OPEN Foundation

Author name: Annabelle Abraham

Psychedelics and Autonomy – From the Field


From the Field: Lessons from psychedelic practices in the Netherlands is a blog series based on my qualitative research at the Rijksuniversiteit Groningen in collaboration with the OPEN Foundation. The study focused on the conception and practice of safe and beneficial use of psychedelics in group settings in the Netherlands: more specifically in counterculture, ayahuasca ceremonies and truffle retreat centers. Based on in-depth interviews with experienced practitioners, the series highlights and connects diverse aspects of psychedelic practices, from cultural influences through ethics to sensory stimuli. This post dives deep into participants’ autonomy.

Part 1: Lessons on Psychedelic Harm Reduction with PsyCare NL – From the field
Part 2: Dutch Psychedelic Practices Shaped by Culture and Law
Part 3: From the Field: Music in Psychedelic Practices
Part 4: From the Field: Psychedelics and Nature
Part 5: From the Field: Psychedelics and Autonomy (current post)


Planning my research, I hypothesized that autonomy would be a significant characteristic of countercultural practices. I did not anticipate that it would play such an important role in all practices, and that all facilitators in my study would spontaneously highlight this. Respondents used specific vocabulary that reflected their attitudes towards autonomy: they “offer” advice and services to participants, and “invite them”, or “encourage them” to follow.

Discussing autonomy in the context of psychedelic practices is not straightforward. Cambridge dictionary defines autonomy as “the ability to make your own decisions without being controlled by anyone else”. Due to psychedelics’ association with enhanced suggestibility, the very notions of autonomy and control become blurry. Participants’ ability to make decisions may be compromised while under the influence, letting go of control may be a part of the process, wills and feelings may be influenced by group dynamics. Discussions surrounding psychedelics often raise ethical concerns about the validity of informed consent, vulnerability of patients, and the potential for abuse of authority. As Ido Hartogsohn reminds us, it was mind-control that drove “the massive financial support of the CIA for LSD research during the 1950s and 1960s”.

The emphasis that facilitators put on autonomous choice is woven through the entire practice. It begins with insisting that participants should come out of their own free will, rather than be convinced into the experience. I will use three concrete examples to illustrate how the abstract notions of autonomy and freedom are applied: a) the choice of event, b) conduct and participation in activities, and c) dosing. 

Freedom and autonomy in psychedelic practices

Some choices are made before the first contact between facilitators and potential participants. Participants choose between group and individual use, and opt for one practice over another (i.e. ayahuasca ceremony, retreat centre or a cultural event). These decisions may also imply the substance and general setting for their experience. The following examples are used to demonstrate how autonomy is expressed within the practices themselves. Once we have an idea, the second part of the article will discuss the significance of autonomy and some of its implications.

Choosing the type and length of event

In most ceremonial settings there are different lengths of events to choose from. For example, Albert recommends two nights of ayahuasca ceremonies, but participants can freely choose to stay only one night. Similarly, Anton’s workshops are mostly three or four days long, which he considers most beneficial. Next to these, there are nine and one-day retreats. He started offering one-day workshops “to accommodate for people” who indicated that they cannot fit longer events into their busy schedules. 

In counterculture, the contexts available for psychedelic experiences are manyfold. They vary in the type of event (e.g. an arts festival, a party, a nature walk), length (from a few hours to multiple days), size, intensity of stimuli and so forth. The interviewees occasionally expressed their opinions about events’ possible contribution to safe and beneficial use of psychedelics. However, since “everybody has their own preference”, they do not consider it their responsibility to make the best selection, but rather to offer a large variety which can answer different needs and wishes.

Expected conduct and participation in activities

While facilitators offer activities and practices to support the experience in beneficial ways, participants are not always comfortable in following them. According to Albert, it is “far better that people don’t move”, and stay seated throughout the ceremony. However, experience has taught him that “most people can’t handle it“. As he explains, when the effects begin, people are afraid to let go and “start to move around”. For example, some people want to go outside to smoke; he allows it, and also considers it a part of his job to bring them back in (for safety reasons as well). In the retreat centre, participants are advised to use an eye-mask during the ceremony, to come with comfortable, light clothes, and to avoid using phones, watches or other technological devices throughout the retreat. “But nothing is required in that sense. It’s just advice”, Rob stressed. Other retreats make different choices, such as collecting participants’ mobile phones at the beginning of the retreat. Allowing this freedom means accepting what Rob described as occasional “unsettling moments”, like participants choosing to use their phone at the dinner table.

Participants are not obliged to take part in any activity. During the on-site preparation for the ceremony, which can amount to a full day, Anna “invites people to be present with everything”, but at the same time “feel into your own needs”. She explains that participants are free to skip activities, as long as they notify the organizers, and may still stay in the space. For example, after participating in the first ceremony, sometimes people do not want to drink in the second, “because they either felt that in ceremony, or there’s so much going on, whatever, it doesn’t matter. I always invite them to still be in ceremony with us without drinking”. Anton shared a similar approach. When someone is reluctant to participate, he asks them to “reflect, why don’t you partake? You don’t have to explain to us, but to yourself, and maybe there’s a lesson in it also: I’m shy, or I don’t like this, or I’m just lazy, or I want to lay down, don’t bother me, whatever.” Note the similar language. In all these examples, participants’ autonomy is granted, without dependency on justifications, motivations, their awareness thereof, their constructiveness to the process or any other ‘objective’ valuation.

Substance and dosing

My study included a variety of substances. Ceremonial practices involved either ayahuasca or truffle based tea. In the countercultural setting, substances are neither supplied nor controlled by the organizers, and polydrug use is prevalent. All interviewed facilitators, without exception, said that participants have a choice about their dose.

In the uncontrolled environment of counterculture, you are expected to “bring your own pills”, Carla says. To be clear, “don’t ask us for the pills!”, Chris added laughingly. Apart from obvious legal concerns, this approach stems from a high commitment to freedom, autonomy and self-responsibility. In Carla’s words: “I would never tell somebody, ‘oh, you should take this or you should do that’, no. Find out for yourself, and if you’re interested, then we can talk about it. I mean, I could show you different ways. I would never ever tell anybody what to do. No. No. That’s not my position.” People are expected to learn about substances and doses from the internet, books, and one another, “and responsible use, that is up to everybody themselves.”

According to all ayahuasca facilitators in the study, participants are offered a certain initial dose (in a cup), which they can fully or partially drink. After one to two hours, there is an option to drink more, and so it goes on until the announcement of the final round, three to four hours later. “The dose is different for every person”, Albert stated, and experience plays an important role: “one in eight who drink for the first time don’t feel a big effect. It’s even possible not [to feel] an effect at all, or at least this is how they experience it. Sometimes they do have an effect, but they don’t recognize it as an effect.” From the facilitator’s side, Anton explained that he knows the level of sensitivity only with regular participants. With new ones, “it’s more guessing instead of knowing”, which is one of the reasons for preferring longer events. Based on their experience, variation in sensitivity can extend from needing one third of the standard measuring cup up to three and even four full cups. Other than experience, sensitivity may be attributed to various mental and physical factors, such as metabolism. In addition, because ayahuasca is a brew, each batch may differ from the previous. All of these elements also change from one day to another. Thus, Anton clarified, rather than sticking to predetermined knowledge, “it’s observing what’s going on”, monitoring participants’ state, discussing it, and helping them reach a decision.

During a preparatory forest walk, retreat facilitators discuss dosing options with each participant. Choices are achieved mutually, “depending on if people already have experience with psychedelic substances, what their current state of being is and how at ease they feel with a certain [dose]”, Rob explained. Each participant receives the agreed dose, and like in ayahuasca ceremonies, they can drink the whole cup or leave some for later. “After one hour we check in with the participants if the dosing feels right or if they want to go deeper”, Ronald specified, “and that could be drinking the rest in the cup, but also having a top-up.”

Few elements are mandatory or predetermined. In ceremonial practices, they concern safety, and balancing one’s autonomy with its effects on the rest of the group. For example, people who take certain medications (e.g. MAOIs) are excluded from participating in retreat and ayahuasca ceremonies in advance. During some ceremonies, participants are asked to stay inside, or to refrain from speaking with one another until a certain point. Those are the exceptions that prove the rule, and the rule is that there are no rules, only a general scheme. Why is it that freedom and autonomy play such an important role in psychedelic practices? There seem to be ideological and practical explanations. To understand them, let’s take a deep dive into the practices.

The underground as a home for the free-spirited

Counterculture, by definition, is a group of people or a way of life which does not abide by the norms and ideas accepted by mainstream society. During his lecture about “the ancestral legacy of the counterculture” in ICPR 2024, Erik Davis talked about the paradox of LSD: “there’s this wonderful, sacred substance, people have remarkable experiences, but in order to get it to them you kind of have to be a criminal.” The fact of having to obtain your own drugs is already a transgression. But according to Davis, the transgression cannot be fully attributed to the legal circumstances. In opposition to religious frameworks, “people interested in acid… were not interested in dogma”.

