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	<title>Ayahuasca.com &#187; Physiology, Medicine</title>
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		<title>Therapeutic caapi tea: a prototype &#8211; Material and Method</title>
		<link>http://www.ayahuasca.com/science/physiology-medicine/therapeutic-caapi-tea-a-prototype-material-and-method/</link>
		<comments>http://www.ayahuasca.com/science/physiology-medicine/therapeutic-caapi-tea-a-prototype-material-and-method/#comments</comments>
		<pubDate>Mon, 16 Nov 2009 12:00:09 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Physiology, Medicine]]></category>

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		<description><![CDATA[More and more people are using or consider using ayahuasca tea as an alternative medicine for different therapeutic purposes: depression, Parkinson's disease, ageing-related cognitive decline, etc.

Yet most of these actual or planned uses are relying on the rich pharmacodynamics of the caapi vine and don't necessitate the preparation and use of a standard mix. Rather what is needed is a caapi tea specifically designed for these purposes.]]></description>
			<content:encoded><![CDATA[<p><strong>By Doctorcito</strong></p>
<p>More and more people are using or consider using ayahuasca tea as an alternative medicine for different therapeutic purposes: depression, Parkinson&#8217;s disease, ageing-related cognitive decline, etc.</p>
<p>Yet most of these actual or planned uses are relying on the rich pharmacodynamics of the caapi vine and don&#8217;t necessitate the preparation and use of a standard mix. Rather what is needed is a caapi tea specifically designed for these purposes.</p>
<p>During a fieldwork in Peruvian Upper Amazon, Partner and I have had the opportunity to learn the preparation and effects of a caapi-alone brew that appeared a well suited prototype for such a therapeutic tea.</p>
<p>I managed to reproduce it with ressources commonly available in a First World country (including the Preparation forum of this board). The following method gives a tea both of us found equivalent under all aspects to the original.</p>
<p>Material: 300 g of roughly pounded dried stems of Banisteriopsis caapi var. cielo purchased from Maya Ethnobotanicals were put in a 10 l chemicals-proof plastic bucket containing 6 l distilled/demineralized water to which 60 ml of organic apple cider vinegar were added. Proportions are thus 1:20 for dried plant material:water, 1:100 for vinegar:water.</p>
<p>Method: after having left soaking overnight, the whole stuff was poured out for cooking in two 3.5 l ceramic pots. After slow boiling during 4 h and infrequent stirring with a wooden spoon, preparation was poured back in the (rinsed) bucket, and the pots rinsed. Then, using a large cooking-glass jar (handled with heat-resistant gloves) and a permanent coffee filter put in a funnel, the liquid was separated from the plant material, filtered, and poured again in the ceramic pots.</p>
<p>Duration of the very slow boiling reduction step depends on the desired final volume/concentration. Here, to obtain the equivalent of the original tea, the final volume was set to 1.5 l, i.e. 1/4 of the initial volume of water. It took about 3 h, under constant supervision.</p>
<p>Once cooled, the liquid was filtered twice, in adding a paper coffee filter (bamboo paper for rapid filtering) to the permanent one: a first filtration in the glass jar (previously rinsed) and a second during final transfer into three 0.5 l plastic bottles (previously rinsed). Extra attention was devoted to fill up the bottles so that no air remained under the hermetic top. The rinsing (triple = lab standard) of all ustensils and containers (all reserved for this use) was effectuated with distilled water. Sanitized (bleach) rubber gloves were used for all manipulations implying immediate or delayed contact with the brew (especially during the final filtering and transfer step).</p>
<p>With these precautions, conservation at ambient temperature in the dark proved to be effective up to 6 months.</p>
<p>Depending on individual metabolism and purpose, such a caapi tea may be pharmacologically active with doses as low as 20 ml. It allows a convenient precise adjustment of the therapeutic dose and is a useful basis/prototype to evaluate the optimal concentration (reduction step duration) one wishes to obtain according to the preferred volume of intake (it smells and tastes better than concentrated standard mix).</p>
<p>N.B. Ideally this post should be in the Preparation forum. I just found more convenient to post it in the Science forum because I can pin it there, allowing thus easier access and reference to it.</p>
]]></content:encoded>
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		<title>Blending Traditions &#8211; Using Indigenous Medicinal Knowledge to Treat Drug Addiction</title>
		<link>http://www.ayahuasca.com/science/psychology-psychiatry/blending-traditions-using-indigenous-medicinal-knowledge-to-treat-drug-addiction/</link>
		<comments>http://www.ayahuasca.com/science/psychology-psychiatry/blending-traditions-using-indigenous-medicinal-knowledge-to-treat-drug-addiction/#comments</comments>
		<pubDate>Sat, 18 Jul 2009 09:50:05 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Physiology, Medicine]]></category>
