Renowned Doctor Gabor Mate on Psychedelics and … – Alternet

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Editor's Note: Gabor Mate says the "unconscious mind" can cause medical afflictions like cancer, addiction and trauma.In his speech at the Psychedelic Science 2013 conference, Mate rejects the assumption that the human mind and body are separate entities, and points to an inherant connection between psychological/environmental experiences andmedical afflictions. He contends that the war on drugs is actually a war on drug addicts, and speaks to the addiction cessation potential of psychedelic substances. He also discusses the potential ability of psychedelic substances, particularly ayahuasca, to reverse medical issues like cancer and addiction when coupled with therapy.The following is the transcript of Gabor Mate's speech,"Psychedelics and Unlocking the Unconscious; From Cancer to Addiction," which he delivered at the Psychedelic Science conference in Oakland Calif., on April 20, 2013.

My subject is the use of ayahuasca in the healing of all manner of medical conditions, from cancer to addiction. And you might say what can possibly a plant do to heal such dire and life-threatening medical problems? Well, of course, that all depends on the perspective through which we understand these problems.

Now, the medical perspective, the allopathic Western medical perspective in which I was trained is that, fundamentally, diseases are abnormalities that occur either due to external causes such as a bacterium or a toxin, or theyre accidental or due to bad luck, or their due to genetics. So, the causes are outside of the usual internal experiencethe emotional and psychological and spiritual lifeof the individual. These are biological events, so the medical assumption goes, and the causes are to be understood and the treatments are to be administered purely in a biological fashion.

Underlying that set of assumptions are two other assumptions. One is that you can separate the human body from the human mind, so what happens to us emotionally and psychologically has no significant impact on our health. Number two: that the individual is to be separated from the environment. So, what happens to me if I get cancer? That is just mypoor personal, pure personal, misfortune, or maybe because I did the wrong things like smoked cigarettes. But, that my cancer might have something to do with the lifelong interaction which Ive engaged in with my environmentparticularly the psychological social environmentthat doesnt enter into the picture.

But what if we had a different perspective?

What if we actually got that human beings are bio-psycho-social creatures by nature, and actually bio-psycho-spiritual creatures by naturewhich is to say that our biology is inseparable from our psychological emotional and spiritual existenceand therefore what manifests in the body is not some isolated and unique event or misfortune, but a manifestation of what my life has been in interaction with my psychological and social and spiritual environment?

Well, if we had that kind of understanding then we would approach illness and health in a completely different fashion.

What if, furthermore, we understood something in the West which has been the underlying core insight of Eastern spiritual pathways and aboriginal shamanic pathways around the world, which is that human beings are not their personalities, were not our thoughts, were not our emotions, we are not our dysfunctional or functional dynamics, but that at the core there is a true self that is somehow connected toin fact not connected to but part ofnature and creation.

An illness from that perspective represents a loss of that connection, a loss of that unity, a loss of that belonging to a much larger entity. And therefore, to treat the illness or the symptom as the problem is actually to ignore the real possibility that the symptom and the illness are themselves symptoms, rather than the fundamental problems.

Its in that perspective then, that Ive come to understand, quite before my acquaintance with ayahuasca, but that's how Ive come to understand human illness and dysfunction.Which is to say that illness and dysfunction represent the products or the consequences of a lifelong interaction with our environment, particularly our psychological and social environment, and that they represent a deep disconnection from our true selves.

I mention particularly cancer and addiction, but those are only two examples. Allow me to read you something from an article that appeared in last Februarys edition of Pediatrics, which is the major pediatric journal in North America, and this is an article from the Harvard Center on the Developing Child, and its called An Integrated Scientific Framework for Child Development." Heres what they say:

Growing scientific evidence also demonstrates that social and physical environments that threaten human development because of scarcity, stress, or instability can lead to short term physiologic and psychological adjustments that may come at a significant cost to long-term outcomes in learning, behavior health and longevity.

In other words, that the emotional and behavioral patterns that as young children we adopt in order to survive stressors in our environment allow us to deal with the immediate problem, but in the long term they become prisons. They become sources of dysfunction, illness and even death, if were not able to let go of them.

So, in other words, what was a short-term state, or meant to be a short-term state, in a helpful way, when it becomes a long-term state, when it goes from state to a trait, now it becomes a problem.