Today, there is a plurality of histories and presents which can be bound together under the title psychedelic underground or counterculture. The interviewees in my research mentioned their “free-spirited“ Dutch and international roots, as “the squatters, the provos, the hippies and the artists who brought with them a love and a passion for entheogens”. All those groups have some affiliation with freedom. When asked about their ideology, Carla and Cor referred to “The ideology of the scharrelmens” and to the Homo Ludens. Scharrelmens can be translated as ‘‘free-range humans’. “In Dutch we have scharrelkip [free-range chicken], scharrelvarken [free-range pigs], these are more or less liberated from living in a battery”, Cor explained. “But for humans, there is no space yet for scharrelmensen where they can…” ”Play outside”, Carla finished his sentence. In Homo Ludens, play is defined as a voluntary activity, never a necessity or obligation. “Here, then, we have the first main characteristic of play: that it is free, is in fact freedom.”

Room for play and the absence of authority are apparent in various facets of the interviewees’  cultural community. “We don’t really have leaders here. We have people that take initiatives”, Carla explained their mode of work. “We’re in a circle, that’s important”, Cor supplied an image, “if you prevent one group or one person from taking the center… you really keep the center open for everything that’s possible, for everything that wants to come in. And don’t plan too much… Keep a lot of space for completely unexpected developments.” 

As a basic communal value, it is of no surprise that autonomy remains important in the context of psychedelic use. Here is what Carla said when I asked for recommendations for getting a deeper understanding of the practice: “look and judge for yourself. Nobody can tell you what to expect, what to do. You have to really find this out for yourself. It’s your journey. Nobody is going to hold your hand. I mean, it’s your path in life”. 

Freedom and autonomy, safety and beneficialness

On the practical side, the dosing example can demonstrate how an autonomy-based approach can contribute to safety and beneficialness. Studies dedicated to determining optimal dosing sometimes consider personal characteristics, like weight. Others reveal relations between underlying mental conditions, dosing, symptom relief and adverse effects. Yet as Ronald highlighted, when dosing is determined individually and participants are aware of that, a positive effect is created. Anna explained that it is “important for a lot of people, also around safety… to not put all the authority outside of themselves, but [that] they also have some say around that.” This may have a special significance for psychedelic experiences, where people may feel a loss of control and are often encouraged to let go of it. Indeed, one participant in Anna’s ceremony gave her feedback that deciding about the dosage “really gave me a sense of agency”.

According to facilitators, agency or self governance can be part and parcel of the psychedelic process in all its stages. For some people, Cor pointed out, experiencing freedom internally and externally is the very reason for taking  psychedelics. “They can go out of their mind and do anything… it’s fantastic if you can do that, dance around the fire and take off your clothes”. A true sense of freedom and possibility can also be the result of psychedelic experiences, and may be related to their therapeutic powers. Rob shared how psychedelics were key to his own recovery from a traumatic injury, prior to his work as a retreat guide: “I wasn’t seeing myself as a victim of circumstances anymore, but I could take ownership for the state I was in. And I could actually see that there were some possibilities in it, that I could do things differently and make other choices.”

Conditions for freedom, letting go of control

In Anton’s ceremonies, “safety is our main priority, freedom is the second. So as long as freedom does not interfere with safety, a lot is possible.” People who usually work with psychedelics ‘above-ground’, and come to work as assistants in his ceremonies, are always surprised at how everything goes smoothly in the absence of protocols. “We give a lot of space here”, he explains. When somebody stands up, they approach and talk to them if there is a sign of instability or a strong process going on. Otherwise, “we let people stand, let people scream, let people walk around, dance around. They want to go outside? Of course. We keep an eye out, but [there is] a lot of freedom, and that also gives a special energy to this work”. 

As Anton’s description implies, in order to facilitate real autonomy and free choice, a shame-free and non-judgemental space is required. In “Honor and Shame in Western History”, Humanities scholar Jörg Wettlaufe explains that shame is both a biological and social emotion. As such, it is part of the human condition, but is also shaped culturally, and tied to Christian morality in the European context. Shame plays a role in increasing group coherence through norm internalization, and can be used to “ostracize and stigmatize people who do not accept or behave according to group norms”, he continues. Thus, judgement and shame can be used as subtler forms of control and even coresion, setting limits to freedom. During altered states, people can feel like doing things which are not socially accepted, like screaming, dancing or crying in public. Multiple facilitators highlighted how refraining from judgement and shame contributes to a safe and beneficial psychedelic experience. “[It] is a shame-free space, I think that’s really important”, Ronald explained, “that also belongs to not getting re-traumatized or not having to push down things.” Carla connected non-judgement to allowing one’s process to flow independently: “we don’t judge people very easily. So, if you’re looking for yourself, then there’s a space here for you to do it”. “You do you, and we will leave you be”, Chris confirmed. Non-judgement and awareness of shame also played a role in my own work with PsyCare NL, helping people deal with difficult and challenging psychedelic experiences.

Finally, individual autonomy seems to be facilitated through a humble approach to knowledge and minimal use of the power of authority by the facilitator. Practitioners described their long experience and ability to see participants’ state as tools for facilitating, supporting and helping with decision-making. But it never amounted to their knowing better than the participant what he or she needs and wants. Authority was claimed by practitioners neither for themselves nor for their practice. Rob explained that, despite elements of ritual, retreat participants are invited to “come as they are, and they don’t have to act in a certain way, to do it in ‘the right way’.” Anton invites participants to consider drinking ayahuasca in other places, recognizing that his ceremonies may not be ideal for everyone. Following Albert’s initiation, his shaman said “from now on you do your own thing”. He has the same hope for his participants: that they “understand that they don’t need me, and that they can do it by themselves.” Ultimately, the similarities between the practices in attitudes towards autonomy, agency, self responsibility and freedom may be connected to the psychedelic process itself. Here is how Anna described it: “I don’t want to be someone who says, ‘well, I know what’s best for you’. I can give you advice. I can see what I’m seeing. I can reflect things back to you. And then it’s up to you what you do with it. And for me, basically, that’s what ayahuasca does as well.”

Interviewees aliases table

Type of practiceInterviewee aliasAdditional info
Ayahuasca ceremoniesAlbertColombian tradition initiated shaman
Ayahuasca ceremoniesAnnaTherapist
Ayahuasca ceremoniesAntonCreative and integrative facilitation
CountercultureCarlaCultural organization chairperson
CountercultureChrisIn charge of cultural activities
CountercultureCorCommunity/institution co-founder
Retreat centreRobMicrodosing coach
Retreat centreRonaldMusician, individual coach

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Psychedelics and Nature – From the Field


From the Field: Lessons from psychedelic practices in the Netherlands is a blog series based on my qualitative research at the Rijksuniversiteit Groningen in collaboration with the OPEN Foundation. The study focused on the conception and practice of safe and beneficial use of psychedelics in group settings in the Netherlands: more specifically in counterculture, ayahuasca ceremonies and truffle retreat centers. Based on in-depth interviews with experienced practitioners, the series highlights and connects diverse aspects of psychedelic practices, from cultural influences through ethics to sensory stimuli. This post dives deep into nature.

 
Part 1: Lessons on Psychedelic Harm Reduction with PsyCare NL – From the field
  Part 2: Dutch Psychedelic Practices Shaped by Culture and Law
  Part 3: From the Field: Music in Psychedelic Practices
  Part 4: From the Field: Psychedelics and Nature (current post)


The background gradually changed from grey to green as I was driving outside the city toward my first interview. Buildings turned into trees, the highway into small roads leading to a quiet unknown territory. There were but a few cars at the unpaved parking, no people in sight. Singing birds escorted me into the terrain between winding trails and luscious vegetation. Following the sound of frogs, I came to a beautiful pond. I sat there for a while until it was time to go inside. By then, I was already in a completely different state of mind.

The sound of arriving at the first interview location

In stark opposition to the setting of clinical trials and envisioned medical applications of psychedelics, all psychedelic practices included in my research take place in nature. The precise indoor/outdoor configuration varies between practices and circumstances. With cultural events, it is often weather-dependent; the ceremonial part of truffle and ayahuasca retreats typically happens indoors. Yet if we look at the locations where these practices are held, they are either beautiful natural places, or settings where nature is taken care of and thrives.

The healing power of nature

Location hosting an ayahuasca retreat

Myriad studies have linked being in nature to positive effects on human physical and mental health. For example, studies on shinrin-yoku (forest bathing) showed benefits to immune, cardiovascular and respiratory systems, as well as mood disorders, stress, and mental relaxation. Attention Restorative Theory suggests that natural environments contribute to recovery from Directed Attention Fatigue. Interaction with nature has been associated with health outcomes in depression, anxiety, diabetes, ADHD, cancer, obesity, migraines, respiratory disease, stress relief, and the list goes on. In an article linking reduced systemic inflammation to frequent exposure to nature, the authors suggest that “incorporating nature exposure into interventions could offer an accessible and cost-effective approach to improving health outcomes”. Is nature a ‘magic cure’, a panacea?

Interestingly, scientific research into the application of nature as a medical intervention encounters similar problems to psychedelic research. First, most studies are focused on short-term effects. Second, blinding is difficult and often impossible to achieve, so the majority of experiments “do not comply with strict criteria for RCTs, and do not qualify as clinical evidence”. Due to the belief that “only RCTs can produce trustworthy results“, health professionals are hesitant to prescribe nature interventions. Third, poor reporting and additional methodological issues result in evidence being “insufficient to establish clinical practice guidelines for its use”. Finally, while there is an abundance of mechanisms for explaining how nature promotes health, it is difficult (if not impossible) to “quantify the mental health benefits produced by nature exposure”. 

