A Brazilian Portuguese version of the Psychedelic Integration Scales (PIS-BR) was validated in a cross-sectional online survey of 1,379 participants. The scale showed a unidimensional structure, high internal consistency (α = 0.95), and strong associations with mystical experience (r = 0.636) and positivity (r = 0.352). Qualitative analysis of open-ended responses revealed diverse integration strategies such as personal reflection, psychotherapy, spiritual practices, connection with nature, social sharing, and personal transformation, alongside reported difficulties. The findings support the PIS-BR as a valid measure for studying psychedelic integration in Brazil and highlight cultural variability in integration processes beyond acute drug effects.
The article introduces the neologism 'palliadelic' to describe the use of psychedelic substances in palliative care to address psychological, spiritual, and existential suffering in patients with serious or incurable illnesses or at the end of life. It traces the history of psychedelic use in medicine from the 1950s and 1960s to the current renaissance, arguing that this term legitimizes a growing field and advances research, clinical practice, and public policy. The authors conclude that adopting 'palliadelic' can increase visibility and integration of psychedelics in palliative care, contributing to humanized care and reduced suffering.