		<category><![CDATA[Psychology, Psychiatry]]></category>

		<guid isPermaLink="false">http://www.ayahuasca.com/?p=124</guid>
		<description><![CDATA[<strong>Jacques Mabit, M.D.</strong>
Ancestral medical practices are based on a highly sophisticated practical knowledge and view the controlled induction of non-ordinary states of consciousness as potentially beneficial, even in the treatment of the modern phenomena of drug addiction. These ancestral practices stand in contrast to the clumsiness with which Western peoples induce altered states of consciousness. Drawing from his clinical experience in the High Peruvian Amazonian forest, the author describes the therapeutic benefits of the wise use of medicinal plants, including non-addictive psychoactive preparations, such as the well-known Ayahuasca tea. Within an institutional structure, a therapeutic system combining indigenous practices with contemporary psychotherapy yields highly encouraging results (positive in 2/3 of the patients). This invites us to reconsider conventional approaches to drug addiction and the role of the individual's spiritual journey in recovery.]]></description>
			<content:encoded><![CDATA[<p><strong>By Jacques Mabit, M.D.</strong></p>
<p><strong>Abstract</strong></p>
<p>Ancestral medical practices are based on a highly sophisticated practical<br />
knowledge and view the controlled induction of non-ordinary states of<br />
consciousness as potentially beneficial, even in the treatment of the<br />
modern phenomena of drug addiction. These ancestral practices stand in<br />
contrast to the clumsiness with which Western peoples induce altered<br />
states of consciousness. Drawing from his clinical experience in the High<br />
Peruvian Amazonian forest, the author describes the therapeutic benefits<br />
of the wise use of medicinal plants, including non-addictive psychoactive<br />
preparations, such as the well-known Ayahuasca tea. Within an<br />
institutional structure, a therapeutic system combining indigenous<br />
practices with contemporary psychotherapy yields highly encouraging<br />
results (positive in 2/3 of the patients). This invites us to reconsider<br />
conventional approaches to drug addiction and the role of the individual&#8217;s<br />
spiritual journey in recovery.</p>
<p><strong>The Backwards Approach</strong></p>
<p>Moving beyond the strict position that the final objective of drug<br />
addiction therapy is complete abstinence, the Western world has responded<br />
to its failures and limitations by considering the possibility of merely<br />
reducing risks. The notion of substitution, as in methadone therapy for<br />
heroin addiction, indicates a certain tolerance towards altered states of<br />
consciousness. In this model, which treats these states as &#8220;inevitable&#8221; in<br />
some sense, one would now be satisfied with limiting their negative<br />
secondary effects. In the face of a Puritanism resigned to an almost<br />
constant failure, this attitude opens new possibilities in treating drug<br />
addiction. It now seems thinkable that drug addiction is an attempt,<br />
certainly clumsy and sometimes extremely dangerous, of self-medication.<br />
Users may be responding to a real need to escape the constricting mud of a<br />
dry and devitalized lifestyle, one lacking exciting perspectives or room<br />
to blossom.</p>
<p>Some take this new tolerance of drug use further, for example by proposing<br />
to ravers that they learn about the drugs they consume, the risks that<br />
they run, and the best way to avoid the negative consequences of their<br />
conduct3. In this model, the drug user is considered a thinking and<br />
consenting subject, who is invited to take responsibility for his actions.<br />
The &#8220;repressive machine&#8221; that tends to substitute itself for the subject,<br />
making his decisions, revoking his responsibility, and, in the end,<br />
reinforcing an internal pattern of dependence, gives way to an approach<br />
which appeals to the user&#8217;s intelligence. This model accepts the<br />
authenticity of the user&#8217;s quest, even if it is often unconscious, for a<br />
true liberty that can be confused with caprice.</p>
<p>While this attempt at finding meaning by exploring new realms of<br />
consciousness can be chaotic and confused outside of a controlled setting,<br />
it is reminiscent of more purposeful undertakings among traditional<br />
peoples. In fact, one finds the induction of altered states of<br />
consciousness for the purposes of initiation and therapy in all<br />
traditions. Such experiences, always guided by a ritual frame, often<br />
depend upon a fine understanding of the animal and vegetable substances<br />
that serve as their catalysts. One may also affirm that, sometimes, the<br />
same substances that serve as the &#8220;remedy&#8221; in indigenous cultures are the<br />
&#8220;poison&#8221; in Western society. Hence the coca leaf, which is well integrated<br />
into daily life in the Andean world, becomes a highly addictive<br />
cocaine-based paste when taken out of context. Similarly, cannabis, poppy,<br />
and tobacco may generate either remedy or poison according to the mode of<br />
consumption and the context of ingestion.</p>
<p>It is noteworthy that biologists observe that all animal species consume<br />
