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Psychedelics and critical theory

Julien Tempone-wiltshire, Tra-ill Dowie

Journal of Psychedelic Studies September 21, 2023 Peer reviewed DOI: 10.1556/2054.2023.00270 via OpenAlex

Summary

Psychedelic-assisted psychotherapy may exploit Indigenous knowledge under neoliberalism, focusing on productivity and symptom suppression, while masking societal alienation. However, psychedelics can also challenge the Western biomedical view of healing by promoting self-insight and altering mental representations of the self. This approach could redefine psychiatric classifications and enhance understanding of the mind-body relationship, offering a critique of conventional pathology and recognizing the value of positive psychology from diverse cultural traditions.

Study at a glance

Key finding Psychedelics can challenge the Western biomedical understanding of healing and promote a reimagining of psychiatric nosology.

Abstract

Abstract In the monograph Philosophy and Psychedelics: Frameworks for Exceptional Experience, Hauskeller raises the important subject of individualization and alienation in psychedelic psychotherapy. Under the prevailing conditions of neoliberalism, Hauskeller contends that psychedelic-assisted psychotherapy appropriates Indigenous knowledges in an oppressive fashion, may be instrumentalised to the ends of productivity gain and symptom suppression, and may be utilised to mask societal systems of alienation. Whilst offering a valuable socio-political critique of psychedelics' clinical uptake, we suggest that Hauskeller's view does not adequately acknowledge the ways in which psychedelics offer a challenge to the Western reductive bio-medical understanding of healing and wellbeing. It is contended herein that Indigenous knowledges, in alliance with a range of emerging sciences, offer both an engagement with ethnomedicines in a less harmfully appropriative fashion, and a renewed understanding of the means by which psychedelics achieve therapeutic change. With this understanding, what becomes apparent are the potential ways in which psychedelic medical usage may produce positive feedback upon the oppressive systems in which we are embedded. That is, transpersonal experience through encounters with the ineffable may offer a revisioning of Western psychology and cognitive science. Indeed, if psychedelics are approached with an understanding of the actual means by which they produce therapeutic outcomes—changing mental representations of the self, or self-insight derived through non-ordinary states of consciousness—then psychedelic psychotherapy offers a reimagining of psychiatric nosology, challenging conventional understandings of both pathology and wellbeing through an overturning of specified and discrete deficit models of psychopathology. This may provide both a critique of the prevailing categories used to describe madness and an expansion of our understanding of the mind-body relation, as well as an increased recognition of positive psychology grounded in cross-cultural contemplative traditions. This provides an implicit challenge to the pharmaceutical industrial-complex and its profit motives; and the corresponding neoliberalist, globalising tendencies which Hauskeller seeks to address.

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