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Ayahuasca Ceremony and Scope of Nursing Practice

Patrick Ryan

preprint DOI: 10.2139/ssrn.7593959 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper
Topics Ayahuasca
Key points Argues that ayahuasca ceremonies and nursing share care functions such as preparation, accompaniment, and response to distress, but differ in purpose, authority, and accountability. Proposes that nursing adds professional obligations around judgment, consent, and accountability whose exercise depends on law, role, and phase of care, and recommends explicit agreements about responsibilities, participant choice, and routes to further help before participation. Notes the accounts do not establish that adding nurses improves outcomes.

Abstract

Ayahuasca ceremonies organize care through preparation, accompaniment, observation, and responses to distress. These functions resemble nursing work, but their purposes, authority, and accountability differ. This article examines what nursing can learn from documented ceremonial arrangements and what changes when a licensed nurse participates. It brings ethnographic accounts, religious organizational rules, historical nursing practice, professional guidance, and legal instruments into an interpretive comparison. Brazil and Quebec anchor the ayahuasca analysis; Oregon and Colorado extend it to licensed psilocybin services. The comparison identifies how helpers acquire standing, interpret difficulty, negotiate agreement, and seek assistance beyond their authority. Nursing adds professional obligations concerning judgment, consent, and accountability, whose exercise depends on the applicable law, the role accepted, and the phase of care. Preparation therefore requires both competence and an understanding of how the people organizing and receiving care recognize readiness. The accounts do not establish that adding nurses improves outcomes, and omissions in published descriptions do not demonstrate deficiencies in ceremonial care. The article argues for explicit agreements about responsibilities, participant choice, and routes to further help before participation begins. Shared care functions can inform nursing education and practice while ceremonial roles, community authority, and professional obligations remain distinct within their respective settings.

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