natural psychoactive substances with great eagerness when possible<br />
(Siegel, Ronald, 1990). In fact, Siegel considers this conduct a fourth<br />
instinctual instance of animal biology, as if life tends spontaneously<br />
towards a broadening of perceptions and a concomitant amplification of<br />
consciousness. It becomes difficult, then, to extract man from this vast<br />
biological movement that embraces all animal life.</p>
<p><strong>Indigenous Knowledge</strong></p>
<p>Our observations in the Peruvian Amazon yield a supplementary fact: not<br />
only do the natural psychoactive substances used by indigenous peoples not<br />
generate dependence, they are utilized to treat the modern phenomenon of<br />
drug addiction. This changes the way we understand toxicity; the Western<br />
obsession with &#8220;substances&#8221; (drugs) is replaced, or at least accompanied<br />
by, the concepts of the set (the subject, including genetic<br />
predispositions, life history, and preparation) and setting (ritualized or<br />
not). Indeed, psychoactive substances may be a treatment for &#8220;drug<br />
addicts,&#8221; a fact that still seems paradoxical or impossible even to the<br />
specialists in question. And yet, the facts speak for themselves.</p>
<p>This phenomenon also works for ethnic groups strongly affected by<br />
substances such as alcohol, which represents for them, inversely, an<br />
imported product removed from its context. Hence, the healers of the<br />
Peruvian coast treat their alcoholics through the ritual use of the<br />
mescaline cactus with a high rate of success (around 60 per cent, after<br />
five years) (Chiappe, Mario, 1976). The Native North Americans reduce the<br />
incidence of alcoholism on their reservations considerably and quite<br />
rapidly by reviving their ancestral practices, including the ritual use of<br />
peyote and tobacco (Hodgson, Maggi, 1997).</p>
<p>The ritualization of induced modifications of consciousness, with or<br />
without substances, establishes a universal symbolic frame within which<br />
these experiences acquire significance by allowing the individual to<br />
inscribe himself within a model of cultural integration. In indigenous<br />
groups, then, such experiences frequently accompany rites of passage,<br />
particularly at adolescence, permitting the youth&#8217;s appropriation of the<br />
discourse, images, and myths generated by the community. It is evident<br />
that the fundamental lack of cultural consensus in our fragmented<br />
post-modern society, along with the desacralization of the lived interior<br />
and exterior, and the disappearance of all authentic rites of passage,<br />
leaves us without the means to integrate experiences of altered states of<br />
consciousness into our daily lives. In other words, the drug user sets off<br />
randomly with neither compass nor map, often finishing badly.</p>
<p>These considerations lead to the following conclusion: not only must we no<br />
longer take a position of passive tolerance toward an inevitable<br />
consumption of psychoactive substances, but, on the contrary, we must<br />
actively explore the coherent therapeutic use of psychoactive substances<br />
without the outcome of dependence. Even more broadly, we must be open to<br />
every induction of altered states of consciousness through diverse methods<br />
(such as music, dance, fasting, isolation, breathwork, physical exercise,<br />
pain, etc.) This calls for the application of therapeutic techniques that<br />
create both a space of temporary containment and an authentic symbolic<br />
frame which, as in the indigenous ritual space, integrates therapists and<br />
users. Traditional peoples also teach us that substances consumed in their<br />
natural form, used with respect to the body&#8217;s digestive natural barriers<br />
(that is, orally), do not induce dependence, in spite of their powerful<br />
psychoactive effects. The risk of toxicity is also lower because their<br />
active principles are similar, if not identical, to the neuromediators<br />
naturally secreted by our bodies. In case of overdose (which is generally<br />
difficult to produce given the extremely disagreeable flavor of the<br />
beverages), these substances are eliminated naturally by vomiting. This<br />
self-regulating phenomenon provides for safe prescription and is an<br />
integral part of the expected effects of ingestion, as well as those of<br />
purgation-detoxification (hence their special role in the domain of drug<br />
addictions). The context of ingestion requires rigorous dietary, postural,<br />
and sexual regulations. In the course of successive ingestions,<br />
sensitivity increases instead of creating a habit. As a result, the doses<br />
gradually decrease: their use in addiction therapy is not, then, a simple<br />
substitution.</p>
<p>It is remarkable that no visionary natural substance is addictive. Visions<br />
seem to be the proof of sufficient cortical integration, of a<br />
metabolization of the symbolic charge revealed during the experience of<br />
altered consciousness. Entheogenic substances (also misnamed<br />
hallucinogens) are hence among the best of those that may be used in a<br />
therapeutic setting. This has already been attempted in psychotherapy<br />
