Communalistic use of psychoactive plants as a bridge between traditional healing practices and Western medicine: A new path for the Global Mental Health movement.

Transcultural psychiatry  – October 01, 2022

Source: PubMed

Summary

Psychoactive plants like ayahuasca may provide valuable mental health benefits, especially in low- and middle-income countries. Traditional rituals involving these plants foster community engagement and participation, offering a culturally respectful approach to mental health care. With clinical trials showing promising therapeutic effects, integrating these practices into global mental health strategies could enhance treatment accessibility. A focus on community-based interventions not only respects local worldviews but also addresses the urgent need for effective mental health solutions, potentially benefiting millions worldwide.

Abstract

The Global Mental Health (GMH) movement aims to provide urgently needed treatment to those with mental illness, especially in low- and middle-income countries. Due to the complexity of providing mental health services to people from various cultures, there is much debate among GMH advocates regarding the best way to proceed. While biomedical interventions offer some degree of help, complementary approaches should focus on the social/community aspects. Many cultures conduct traditional rituals involving the communal use of psychoactive plants. We propose that these practices should be respected, protected, and promoted as valuable tools with regard to mental health care at the community level. The traditional use of psychoactive plants promotes community engagement and participation, and they are relatively affordable. Furthermore, the worldviews and meaning-making systems of local population are respected. The medical systems surrounding the use of psychoactive plants can be explained in biomedical terms, and many recently published clinical trials have demonstrated their therapeutic potential. Psychoactive plants and associated rituals offer potential benefits as complementary aspects of mental health services. They should be considered as such by international practitioners and advocates of the GMH movement.

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