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Traditional Use of Banisteriopsis caapi Alone and Its Application in a Context of Drug Addiction Therapy.

Matteo Politi, Fabio Friso, Gary Saucedo, Jaime Torres

Journal of Psychoactive Drugs 2021 DOI: 10.1080/02791072.2020.1820641 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study with clinical data analysis Peer reviewed
Sample size 359
Population Patients with substance use disorders at Takiwasi therapeutic community
Intervention Purgahuasca
Topics Ayahuasca Addiction
Keywords Awajún medicine Banisteriopsis caapi Purgahuasca Β-carbolines
Citations 18
Key findings Purgahuasca ingestion produced mareación, physical sensations, and visions in most patients, potentially aiding therapeutic awareness of addictive behaviors.

Abstract

Takiwasi is a therapeutic community for the treatment of Substance Use Disorders (SUDs) that combines traditional Amazonian medicine (TAM) with modern psychotherapy. One of the plant medicines from TAM used in this protocol is purgahuasca. It is a decoction of the vine Banisteriopsis caapi alone, whose use is traditional among the Awajún and other ethnic groups in Peru. The research began with a field trip to Awajún territory to explore the indigenous use of purgahuasca as an initiation rite. Then, analysis of its application was conducted in the clinical context of Takiwasi. Open-ended and semi-structured interviews with Awajún informants and Takiwasi's therapeutic staff were performed and analyzed following the narrative methodological approach. Further clinical data on the ingestion of purgahuasca by Takiwasi's SUD patients were obtained from the internal repository. These indicate that 359 (92.1%) patients reported having had the so-called mareación (dizziness), 299 (76.7%) experienced physical sensations, and 208 (53.3%) had visions. These effects can be related to the psychoactivity of β-Carbolines alkaloids from B. caapi, a medicinal plant that seems to have potential benefits also for SUD, especially giving a key contribution to the patients' therapeutic process of becoming aware of the personal reasons behind addictive behaviors.

Comparable studies

Other qualitative studies on ayahuasca for addiction, most cited first.

Study Year Design Participants
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
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
A phenomenological analysis of the subjective experience elicited by ibogaine in the context of a drug dependence treatment Patients with substance-related disorders 2017 Qualitative study n = 22
Is Ayahuasca an Option for the Treatment of Crack Cocaine Dependence? Crack cocaine users in Brazil 2018 Qualitative study n = 40
Therapeutic Potential Ascribed to Ayahuasca by Users in the Czech Republic Users and facilitators of ayahuasca rituals in the Czech Republic 2018 Qualitative study n = 46

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