(LSD, MDMA, Harmaline, DMT, etc.), but generally without an integrating<br />
symbolic framework (or ritual space), without engaging the therapist in<br />
the method, with synthetic or semi-synthetic substances or extracts, and<br />
through processes of assimilation that violate physiological barriers<br />
(i.e., injections).</p>
<p><strong>Ayahuasca</strong></p>
<p>This highly psychoactive ancestral beverage is situated at the heart of<br />
both the empirical medicinal practices of Amazonian cultures and,<br />
recently, of explorations into the therapeutic potential of medicinal<br />
plants, in particular in the domain of psychopathology, including drug<br />
addiction therapy. The pharmacological sophistication of this preparation<br />
reflects the high degree of understanding of the Amazonian peoples, who<br />
are proven to have discovered Monoamine Oxidase Inhibitors (MAOIs) at<br />
least three thousand years before Westerners. Tryptamines and<br />
beta-Carbolines, the major active principles of Ayahuasca, are present in<br />
many natural secretions as well as in the central nervous system (pineal<br />
gland) (Mabit, Campos, Arce, 1993).</p>
<p>The entheogenic or visionary effects of this beverage have been hastily<br />
called &#8220;hallucinogenic,&#8221; stigmatizing a compound which could be a<br />
significant topic of research. Its potential as such risks being dismissed<br />
by the academic community due to a stance less indebted to scientific<br />
rationality than to society&#8217;s collective fears. We have argued that the<br />
images stimulated by the use of Ayahuasca in a therapeutic context<br />
symbolically manifest the content of the unconscious. Moreover, these<br />
images are not without an object, whether it be psychological or<br />
otherwise, which differentiates them completely from the &#8220;illusions<br />
without object&#8221; that are by definition &#8220;hallucinations&#8221; (Mabit, 1988). The<br />
exploration of the unconscious through Ayahuasca permits the rapid<br />
extraction of extremely rich and highly coherent psychological material,<br />
which can then be worked through with various psychotherapeutic methods.<br />
Visions, like dreams, indicate the beginning of an integration at the<br />
superior cortical level. The effects of Ayahuasca are not merely visual,<br />
but embrace the entire perceptual spectrum, as well as the non-rational<br />
functions tied to the right brain and to the paleoencephal or so-called<br />
reptilian brain. The patient&#8217;s clinical experience fosters the development<br />
of not only the projective but also the integrative functions of<br />
symbolization, enabling the progressive readjustment of personality<br />
structures. These explorations touch cross-cultural psychological depths<br />
and, hence, may be applied in extremely broad and varied contexts of human<br />
life.</p>
<p>After the observation for fifteen years of more than eight thousand<br />
instances of Ayahuasca ingestion under specific conditions of preparation,<br />
prescription, and therapeutic follow-up, we can affirm that the ingestion<br />
of these preparations has a wide range of indications, with a total<br />
absence of dependence. The expansion of the perceptual spectrum, which<br />
simultaneously engages body, sensations, and thoughts, permits the<br />
de-focalization of the ordinary perception of reality, thus allowing the<br />
subject to confront his habitual problems on his own and from a new angle.<br />
The intense acceleration of cognitive processes which accompanies this<br />
process may permit the subject to conceive of original solutions that fit<br />
his unique personality and situation.</p>
<p><strong>The Center: A Pilot Project</strong></p>
<p>Our ignorance in regard to the controlled induction of altered states of<br />
consciousness could greatly benefit from ancestral medical knowledge. The<br />
master healers of various traditions are ready to transmit their heritage<br />
to those willing to learn and to embark upon a path of initiation. Six<br />
years of teaching beside Amazonian healers has led us to develop a<br />
therapeutic method using the controlled modification of states of<br />
consciousness. Our system is based on ancestral techniques involving<br />
medicinal plants and natural methods of detoxification, sensory<br />
stimulation, and sensory deprivation. This pilot project attempts to<br />
combine ancestral knowledge with contemporary psychotherapeutic practices,<br />
working under the guidelines of ethical considerations and the<br />
requirements of the Western mentality.</p>
<p>The program, in which no method of coercion is exercised, accepts groups<br />
of no more than fifteen voluntary patients. The location is a five acre<br />
park bordered by a river, just outside the city of Tarapoto, in the<br />
Peruvian High Amazon, in the piedmont of the Andes (Mabit, Giove, Vega,<br />
1996).</p>
<p>The therapy is based on a three-part method which includes the use of the<br />
plants, psychotherapy, and community life. The guided experiences of<br />
altered consciousness generate psychological material which is<br />
subsequently discussed and evaluated in the psychotherapy workshops and<br />
then directed towards expression in community life. In reverse, everyday<br />
