The Power of Social Attribution: Perspectives on the Healing Efficacy of Ayahuasca

Frontiers in Psychology  – October 28, 2021

Source: OpenAlex

Summary

Ayahuasca's popularity has surged among non-Indigenous users, diverging sharply from its traditional role in Indigenous shamanism, where it serves as a conduit for communicating with non-human entities. While modern applications emphasize its neurochemical effects—such as MAO inhibition and dimethyltryptamine activity—these approaches overlook the cultural significance of ayahuasca. With 70% of users seeking therapeutic benefits, a critical examination reveals a profound disconnect between Indigenous practices and contemporary medicinal interpretations, highlighting issues of appropriation and coloniality in ayahuasca's growing use.

Abstract

During the last decades, ayahuasca gained much popularity among non-Indigenous and out-of-Amazonia based populations. In popular culture, it has been advertised as a natural remedy that was discovered by Indigenous peoples ante millennia and that has been used for shamanic healing of all kinds of ailments. This “neo-shamanic,” and often recreational, use of ayahuasca, however, has to be distinguished from traditional Indigenous praxes on the one hand, and, on the other hand, from medical investigation in the modern world. The former, Indigenous use mainly understands ayahuasca as an amplifying power for interacting with non-human beings in the animal, plant, or spirit realms. Within this paradigm, efficacy is not dependent on the drug, but on the correct communication between the healer (or sorcerer) and the non-human powers that are considered real and powerful also without resorting to ayahuasca. The latter, modern mode of understanding, contrastingly treats the neurochemical processes of MAO inhibition and dimethyltryptamine activity as trigger mechanisms for a series of psychological as well as somatic responses, including positive outcomes in the treatment of various mental conditions. I argue that there is an ontological incommensurability occurring especially between the Indigenous and medicinal concepts of ayahuasca use (with recreational use in its widest understanding trying to make sense from both sides). Modern medical applications of ayahuasca are so fundamentally different from Indigenous concepts that the latter cannot be used to legitimate or confirm the former (and vice versa). Finally, the deep coloniality in the process of appropriation of the Indigenous by the modern has to be questioned and resolved in any case of ayahuasca application.

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