Let me give you a few obvious examples of that. I myself have been diagnosed with attention-deficit hyperactive disorder, a characteristic of which is tuning out, absentmindedness. Now, ADD in North America is seen as a disease, and we see many kids that have been diagnosed with it. Now we have 3 million kids in this country who are on stimulant medications for it. The rates are going up and up and up.

According to the New York Times last week, 20 percent of American boys at one time or another have been diagnosed with it and 10 percent are, at any one time are on medication. Three million at least are on stimulants right now. Its seen as a genetic disease. It isnt at all. What the tuning out represents, as we all know, is actually a coping mechanism. Our brains tune out when the stress becomes overwhelming, too much to bear. And at that point the tuning out is a survival dynamic.

The real question is: why are so many kids tuning out? Whats happening in their lives? What of course is going on is that the stress in this society, and the stress in the pending environment are greatly increasing. So, the childs brain is actually affected by the stresses in the environment.

And heres further, from the same Harvard article, they talk about brain development and how the human brain actually develops, and heres what they say about that:

The architecture of the brain is constructed through an ongoing process that begins before birth, continues into adulthood, and establishes either a sturdy or fragile foundation for all the health, learning and behavior that follow.

So, in other words, the architecture of the brain is actually constructed by the interaction with the environment.And they continue:

The interaction of genes and experiences literally shapes the circuitry of the developing brain and is critically influenced by the mutual responsiveness of adult-child relationships, particularly in the early childhood years.

Well, I cant make this into a lecture on brain development; the point is that which circuits in the brain develop, and which patterns are engrained, has everything to do with the environment, particularly the mutual responsiveness of adult-child relationships. And therefore whatever interferes with that mutual responsiveness will actually interfere with the brain development of the child, including the neurochemistry of the childs brain as well as the psychological emotional patterns.

Cancer

So then, if you look at cancer and addiction as two adaptations to stress, what do we find? Well, prior to my work with addictions, which is my most recent work and I did that for 12 years I worked for seven years as the medical coordinator of the palliative care unit at Vancouver hospital working with terminally ill people. And both in family practice and palliative care I had ample opportunity to see who gets sick and who doesn't get sick. I noticed the people that got ill with chronic conditions invariably followed certain emotional dynamics that were ingrained in them so much so that these were unconscious and compulsive and for that reason all the more difficult to let go of. And, so who got cancer and who didnt was no accident, nor was it for the most part genetically determined.

And, Ive collected a few clippings from the Global Mailnewsletterwhich is Canadas newspaper of record, or at least it thinks it isand these clippings illustrate the patterns that I found in people who get sick.

And Im saying all this because in talking about my work with ayahuasca and the potential healing that ayahuasca can induce in people, we have to understand what is being healed here. What is the underlying basis of these conditions?

So, these newspaper clippings, then, illustrate something about what I have found in people who get sick chronically. And when I say chronic illness I mean cancer, I mean diabetes, rheumatic arthritis, multiple sclerosis, ALS, Lou Gehrig's disease, chronic asthma, psoriasis, eczema, almost any chronic illness you care to name.

The first of these clippings is written by a woman who is herself diagnosed with breast cancer. She goes to her doctor, Harold, and you have to know that her husbands name is [Hye], and [Hye]s first wife died of breast cancer, and not Donna, the second wife, whos diagnosed with the same condition. So she writes:

Harold tells me that the lump is small, and most assuredly not in my lymph nodes, unlike that of [Hye]s first wife whose cancer spread everywhere by the time they found it. Youre not going to die, he reassures me. But Im worried about [Hye], I say, I wont have the strength to support him.

What you notice is shes the one diagnoses with the potentially fatal condition and her automatic compulsive thought is, While Im getting radiation and chemotherapy, how will I support my husband emotionally? So, this automatic regard for the emotional needs of others, while ignoring your own, is a major risk factor for chronic illness.

These others are obituaries and obituaries are fascinating to me because they tell us not only about the people who died but also about what we as a society value in one another. And often what we value in one another is precisely what kills us. And the expression the good die young is not a mis-statement. Often the good do die young because good often represents compulsive self-suppression of their own needs.

So heres a man, a physician, who dies at age 55 of cancer, and the obituary says:

Never for a day did he contemplate giving up the work he so loved at Toronto Sick Childrens Hospital. He carried on his duties throughout his year-long battle with cancer, stopping only a few days before he died.

So if you had a friend who was diagnosed with the same condition, would you say to him or her, Hey buddy, heres what you do: You got cancer, go back to work tomorrow, and not for a moment consider your life, and the meaning of your life, and the stresses that youre generating. Just continue working while youre undergoing chemo, radiation or surgery,?