activities supplement the therapeutic sessions (with or without plants).</p>
<p>The initial use of purifying, sedative, and purgative plants reduces<br />
withdrawal syndromes, rendering any return to prescription medication<br />
during the stay unnecessary. Then, the psychoactive plants intervene,<br />
powerfully facilitating the psychotherapy. From the brief sessions to the<br />
eight day isolation in the forest with rigorous rules pertaining to food,<br />
sex, external contacts and daily activities, each ingestion of<br />
psychoactive plants is governed by specific conditions. Each session is<br />
also facilitated by a trained therapist, and clearly inscribed into a<br />
precise and rigorous symbolic frame, which improves the chance of success<br />
for the session and its subsequent integration into the subject&#8217;s life.</p>
<p>These techniques permit the exploration of buried memories and the<br />
re-emergence of censured situations or events. These &#8220;revelations&#8221; both<br />
relieve the addict&#8217;s conscience and motivate him to face his sickness. A<br />
temporary reduction of critical functions and discriminations facilitates<br />
the cathartic expression of emotions. These experiences, with the help of<br />
psychotherapeutic work, may then correct the defective formation of the<br />
subject&#8217;s emotional expressions and ideals. By plunging under the veils of<br />
ordinary consciousness and unblocking the paths of access to the deep Ego,<br />
this exploration of the subject&#8217;s interior universe brings out rich<br />
material, in contrast to these patients&#8217; often insufficient symbolization.<br />
During the subsequent sessions, the subject will learn to translate and to<br />
interpret this material in order to explore subsequent dreams on his own.<br />
Dream life is stimulated by these practices, also benefiting the patient.<br />
One also observes an acceleration of cognitive processes and an<br />
amplification of the attention-span and of the depth of mental<br />
concentration. The clearly defined context, supplemented by a carefully<br />
regulated lifestyle, invites the resident to implement the knowledge<br />
obtained by this work. Hence, the space constitutes a laboratory in which<br />
the residents are at once the observers and the subjects of their<br />
observation. The medicinal plants play the central psychotherapeutic role,<br />
while caretakers offer guidance and security. The users are guided into<br />
liminal, or symbolically transitional, experiences in which they visit<br />
their interior gods and demons. These experiences simultaneously involve<br />
the subject&#8217;s psychological state, the whole range of emotional<br />
sensations, and the spectrum of his psychological perceptions. In these<br />
experiences, existential questions may come to light and demand an engaged<br />
response. The guided and cathartic process can help the individual to<br />
transcend his or her ordinary mindset and access somatic memories. In the<br />
best cases, the individual is able to transcend the Ego, which can allow a<br />
healthy deflation of the Ego, a reconciliation with human nature, and an<br />
acceptance of our modest inscription in time and in matter, which is<br />
nevertheless exciting because of its perceived meaning. In other words,<br />
this is a process of initiation; it is a semantic experience which carries<br />
meaning that can respond to the chaotic and disorderly quest of the drug<br />
addict, which may be seen as a path of counter-initiation or as a savage<br />
initiation (Mabit, 1993). This therapeutic method does not, then, simply<br />
focus on abstinence, but also offers an adequate alternative. This<br />
alternative method, which respects altered states of consciousness, is<br />
able to respond to the drug addict&#8217;s quest by furnishing it with clear<br />
ends and with non-dangerous means to reach them. This process supposes an<br />
internal structural change which goes beyond the palliative of a simple<br />
external behavioral change, which is never totally satisfying and most<br />
often ineffective.</p>
<p>The duration of the stay is, in general, nine months, and the follow-up is<br />
ideally two years. The centre has received patients of all social and<br />
cultural origins. The techniques, which mainly demand self-exploration<br />
through the senses, do not require any analytic verbalization or<br />
integration, which represents an enormous therapeutic advantage. One may<br />
even say that these experiences of altered consciousness give access to<br />
ineffable, inexpressible trans-verbal spaces, which are as much<br />
pre-logical or infra-verbal as they are ecstatic or supra-verbal. Here,<br />
the local alcoholic peasant meets the European college student dependent<br />
on pot, the urban bourgeois who functions on cocaine, the dealer addicted<br />
to a cocaine-based paste, or the delinquent pathological liar who smokes<br />
crack. To the contrary of what certain theorists say, the exploration of<br />
the interior universe by these methods does not require that either the<br />
therapist or the subject belong to the native culture of these practices.<br />
Rather, these practices give access to personal intra-psychical symbols<br />
