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'Everybody's creating it along the way': ethical tensions among globalized ayahuasca shamanisms and therapeutic integration practices.

Olivia Marcus

Interdisciplinary science reviews : ISR 2023 DOI: 10.1080/03080188.2022.2075201 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Ethnography Peer reviewed
Population Curanderos, mental health practitioners, and ayahuasca retreat centers in San Martín and Loreto, Peru
Topics Ayahuasca Shamanism
Keywords Psychedelic-therapy Indigenous-medicine Cross-cultural-healing Medical-anthropology Traditional-shamanism Amazonian shamanism Medical anthropology Peru Psychedelics Vegetalismo
Citations 29
Key findings Practitioners and ayahuasca centers face ethical tensions as they navigate globalized mental health concepts while attempting to remain authentic to local ontologies of healing, care, and safety.

Abstract

Ayahuasca has a variety of traditional uses, yet there is a growing global interest in its potential therapeutic benefits for mental health conditions. Novel approaches to psychotherapy are emerging to address the needs of ayahuasca users to prepare as well as to guide them in 'integrating' their powerful psychedelic experiences, yet there is little discussion on the ethical frameworks that may structure these therapeutic processes or the social and cultural assumptions that influence the assignment of ayahuasca as a medicine. Based on ethnographic fieldwork in San Martín and Loreto, Peru, I examine the varied social meanings and uses of ayahuasca in the Peruvian vegetalista tradition and the potential ethical tensions among curanderos, mental health practitioners, and ayahuasca retreat centers. Practitioners and ayahuasca centers are left with navigating globalized concepts of mental health and ethics while attempting to remain authentic to local ontologies of healing, care, and safety.

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