Experts at an addiction treatment center in the Peruvian Amazon described substance use disorders using concepts similar to biopsychosocial models, but their therapeutic methods differed markedly from Western approaches. The main treatment methods involved dietary retreats, healing ceremonies, and purging rituals. Experts emphasized that the integral application of these Amazonian methods, along with their traditional implementation according to prescribed ritual protocols, is crucial for efficacy and safety. The authors suggest further scientific attention to these therapies, including clinical studies, to expand cross-cultural understanding of substance use disorders and potentially enhance treatment options.
Both mindfulness meditation-based interventions and psychedelic-assisted psychotherapies reduce PTSD symptoms in adults with moderate effect sizes. Mindfulness interventions showed a standardized mean difference of 0.45, while psychedelic therapies showed 0.54. MDMA-assisted therapy produced slightly stronger outcomes than ketamine. Psychedelic studies had tighter confidence intervals and lower risk of bias than mindfulness trials. Psychedelic therapies may yield a marginally larger effect, but mindfulness interventions are easier to disseminate. Future research should examine long-term efficacy, adverse events, and diverse populations, and investigate altered states of consciousness as a shared therapeutic mechanism.