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Phenomenology and Sequelae of 3,4-Methylenedioxymethamphetamine Use

Mitchell B. Liester, Charles S. Grob, Gary Bravo, Roger Walsh

The Journal of Nervous and Mental Disease June 1, 1992 DOI: 10.1097/00005053-199206000-00001 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 20
Population Psychiatrists who had taken MDMA
Intervention MDMA
Topics MDMA Philosophy of mind
Keywords Pleasure Psychotherapist Clinical psychology
Citations 130
Key findings The study provides retrospective self-report data on the subjective experience of MDMA and its psychological and behavioral sequelae, including side effects, insight, pleasure, and the influence of set, setting, and dosage.

Abstract

3,4-Methylenedioxymethamphetamine (MDMA) has been at the center of a debate over its potential benefits as an adjunct to psychotherapy versus its capability for neurotoxic effects and is currently classified as a Schedule 1 drug by the Drug Enforcement Administration (DEA). However, as yet, there is very little methodological data on the subjective experience of the MDMA-induced state or its psychological and behavioral sequelae. The present study was, therefore, designed to obtain this kind of information. Twenty psychiatrists who had taken MDMA previously were evaluated using a semistructured interview. Subjective experience of the actual MDMA-induced state, as well as both short-term (less than 1 week) and relatively longer term (greater than 1 week) sequelae, were examined retrospectively. Side effects, insight gained, pleasure, and intensity of the MDMA experience were evaluated as were the influence of set and setting at the time the MDMA was taken and the dosage utilized. Finally, the authors discuss methodological problems and limitations of a study of this type.

Comparable studies

Other qualitative studies on MDMA, most cited first.

Study Year Design Participants
MDMA and Sexual Behavior: Ecstasy Users' Perceptions About Sexuality and Sexual Risk Current and former users of MDMA 2005 Qualitative study n = 98
Perceived Benefits of MDMA-Assisted Psychotherapy beyond Symptom Reduction: Qualitative Follow-Up Study of a Clinical Trial for Individuals with Treatment-Resistant PTSD Veterans, firefighters, and police officers with chronic, treatment-resistant PTSD 2019 Qualitative study using interpretative phenomenological analysis n = 19
Negative Experiences on Ecstasy: The Role of Drug, Set, and Setting Current or former users of Ecstasy 2002 Qualitative study n = 98
A Qualitative Exploration of Relational Ethical Challenges and Practices in Psychedelic Healing Practitioners who have administered MDMA and psilocybin to clients in underground... 2021 Qualitative study n = 23
Patterns, Trends, and Meanings of Drug Use by Dance-drug Users in Edinburgh, Scotland Clubbers in clubs and pre-club bars 2004 Cross-sectional survey with focus groups n = 124

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