MAPS Vol11 No2 - Working with Difficult Psychedelic Experiences, medyczne- książki j ang
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Working with
Psychedelic Experiences
Leaves
Holding the hand of a screaming man tied to a table in a medical tent, I realized that
the situation felt less like psychedelic therapy than it did like a psychedelic Civil War
hospital.
On Labor Day weekend, I went to the Hookahville music festival near Columbus,
Ohio, with a group of volunteers interested in learning how to help people undergoing
difficult psychedelic experiences. We were accompanied by MAPS president Rick
Doblin, who helped to organize the project and enlist our team, and by an experienced
underground psychedelic therapist, who led a training session for our group.
Hookahville is a three-day camping event celebrating the Ohio band Ekoostik
Hookah, and featuring other bands (this year Little Feat and The Wailers also played).
Like most big music fests, Hookahville draws thousands of young people, many of whom
enjoy their music under the influence of LSD, psilocybin, MDMA, and other psychoac-
tive substances. With over ten thousand people camped out at Buckeye Lake (an old
Grateful Dead venue), more than a few end up overwhelmed, disoriented, and
occasionally panicked.
Working under the supervision of Hookahville’s medical staff, we created the
Serenity Tent, a safe space for those in altered states. Over the weekend, we worked with
about twenty-five individuals, most of whom were under the influence of MDMA, LSD,
or psilocybin, often in combination and/or in combination with alcohol or marijuana.
By the time they reached our facilities, people were often
extremely disoriented, frightened, or agitated. They
were sometimes unaware of their surroundings or un-
able to communicate. Some wandered in, others were
brought kicking and screaming by the medical team,
some were introduced by concerned friends, and others
we found lost and incoherent on the concert grounds.
Our group, composed of volunteers from MAPS,
DanceSafe, and Students for a Sensible Drug Policy,
tried to help each person in a way most suited to their
needs. Often this simply meant providing a quiet place
away from the music and crowds, reassuring people and
inviting them to feel safe in their surroundings. We helped
people face the issues that troubled them, guiding them in a supportive but direct
manner. We also encouraged people to use art supplies to express non-verbally some of
what was taking place internally.
MAPS also arranged for DanceSafe to conduct on-site pill testing at the venue,
identifying adulterants in pills sold as MDMA and providing harm reduction informa-
tion to concertgoers. We facilitated communication between the DanceSafe team and
the Labs,
Heads
for the
Concert
Grounds
...more than a
few end up
overwhelmed,
disoriented, and
occasionally
panicked.
”
By
Brandy
Doyle
(
brandy
@
maps
.
org
)
Difficult
MAPS
“
15
the medics so that the medical
staff would be aware of the ec-
stasy adulterants being in-
gested.
Everyone we counseled
eventually calmed down with-
out requiring a visit to the emer-
gency room or the aid of tran-
quilizers. We were also able to
help some people work on
larger problems in their lives,
problems that contributed to
their having a difficult psyche-
delic experience in the first place. Helping people face
their fears and concerns probably reduced longer-term
psychological issues.
According to the medical unit, we reduced the aver-
age time individuals were held for observation and re-
lieved pressure on their medical facilities. It also seems
likely that more at-risk concertgoers received medical
evaluation than would have otherwise; many people
seemed to trust our group more than the medical or
security teams, and accepted attention from the medics at
our recommendation.
At least six people came to the tent under the influ-
ence of ecstasy but none suffered from overheating,
serious dehydration, or other physical problems. This
may be due, in part, to DanceSafe’s efforts to
identify fake pills sold as ecstasy. Our staff even
heard a report that dealers threw out an entire
bottle of pills after discovering that the pills
contained not MDMA but DXM, a dissocia-
tive which is more harmful than MDMA and
can cause dehydration and heat stroke, espe-
cially in combination with MDMA and/or
alcohol.
