As the medical legalization of psychedelic-assisted therapy quickly approaches in Western society, more stories of abuse by psychedelic therapists against clients are emerging, tracing a disturbing pattern and history of exploitation and abuses of power in the field. Utilizing the survivor-centered approach as a theoretical framework, this research study examines the existing literature about safety within psychedelic-assisted therapy spaces, provides a synthesis of three survivors' accounts of therapy abuse, and analyzes four interviews conducted with psychedelic therapists in order to answer the research questions: 1) What are the protocols and safeguards currently in place to protect clients from sexual abuse or boundary violations during psychedelicassisted therapy treatments? 2) Which have worked, which have failed, and which need to be changed or added? To reduce harm and promote safer experiences for clients, the field of psychedelic-assisted therapy needs to implement a multi-faceted process of safeguards, including more rigorous education and training in the therapist certification process, comprehensive avenues for reporting misconduct, immediate investigations into allegations, and definitive codes of ethics and norms of conduct. viii
Preface and AcknowledgmentsThe profound teachings from Shipibo Curanderos of the Amazon Rainforest, and the sacred plants with which they work, have led me to a path of healing, and for that I am eternally grateful. In the movement towards decriminalization, legalization, and medicalization of psychedelic plant medicines in Western society, it is my strongest conviction that sustainability, respect, reverence, permission, consultation, and collaboration with the Indigenous communities and leaders who have been working with consciousness-altering medicines for centuries is of paramount importance. The ethics of this expanding field must start there. For all that we receive through these medicines, we must engage in the sacred hoop of reciprocity.