So this automatic identification with duty, role, and responsibility rather than the needs of the self is a major risk factor for chronic illness.

The next one [applause] thank you, but if youre going to applaud every time I say something smart, youll be applauding the whole afternoon. The next one, the next obituary, is about a woman who dies at age 55 of cancer. Her name is Naomi. And this obituary is written by the appreciative husband:

In her entire life she never got into a fight with anyone. The worst she could say was "phooey" or something else along those lines. She had no ego, she just blended in with the environment in an unassuming manner

Now, Im sure that many of you who are in relationships, sometimes you wish that your partner would blend into the environment in an unassuming manner, but the point is that the suppression of healthy anger that this woman engaged in all of her life actually suppresses the immune system. And Im not going to go into the details of that, but the science of psychoneuroimmunology has amply shown that you cant separate the mind from the body and when youre repressing yourself emotionally youre actually diminishing the activity of your immune system and therefore you're less capable of responding to malignancy or to invasion by bacteria.

And again this idea that external things cause illnesstake a condition like, uh, the flesh-eating disease, Necrotizing fasciitis is the medical term. And we think we know the cause, the cause is a bacterium, the strep bacterium. It isnt. Because if we did swabs on the people in this audience, we did swabs of the throat or the crevices of the body, wed identify the strep bacteria in probably 25, 30 percent of the people here. But theres nobody here with necrotizing fasciitis, nobody here with flesh-eating disease.

In other words, the presence of the bacterium does not explain the disease. What happens is that the self-suppressive patterns in somebodys life at some point will suppress the immune system, and that bacterium that has been living on your body in perfect unity with your immune system all of a sudden becomes a deadly enemy. Its not just a bacterium, but the self-suppression that suppresses the immune system that actually causes the illness.

And Ill leave you with one more obituary, and this is almost too incredible to believe except it is directly from the same newspaper. This is a physician who died of cancer:

Sydney and his mother had an incredibly special relationship, a bond that was apparent in all aspects of their lives until her death. As a married man with young children, Sydney made a point to have dinner with his parents every day as his wife Roslyn and their four young kids waited for him at home. Sydney would walk in greeted by yet another dinner to eat and to enjoy. Never wanting to disappoint either woman in his life, Sydney kept eating two dinners for years, until gradual weight gain began to raise suspicions.

Now, what this man believed, what he actually believedand notice that there are core beliefs underneath all of this. The first one believes that shes responsible for her husbands feelings more than she is for herself. The second guy believes that he is nothing other than his responsibilities and duties and role in the world. Theres no true self there he can actually be with and be touched with. Naomi, the woman, believes, "If I am angry, I am a bad person. And this man believes that hes responsible for how other people feel and that he must never disappoint anybody.

Now, these beliefs dont come out of nowhere. Theyre actually coping mechanisms in a certain parenting environment. If the parents cant handle your anger, if they cant handle your emotions, if theyre too needy to trouble themselves then the child starts taking responsibility for the parent as a way of maintaining the relationship. In other words, the psychological coping mechanisms of the child then become part of his or her personality, and these same patterns that helped to cope with the original stress now become the major contributors to his or her illness and possibly death. What were talking about here are core beliefs that reflect the childs early experience, that become ingrained into the brain and body as automatic and compulsive responses to the world. Thats my take on chronic illness.

And you begin to see now how some experiences could enlighten you that you are not those patterns, and if it can give you a sense that these patterns are simply adaptations, and that theres a true self underneath that, and if they can put you in touch with the experiences that led you to adopt these patterns, then perhaps you can be liberated; then, perhaps you can let go; then, perhaps you can find the true self that doesnt have to behave in those ways anymore. Thats where the liberation is. So, thats with chronic illness.

Addiction

Now addiction. For 12 years I worked in whats known as North Americas most concentrated area of drug use, the downtown eastside of Vancouver, where in a few square block radius thousands of people are ingesting, inhaling, or injecting all manner of substances.

And the question again is why do people do that? Why do people do such terrible thing to themselves to the point of risking their health? They lose everything, they lose their wealth, their relationships, their families, their homes, their teeth, their dignityand they still continue with it.

The North American answer to that question is twofold. The legal answer, the socially sanctioned answer, is that these people are making a choice, theyre making a bad choice, destructive to themselves and harmful to others and the way to deter that choice is to deter them by means of draconian punishments.

