On epistemic injustices, biomedical research with Indigenous people, and the legal regulation of ayahuasca in Brazil: The production of new injustices?

Labate, Beatriz Caiuby; Antunes, Henrique; Assis, Glauber Loures de; Gomès, Bruno; Smith, Maira; Cavnar, Clancy

doi:10.1177/13634615221120869

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…How to ethically implement such medical pluralism (or whether, where, and when medical pluralism is desirable) remains a thorny question. Labate et al (2022), for example, in their response to Schenberg and Gerber, ask whether the "validation" of Indigenous practices with the tools and epistemologies of Western science can perpetuate the subordination of non-Western ways of knowing. They raise further questions about competing claims to intellectual property in the case of ayahuasca, whose use has also been central to syncretic religious movements that have been historically marginalized in Brazil (see also Smith et al (2022), for further discussion of the issue of intellectual property).…”

Section: The Psychedelic Renaissance and The Question Of Epistemic Ju...mentioning

confidence: 99%

Culture, context, and ethics in the therapeutic use of hallucinogens: Psychedelics as active super-placebos?

Dupuis

Veissière

2022

Transcult Psychiatry

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Following decades of prohibition and widespread concern about their mind-altering properties, there is increasing public, scholarly, and clinical interest in the therapeutic potential of psychedelic substances. Serotonergic substances in particular (DMT, psilocybin, and LSD) are now being tested as treatments for such ailments as depression, anxiety, and substance use disorder. This thematic issue of Transcultural Psychiatry presents articles that investigate the cultural assumptions, political dimensions, and clinical and ethical implications that arise from this renewed interest. After reviewing ongoing debates on therapeutic mechanisms of action and the importance of context, we argue that psychedelics can be conceptualized as “active super-placebos”—that is, substances that enhance ritual, symbolic, and interpersonal therapeutic processes by increasing suggestibility and the influence of extra-pharmacological, “non-specific” factors. Rather than simply freeing up habitual constraints on perception, the articles in this issue support the claim that psychedelic encounters typically entail processes of sense-making, crystallization of meaning, and enculturation into contextually mediated assumptive worlds (or ideologies) and behaviours that necessarily install novel constraints with potentially maladaptive consequences. We highlight the importance of clinical and epistemic integrity in the framing of psychedelic therapies. The importance of structuring and providing oversight for the therapeutic context raises difficult questions about the search for appropriate forms of epistemic authority that are at once respectful of the plural cultural origins of psychedelic rituals and mindful of best practices and standards in clinical care.

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Section: The Psychedelic Renaissance and The Question Of Epistemic Ju...mentioning

confidence: 99%

Culture, context, and ethics in the therapeutic use of hallucinogens: Psychedelics as active super-placebos?

Dupuis

Veissière

2022

Transcult Psychiatry

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“…As pointed out by Labate et al (in press), the simple transposition of biomedical research with its own instruments and premises to the forest does not necessarily signify the promotion of a genuine intercultural dialogue between two distinct systems of knowledge and, consequently, the overcoming of epistemological injustices, although it may reflect an interesting methodological change within the scope of biomedicine. In the same fashion, not all research developed from traditional knowledge associated with genetic heritage carried out in laboratories necessarily commits epistemological injustices against the holders of such knowledge.…”

mentioning

confidence: 99%

Access and benefit-sharing legislation: An ethnobiological approach to overcoming epistemic injustices through intercultural dialogue

Smith¹,

Labate²,

Antunes³

et al. 2022

Transcult Psychiatry

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“…We would like to thank Labate et al (2022) for their commentary on our article on epistemic injustices against Indigenous Peoples in the biomedical study of ayahuasca (Schenberg & Gerber, 2022). Given the multifaceted and multidisciplinary approach necessary to improve knowledge, practices, and regulation of ayahuasca use, we need constructive criticism from diverse fields including anthropology, policy, law, biomedicine, philosophy, and sociology, among others.…”

mentioning

confidence: 99%

Epistemic losses, cultural exclusions, and the risk of biopiracy in the globalization of ayahuasca: A reply to Labate et al.

Schenberg¹,

Gerber

2022

Transcult Psychiatry

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On epistemic injustices, biomedical research with Indigenous people, and the legal regulation of ayahuasca in Brazil: The production of new injustices?

Cited by 5 publications

References 16 publications

Culture, context, and ethics in the therapeutic use of hallucinogens: Psychedelics as active super-placebos?

Culture, context, and ethics in the therapeutic use of hallucinogens: Psychedelics as active super-placebos?

Access and benefit-sharing legislation: An ethnobiological approach to overcoming epistemic injustices through intercultural dialogue

Epistemic losses, cultural exclusions, and the risk of biopiracy in the globalization of ayahuasca: A reply to Labate et al.

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