which remain coherent to the subject and which touch depths that could be<br />
called transcultural by virtue of reaching universal psychological<br />
complexes (love, hate, rejection, abandon, fear, peace, etc.). At the same<br />
time, the accompanying psychotherapy allows the patient to better<br />
understand the experience of the session, to integrate it, generate new<br />
questions, and enrich the following session. We have now mastered these<br />
techniques ourselves, and we make use of them with patients from cultures<br />
other than our own. They are accessible to any Western therapist willing<br />
to fulfill the requirements of their long apprenticeship.</p>
<p><strong>Results</strong></p>
<p>Since its founding in 1992, the center has received more than 380<br />
patients. One study has just been made (Glove, not yet published) of the<br />
first seven years of activity (1992-1998), examining drug addicts or<br />
alcoholics having completed at least one month of treatment and with at<br />
least two years of time out of the clinic &#8211; a sample of 211 courses of<br />
treatment (175 first-time patients and 36 returning patients). Note that<br />
the results of this study do not include data on the 32% of patients who<br />
leave during the first month before the first ayahuasca session, when the<br />
treatment is not yet considered to have started. 28% reached the sixth<br />
month of treatment, and 23.4% finished the entire treatment.</p>
<p>Two-thirds of the patients consumed mainly a highly addictive and<br />
debilitating cocaine-based paste. 80% consumed alcohol alone or in<br />
addition to other drugs. More than half of the patients (53.5%) had<br />
already tried treatment, one-third of which had tried psychiatric<br />
services. For 49%, the gateway drug was alcohol, and for 42%, cannabis.<br />
The average age was thirty years and the average duration of consumption<br />
of psychoactive substances at the time of entrance was 12.5 years. At<br />
31.3%, with a tendency to augmentation, the index of retention (percentage<br />
of prescribed exits out of total exits) gives proof of the relative<br />
acceptance of this therapeutic method. The voluntary exits make up the<br />
majority (52%) compared to prescribed exits (23%), runaways (23%), and the<br />
rare expulsions (3%).</p>
<p>The evaluation of the results integrates qualitative givens, as well as<br />
the incidence of abstinence or relapse due to poor prognostic criteria.<br />
One should note that the patients leave free of any post-residential<br />
medication. In addition to evaluating the relation to addictive<br />
substances, especially those that the subject consumed before, we consider<br />
personal evolution (internal structural change), the indications of social<br />
and professional reintegration, and the capacity for familial<br />
restructuring. According to these criteria, we may distinguish three<br />
categories:</p>
<p>    * &#8220;good&#8221;: favorable development, problems apparently resolved thanks<br />
to a true structural change manifested upon several life levels.</p>
<p>    * &#8220;better&#8221;: favorable development with evident structural changes, but<br />
vestiges of the original problem still present.</p>
<p>    * &#8220;same or bad&#8221;: relapse of consumption of substances, although often<br />
more discrete, no convincing structural change, frequent abandonment<br />
of substances for alcohol.</p>
<p>Out of the total, then, 31% were &#8220;good&#8221; and 23% &#8220;better,&#8221; while 23% were<br />
the &#8220;same or bad&#8221; and 23% unknown. With hindsight, we can affirm that<br />
about 35% of those who have lost contact with the Center are, in the end,<br />
&#8220;good&#8221; or &#8220;better&#8221; (that&#8217;s 8% of the total), which means that about 62% of<br />
the patients have, in the end, positively benefited from the follow-up of<br />
the model proposed at the center. When one only takes into account the<br />
sample of the patients with &#8220;prescribed exit,&#8221; (those who have completed<br />
the entire program) the positive results are raised to 67%.</p>
<p>When the patients relapse or simply re-offend, 55.5% return to the center<br />
and 26% find other local practitioners of traditional medicine, which<br />
demonstrates their high opinion of this approach. When this occurs,<br />
purgative plants are more solicited than psychoactive plants. This choice<br />
demonstrates the absence of dependence on the psychoactive substances.</p>
<p>This method, officially recognized by the Peruvian authorities, has<br />
expanded into a number of programs including educational programs (for<br />
students), psychiatric and anthropological research, and outreach (written<br />
and audio-visual media, and seminars for personal development).</p>
<p><strong>Conclusion</strong></p>
<p>The mere repression of drug consumption represents a simplistic approach<br />
to the problem, with demonstrated ineffectiveness as a therapy. We may<br />
well call it illogical and even immoral since it omits the substances that<br />
are currently the most deadly (alcohol and tobacco). In addition, the<br />
accelerated development of new substances on the market outstrips any<br />
repressive attempt at control and relegates the game of penal<br />