The so-called war on drugs. But there is no war on drugs because you cant war on inanimate objects. A war on drug addicts is what there is. And as a result of such retrograde social beliefs and governmental practices, the United States which contains 5 percent of the worlds population contains 25 percent of the worlds jail population, which is to say that every fourth person in the world that is in jail is a citizen of the land of the free. And all because of the belief that were talking about a choice here.

The other dominant belief, which is not identicaland youd think would at least obliterate the first belief but it doesn'tand its the one held by most medical doctors, is that addictions represent illness of the brain and particularly on a genetic basis.

The American Society of Addiction Medicine considers that up to 50 percent of the predisposition to addiction is actually caused by genetic inheritance. That is more forward looking in a way than our choice hypothesis, because at least you cant blame people for the genes they either inherit or pass on to others, but it is no more right than the other hypothesis.

Actually, if you look at it closely and if you understand human brain development which I alluded a little bit earlier in my talk you realize that if five percent of addictions are genetic. Thats not radical to sayand I doubt that anything more than five percent is genetically determined. In fact nothing is genetically determined because we know that even people that inherit genes, and there are some, that are predisposednot predetermined by predisposed to addictionsome people that inherit genes, in the right environment those genes are never activated. Genes are turned on and off by the environment. Therefore, what is in an environment that causes the addiction?

Of course the belief again then, among the many false beliefs about addiction, is that drugs are addictive. But we know that they're not. Nothing is addictive in itself. I mean, is alcohol addictive? IfI asked a question, How many people have had a glass of wine in your life, most people would put their hand up. Many of you would put your hand up. But if I asked you, How many of you have had an alcohol problem, a much smaller minority would put their hands up.

Now if alcohol was addictive in and of itself then anybody who ever tries it could become an addict. So, the power of an addiction does not reside in a substance. Whether that substance is crystal meth, or heroin, cocaine, cannabis, alcohol, or whether its behaviors like sexaholism, internet addiction, gambling, shopping, work and so on, its not the actual activity or substance that induces that addiction, its that internal relationship to it, the susceptibility. What creates susceptibility? Its very simple: trauma.

Trauma

The drug addicts I worked with in the downtown eastside Vancouver, every single one of them had been abused as children. In the 12 years I worked there, out of hundreds of women I interviewed in the course of my professional work, there was not one who hadnt been sexually abused as a child. And thats not just only my personal opinion; its also what the large-scale population studies show. Not even controversial. Not controversial, but completely impenetrable to the medical profession and certainly to governments.

So, the people who are in jailtheres an American psychiatrist Dr. Bessel van der Kolk, many of you may know his work on stress and trauma, and he says that 100 percent of the inmates of the criminal justice system in this country are actually traumatized children.

Now, trauma induces its own set of beliefs and coping styles. One coping style is to shut down emotionally so as not to feel. Now you become alien to yourself. So you dont feel the pain, and as one patient of mine said very eloquently, pardon the language, The reason I do drugs is because I dont want to feel the fucking feelings I feel when I dont do the drugs.

And Keith Richards, the Rolling Stones guitarist, in talking about his heroin habit in his book on addiction, sorry, book on his life same thinguh, [life], he called it, talking about his heroin habit, Its about the search for oblivion, he says. The contortions we go through just not to be ourselves for a few hours.

Now why would somebody would not wish themselves to be themselves for a few hours? Because they're suffering, and why are they suffering? Because the early trauma, early emotional loss, induces certain beliefs. One belief is that I'm worthless. Because children are pure narcissists, and I mean narcissists in the pure sense of the word. In other words, when something happens to a child, particularly a young child, its happening because to him, and happening because of him. So bad things happen, it's because Im a bad person. Good things happen because Im a good person. But if bad things happen, Im a bad person. If Im hurt, I deserve it. I caused it. Im unworthy.

So theres deep shame at the core of addictions; theres also a sense that the world is indifferent and hostile, and of course the child who suffers them is abusedthe world was indifferent and hostile as they experienced it. But, as the Buddha said it, "it is with our mind that we create the world." But, what the Buddha didn't say was that before "with our mind we create the world," the world creates our minds. And those minds are then shaped by those early experiences.

So, to the addict, the world is hostileis indifferentin which he or she has to manipulate and find some way to soothe themselves because there aint no soothing in this world, theres no healing in this world.

