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The Australian Ayahuasca Dietero Networks: Culture, Community, and Practices

Alana Roy, M.l. Williams, Kimberley Day, Monica J Barratt

Contemporary Drug Problems August 11, 2026 DOI: 10.1177/00914509261473569 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 35
Population Australian ayahuasca dieteros
Topics Ayahuasca
Key findings Australian ayahuasca dieteros practice a comprehensive way of life involving daily practices and relational ethics that foster ecological connection, which many participants could not find in mainstream health settings. The dieta approach is more holistic and relational than the biomedical model.

Abstract

Alternative healthcare practices using psychedelic “plant medicines,” such as ayahuasca, challenge current prohibition and mainstream healthcare frameworks. Despite the criminalization of ayahuasca's active component, N,N-dimethyltryptamine (DMT), Australian ayahuasca dietero networks have developed sophisticated healthcare systems with systematic assessment processes, safety mechanisms, and integration protocols. This study aimed to explore the lived experiences and healthcare narratives of Australian ayahuasca dieteros in relation to their culture, community, and practices. The narratives of healthcare, culture, and practices of 35 members of this network (median age 42, range 32–67 years, 59% male), from diverse professional backgrounds, were generated through qualitative interviews and analyzed using reflexive thematic analysis within a framework of coproduction. Three themes were generated: (1) the dietero way of life, (2) healing technologies and practices, and (3) community ethics and transformation. Dietero practices extend far beyond ceremonial experiences. They form a comprehensive way of life, embodying ongoing transformation through daily practices and relational ethics. These practices foster ecological connection, which many participants could not find in mainstream health treatment settings. Comparing the dieta implementation of healthcare and the mainstream biomedical model demonstrated that the dieta approach is a more holistic and relational practice aimed at gaining and maintaining good health. This research supports drug policy reform by documenting sophisticated community safety mechanisms and community-based healing systems. These systems operate parallel to, rather than in competition with, biomedical care and function within current prohibitions. Through participatory action research, the study advances democratization and decolonization of healthcare knowledge. It contributes to the literature on Indigenous philosophies, healthcare narratives, drug policy, and psychedelic harm reduction.

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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