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A qualitative study of long-term members of ayahuasca spiritual communities in the United States: Motivations, practices, experiences and beliefs

Joseph T. la Torre, Ariana Kam, Todd Youngs, J. Rapp, Nathan Sackett

Journal of Psychedelic Studies November 18, 2025 DOI: 10.1556/2054.2025.00467 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 11
Population Long-term participants in ayahuasca spiritual communities in the United States
Topics Ayahuasca
Key findings Ayahuasca spiritual communities in the U.S. attract individuals seeking healing from trauma, addiction, and psychological distress, and foster a trajectory from self-oriented healing toward relational growth and altruistic action.

Abstract

This novel qualitative study examines the lived experiences of long-term participants in ayahuasca spiritual communities (ASCs) in the United States. Semi-structured interviews ( n = 11) were analyzed using reflexive thematic analysis indicating that these communities (1) attract individuals seeking healing from trauma, addiction, and psychological distress, while offering a sense of belonging and cultural identity; (2) integrate Western biomedical understandings of psychedelics with entheogenic spiritual frameworks, forming a hybrid healing paradigm rooted in ritual, music, and shared intention; (3) foster a broad trajectory from self-oriented healing toward relational growth and altruistic action, often transforming participants into facilitators and community stewards; (4) encounter and navigate interpersonal and cultural tensions that arise within intimate communal life, which can serve as catalysts for emotional growth and reflection; (5) operate within a complex legal grey zone, requiring members to balance risks of practice, cultural identity, and legal protection; and (6) emphasize the importance of careful discernment when joining an ASC, encouraging alignment with one's values and awareness of group dynamics, accessibility, and safety. Overall, U.S. ASCs represent a distinctive sociocultural context for entheogen use, diverging from individualized, clinician-led psychedelic treatment models by emphasizing community, spirituality, and mutual transformation. These findings underscore the need for further research into the psychological, relational, and cultural dynamics of non-clinical psychedelic frameworks.

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

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