models of the near-death experience (NDE), which is inadequate given the evidently complex neurochemistry occurring near- or at death. An example of such a combination is "changa," a smoked mixture of the psychedelic N,N-DMT and monoamine oxidase inhibitor (MAOI)-containing plants, and as such has been...

An investigation into the varieties of extended difficulties following psychedelic drug use: Duration, severity and helpful coping strategies

Journal of Psychedelic Studies December 3, 2024 Oliver Robinson, J. Evans, Rosalind McAlpine et al. 21 citations

Psychedelic drugs show promising therapeutic potential; however, some users experience extended difficulties following their use. This study investigated the prevalence, severity, duration, and associated coping strategies of post-psychedelic difficulties. We conducted an online survey of 159 participants, all of whom reported experiencing difficulties lasting more than one day after...

Change in occupational burnout measures in emergency medical service workers after a psychedelic experience induced by a single self-administered dose of psilocybin mushrooms

Journal of Psychedelic Studies September 9, 2024 Ana Ferreira, Sharon Martindale, David Luke

Abstract Background and Aims This naturalistic mixed methods field study, aimed to assess the potential of a psilocybin induced experience, to help Emergency Medical Service Workers (EMSW) to address psychological and stress related symptoms stemming from a challenging working environment, known to contribute to occupational burnout (OB). Methods This exploration was conducted with an...

Coming back together: a qualitative survey study of coping and support strategies used by people to cope with extended difficulties after the use of psychedelic drugs

Frontiers in Psychology May 28, 2024 Oliver Robinson, Jules Evans, David Luke et al. 24 citations

Introduction A growing body of literature is investigating the difficulties that some individuals encounter after psychedelic experiences. Existing research has explored the nature and predictors of these difficulties; however, a research gap exists in understanding how individuals endeavour to cope with such difficulties. Methods The current study collected data from an international cohort of...

Extended difficulties following the use of psychedelic drugs: A mixed methods study

PLoS One October 24, 2023 Jules Evans, Oliver Robinson, Eirini K. Argyri et al. 166 citations

Long-term adverse experiences following psychedelic use can persist for weeks, months, or even years, and are relatively unexplored in psychedelic research. Our convergent mixed-method study gained quantitative and qualitative data from 608 participants who reported extended difficulties following psychedelic experiences. Data was gathered on the context of use, the nature and duration of the...

This is your brain on death: a comparative analysis of a near-death experience and subsequent 5-Methoxy-DMT experience

June 29, 2023 David Luke, Pascal Michael, Oliver Robinson

Introduction: Much research has focused on the modeling of the near-death experience (NDE) by classical and atypical psychedelics; however, to date, no study has reported on the relationship between the NDE and the experience induced by the highly potent, endogenous psychedelic drug 5-Methoxy-DMT (5MeO-DMT). This article presents a case study of an individual who is popularly documented to have...

Transpersonal Ecodelia: Surveying Psychedelically Induced Biophilia

Psychoactives May 25, 2023 Alexander Irvine, David Luke, Freya Harrild et al. 22 citations

Objective: To explore the perceived influence of psychedelic experiences on participants’ relationship with the natural world. Method: A total of 272 participants reporting previous use of psychedelics completed free-text response requests via an online survey. Thematic analysis was used to explore group participant responses. Results: Participants who described a pre-existing relationship with...

This is your brain on death: a comparative analysis of a near-death experience and subsequent 5-Methoxy-DMT experience.

Frontiers in Psychology 2023 Pascal Michael, David Luke, Oliver Robinson 19 citations

Much research has focused on the modeling of the near-death experience (NDE) by classical and atypical psychedelics; however, to date, no study has reported on the relationship between the NDE and the experience induced by the highly potent, endogenous psychedelic drug 5-Methoxy-DMT (5MeO-DMT). This article presents a case study of an individual who is popularly documented to have had a...

Among psychedelic-experienced users, only past use of psilocybin reliably predicts nature relatedness

Journal of Psychopharmacology 2023 Matthias Forstmann, Christina Sagioglou, Alexander Irvine et al. 18 citations

Background: Past research reports a positive relationship between experience with classic serotonergic psychedelics and nature relatedness (NR). However, these studies typically do not distinguish between different psychedelic compounds, which have a unique psychopharmacology and may be used in specific contexts and with different intentions. Likewise, it is not clear whether these findings can...

An encounter with the self: A thematic and content analysis of the DMT experience from a naturalistic field study.

Frontiers in Psychology 2023 Pascal Michael, David Luke, Oliver Robinson 16 citations

N,N-Dimethyltryptamine (DMT) is an endogenous serotonergic psychedelic capable of producing radical shifts in an experience that have significant implications for consciousness and its neural correlates, especially given the "disconnected consciousness" suggested by the "breakthrough" DMT state. Its increasing usage and clinical trial indicate the growing importance of a thorough elucidation of...

Apophenia, absorption and anxiety: Evidence for individual differences in positive and negative experiences of Hallucinogen Persisting Perceptual Disorder

Journal of Psychedelic Studies August 8, 2022 Alexander Irvine, David Luke 27 citations

Abstract Background and Aims Little is known about individual differences in Hallucinogen Persisting Perceptual Disorder (HPPD). This study investigated visual processing style and personality across two HPPD types (HPPD I and HPPD II) and a Non-HPPD group. Methods An online survey was delivered to participants sourced from online HPPD and psychedelic user groups and forums ( N = 117). Using...

Safety, tolerability, pharmacokinetics, and subjective effects of 50, 75, and 100 µg LSD in healthy participants within a novel intervention paradigm: A proof-of-concept study

Journal of Psychopharmacology March 1, 2022 Neiloufar Family, Peter S. Hendricks, Luke T. J. Williams et al. 23 citations

Background: Classic psychedelics hold promise as therapeutics for psychiatric disorders, but require scalable intervention protocols. This proof-of-concept study evaluated the safety, tolerability, pharmacokinetics, and subjective effects of 50, 75, and 100 µg lysergic acid diethylamide (LSD) in healthy adults within a novel intervention paradigm. Methods: Up to three participants were...

Anomalous psychedelic experiences: at the neurochemical juncture of the humanistic and parapsychological

Journal of Humanistic Psychology March 1, 2022 David Luke 18 citations

This paper explores the nature of psychedelically-induced anomalous experiences for what they reveal regarding the nature of 'expanded consciousness' and its implications for humanistic and transpersonal psychology, parapsychology and the psychology and underlying neuroscience of such experiences. Taking a multidisciplinary approach this essay reviews the nature of ten transpersonal or...