Still, there is a confluence of evidence from the natural, social and health sciences that experiences in nature and increased psychological well-being are positively associated. At the same time, evidence points to a general decrease in the quantity and quality of opportunities for nature experiences for many people around the globe. As Bratman et al. explain, disengagement with nature can be attributed to increased urbanization, and modern living habits, such as diminished outdoor time and increased sedentary activities and screen time. Over generations, “this disengagement with nature may be partially driven by a negative feedback loop”, where the decreasing availability of nature experiences for one generation creates a lower baseline of reference for the next. With no remote natural areas and meager uninhabited land, the Netherlands is a prime example of this. Thus, when we discuss psychedelic practices in the Netherlands, it is against this backdrop.

Nature in psychedelic practices

According to participants interviewed for my research, the majority of practices include overnight stays, held in venues with accommodations. “For me, the most important thing is that I have locations that are somehow in or around nature”, Anna explained. In most cases, the main structure used for psychedelic practices had an atypical form, such as a yurt, castle or church. Indeed, these were typically in or around nature, that is to say, the structures were small in relation to the surrounding nature (meadows, gardens, forests), rather than large complexes with a small garden. In short, nature was the default ‘setting’ of the studied practices.

Some sort of physical activity in nature was part of all practices considered in my research. Dancing, walking, or other forms of movement in nature sometimes serve as preparation for retreat and ayahuasca ceremonies. For example, in one practice dosing options are discussed during a nature walk. Then, following a meditation in the forest, the way back is walked in silence. The objective is to get participants “out of their minds and into their bodies as much as possible through these forest walks, bodywork and breathing meditation”, Rob told me. It also creates a set and setting, which “allows [participants] to feel safe going into the experience, and also feel safe during the experience”. In addition to their preparatory role for ceremonies, walks in nature were also mentioned as psychedelic practices on their own, in counterculture and in ayahuasca circles. For example, during a 4-day long ayahuasca retreat, the last day was dedicated to a nature walk with a smaller dose.

For facilitators in counterculture, being away from the city contributes to a safer and more beneficial psychedelic experience in quite a direct way. As Chris put it, “when you… need a breath of fresh air, you walk into a tree instead of a café in the Leidseplein”. -“Or a car”, Carla added; -“or drunk people”, Chris completed the picture. Yet in all practices, nature is not reduced to its external benefits, being a good ‘setting’, or to what can be gained from it, like creating a good ‘set’ and promoting a safe and beneficial experience. Instead, it is discussed in terms of meaningful and caring relationships. For example, similar to cultural and religious holidays, psychedelic events in counterculture often celebrate peak points in natural cycles, like the seasons (a spring celebration), or moon cycle (full-moon parties). Carla’s bold statement, that “the main point in our ideology is that we don’t have an ideology”, was immediately supplemented with an exception: “But we do all agree about a few things. And that is that nature is important, so we want to take care of everything that’s green [here], and we want to make it beautiful for everybody to enjoy.” Philosophically, retreat guides brought up the notion of God as Nature, as developed by Dutch philosopher Baruch de Spinoza. From this stance, “connecting with nature through a forest walk, spending time in nature, honouring nature… are important aspects of the ceremony”. In counterculture, Cor described a philosophical shift “from [Huizinga’s] Homo Ludens, which is creative, playful, to Homo Florens, which is flowering”.

Having said that, facilitators of ceremonies also recognized that at the height of the experience, participants can get distracted easily and scatter when outside, making it difficult to ensure their safety. Albert shared that in the past he held ceremonies in a private forest, where participants walked outside a lot. It was “amazing, but sometimes also a bit chaotic”. During ceremonies with higher doses, facilitators take precautions to ensure participants’ safety. Typically, when a participant feels like going outside, they are escorted by one of the facilitators, who stays with them until they can go back in. In parallel, practitioners have found different manners to mitigate the ‘risks’ of being in nature, by balancing them with other factors, namely dose and experience. It can be, for example, a low-dose nature walk, or a high-dose walk open only to experienced community members.

From Contact to Connectedness: Relationships with Nature

Structures are small in relation to the surrounding nature

Understanding the various ways in which nature and psychedelic practices interact requires going beyond seeing nature merely as ‘setting’, the surrounding of practices. We need to broaden our concepts. Nature-connectedness or relatedness is one of the most discussed psychedelic phenomena. Research has found links with mental benefits, such as positive affect, ability to reflect and happiness. Ecologist and researcher Sam Gandy differentiates between nature contact and connectedness: where the former speaks of “passive or superficial interactions with nature”, the latter connotes “actively connecting to and engaging with nature”. Imagine a family picnic in the woods. While the parents are preparing food and chatting about work (nature contact), the little children are climbing trees, thoroughly examining any insect they encounter (nature connectedness). In our contemporary culture, this genuine fascination or awe seems to be lost at quite an early age. As Cor phrased it, even for children “it’s a big step to drop your computer, [look] at a tree and think ‘wow!’”.

The association of psychedelics and nature relatedness seems to create a synergy, enhancing and expanding health benefits. An altered state can grant us that opportunity to rediscover nature like a little child, to be fascinated and curious about it (‘wow!’) instead of recognizing and discarding (‘oh yeah, trees, been there, done that’). It can make us feel differently towards nature, feel that we are part of it, develop a deeper relationship with nature, going beyond its definition as a flat background or a mere ‘setting’ for our experiences.

From Setting to Substance

Ceremony room with a view

Nature can influence the ‘set’ and be an integral part of the ‘setting’, but we should not forget the ‘substance’ component. Psychedelic compounds are naturally found in various plants, in mushrooms and even in animals. Before labs and dealers came along, finding them required familiarity with the local natural environment. In science, they were primarily the interest of biologists and botanists rather than chemists and psychologists. The change of focus from natural organisms to chemical compounds was recently criticized by mycologist Paul Stamets. In his brilliantly titled lecture “Nature Relatedness: Happens Better in Nature Than in a Hospital”, he gives the following statistics: out of 198 registered psilocybin trials on www.clinicaltrials.gov, “49 trials have been completed with a molecule, and only one trial completed so far with a mushroom”. These numbers confirm Cor’s protest about the distribution of financial investment in science. As he phrased it, “only 5% of the money… goes into [investigating] natural intelligence, and 95% goes into artificial intelligence”. A rose is a rose is a rose, you may think. However, comparing the effects of a mushroom extract against chemically synthesized psilocybin in mice, a recent study suggests that the extract “has a more potent and prolonged effect on synaptic plasticity” than the synthetic compound.

The history of synthetic compounds is very short in comparison to the various uses of plants by humans, including as medicine. In ceremonial practices in the study, all ingested substances are plants, mushrooms and their derivatives (e.g. mushroom tea). Ayahuasca traditions can help us grasp some of the deeper and more complex entanglements of what we call ‘the ingested substance’ and nature. Also called Yagé, Hoaska or Daime, the ayahuasca brew is a mix of local plants. As such, its ingredients are dependent on the geographical location of the tradition’s origin in the Amazon. For example, chacruna, a plant of the lowland Amazon, is replaced with chagropanga in the highland jungle. Certain local plants are considered family. In the Amazonian tradition Albert ascribes to, caapi (or ayahuasca vine) and tobacco are family. This is why they are both part of the ceremony, where drinking ayahuasca follows sniffing tobacco juice. As he explained, the tobacco prepares the person for the ayahuasca, in cleansing the sinuses and giving “mental clarity”. The ‘substances’ are not seen as separate ‘materials’, which can be mixed and matched at will; they are bound by relationships. Furthermore, each of them can carry multiple meanings, and be used for multiple purposes. Let us look at another example. The commonly-used ayahuasca instrument, Wayra Chakapa is made of leaves bundled into a fan, which makes the sound of the wind (‘wayra’ in Quechua). “Actually it’s called Wayra sach’a, so ‘wind through the forest’. So it’s this sound, but it’s also like an astral cleanser.” Is this nature-based object a musical instrument, a healing accessory, a spiritual artifact? Any of these classifications will miss some of its meanings.

Learning about indigenous worldviews can also shed light on how much our approach to psychedelics and to the psychedelic experience is culture-based. “The central piece of this Amazonian tradition is the ayahuasca vine, the caapi, which is seen as an entity with a wisdom incomparable to any human wisdom or intelligence”, Albert told me. “In our culture, humans are seen as the pinnacle of creation; in the Amazonian context, that’s different… which, for me, is really important to stress”. The significance of this hierarchy is that rather than the shaman, it is the plant that guides the psychedelic experience; it is the plant that guides the shaman in music-making. What does this mean for participants? “Many people want something from the plants, and it should be the other way around. Open yourself up to the plants. What do the plants want from you? What do they want to tell you?”