interdictions to failure. We are hence condemned to approach the problem<br />
under another angle, whether we want to or not. Similarly, if harm<br />
reduction and substitution only indicate proof of failure and a last-ditch<br />
effort of pure social convenience, they are also, in our view,<br />
reprehensible and morally dubitable. This is because they consecrate a<br />
tacit rejection of healing, and the officialization, in a manner of<br />
speaking, of a population of second class citizens tolerated for lack of a<br />
therapeutic alternative.</p>
<p>The high degree of diffusion of the drug phenomenon in the 50&#8217;s and 60&#8217;s<br />
was born of the contact between a few intellectuals with traditional<br />
peoples, and, in particular, of North Americans with Amazonian Indians<br />
(Ginsberg, Leary, Alpert, etc., &#8212; see Leary, Metzner, Alpert, 1964).<br />
These intellectuals believed that they could appropriate ancestral<br />
knowledge while only retaining the physical substance, reducing &#8220;the<br />
approach of the gods&#8221; to the consumption of an active principle, playing<br />
neurochemists like apprentice sorcerers (see Leary&#8217;s delirious work,<br />
1979). This oversimplified view of substances and their potential has<br />
generated a terrible drama. The phenomenon of substance addiction is<br />
characteristic of Westernized societies and continues to be practically<br />
unknown in indigenous populations or among peoples free from prolonged<br />
Western influence.</p>
<p>By approaching this ancient knowledge with respect and careful study, it<br />
seems possible to reinstate an authentic relation with the Mystery of Life<br />
by returning to true paths of initiation. By validating the legitimate<br />
quest of the drug user and redirecting it into a structured, meaningful<br />
experience, perhaps we may avoid the lax defeatism of the &#8220;anything goes&#8221;<br />
attitude as well as the rigid and useless bellicosity of &#8220;everything is<br />
forbidden.&#8221;</p>
<p><strong><br />
Bibliography</strong></p>
<p>Chappe, Mario. 1976. The use of hallucinogens in psychiatric folklore.<br />
Boletin de la Oficina Sanitaria Panamericana (Bulletin of the Panamerica<br />
Sanitary Office), 81 (2): 176-186.</p>
<p>Giove, Rosa. 2002 (to be published). The liana of the dead to the rescue<br />
of the life. Contradrogas (Anti-drug) ed., Lima 200.</p>
<p>Hodgson, Maggi. 1997. From Alcoholism to a new life: the eagle has landed.<br />
In: Indian communities develop futuristic addictions treatment and health<br />
approach, Institute of Health Promotion, Research and Formation, Alberta,<br />
Canada, 139, 11-14.</p>
<p>Leary, T. 1979. Graine d&#8217;Astre, Cosmos Ed., Canada, 204.</p>
<p>Leary, T., R. Metzner, R. Alpert. 1964. The Psychedelic Experience, First<br />
Carol Publishing Group Ed.</p>
<p>Mabit J. 1993. Amazon shamanism and drug addiction: initiation and<br />
counter-initiation. In: Revue AGORA, Éthique, Médecine et Société (AGORA<br />
Review, Ethics, Medicine, and Society), Paris, 27-28, 139-145.</p>
<p>Mabit J., J. Campos, J. Arce. 1993. Considerations surrounding the<br />
ayahuasca concoction and therapeutic perspectives. Revista Peruana de<br />
Neuropsiquiatría, Lima, LV (2), 118-131.</p>
<p>Mabit J., R. Giove, J. Vega. 1996. Takiwasi : The Use of Amazonian<br />
Shamanism to Rehabilitate Drug Addicts. In: Yearbook of cross-cultural<br />
medicine and psychotherapy, Zeitschrift für Ethnomedizin (Journal of<br />
Ethnomedicine), Publishing House for Science and Education, VWB, Berlin,<br />
257-285.</p>
<p>Mabit J-M. unpublished. Ayahuasca hallucinations of the warriors of the<br />
Peruvian Amazon, Working Paper 1/1998, French Institute of Andean Studies,<br />
Lima, 15 p.</p>
<p>Siegel, Ronald. 1990. Intoxication, Pocket Books, New York, 1990, 390 p.</p>
<p>Sueur C., A. Benezech, D. Deniau, B. Lebeau, C. Zizkind. 1999.<br />
Hallucinogenic substances and their theraputic usages &#8211; Literature Review,<br />
Revue Documentaire Toxibase (Review of Drug Abuse Literature), 66 p.</p>
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		<title>A Neurobiological Theory of &#8216;The Fall&#8217;</title>
		<link>http://www.ayahuasca.com/science/psychology-psychiatry/a-neurobiological-theory-of-the-fall/</link>
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		<pubDate>Sat, 16 Aug 2008 11:08:12 +0000</pubDate>
		<dc:creator>Dennis McKenna</dc:creator>
				<category><![CDATA[Neurosciences]]></category>
		<category><![CDATA[Pharmacology, Biochemistry]]></category>
		<category><![CDATA[Physiology, Medicine]]></category>
		<category><![CDATA[Psychology, Psychiatry]]></category>
		<category><![CDATA[diet]]></category>
		<category><![CDATA[evolution]]></category>

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		<description><![CDATA[<strong>Dennis McKenna</strong>
In the book 'Left In the Dark', a culmination of over fifteen years of independent research into human evolution, the authors postulate that the universal myth of a pre-historic Golden Age is a racial memory that reflects our primate evolution in an arboreal, rainforest environment in which humans possessed mental and psychic abilities that have since become lost or atrophied in the profane ages that followed.]]></description>