The most rewarding work was that of help-
ing people face deeper issues in their lives. One
woman who came to us under the influence of
LSD arrived in our tent yelling and talking
incessantly. Over several hours of gently guid-
ing her to work with her feelings, we learned
that she was considering a divorce from an
abusive husband, and she feared that she would
lose custody of her children. She was shouting without
pause to avoid facing her own thoughts, forcing her
attention outward. Eventually, as she grew to feel safe
with us and in her own thoughts, she was able to let go of
her denial, and by the end of the evening she lay in a fetal
position, sobbing unrestrainedly. It was a powerful expe-
rience for everyone there to see her
begin to accept her grief and fear,
the first step in coping with her
difficult future.
Earlier in the weekend, a young
man under the influence of ecstasy
came to the tent, feeling fine but
wishing to talk about other prob-
lems in his life. He had been experi-
encing panic attacks for two years,
particularly when smoking mari-
juana. The panic attacks dated back
to a traumatic experience with LSD,
and he worked with our volunteers to understand why he
had these experiences, and how to work with and learn
from the panic rather than try to suppress it.
We also were able to use our knowledge of
psychedelics to assist the medical team. In one case, the
medics restrained a young man under the influence of
datura, a disorienting and potentially harmful botanical
psychedelic. Before the medics were able to get informa-
tion back from the Poison Control Center, a therapist
with our group was able to tell them the duration and
physiological effects of the drug. Minutes later, the
Poison Control Center reported the same information.
We spent about four hours with this person, calming him
and helping him achieve a more normal consciousness in
The Serenity Tent at Hookahville XVI near Columbus, Ohio,
Labor Day weekend.
a shorter time than was anticipated. We also humanized
his treatment. Though he was restrained by the medics,
tied to a cot by his hands and feet, he was able to be with
his friends, who brought a guitar and sang him a song.
“
...we hope that the
success of our pilot
program will encourage
event promoters to
consider funding similar
programs themselves.
”
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Jennifer Landis, Students for Sensible Drug Policy;
Matt Mazzuckelli, SSDP; Rick Doblin, MAPS president;
and Sandra Karpetas, Higher Knowledge Network.
cultural, and health issues regarding psychedelics.
Hopefully, this networking will strengthen all of
the groups involved and facilitate more collabora-
tive work.
Though MAPS is unlikely to fund projects
similar to the “Serenity Tent” in the future, we
hope that the success of our pilot program will
encourage event promoters to consider funding
similar programs themselves. Not only did our
presence make Hookahville a safer and friendlier
venue, we saved the management considerable
time, resources, and police interaction.
the bigger perspective
A small step in the right direction
It was an interesting experience, and a testament to
the necessity of a new model for psychedelic use in our
culture. Most of those we helped made it to our tent
because they were making poor and uniformed choices.
For example, a number of individuals reported ingesting
MDMA, psilocybin, marijuana, and a six-pack of cheap
beer. I found that my training in coping with psychedelic
crises didn’t wholly prepare me for the “let’s get fucked
up” attitude I saw around me.
As long as psychedelics are illegal, the contexts in
which they are available will continue to be limited. The
tools for understanding and working with psychedelic
experiences will be limited. For many people, using
psychedelics is, like other illegal activities, associated
more strongly with self-destruction than self-awareness.
Unfortunately, sometimes even those who choose to take
psychedelics absorb this attitude, which affects their
choices and their understanding of themselves.
Criminalization limits the possible interpreta-
tions of psychedelic experience, leaving users to
a recreational model that does not speak to the
emotional or spiritual issues that can arise, or to
the process of integrating psychedelic experi-
ence into the rest of one’s life.
This was vividly illustrated for me as I sat
with a sixteen-year old boy during his first
psychedelic experience, a mushroom trip. The
medical staff had found him standing rigidly near the
stage, oblivious to his surroundings. We stayed with him
for hours, sitting with him as he lay quietly in our tent. At
the end of the night, he told us he had a beautiful
experience, and would consequently repeat it the follow-
ing evening. We saw him early that afternoon, just hours
after he left our tent, and he reported that he had taken
LSD for the first time.
