A Qualitative Study of Intention and Impact of Ayahuasca Use by Westerners
Geoff J. Bathje, Jon Fenton, Daniel Pillersdorf, London Hill
April 1, 2021 preprint DOI: 10.31219/osf.io/n34xq (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Qualitative study |
|---|---|
| Sample size | 41 |
| Population | Western participants in facilitated group ayahuasca experiences (shamanic, neoshamanic, spiritual, and religious settings) |
| Intervention | Ayahuasca |
| Topics | Ayahuasca Psilocybin |
| Keywords | Spirituality Mental health Psychotherapist Qualitative research Focus group Clinical psychology Hallucinogen |
| Citations | 23 |
| Key findings | Participants reported a wide range of sustained beneficial impacts from group ayahuasca experiences, including improvements in mental health, substance use, relationships, and spirituality, with only two participants reporting problematic experiences. |
Abstract
Ayahuasca has gained the attention of researchers over the past decade as psychedelic-assisted therapy for MDMA and psilocybin have progressed through FDA approved clinical trials. In spite of the increase in research, there are relatively few clinical studies of ayahuasca and little qualitative research on the therapeutic or healing uses of psychedelics in general. The present study included 41 Western participants who were interviewed about their participation in facilitated group ayahuasca experiences (e.g. in shamanic, neoshamanic, spiritual, and religious settings). Participants were interviewed about their intentions for participating, along with the perceived impact of the experiences. In particular, we focused on impacts that participants perceived to be sustained and enduring. We identified an impressive range of beneficial impacts, including improvements in areas that are often a focus of psychotherapy, such as mental health and substance use, health behaviors, interpersonal relationships, sense of self, attitude. Extratherapeutic effects were also observed in areas such as changes in creativity, somatic sensations, physical health/pain, sense of connection to nature, spirituality, and concern for the greater good. Two participants also reported problematic experiences, apparently related to set and setting. Implications for research and practice, along with a humanistic framework for interpreting these findings is provided.
Comparable studies
Other qualitative studies on ayahuasca, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| The antipodes Of the mind Indigenous people, shamans, members of different religious sects using Ayahuasca, and... | 2002 | Qualitative study | |
| Drug Tourism or Spiritual Healing? Ayahuasca Seekers in Amazonia Westerners participating in an ayahuasca retreat in Amazonia | 2005 | Qualitative study | |
| Therapeutic Effects of Ritual Ayahuasca Use in the Treatment of Substance Dependence—Qualitative Results Therapists, expert researchers, and individuals who underwent ayahuasca-assisted... | 2014 | Qualitative study | n = 29 |
| Nourishing the Spirit: Exploratory Research on Ayahuasca Experiences along the Continuum of Recovery from Eating Disorders Individuals previously diagnosed with an eating disorder | 2017 | Qualitative study | n = 16 |
| Exploring ayahuasca‐assisted therapy for addiction: A qualitative analysis of preliminary findings among an Indigenous community in Canada Indigenous adults in Canada who participated in ayahuasca-assisted ceremonial retreats | 2019 | Qualitative study | n = 11 |
Citations in the library
Cited by 15
- Life after Ayahuasca: A Qualitative Analysis of the Psychedelic Integration Experiences of 1630 Ayahuasca Drinkers from a Global Survey Psychoactives June 13, 2023
- Acute subjective effects of psychedelics in naturalistic group settings prospectively predict longitudinal improvements in trauma symptoms, trait shame, and connectedness among adults with childhood maltreatment histories. Progress in Neuro-Psychopharmacology and Biological Psychiatry April 2, 2025
- EMBARK Psychedelic Therapy for Depression March 6, 2024
- “Ontological shocks”: new transformations for sustainability through psychedelic tourism Journal of Sustainable Tourism 2026
- Can psychedelic use benefit meditation practice? Examining individual, psychedelic, and meditation-related factors. PLoS One February 12, 2025
and 10 more in the library
Cites 26
- Mystical experiences occasioned by the hallucinogen psilocybin lead to increases in the personality domain of openness Journal of Psychopharmacology September 28, 2011
- Rapid antidepressant effects of the psychedelic ayahuasca in treatment-resistant depression: a randomized placebo-controlled trial Psychological Medicine June 15, 2018
- Quality of Acute Psychedelic Experience Predicts Therapeutic Efficacy of Psilocybin for Treatment-Resistant Depression Frontiers in Pharmacology January 17, 2018
- Antidepressant Effects of a Single Dose of Ayahuasca in Patients With Recurrent Depression Journal of Clinical Psychopharmacology December 11, 2015
- Constructing drug effects: A history of set and setting Drug Science, Policy and Law 2017
and 21 more in the library