Zooming out to look at the various practices, there seems to be a connecting line in their relation to nature. Not only in the specifics, but in the nature of the relationship itself (pun intended). It is a relation of care rather than an objectifying one. Ultimately, nature is not regarded as something to use or even to be in. It was part of interviewees’ very definition of what they do: “it’s centred around connecting with yourself, connecting with others and connecting with nature”, Rob explained, “looking closely at nature and… trying to see that we’re part of it and that natural substance is an essential part of that.” Finally, Ronald connected all the dots: “[spirituality], self-love, taking care of yourself, taking care of others, taking care of nature, I think it’s a ripple effect that goes through all levels and all layers”.

Interviewees aliases table

Type of practiceInterviewee aliasAdditional info
Ayahuasca ceremoniesAlbertColombian tradition initiated shaman
Ayahuasca ceremoniesAnnaTherapist
Ayahuasca ceremoniesAntonCreative and integrative facilitation
CountercultureCarlaCultural organization chairperson
CountercultureChrisIn charge of cultural activities
CountercultureCorCommunity/institution co-founder
Retreat centreRobMicrodosing coach
Retreat centreRonaldMusician, individual coach

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Music in Psychedelic Practices – From the Field


From the Field: Lessons from psychedelic practices in the Netherlands is a blog series based on my qualitative research at the Rijksuniversiteit Groningen in collaboration with the OPEN Foundation. The study focused on the conception and practice of safe and beneficial use of psychedelics in group settings in the Netherlands: more specifically in counterculture, ayahuasca ceremonies and truffle retreat centers. Based on in-depth interviews with experienced practitioners, the series highlights and connects diverse aspects of psychedelic practices, from cultural influences through ethics to sensory stimuli. This post dives deep into the role of music.

Part 1: Lessons on Psychedelic Harm Reduction with PsyCare NL – From the field
Part 2: Dutch Psychedelic Practices Shaped by Culture and Law
Part 3: From the Field: Music in Psychedelic Practices (current post)
Part 4: From the Field: Psychedelics and Nature


the heartbeat of a psychedelic experience?

Considering its centrality in human culture, it was not surprising that music came up as part of all the psychedelic practices that I (AA) studied, and was discussed in all interviews. As Izen et al explain, music “plays a unique role in human emotional, social, and cultural experiences”. It works “both in the moment and through the ongoing construction of our personal and collective social narratives.” It is subjective and personal, used for interpersonal communication, and part of societies’ cultural heritage. 

Academically, music is studied not only for its harmonies, rhythms and the like, but also for its psychological merits, linguistic applications, mathematical forms, social aspects and of course, creative, artistic, and cultural values. According to The Origins of Music, research into music evolution could shed light on “emotional and behavioural manipulation through sound; interpersonal bonding and synchronization mechanisms; creativity and aesthetic expression; [and] the human affinity for the spiritual and the mystical” – among others.

There are manifold interactions between music and psychedelics in group practices. I suggest that the key to understanding them lies in the centrality and significance of music in culture, together with common and complementary qualities of music and psychedelics. Thus, this article will begin by shortly presenting some of music’s powers before reviewing its applications and meanings in psychedelic practices.

The Powers of Music: Orchestrating Emotions

When I was young, I composed a ‘crying playlist’. Whenever I needed a cry, I would just hit play… It worked like a charm, time and time again. This great emotional power of music is utilized in art forms like theatre and film, as well as for commercial purposes, in advertising and shops. Film score composers use music to enhance imagery, but also to generate feelings which are not related to what we see. For example, the soundtrack of suspense and horror films often makes us nervous and agitated even when nothing happens on screen, perhaps just a character walking from one room to another. As the video below demonstrates, music can easily manipulate our interpretation and lead us to contradicting conclusions about the same imagery.

Is music worth more than a thousand pictures?

The Powers of Music: A Bridge to Transcendence

Spiritual drumming, Tuvan throat-singing, gospel music, the use of gongs, repetition of mantras and the vocalization of the single syllable Aum are just a few examples linking sound to the transcendent. Alan Watts compared music and ritual to meditation, as non-verbal and thus non-conceptual perceptions of reality. “It brings us into a state of awareness in which the notions of self and other, past and future, knower and the known, mind and body, feeler and feeling, thinker and thought have simply disappeared.” Similarly, Stanislav Grof describes how unitive experiences can be triggered in both artist and audience, through the awe invoked by extraordinary artistic creations.

Besides eliminating time altogether, a musical piece can take you back to a specific moment in time and space. Sometimes, all it takes are a few notes. And while that moment is often from your personal biography, it does not have to be. Musical associations are also made through cultural productions, such as holiday and memorial days, films, television and so on.

Music and psychedelics

Music and psychedelics seem to have some things in common. On their own, they are emotional amplifiers; taken together, they enhance and influence each other’s effects. They can also complement each other: music’s ability to convey information without the need for words can be handy for ineffable psychedelic states. Influencing both set and setting, music gives a certain tone or atmosphere to the space; and depending on your taste and associations, it can change your mood, enhance existing feelings or stir new ones. Their associative power offers advantages and challenges alike. In a therapeutic context, research has shown music to contribute to significant therapeutic effects, but also to generate ‘negative’ or ‘unwelcome’ reactions.

In psychedelic therapy and in ceremonial settings, visual imagery is often treated as distracting, unwanted or too outward-bound. Guides suggest that participants use an eye mask or close their eyes. In the absence of imagery’s limits on plausible interpretation, sound can take the lead. Participants may feel they are walking inside the music, as if it were a scenery. They may experience auditory hallucinations, synaesthesia, or a lack of separation between themselves (the perceiver) and the music (the thing perceived), sometimes referred to as ‘ego death’. The multidisciplinary scholar Gregory Bateson calls this a state of “correct thought”, because while sound is a thing-in-itself, our perception of it is a part of mind. And while some (like himself) may require psychedelics to achieve this state, he is of the opinion that artists have always known it. To demonstrate it, he quotes Bach’s answer to the question how he played so divinely: “I play the notes, in order, as they are written. It is God who makes the music.”

My analysis showed there were few musical similarities in terms of content between the practitioners. However, the context of music use was quite similar. As we shall see, differences in musical choices can be explained as different views on the psychedelic process. To understand their common contexts, we will examine the use of music through cultural lenses, focusing on tradition and novelty between events and generations, and on collective active participation.

Music in Ceremony: Between Grounding and Transcendence

Most facilitators stated that they avoid lyrics altogether, or at least lyrics in languages that participants understand. Other than that, music in psychedelic practices is diverse and has numerous, sometimes contradicting purposes. For example, it plays a role in both grounding and transcendence. The types of music varied greatly between practices and facilitators. Albert plays only live music in his shamanic ceremonies, mostly with traditional instruments, and sometimes singing. In other ceremonies, recorded music is played solely, or in addition to live music, and can include original compositions, well-known pieces and multiple genres. Some institutions have curated music, but the music in each ceremony always depends on the facilitator(s) present.

Interviewees indicated that the person who leads the ceremony also determines the flow of the music, and thus holds great power and responsibility. Interestingly, all of them spoke about music in intuitive terms, changing according to the needs of the specific group at specific times. As Ronald explained: “It’s always like tuning into the space, what the space needs most…; if it needs a little… push over the edge so to speak, or if it needs a lot of calming and grounding.” Expressions such as “tune into the space” and “feel the energy” were repeated across interviews, whether or not speakers had a musical background. The responsibility associated with delivering the right music at the right time was also widely acknowledged, with Ronald even linking his musical experience to him being qualified to work as a guide.

According to all respondents who organise ceremonies, be it with ayahuasca or truffles, music is used in different ways during preparation, at the height of the psychedelic experience and for integration. One of its roles, as explained by some interviewees, is to serve as an anchor for participants, a safe place to go back to or hold on to when the experience becomes too intense. Thus, intermittent moments of silence create space for diving deeper into the experience, and the music allows participants to resurface again.

During the peak of the experience, music is at its strongest and can create dramatic effects. Practitioners choose the type and emotional intensity of their music, when and how to use it. According to Mendel Kaelen, music is always directive, i.e. guiding participants’ experience, an opinion that several facilitators seem to share. For some, this is an opportunity, for others a warning sign. Thus, Anton describes the peak stage as when they “go quite deep, sometimes really dark, or a lot of piano music”; Anna tries to avoid piano and violin in order to “be in service of the processes that are already there.” Practitioners’ musical choices seem to reflect different approaches to the psychedelic process itself, which in turn create diverse styles of ceremonies.

At the end of the ceremony, some practitioners play more upbeat or contemporary music, using its associative character as a means for bringing people back to a normal waking state. Multiple facilitators write down or record the music played during a ceremony, and share it later with participants, in order to reconnect with the experience as part of integration. Playing only live, recordings help Albert in preserving musical novelty which happens during ceremony and is difficult to retrieve later.

Music in Counterculture: Lead Your Own Journey

In (counter)culture, events often revolve around the music, and its scope depends on the type and size of the event. Representatives of the studied cultural institution organize multifaceted productions, where music is often the heart of the event or one among other artistic disciplines. Here too, both live and recorded music can be found in parties, concerts, festivals, performances and theatrical shows.