Those are some of the core beliefs at the heart of addiction. And theres a deep emptiness here, because as the spiritual teacher and this leads me directly to speak about the ayahuasca experienceas a spiritual teacher here in California said, "The fundamental thing that happened, and the greatest calamity, is there was not any love or support," speaking of childhood.

The greater calamity, which was caused by that first calamity, is that you lost the connection to your essence. That is much more important than whether your mother or father loved you or not.

In other words, the greatest loss we endure is the loss of connection to ourselves, and thats then when we experience a deep emptiness that were so afraid of.

And this culture is all about stuffing full of products, and stuffing full of relationships, and stuffing full of activities, and stuffing full of false meaning.But of course the more we do that, the more addicted we become, because these things can never be truly satiating. So, that emptiness can never be filled from the outside. The way through the emptiness is through the insideis from the inside. And thats where the spiritual experiences, and the healing experiences, empowered by ayahuasca come into it.

Now, my book on addiction came out four years ago now, and I never heard about ayahuasca until after it was published. While I was writing it I began to get emails and inquiries from people, "What do you know about ayahuasca and the healing of addiction? and I would say, "Nothing, I dont know anything about it."A week later, the same question. And this went on persistently for months.

I finally began to be both irritated, and curious. And then it turned out that there was an opportunity to experience ayahuasca up in Vancouver; a Peruvian shaman was coming up and leading some ceremonies, and I did do a ceremony. And I sat there in the dark with my heart open and a feeling of delicious nurturing warmth, the tears of joy rolling down my face, and I got love. And I also got how many ways in my life I had betrayed love and had turned by back on it, which is a coping pattern, because when youre as vulnerable and hurt as a child as I was as a Jewish infant under German occupation in Hungary, then you close down to love because its too painful to be open to it.

The ayahuasca got rid of my coping mechanisms in a flash, and there I was experiencing something, and I knew then that this is something to work with. And within half a year I was working with people shamanically trained in Peruvian Shipibo tradition, and beginning to lead retreats.Weve led a number now, and the results are increasingly but uniformly astonishing.

So Im going to read you some communications sent to me by people that have participated in our ayahuasca retreats and then I'll talk about their experiences and why ayahuasca is so potentially helpful. Although, as the previous speaker said, nobody should ever say that its a panacea.

So this is Dr.StuartKrichevsky,who writes about ayahuasca. ...

Decoctions like ayahuasca, similar to many forms of meditation, has salutogenic potential. Salutogenic meaning health-giving potential i.e. can enhance physical mental and spiritual health by calling into play what is referred to as participating consciousness.

So if you can become conscious of your patterns and your beliefs, these core beliefs, and how you attain these beliefs, then you can let go of them. Rigid feeling, thought, and behavioral patterns can unclench; the self can rearrange itself and develop its inner and outer resources more deeply. So there we get to the concept of a true self and one that can be reconfigured, or at least rediscovered with the help of the psychoactive plants, particularly ayahuasca.

So Ill read you now what some people have said about their experience at our retreats, and Ill talk to you more about the retreats and how they function.

The last two nights have been challenging, but I'm getting good practice. Negative thoughts as they come up, under the effect, I can feel the physical sensation of fear in my gut as the thought arises and returns to a safer place."

In other words, when you have a certain thought, like you have a negative thought patternwhen I say negative, I mean a self defeating, self-deprecating, self invalidating thought patternthats not just the thought up here, thats immediately a physical impact on the body. You feel it in the gut, you feel it in the heart, if affects your whole nervous system, your cardiovascular system, your immune system, and this person is getting in touch with how their thoughts are influencing your body.

"In the past Ive made many bad, irresponsible choices with hurtful consequences to myself in others. Despite knowing that right now, Im presented with new choices I can make from a place of love towards myself and the people in my life. Its hard to push despair aside. The despair that tells me I will continue to make the same poor choices over and over again.

Thats the core belief showing up again that "theres something wrong with me." But this person at least is conscious of it.

This is a physician, by the way, who has nearly lost his license because of addictions, and his marriage is falling apart, and he came to the retreat. And he thought he had a perfect childhood, by the way, and I won't even go into the details.