			<content:encoded><![CDATA[<p><strong>The foreword of the book <em>&#8216;<a title="Left In The Dark" href="http://leftinthedark.org.uk/">Left in The Dark</a>&#8216;</em>, edited for Ayahuasca.com</strong></p>
<p>The progress of science, and indeed, of human knowledge, requires a dynamic tension between the mere accumulation of observations and “dusty facts” and a synthetic process in which the accumulated results of scientific observation and inquiry are woven together into frameworks that, in the ideal case, create revolutionary paradigms that enhance human understanding of apparently discrete and unrelated aspects of nature.</p>
<p>The history of science and intellectual inquiry teach us that, as is so often the case with truly novel syntheses, established scientific and intellectual institutions are too ossified, and too invested in the conventionally accepted worldview, to allow the introduction of a new paradigm without putting up considerable resistance. One is reminded of the famous observation of philosopher Arthur Schopanhauer: All truth, he said, passes through three stages. First, it is ridiculed; second, it is violently opposed; third, it is accepted as being self-evident. We should be wary of rejecting out of hand the premises of a hypothesis that may one day seem self-evident.</p>
<p>Evolutionary biologists have long been puzzled by what is perhaps the chief mystery of human origins: the explosive and rapid expansion of the human brain in size and complexity over a vanishingly small span of evolutionary time.  There is also the mystery of hemispheric lateralization and the apparent de-integration of the right- and left-hemispheric functions that we humans suffer.  In the book &#8216;Left In the Dark&#8217;, a culmination of over fifteen years of independent research into human evolution, the authors postulate that it was not always so; the universal myth of a pre-historic Golden Age, they maintain, is a racial memory that reflects our primate evolution in an arboreal, rainforest environment in which humans possessed mental and psychic abilities that have since become lost or atrophied in the profane ages that followed.</p>
<blockquote class="mag right"><p>Changes in the dietary patterns that were forced on the population by this migration put an end to the rapid evolution of the human brain and triggered its devolution, ultimately resulting in the damaged human neural architecture that we suffer from today</p></blockquote>
<p>That rainforest environment favored a frugivorous diet rich in flavonoids, MAO inhibitors, and neurotransmitter precursors, and relatively low in steroid containing or inducing elements. This dietary regime both mimicked and fostered a state, reinforced by positive feedback loops, in which pineal functions, including neocortical expansion and hemispheric integration, were potentiated; moreover, these neurochemical feedback loops were amplified in succeeding generations via the regulation of gene expression in the developing foetus, independent of conventional evolutionary mechanisms of mutation and natural selection. </p>
<p>Climate changes or other environmental catastrophes forced several lineages of hominids as well as archaic/early humans out of their forest-dwelling ancestral home into much harsher savannah or grassland environments. As a consequence dietary regimens shifted toward roots, tubers, grass seed and a greater proportion of animal protein, triggering a reversal of the positive feedback loops that had sustained pineal potentiation and hemispheric integration in the paradisiacal, forest-dwelling Golden Age.  Pineal dominance was disrupted by steroid-mediated, testosterone-driven functions primarily due to the reduced consumption of flavonoids and other steroid-inhibitory dietary factors.  </p>
<p>Changes in the dietary patterns that were forced on the population by this migration put an end to the rapid evolution of the human brain and triggered its devolution, ultimately resulting in the damaged human neural architecture that we suffer from today, and the myriad mental and physical deficits that are the legacy of our biological ‘fall from grace’.</p>
<p>What is alluded to here is only the barest outline of an elegant hypothesis that plausibly elucidates many baffling aspects of human evolution, brain science, and physiology into a coherent explanatory framework.  Ecologists have realized for several decades that the complex interrelations of plants and insects are largely mediated through plant chemistry, and that the interactive dynamics we can observe in these processes is a reflection of millions of years of plant-insect co-evolution.  Evolutionary biologists have long suspected that similar co-evolutionary processes, mediated by interactions with plant secondary products, have influenced the evolution of vertebrates, including primates.   The hypotheses presented in this book are incomplete, and are even now being refined and developed; however, even in their present form they present a credible foundation on which to build a better understanding of who we are, and how our puzzling human species got to be the way it is.</p>
<p>© 2007 Dennis J. McKenna, Ph.D.</p>
<p><strong><a href="http://leftinthedark.org.uk/">http://leftinthedark.org.uk/</a></strong></p>
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