Typically, the bigger the event, the more musical variety. Smaller events have a certain character, creating a particular setting. One example which came up in an interview was an annual Celtic spring celebration. In this light, flowery event, mostly acoustic music is played, and “because it’s so full of ceremony, I think a lot of people enjoy a psychedelic twist to it”. In parallel, all-night psychedelic trance parties are hosted a few times a year, with loud music and light effects. “Everybody has their own preference.” The vibe and line-up of a future event set expectations, and participants can choose the music suitable for their psychedelic experience. Larger festivals host multiple stages, playing various musical genres close to 24 hours per day. Here, a diverse lineup is made by the facilitators, and the participants navigate through a landscape of musical spaces.

Familiarity and Novelty, Structure and Variation

Discussing familiarity and novelty of music, Kaelan explains how unfamiliar dimensions of music can evoke distinct individual reactions of alienation, analysis and transcendence. Novelty can inspire both discovery and fear, and familiarity can “hold the experience together within a sense of support, belonging and care.” This is indeed reflected in the use of music in ceremonies, as we have seen. 

Now, instead of looking at individual therapeutic benefits, let us replace our lens for a cultural one, where music is first and foremost an art form. Group practices allow a glimpse at how music and psychedelics interact in relation to cultural heritage and change. Ceremony facilitators indicated a combination of repetitiveness and novelty. Recurring elements, such as an opening song, create a structure filled by music which is played more spontaneously. 

Albert adheres to a specific cultural tradition. Together with his permanent partner, they play the harmonica for its importance in the Colombian-Amazonian tradition, alongside traditional instruments, such as the maraca, bandola, Jew’s harp and several flutes, drums and handpans. Like in other shamanic traditions, the music is not conceived as an addition to the psychedelic process, but as stemming from it. As Albert explained, he does not know what he is about to do when picking up an instrument, “the idea is that the plants guide us [in] making the music”. Singing is dependent on the appearance of related animals during the psychedelic experience, and has personal characteristics. So, for example, he can sing his condor song only if he sees the condor. After long years of collaboration, he and his partner play together as “a two-man orchestra”. Still, each ceremony can bring musical novelty as a consequence of the psychedelic experience and intuitive playing, producing slightly different results each time.

In other types of ceremonies, teams are sometimes larger, consisting of many musicians, with only a few present in each ceremony. Thus, the music played each time depends on who these musicians are, what they bring in musically, and on the interaction between them. Retreats and therapeutically-oriented ceremonies in the study play musical genres from different parts of the world, and sometimes their own compositions. Genres and styles varied from classical music and film scores to mantra songs, South American tunes and some traditional instruments like the duduk. However, not everything goes in the mix, and cultural sensibilities are applied. For example, songs from the Yawanawá and other indigenous communities were explicitly mentioned as not being played in a truffle retreat, due to their relation to ayahuasca. Anna does not play icaros in her therapeutically oriented ayahuasca ceremonies because they should be sung by a shaman.

Tradition and Change: Passing the Baton to the Next Generation

Zooming out of the here and now, the study brought some hints as to longer processes of change, between generations of facilitators. According to the Colombian tradition Albert was initiated in, “you’re not allowed to sing the songs of your teacher, you can only sing your own songs.” This older tradition includes an inherent mechanism for its own change. There is always some novelty, and shamans bring their own flavour to their ceremonies.

Approaching 80 years of age, Cor, a prominent figure in the Dutch counterculture, told me a story displaying the movement of music through cultures and generations in the artistic space. It all started in the coastal state of Goa, India, where trance music, or more specifically Goa trance were born. Before that happened, Goa was home to a hippie community of local and international musicians playing live together. “But then Dr. Bobby came from Detroit with the first batch of techno. And then at the same time MDMA was introduced in these parties… And it exploded into airplanes full of tourists coming to the raves. But what happened at the same time was that the culture, the live music, the contact between different people changed completely. Because now there was police and permits and promoters… So in my opinion Goa was kind of spoiled after that.” To his surprise, when Goa trance arrived in the Netherlands, it did so as a very progressive kind of music. The younger generation embraced it and did not approve of his protest: “come on, now you’re like your father. When you were playing rock ‘n roll, he knocked on your door, ‘stop that noise!’ And now you are doing it.” 

Conflict around music was present in therapeutic ceremony practices as well, for two facilitators who are not musicians. Anna faced occasional yet ongoing criticism from other ceremony leaders, for not playing live music during ceremonies. Anton was approached by musicians in his own team about his directive style soon after replacing the former ceremony leader. Both personal and collective, the complexities of music demand facilitators of all practices to be sensitive on multiple levels, from global cultural sensibilities to differences between groups and individuals. 

Active Participation: Communal Singing and Dancing

Active participation, in the form of collective singing, dancing and music-making, is a unique aspect of group practices. In addition to facilitating the mind-body connection within an individual, performed collectively, music and dance strengthen the individual-community bond. According to Bessel van der Kolk, they aid in trauma relief as they create a bond beyond one’s individual fate, and instill hope and courage. Indeed, he notes, collective humming, singing and movement, like rhythmic prayer, are part of religious rituals universally. 

In some of the studied ayahuasca practices, collective singing is a regular part of the ceremony. Anton explains: “especially in the opening, we have collective singing, we call it the serving hymn”; other hymns follow at a later stage. As hymns are repetitive in nature, newcomers can join in singing quite easily, encouraged and helped by the musicians and more experienced participants. In Albert’s shamanic ceremony, there is room for participants to join in music-making at a specific time.

Dance was mentioned as part of most practices, often in the context of preparation for ceremony. In counterculture, communal dancing is the raison d’être of some events, such as parties. Often associated with clubs and taken for a contemporary practice, collective dancing is not a new thing. Ecstatic dance is an ancient old consciousness-altering technique which has its spiritual roots in traditions around the globe. Participants may reach an altered state of trance or ecstasy through music and dance, and may or may not choose to consume psychedelics in addition. At any rate, music and (collective) dance are not there just to accompany a psychedelic experience, but for their own intrinsic value. A study into the use of psychedelics in music festivals showed it to have a positive effect on people’s lives and wellbeing. It was contributed partially to the setting, where “art generally and music specifically were found to be ‘the guide’ or ‘the container’ for the experience”. 

Considering the complexity of both music and psychedelics, the relations between them seem to be almost unfathomable. Ronald wondered if perhaps all music talks about the same things, about the human experience, or what it means to be human. Music allows us to reach deep into ourselves, connect with others or discover a whole culture. Combined with psychedelics, maybe these distinct features are revealed as one and the same thing.

Interviewees aliases table

Type of practiceInterviewee aliasAdditional info
Ayahuasca ceremoniesAlbertColombian tradition initiated shaman
Ayahuasca ceremoniesAnnaTherapist
Ayahuasca ceremoniesAntonCreative and integrative facilitation
CountercultureCarlaCultural organization chairperson
CountercultureChrisIn charge of cultural activities
CountercultureCorCommunity/institution co-founder
Retreat centreRobMicrodosing coach
Retreat centreRonaldMusician, individual coach

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Psychedelics & Music Series – OPEN Foundation

In the coming months, OPEN will host a series of online events around music and psychedelics, bringing together leading musicians, shamans, researchers, and clinicians. Together, we’ll delve into the history of music in psychedelic contexts, its role in indigenous practices, emerging research in clinical settings, and the art and ethics of creating soundscapes for altered states.

The series launches on January 22 with a panel on Crafting Music for Altered States and Psychedelic Spaces. Featuring Krishna-Trevor Oswalt (East Forest), Xóchitl Kusikuy Ashe, and Andrea Drury (ANILAH), and moderated by Liz Hanna, this discussion will explore their creative processes, how they integrate intention with craft, and the unique philosophies guiding their work in ceremonies and therapeutic settings.

Stay tuned on LinkedIn, Instagram or via our newsletter below

Agenda

February 13: The History & Evolution of Music & Psychedelics with Katarina Jerotic

February (TBD): The Role of Music in Psychedelic-Assisted Psychotherapy, a panel discussion with Fred Barrett, Catharina Messell, and Mendel Kaelen (exclusive to professional members)

April (TBD): Deep Listening Session and Q&A with Mendel Kaelen (in-person event)

May 14: Icaros and Music in Entheogenic Traditions with Susana Bustos

Music in Psychedelic Practices – From the Field Read More »

Dutch Psychedelic Practices Shaped by Culture and Law


From the Field: Lessons from psychedelic practices in the Netherlands is a blog series based on my qualitative research at the Rijksuniversiteit Groningen in collaboration with the OPEN Foundation. The study focused on the conception and practice of safe and beneficial use of psychedelics in group settings in the Netherlands: more specifically in counterculture, ayahuasca ceremonies and truffle retreat centers. Based on interviews with experienced practitioners, the series highlights and connects diverse aspects of psychedelic practices, from cultural influences through ethics to sensory stimuli.

Part 1: Lessons on Psychedelic Harm Reduction with PsyCare NL – From the field
Part 2: Dutch Psychedelic Practices Shaped by Culture and Law (current post)
Part 3: From the Field: Music in Psychedelic Practices
Part 4: From the Field: Psychedelics and Nature


As I delved into psychedelic research, it surprised me how few studies paid attention to experienced practitioners and the established practices they follow. To date, most research is concerned with future clinical therapeutic applications. In fact, the image of psychedelics as medication for mental health issues has by now become so prevalent, that the faculty did not see how psychedelics could be relevant for a thesis in Cultural Leadership. While psychedelics may become prescribed medications in the future, they have a rich cultural past and present. They stand at the heart of multiple indigenous cultures, the counterculture of the 1960’s and contemporary events like Burning Man; they were inspirational to the creation of numerous artworks in all artistic genres. And they are central to the lives of certain individuals and communities, here in the Netherlands too. 

