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Genís Ona

Sociedad Española de Medicina Interna, Institut de Recerca Biomèdica Catalunya Sud

41 papers in the library · 740 citations · publishing 0-2026

Papers

Hallucinations and Hallucinogens: Psychopathology or Wisdom?

Culture, medicine and psychiatry June 1, 2023 José Carlos Bouso, Genís Ona, Maja Kohek et al. 8 citations

Hallucinations are not exclusively tied to psychopathology; they also occur in healthy individuals and, in certain contexts such as those induced by hallucinogenic drugs, can improve mental health. Historical, epidemiological, and scientific evidence suggests hallucinations are a common phenomenon that can be functional and beneficial. The authors argue that hallucinations can provide a privileged route to understanding the mind and the world, a shift that could impact drug policy, civil law, psychiatry, and reduce stigma around mental disorders.

Do classic psychedelics increase the risk of seizures? A scoping review.

European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology August 1, 2024 Oscar Soto-Angona, Adriana Fortea, Lydia Fortea et al. 7 citations

A scoping review of 16 human and 11 animal studies suggests that classic psychedelics may not increase seizure risk in healthy individuals or animals when used alone, but concomitant use of other substances like kambo or lithium could raise that risk. The evidence is heterogeneous and lacks sufficient external validity, so conclusions should be interpreted cautiously. The review also outlines possible neurobiological mechanisms and future research directions.

Psychedelic drugs as a long-needed innovation in psychiatry

Qeios April 27, 2020 Genís Ona, José Carlos Bouso 7 citations

Psychiatry faces major challenges, as many mental disorders still lack effective treatments despite recent innovations. The therapeutic use of psychedelic drugs within psychotherapeutic settings offers a promising, integrative treatment that produces enduring effects for patients. Psychedelic psychotherapy combines complex pharmacological action with enhanced psychotherapeutic interventions, representing an important innovation in the field.

Neural Network Modulation of Ayahuasca: A Systematic Review of Human Studies

Psychoactives March 20, 2023 Guilherme Henrique de Morais Santos, Lucas Silva Rodrigues, Juliana Mendes Rocha et al. 6 citations

Ayahuasca, a serotoninergic hallucinogen used in Amazonian traditional medicine, alters brain connectivity in ways similar to other psychedelics. A review of 11 neuroimaging studies found that acute consumption expands local neural networks while reducing overall brain connectivity, with notable effects on the Default Mode Network suggesting short-term neuromodulation. In chronic users, anatomical changes in the cingulate cortex have been reported. The findings are preliminary and more research is needed.

Psychedelic Medicines in Major Depression: Progress and Future Challenges.

Advances in experimental medicine and biology January 1, 2021 José Carlos Bouso, Genís Ona, Rafael G Dos Santos et al. 6 citations

Research on psychedelic drugs for therapeutic use has grown, driven by the need for innovative psychiatric treatments. Clinical trials have assessed psilocybin and ayahuasca for mental disorders including major depression. This chapter reviews the history and terminology of psychedelic research, analyzes recent clinical trials administering these drugs to patients, describes neurobiological mechanisms that may underlie therapeutic effects, and notes that psychedelics are commonly used as adjuncts to psychotherapy. The chapter concludes by suggesting future challenges for this field.

A transcriptomic analysis in mice following a single dose of ibogaine identifies new potential therapeutic targets.

Translational psychiatry January 19, 2024 Judit Biosca-Brull, Genís Ona, Lineth Alarcón-franco et al. 5 citations

A single oral dose of ibogaine significantly alters gene expression in the frontal cortex of mice four hours after administration. Genes involved in hormonal pathways and synaptogenesis were upregulated, while genes associated with apoptosis and endosomal transport were downregulated. Validation via qPCR did not fully confirm the hormonal pathway changes, possibly due to the specific brain region sampled. Female mice showed more pronounced gene expression changes than males, and high variability was observed across individual animals. These findings advance understanding of ibogaine's molecular actions and highlight sex differences that may influence its effects.

De crecer en la selva a practicar la ayahuasca en la ciudad: una exploración de la globalización de la ayahuasca en términos de autenticidad, autoatención y de los retos de dicha globalización para la antropología médica

Revista de Antropología Social November 20, 2023 Maja Kohek, José Carlos Bouso, Genís Ona 3 citations

A woman who migrated from the Brazilian rainforest to Barcelona seventeen years ago became a healer working with ayahuasca, kambó (frog venom), and sananga (herbal eye drops). The case study examines authenticity, communitas, and self-care. Shamanism, religion, and health are fluid and dynamic processes that interact with and absorb influences from their surroundings. Exploring compatibilities between beliefs and practices from different traditions mixed with biomedical approaches broadens understanding of relationships among religion or spirituality, health, and well-being. The article concludes by proposing a contribution from medical anthropology to challenges posed by the globalization of ayahuasca practices.