From our perspective, the Hookahville project was
very successful in furthering our educational mission. By
helping to reduce harms related to psychedelic use,
MAPS is acknowledging the risks as well as the benefits of
psychedelics. This came through in some local media
attention the project received, a large article on the front
page of the feature section in the Sunday
Sarasota Herald-
Tribune
on September 9, 2001. The story, headlined
“Psychedelic Studies,” focused on our project at
Hookahville and on the personalities of the MAPS
volunteers from Sarasota who participated. [read online
Hookahville was also an opportunity for us to in-
crease awareness of psychedelic therapy and its potential
benefits. We were able to teach, and learn, about the
ln response to our society's harmful
system for educating young people
about drugs, MAPS is initiating the
Rites of Passage project.
“
theory and practice of “sitting” for those in altered states.
It was amazing to participate in the work of simply “being
there” for people and allowing them to open up to their
experiences.
During the weekend, we also met and strategized
with national board members from Students for a Sen-
sible Drug Policy, the heads of local DanceSafe chapters,
and other young people who are working on legal,
“
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A Note of Appreciation from Someone helped at
Hookahville:
Hey Rick.
MAPS prez Rick Doblin and Special Projects Director Brandy
Doyle work with an individual under the influence of datura.
I’m sure you don’t know my
name, but I very distinctly
remember you. I’m just writing
to say thanks a TON for
everything you did for me at
Hookahville. I was the one all
fucked up on Datura mid-day
Saturday. You were there for
me, and I just wanted to say
thank you. I think you and
Brandy helped to save my life.
I can’t thank you enough. I am
forever indebted to you. I
really don’t remember a lot
about those couple of hours
that I was going through that,
but you really helped out. I’m
sure it was embarrassing for
you (I KNOW it was for me!) and
it took a lot of guts to do
that. Thank GOD you guys were
there. Let me know the next
time you guys are in town so I
can thank you guys in person.
It seems the paramedics didn’t
know what to do, so I’m glad
you guys did. I’m very
appreciative.
What a shame! Without a cultural context with
which to make sense of his experience, without guidance
to help make responsible choices, this young man
hassought to explore psychedelics in the only way he’s
found: haphazardly. Probably he has never had an open,
honest dialogue about psychedelics with his parents or his
doctor, his teacher, religious leader, or therapist. In a
sense, the young people who find themselves in a tent like
a psychedelic Civil War hospital really are war victims,
casualties of the Drug War that prevents open communi-
cation and responsibility regarding psychedelics.
A better model for youthful exploration
In response to our society’s harmful system for edu-
cating young people about drugs, MAPS is initiating the
Rites of Passage project. In Ohio, we worked with people
experimenting with psychedelics as young as 14 and 15
years old. Because those who explore with psychedelics
are most often young people, we hope to open dialogues
between young people and their parents about the poten-
tial value and risks of psychedelic use. This Rites of
Passage project is an attempt to find new ways to integrate
psychedelics and marijuana into our culture.
Over the coming months, MAPS will be collecting
stories of families who value psychedelics for a Rites of
Passage section of our website. We are trying to find
parents who have introduced their children to
psychedelics or marijuana, or children who have intro-
duced their parents to these substances. We’re especially
seeking stories told from both generations, in which
parents and children can each write about their experi-
ences from their own unique perspectives, with their
stories posted together in a family narrative. We want to
learn what sort of drug education parents have given their
Thanks again, man.
Anonymous
children, or children have given their parents, and how
that education was received, believed, and used.
By presenting stories of supportive, responsible use,
MAPS hopes to give families a better range of alternatives
for talking and thinking about psychedelics and mari-
juana. With the help of our members, we hope to move
the use of psychedelics beyond music fests and emergency
tents, and into the realm of scientific research and cultural
support.
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