Pairing with OPEN, we wanted to get an idea of how the current Dutch scenery looks like. As the field grows and more practices appear, we were wondering which existing group practices around the use of psychedelics are facilitated in the Netherlands (Q1). In addition to this bird’s-eye view, we dived deeply into the details of psychedelic practices with the help of well-known and esteemed practitioners. Our focus was on how facilitators envision and practice safe and beneficial use of psychedelics (Q2). To answer the first question, a survey was sent to the members of OPEN (n=112), inquiring about the practices they know and how they can be classified. For the second question, 60-90 minute interviews were conducted with facilitators. This article reviews the study itself, its main theoretical framework, set and setting, and the general Dutch context – the setting in which the practices and the study take place.

Academic approaches and muddy realities of psychedelic practices

In the academy, we strive to be exact: research questions need to be specific, categories methodically outlined, concepts accurately defined. To me, one of the fascinating things about psychedelics is that they do not fit neatly into any ontological box. They stand at various conceptual intersections, like body and mind, science and spirituality, individual and community, and highlight the boxes themselves. What we see is a reflection of our own thinking patterns in our striving to make sense of the world. In other words, we are constantly reminded that the map is not the territory

Being aware of this tension, my questions related to a psychedelic ‘practice’, in its simplest definition – the usual way of doing something. Instead of using ontological labels, like ‘recreational’, ‘therapeutic’ and ‘spiritual’ use in the survey, I opted for real-life vocabulary: psychedelic parties and events, retreat centers and ceremonial settings. The survey results confirmed my hypothesis that these were the three most prevalent ones in the Netherlands. Subsequently, interviews were conducted with eight experienced facilitators: three ayahuasca ceremony leaders, two retreat guides and three prominent figures in a psychedelic countercultural institution. Albeit my efforts to avoid definitions, I still had three supposedly distinct categories in my head. 

As the interviews unfolded, the outlines of these categories started getting blurry. For example, practices employed by the ayahuasca practitioners proved to be very different from one another, ranging from shamanic traditions to Western psychology frameworks. So the joint label ‘ayahuasca ceremony’ seemed to convey very little information beyond the drinking of ayahuasca. Some ceremonies shared more elements with retreat centers’ practices than with each other. So how can practices be distinguished from one another? What are the most important elements? This was the focus of one question in the survey. Respondents were given options like ‘the type of substance’, ‘the philosophy behind the practice’, ‘the setting’, and had to rate their significance to classification. So, for example, if ‘the type of substance’ was rated as the highest, it would make sense to have ‘ayahuasca ceremony’ as a separate category. However, the results only made things more complex: all suggested options were rated as almost identically important for the definition of practices and their classification.

The more I learned, the less sense it made to try and define the practices, certainly by relating to their differences. In addition to diversity between facilitators, many of them talked about changes within their own practice over time, so even the best of classifications was bound to lose its accuracy shortly in this vibrant and newly-awakened field. ‘Take your eyes off the map!’ I had to remind myself, ‘how does the territory look like?’ Then something appeared: some elements were brought up by all (or most) interviewees. So I chose to focus on the commonalities between practices, in a unifying rather than separative approach. Which elements are shared by all practices? What makes them so special that they were highlighted by all facilitators, and how do they contribute to safe and beneficial use of psychedelics?

The Dutch psychedelic Context: Sociocultural Set and Setting

Before taking that trip, let us pause to observe the context of the practices and the study. According to the theory of set and setting, psychedelic experiences are shaped by the setting in which they take place: the physical environment with all its components, and by the mindset of the person taking them, including their intentions, personality traits, etc. This is also true for ordinary human experience, since as Gregory Bateson noted, the phenomena of context and meaning are closely related. But during psychedelic experiences, these connections are enhanced. While many think of set and setting as immediate parameters confined in space and time, the concept has been broadened to include one’s sociocultural context and even the collective one. They can be thought of as different scales of influence on one’s experience. Taking the ayahuasca ceremony example, the ceremony itself would be part of the immediate set and setting, as well as where it is held, the other participants, my intentions and my mood on that day. On another scale, my cultural background plays a tremendous part: am I Dutch? Indigenous? How does my culture frame hallucinations? When I go back home after the ceremony, can I discuss my experience with family and friends? What language would be used to describe it? How does my culture conceive of reality? 

Legal entanglements

Where substances other than (psilocybin containing) truffles are concerned, illegality is part and parcel of the set and setting, influencing people’s experiences and the practice as a whole. This is why many retreat centers use truffles, offering both facilitators and participants a legal setting. When I was discussing challenging situations with retreat guides, they shared a story about a participant who felt unsafe, as if held against their will. A worried friend and some misunderstandings ended in the police being called. When they arrived, it appeared that everyone was safe, the participant was free to leave, and no illegal activity was being committed. Had this happened during an ayahuasca ceremony, the exact same situation could have had significant consequences for the facilitators, the institution they represent and the hosting ground.

The legal situation has practical implications which go far beyond the rare ‘what if’ scenario. Operating in a legal environment, retreat centers often publish educational material on their websites, and their ‘about’ section can include the names, photos and bios of the team. With a few exceptions, facilitators of ayahuasca ceremonies typically work ‘underground’: the ayahuasca-related content is hidden on a password-protected part of their website, if they even have one. Some work with newsletters, carefully distributed among trusted individuals. General non-drug-related descriptions have to be used for payments; finding locations can be tricky. Above ground, producers of countercultural events often relate to drugs as the three wise monkeys: “see not, hear not, speak not”; the mushrooms on the invitation are only decorative.

Prohibition has consequences for participants’ safety as well. In counterculture, it concerns the limitation of prevention and harm-reduction practices. Some festivals, like Boom in Portugal, offer participants drug-testing services. This is because drugs may be cut using other, sometimes dangerous chemicals. If a pattern is discovered, all festival participants receive a message to their phone, alerting them of potential harmful drugs on the terrain. While drug-test services are available for the public all over the Netherlands, they are prohibited on festival grounds. The recently founded PsyCare NL is a new development in the field. Based entirely on volunteer work, the bottom-up harm reduction initiative supplies a safe haven for festival-goers in need.

Participants’ safety in the ceremonial setting benefits from well-informed facilitators and ethical practices. In an unregulated sea, where every facilitator is an island, this becomes difficult even for the best-intentioned practitioners. Here as well, it is mitigated by a bottom-up Dutch initiative. Liaan makes place for ayahuasca ceremony leaders to meet, share their experience, raise questions and doubts, and learn from each other. In the absence of formal guidelines, the network allows them to create professional standards inside the community.

Let’s talk about [beep]: conducting ethical research

Legal entanglements have consequences for research and education as well. To abide by the EU GDPR, survey respondents were asked not to include names or other personal information of practitioners and institutions involved with psychedelics. Only publicly available information, like websites, was allowed. This obviously had an effect on our ability to answer question 1, which existing group practices around the use of psychedelics are facilitated in the Netherlands, for any underground practice had to remain underground.

Most interviewees – facilitators with years, often decades of experience – preferred to preserve their and their institutions’ anonymity. Ultimately, the university’s Ethics Committee required that anonymity be granted to all interviewees without exception. My initial intention to present and discuss the research results with some of the interviewees in an OPEN online event proved unrealistic for that same reason. Instead, I am writing this series, in which my voice is the only one heard.

Culture is not your friend: The works of public image

During preparatory conversations with interviewees, it became clear that none of them were afraid of criminal consequences. Dutch drug policy and law enforcement are considered relatively tolerant. Festivals even work collaboratively with the police, with a mutual understanding that psychedelic drugs do not pose a threat to the safety of visitors. But practitioners know that cultural bias can be stronger than both science and the law. Alcohol is probably the best drug to demonstrate that. The WHO recently published that “2.6 million deaths per year were attributable to alcohol consumption, accounting for 4.7% of all deaths”, and yet not only is alcohol legal, it is completely socially-accepted, it is the norm.

During my PsyCare training last summer, the head of the First Aid services explained that they consider the festival a low profile event. Typically, his team might have to treat two serious medical cases during a five-day long festival, whereas at an average city marathon some 50 people might be rushed to a hospital. Comparing this statement against the public image of psychedelic festivals and that of sport events organized by municipalities, blew me away. But what hit me even harder was my colleagues’ and my own surprise at this, which demonstrated just how powerful public images can be; and that being knowledgeable and even working in the field does not spare you their effect. In a recent episode of Psychedelics Today, Rick Doblin talks about why he thinks Lykos and MAPS failed to get FDA approval for MDMA-assisted therapy for PTSD. A big part of it was their assumption that science was more important than culture, underestimating the impact of media and public opinion on the FDA.