Uso ritual de alucinógenos y medicina psicodélica: Articulaciones alrededor del uso clínico de la ayahuasca en Brasil

Quaderns de l Institut Català d Antropologia October 24, 2023 Genís Ona 2 citations

In Brazil, ayahuasca is used in clinical settings without the psychotherapeutic models that typically guide subjective effects in other countries. This creates a complex intersection between clinical use, Indigenous and religious community practices, and the dominant therapeutic frameworks built around hallucinogens. The text discusses how these different uses and relationships interact, highlighting the unique Brazilian context where no specific psychotherapeutic orientations or techniques for directing subjective experience are employed.

Accept to change: Translation and validation of the Acceptance/Avoidance-Promoting Experiences Questionnaire (APEQ) in an international survey of Spanish-speaking psychedelic users

Journal of Contextual Behavioral Science July 1, 2025 Oscar Soto-Angona, Amanda Rodríguez‐Urrutia, Josep Antoni Ramos‐quiroga et al. 1 citation

The text is a fragment that only acknowledges funding sources and contains no coherent description of a study, argument, or findings. It cannot be summarized.

Validation of the Spanish version of the multifaceted empathy test: comparison between cannabis use effects and controls in social cognition

International Clinical Psychopharmacology June 27, 2024 Alberto Sainz-Cort, Marta Martín-Islas, Daniel Jiménez‐garrido et al. 1 citation

Cannabis users show deficient emotional recognition and a dampened reaction to negative stimuli, according to a study validating the Spanish version of the Multifaceted Empathy Test (MET). A group of 116 participants from a Cannabis Social Club completed the MET and the Reading the Mind in the Eyes Test (RMET) while under the effects of cannabis and were compared to 86 university students as a control group. The MET cognitive empathy scale showed low internal consistency, while the emotional empathy scale showed high internal consistency. Overall emotional empathy scores were similar between groups, but the cannabis group scored lower with negative stimuli. These results confirm deficient emotional recognition in cannabis users and a dampened reaction to negative stimuli for the first time.

Time to embrace the whole: considering the replacement of psilocybin with Psilocybe spp. in psychedelic research and therapy.

Natural product research June 2, 2026 Genís Ona, Cristina Llagostera, Oscar Alvarez et al.

Psilocybin from Psilocybe cubensis mushrooms shows therapeutic potential, but current research focuses only on isolated psilocybin, ignoring the whole mushroom's broader pharmacology and cultural use. This perspective advocates for studying standardized whole-mushroom extracts. Preclinical studies comparing whole extracts with pure psilocybin reveal enhanced or distinct effects on synaptic proteins, metabolomic profiles, and behavioral outcomes in models of depression and obsessive-compulsive disorder. Whole extracts may also enable more affordable and equitable treatment models than high-cost synthetic psilocybin. The article argues for urgent exploration of whole-mushroom therapeutics to base psychedelic medicine on a full spectrum of evidence.

The long roots of ibogaine: A journey from plant to pharmaceutical

Journal of Psychedelic Studies March 9, 2026 Genís Ona, Sidsel Marie

Ibogaine, a psychedelic alkaloid, has a history before its 1960s anti-addictive discovery that involves colonial appropriation, early pharmaceutical research, and commodification. During French colonial rule, ibogaine-containing plants from the Congo Basin were classified and appropriated. In 1900, ibogaine was isolated from Tabernanthe iboga, leading to early French scientific research on its effects. Throughout the 20th century, ibogaine was commercialized in several pharmaceutical products, including Dragées Nyrdahl, Grains des Anémiques, Syséros, Viris Lucet, Ibobiose, and Iperton. Evidence shows ibogaine was used in Mexico in 1913 for substance use disorder, challenging the dominant account of its anti-addictive discovery. Indigenous medicinal knowledge from the Congo Basin critically shaped subsequent scientific understanding.

Corrigendum: Ayahuasca-induced personal death experiences: prevalence, characteristics, and impact on attitudes toward death, life, and the environment.

Frontiers in psychiatry January 1, 2025 Jonathan David, José Carlos Bouso, Maja Kohek et al. correction

A correction was issued for a published article: the average number of ayahuasca uses in the ayahuasca group was revised from 69.4 to 55.7 (standard deviation 82.1). Participants had used ayahuasca 5.2 times more than psilocybin, 4.6 times more than mescaline, and 5.6 times more than LSD. The authors state the error does not alter the scientific conclusions.

Considerations on the current state of psychedelics therapy: limitations, bias and methodological proposals

Repositorio Universidad de Caldas July 1, 2018 Genís Ona

A review of current research on the therapeutic potential of psychedelic substances identifies notable limitations and biases in both observational studies and clinical trials. The authors conclude that current research on psychedelic therapy contains significant errors that may lead to confusion about its efficacy and safety in therapeutic contexts.