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Embracing Neurodiversity in Psychedelic Science: A Mixed-Methods Inquiry into the MDMA Experiences of Autistic Adults

A. Danforth

Journal of Psychoactive Drugs March 15, 2019 DOI: 10.1080/02791072.2019.1587116 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 100
Population Autistic adults experienced with MDMA
Intervention MDMA
Topics MDMA
Citations 14
Key findings MDMA-assisted therapy may be an effective catalyst for intra- and interpersonal change in autistic adults, with participants reporting lasting transformation and healing from trauma and social anxiety.

Abstract

ABSTRACT This exploratory inquiry analyzed subjective experiences autistic adults reported after they took the drug 3,4-methylenedioxymethamphetamine (MDMA), also known as ecstasy, in nonclinical settings. Using a secure, globally available website, this study collected data from participants in 13 countries who were experienced with MDMA (n = 100). A subset of survey respondents (n = 24) were then invited to participate in qualitative interviews. The researcher applied thematic content analysis of interview transcripts to create a comprehensive account of emergent themes. MDMA has well-documented acute effects that promote pro-social attitudes such as caring and trust in neurotypical, or typically developing, populations. Findings from this study suggested that MDMA-assisted therapy may be an effective catalyst in autistic adults for intra- and interpersonal change. In addition, participants reported accounts of lasting transformation and healing from conditions such as trauma and social anxiety that are common in autistic populations. No participants reported long-term adverse outcomes as a result of using MDMA/ecstasy. Qualitative findings support a case for future clinical trials of MDMA-assisted therapy with autistic adults who present with social adaptability challenges.

Comparable studies

Other qualitative studies on MDMA, most cited first.

Study Year Design Participants
Phenomenology and Sequelae of 3,4-Methylenedioxymethamphetamine Use Psychiatrists who had taken MDMA 1992 Qualitative study n = 20
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

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