Regulation is also conducted by civil bodies deterred by the stigma around drugs. Among the interviewees, one institution was afraid of losing its permit if the municipality associated it with drugs. Another had already lost its bank account due to the same reasons, and feared losing their new one, or worse, being blacklisted by all banks in the Netherlands. At the same time, the Dutch government is making impressive steps towards regulating therapeutic use of MDMA, and perhaps other psychedelics in the future. If psychedelic-assisted therapies become legal, it will surely help in changing public opinions around these substances. However, if they are prescribed as medications and boxed in a clinical setting, most of the study participants might remain in illegal territory rather than becoming the leading voices of this change.

These trends do not exist in a vacuum. They are part of even larger cultural contexts: Dutch, European and Western culture(s), and ultimately the world in which we live in. Dutch practices are part of similar psychedelic practices taking place in other parts of the world and in other times in history. Currently, they are hosted against the backdrop of neoliberalism, capitalism, globalization, secularization, the climate crisis, technology and digital culture, the mental health crisis, and what John Vervaeke described more globally as the meaning crisis. Keeping this broad gaze in mind, the coming articles will zoom into the practices themselves. They will focus on the role of music, nature, autonomy, care and community; the seemingly separate components shared by all the studied practices.

Dutch Psychedelic Practices Shaped by Culture and Law Read More »

Lessons on Psychedelic Harm Reduction with PsyCare NL – From the field

From the Field: Lessons from psychedelic practices in the Netherlands is a blog series based on my qualitative research at the Rijksuniversiteit Groningen in collaboration with the OPEN Foundation. The study focused on the conception and practice of safe and beneficial use of psychedelics in group settings in the Netherlands: more specifically in counterculture, ayahuasca ceremonies and truffle retreat centers. Based on in-depth interviews with experienced practitioners, the series highlights and connects diverse aspects of psychedelic practices, from cultural influences through ethics to sensory stimuli. This article is based on my personal experience as part of a new PsyCare NL team, launched last summer (2024) at a festival in the Netherlands.

Part 1: Lessons on Psychedelic Harm Reduction with PsyCare NL – From the field (current post)
Part 2: Dutch Psychedelic Practices Shaped by Culture and Law
Part 3: From the Field: Music in Psychedelic Practices
Part 4: From the Field: Psychedelics and Nature

The Launch of PsyCare NL: Safe Psychedelic Substance Use at Festivals

The PsyCare facility is a calm, safe, cozy and grounding environment for participants in need, playing a crucial role in prevention and harm reduction at festivals where psychedelic substances are commonly used. Visitors are welcomed by experienced psychedelic peer support “sitters” with a deep understanding of mind-altering substances and a relaxed, non-judgmental approach towards difficult and challenging experiences. Ideally, a team is composed of sitters with different professional backgrounds, gender, personality and language skills to ensure the most appropriate support for all visitors.

PsyCare NL was restarted by Cato de Vos following years of volunteer work with international psychedelic support services like Kosmicare at Boom Festival. Developed with her colleague and friend Raoul Koning (who, like Cato, is part of the OPEN team), the pilot was implemented with a team of 11 members. In total, we received 41 guests over three days. Most cases were drug-related and, typical to a festival environment, involved a variety of drug types and doses, with a dominance of LSD. Other cases involved general agitation or overwhelming feelings from the festival. Some guests could not communicate their feelings or which substances they had consumed (if any). Looking back at the stats reveals strong diversity in other parameters as well, such as how guests arrived at PsyCare or for how long they stayed.

So, how can you help someone through a challenging experience with such a wide variety of cases?

Creating a Safe Haven: The Role of Psychedelic Support Services

With the exception of medical issues—which are determined by the First Aid team—we hardly followed any strict protocols. There are handy guidelines, training and even manuals for this complex and challenging work, but much of it is carried out in an intuitive manner. Like humor or the psychedelic experience itself, this sort of knowledge does not lend itself easily to words and numbers. Nevertheless, in this article, I will highlight essential aspects of PsyCare practice as they emerged from our collaboration with First Aid, feedback from guests and visitors and my own experience as a participant-observer and part of the team.

the core of psychedelic Harm Reduction: Being Present

Being present is probably the single most important element of PsyCare, and it begins with the place itself. The festival production supplied us with a Moroccan tent and a yurt, which we made cozy and aesthetic. With mattresses spread around, warm lighting and decoration, PsyCare became both a part of the festival and a peaceful haven away from it. This already had an effect, as by-passers stopped to take a look inside and ask about PsyCare. Some mentioned that they were relieved to know it’s there. 

Festivals with an established PsyCare tend to offer a 24 hour per day service. In this pilot, our official opening hours were from 16:00 to 8:00, with the night hours (1:00-6:00) being the busiest. In practice, we never said ‘no’ to someone in need, and at 10:30 in the morning we welcomed our first guest. We often remind our guests that drug effects are temporary, or as the wise old saying goes: “this too shall pass”. Yet different drugs – and people – require different amounts of time. Guests’ duration of stay throughout the pilot varied from 5 minutes to 14 hours, with an average stay of 3 hours per guest.

Being present in space and time extends to the personal. Often the most meaningful thing you can do for someone who is overwhelmed is just to be there; to stay with them through this difficult moment, fully present with your attention, patience and calm, no matter what comes. Applied within the PsyCare team as well, mutual care and team spirit were vital to the success of the pilot. 

    Community Values: “Psychedelic Peer Support”

    Festivals in this counterculture make room for spontaneity, experimentation, rule-bending and non-conformist behavior. PsyCare emerged from within this community and seems to share with it some core values that came up during my interviews, like non-judgment. In PsyCare, this is applied as refraining from value judgments of people’s experiences, behaviors, thinking processes, or beliefs. Each person’s freedom and autonomy are respected—a principle overridden only in case of imminent risk to oneself or others.

    Embracing Equality and Non-Hierarchy

    The principle of equality, or non-hierarchy, is another unique feature of PsyCare stemming from counterculture. As volunteers in their own community, PsyCare sitters do not operate from a position of superiority or authority in relation to visitors. They are temporarily holding space for temporary “guests”, as their name suggests. This approach carries a multitude of implications. For example, a guest can bump into their sitter from yesterday at the bar or on the dancefloor. Furthermore, yesterday’s sitter can become today’s guest. Accepting such potentialities involved conscious discussions among the team: how do we ensure guests’ privacy? Are we ‘sitters’ outside our shifts? What does this mean in practice?

    On the last evening of the festival, I met a guest with whom I spent three hours in the PsyCare tent. Our guideline in such cases is to let the guest determine what happens. They smiled at me and stretched their arms for a hug. We chatted and danced together for a bit, and then they moved on. For me, this short incidental encounter on the dancefloor supplied closure and reinforced our positions as fellow festival-goers.

    Such liminal cases are exactly where non-judgement and non-hierarchy shine, and have the power to turn an otherwise awkward or embarrassing situation into a meaningful, connecting and supportive event.

    Awareness of Shame and Vulnerability

    Coming to PsyCare requires admitting to being in need, a feeling which can be challenging for many in itself. Guests may realize that they have taken more than they can chew or even completely lost control. Exposing “weakness” is never easy, but in small communities where many people know each other, shame can become a real barrier. Considering these complexities, any authoritative position, even of ‘a professional’ or a ‘responsible adult,’ is unlikely to contribute to PsyCare as a safe haven. This is why, where other emergency services typically wear a uniform, we wore our regular (low-key) festival clothes and a name tag with a little heart on it.

    Early on in the festival, I was called to check on a disoriented person and try to bring them to the PsyCare facility. Despite their highly confused condition, I managed to establish trust and we were quickly holding hands on our way to the PsyCare tent. At the same time, a First Aid worker in uniform approached us and asked if everything was alright. The guest’s state of mind changed instantly. They released their hand from mine, flinched and asked anxiously: “Did I do anything wrong?”

    Following this case, we came to an agreement with the First Aid staff that they remove their jackets before entering PsyCare, notwithstanding their white uniform was chosen for its non-intimidating character. This policy was found useful by both teams.

    Embracing Care: The Heart of PsyCare

    Here is how Ann Shulgin described the ideal MDMA therapist back in 1995:

    “[S/]he has to be able to feel something very close to love for the person [s/]he is guiding. There should be real caring and it cannot be simply an intellectual concern for the client’s welfare; it must be deeper than that, at the gut level.”

    The relatively long experience with mind-altering substances in counterculture is often disregarded or looked down upon by academics, even those studying psychedelics. Some of it is pure stigma, but there is also a genuine conflict of approaches. As PsyCare sitters, we benefit from ‘subjective’ experiences at least as much as from ‘objective’ facts. Both theory and metaphor were used in our training and we followed values and approaches more than rules and protocols. Above all, PsyCare takes place in a vibrant, dynamic and sometimes chaotic setting, which is almost the opposite of a ‘controlled environment.’

    The fear of intellectual uncertainty and making mistakes cannot be entirely avoided, but PsyCare consciously makes room for other ways of knowing. To describe positive attributes of an effective sitter, our training instructor Daan Keiman, who leads OPEN Foundation’s upcoming education programme in psychedelic therapy, shared the following metaphor:

    If a person is immobile, shut, or stiff like a rock, we should be soft and fluid like water. If they are floating and formless like water, we would have to be their rock.

    Furthermore, presence and care ought to be practiced delicately: sitters do not attempt to pull guests out of their experience but offer them a hand to grab on. Curiously, it’s the little things that have the greatest impact: a welcoming smile, a cup of tea, a blanket, holding someone’s hand, offering a hug, listening to their story, laughing with them.

    In one word: Care.

    An attuned caring presence can turn loneliness into a feeling of being held, and a nightmare into a meaningful experience. Like ‘love’, ‘care’ might be difficult to define or even comprehend intellectually; but luckily, this is not necessary in order to give it. Being in a festival setting, I could not help but think of it in terms of the dance floor: there are no steps, but if you listen carefully to the music and let it guide you, there will be a dance.

    Continuing the Conversation on Psychedelic Support in Recreational Settings

    A broader look at PsyCare will be discussed in an upcoming OPEN event (3.10.24) moderated by PsyCare NL founder Cato de Vos and featuring international Psychedelic Support Services experts Amanda Guzinska (PsyCare UK) and Valerie Beltrán (Zendo Project). Click below to register.


    Lessons on Psychedelic Harm Reduction with PsyCare NL – From the field Read More »

    BEYOND SUBSTANCES: WHEN CULTURE GOES INTO THE LAB

    BEYOND psychedelic SUBSTANCES: WHEN CULTURE enters THE LAB

     

    Brendan Borrell’s recently published New York Times article The Psychedelic Evangelist, about Johns Hopkins University’s late pioneering researcher Roland Griffiths, joins a series of blog posts, news articles and academic papers discussing problematic aspects of psychedelic science. Some of these concern personal misconduct, but others are rooted much deeper. Psychedelics bring together human psychology and chemical compounds, science, metaphysics and cultures. They are explored by pharmacologists and philosophers, anthropologists and psychiatrists, all trying to study what’s in a psychedelic, each with their own vocabulary and worldview. Some of the problems which arise from psychedelic research represent old schisms between the sciences and the humanities, and questions about knowledge as a whole. Here too, psychedelics seem to have a revealing effect, exposing our own thinking mechanisms.

    Mystical science

    The concept of “mystical experiences” has been one of these subjects of ongoing discussion. According to the Cartesian view, the spiritual and the experiential are in principle beyond the bounds of science, as they can neither be confirmed nor refuted. Thus uncomfortable feelings around their appearance in scientific articles can be easily understood. In The Language of Metaphysical Experience, Alan Watts relates to a similar problem encountered by physics in relation to unknown fundamental entities. While these cannot be explained and remain mysterious, they can be related to in quantitative terms for prediction purposes. For example, we can say that “dark matter makes up 30.1 percent of the matter-energy composition of the universe“ without knowing what ‘dark matter’ is. In the same way, we can put ‘mystical experiences’ on a scale, and measure how many subjects experienced them, their level of intensity and so forth. Even if such information enables prediction, ontologically such statements remain meaningless, or as Alan Watts puts it: “By admitting a few numbers, even ‘Jabberwocky’ may become scientific”.

    ‘Mystical’ is surely an eye-catcher, but psychedelic literature is abundant with what Bateson called “heuristic concepts”: concepts which bring to the table more fog than clarity. Consider for example ‘connectedness’, ‘awe’, ‘oneness’, ‘ego-death’, ‘oceanic boundlessness’, or even basic terms like ‘mind’ and ‘consciousness’. Do we really know what they mean? Humanities scholars thoroughly discuss and contextualize such terms, like the mystical in religion studies or awe in art and philosophy. As they travel to the hard sciences and find themselves in quantitative questionnaires, they can become inaccurate and biased.

    These are differences within disciplines in our own culture; stepping outside reveals a deeper abyss, but it could also help in bridging gaps. In the same essay, Watts elaborates on differences between Western and Asian conceptualizations of metaphysics and their purposes. In the West we see metaphysical statements as conveying positive information about Reality. In Asia they are treated as remedies to frustrating human psychological ‘unreal’ problems, while Reality itself is ineffable. There is indeed something paradoxical about using objective terms and methods like observation to understand a subjective phenomenon like the psychedelic experience. There is a constant need to find less subjective terms: from ‘bad trip’ to ‘negative’, ‘adverse’, ‘challenging’ experience. The latter may sound more scientific than hippy, but aren’t they all personal value judgements of subjective experiences? Do they tell us anything objective at all? Another example is the quest to compile THE playlist for psychedelic interventions. Can there be one or even multiple recommended playlists? Is music not a matter of personal taste, memories and associations, of cultural references and education?

    Experiencing objectivity

    Some of the challenges are anchored in psychedelics’ legal status as schedule I drugs and the wish to develop them into treatments for medical conditions. Here too, our web of ontological assumptions and scientific methods keeps getting entangled, sometimes creating dangerous traps. Trying to stay as objective as possible, we wish to minimize the “human element” in order to properly assess the efficacy of substances. We use blinding and placebo-controlled trials, but this very practice sometimes leads to a nocebo effect (worsening of symptoms due to not getting the treatment) and even death, as described in the New York Times’s article. In many cases, practices applied to enhance objectivity are reinterpreted by participants as cold or unempathetic, and thus end up influencing results. For example, in order to minimize bias, the FDA recommends that a trial’s in-session monitor would not be involved in post-session psychotherapy. The assumption is that a therapist may be biased, in the sense that they know what happened during the psychedelic session and may use this information later. For participants, this means there is no continuity between the psychedelic session and the integration part (if there is one). This, in turn, creates trust issues and makes it difficult for participants to let go and to share their experiences. Since the therapy element is so determinate and hard to measure, psychotherapy and psychological support are often minimized in trials (also due to financial reasons), raising ethical concerns and undermining potential benefits. So some of the measures taken to accurately determine the safety and efficacy of psychedelics are in themselves a detriment to the safety and effectiveness of trials.

    Medicalization as a goal has received much critique. Different approaches, as manifested by indigenous cultures or even by counterculture are often regarded as less or not at all valid. But even within mainstream culture, and within medicine and psychiatry, psychedelics raise some thoughts about the very definitions of mental illness, health and well-being. Here are a few: how come psychedelics seem to work for so many different mental disorders? Could it be that the terms “placebo” and “inner healing” refer to the same thing? If placebo works so well, why do we focus on external solutions which would prove better, instead of trying to enhance placebo? Some say that psychedelic research is leading to a full-blown paradigm shift in psychiatry, integrating social and cultural factors into conceptualizations of mental disorders and to transformation as the new basis for psychiatry.

    Wired by culture

    Known since the beginning of the 1960’s, ‘Set and Setting’ is the main mechanism through which subjectivity and culture enter the psychedelic experience. Indeed, many academic papers include an apologetic paragraph acknowledging the importance of these two illusive and immeasurable components, before embarking on a futile battle to neutralize them. 

    Originally referring to a person’s mind-set and environment during a trip, set and setting bring into the psychedelic experience a complex web of one’s personal history, tendencies, mood, culture, environment and education. And all of these together influence participants’ interpretations, the meanings they give to their own experiences. In 1997, Betty Eisner added the Matrix component, one’s broader cultural frame. Then, in American Trip, Ido Hartogsohn expanded it to a Collective Set and Setting of a nation with its particular history and sociocultural context. Our Collective Set and Setting influences not only participants, but researchers and therapists as well. It can include, for example, the infamous hype of the psychedelic renaissance, articles we’ve read, films and documentaries we watched, stories and images from the 1960’s counterculture and echoes from the “War on drugs”. Back in 1959, Anthony F.C. Wallace already attributed the discrepancy seen between reactions to mescaline of Westerners and indigenous people to their cultural beliefs. While white subjects reported ‘going mad’ (e.g. mood swings, losing touch with reality, forsaking social inhibitors, etc.), such phenomena were not felt by the indigenous group, who remained generally stable and positive. Wallace concluded that the differences stemmed from the cultural conceptualization of hallucinations. In Western psychiatry, hallucinations are perceived as signs of mental illness, while in the indigenous culture, they are considered normal and even desirable.

    Several elements in the setting of Griffiths’ lab were deemed problematic by Dr. Richards. It is easy to see how participants’ interpretations and experiences may be affected by a Buddha sculpture. But in fact, a ‘neutral’ setting does not exist. A hospital building carries its own associations, the outside and inside appearance of clinics also matters. According to Art literature, even white walls are not neutral. Music, smells… There is no way out; everything matters, from the size of the room and type of furniture through the number and gender of people present, to perceptions and beliefs of researchers, therapists and participants about psychedelics, people and the world. Moreover, not only do they affect trial results, but also their design, our research questions and our approach to the process. For example, a study aimed at minimizing nausea during consumption of Ayahuasca treats it as an undesired side effect, while another can regard it as an act of cleansing conducive to positive changes in well-being. Simply put, Set and Setting cannot be kept away from the lab.

    Psychedelic research is full of contradictions, paradoxes and absurdities. We strive for total control and meticulous procedures to study substances which make one lose control and reflect on your own processes. We wish to eliminate anything weird or mysterious, but also dream of discovering a “magic pill”. As meanings, chemicals, cultures and personal tendencies collide, interdisciplinary research can supply the necessary means – perhaps not to overcome all contradictions – but at least to understand them better and to live with them as best as we can.

    By Annabelle Abraham

    BEYOND SUBSTANCES: WHEN CULTURE GOES INTO THE LAB Read More »

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