The other very powerful moment I had involved looking at the sense of being too much for my parents. I know no matter how much love they felt for me, they probably were all alone with their own fears and anxiety. Well yeah, the father had a near-fatal heart attack at age 28. Ive experienced myself as a child when this child was a one-year old. Ive experienced myself as too much for the world for a long time. Ive made a grand effort over the years to prove that true, which is why it cracks my heart open so wide to feel welcomed in the hearts of you and the people here, knowing that my feelings, my hurt, fear, sadness, and need for connection are not too much. I feel that the world can hold me, in fact, always has. And maybe I can learn to hold myself. Its painful to think that Miles, my son, may feel himself to be too much for me. I desperately dont want that to happen. Much love and gratitude.

[break]

I wont read you the other experiences, but theyre all the same sort of people experiencing love, gratitude, connection to themselves, experiencing the childhood trauma.

My daughter did an ayahuasca retreat. She said that she revisited all the sad places in her childhood, and because I was a workaholic, and was very stressed, and a very undeveloped adult when I was a father to my young kids, shes has plenty of sorrow in her life. And she said that she revisited those sad places but did so with the loving consciousness and empathy and the compassion of an adult, and if you look at the brain scans on ayahuasca ... what you see is activation of the temporal lobe, where childhood memories are stored; of the limbic system where our emotions are modulated and they live, and the front part of the brain where insight is made available to us.

We can connect the childhood experience, no matter how traumaticand it sometimes comes up for people. Some really deeply disturbing, traumatic experiences come up for people during the ayahuasca experience. And those experiences may take the form of direct memory, direct recall of an image, or what happened to them, such as a body invasion, or other kinds of trauma, or it may take the form of really scary images and creatures, but its like a dream.In the dream, when somebodys chasing us, were not afraid because somebodys chasing ussomebodys chasing us because were afraid. In other words, during sleep, the centers in the brain where childhood memories are stored get activated, and then the brain makes up a story to explain the emotion. And I believe that much of the same is true of the scary visions that people have during the ayahuasca experience.

The beautiful images, of course, represent more the core self. We get to see both the experiences in response to which we develop these coping mechanisms that give us addiction or cancer or other form of illness. We get to experience that core self and the beauty of the world, as it actually is, when we dont see it through a screen of suffering and misinterpretation induced by our early experience.So, we get to see both what weve been running from and trying to cope with, and trying to manipulate, but we also get to see that true connection that true love, that true beauty, that true vision, that pure insight, that pure strength, that pure compassion. And when we do that, we realize we don't have to cope anymore. We don't have to run anymore. We can just be right where we are.

Now, thats not to say that because you have that experience its going to stay like that. That takes work that takes practice. If you don't put in some practice afterwards, if you don't get follow up, if you don't put it into the context of your life, this experience just becomes a beautiful memory. But the impact of it will fade. So its transformative, but its only transformative if you allow it to be transformative. And it you work with it so that it becomes transformative. But if you do, it can be very, very powerful, it can be life-changing for many, many people.

I have to say something here about context here. I dont lead ayahuasca ceremonies, Im not on ayahuasca, I dont chant, I just participate in the ceremonies. Leading the ceremonies are people who wouldn't call themselves shamans, but I would call them that because their work is that effective. They chant, and they work with people energetically. And they pick up on peoples energies in the dark. I dont do that. I pick up peoples energies in the light. I hear it in the tone of their voice, facial expression, choice of words. They sit there in the silence while they chant and they are reading the energies of the people as they emanate from each individual in that circle, where they might be 30 of us in the Malacca.And then they chant to people specifically to unblock particular energies, or particular energy blockages.

Like a person with cancer recentlytwo weeks after she signed up she became diagnosed with breast cancer. Ive told you my view of breast cancer, or cancer in general: its a repression of anger as one of the major dynamics in it.The shaman sits there in the dark and feels the blocked anger in that womans breast, and then works with it to unblock that energy. So, its not just the chemical effect of the plant, and Im sure other people have emphasized the same point. ... Its the context, its the responsiveness and supportive interaction of the environment.

Remember what I said when I was quoting from that Harvard article about how the brain develops in response to the mutual responsiveness of child and adult? In the same way the healing benefit of something like ayahuasca is not simply the chemical effect of the plant, although that of course is inseparable from its other effects. It's also the responsiveness of the environment in which people experience the ayahuasca. So, the experience has to be in a safe context, in a context where theres guidance.

People sometimes have negative experiences, or they think they do because they had an experience they didn't like, and so they resist the experience. And also, the personality has a way of invalidating our essential self.

Ill give you a quick example of that. There was a woman in a recent retreat who wanted to experience what was blocking her from engaging with life and herself in a full and passionate way. Next she reports with great disappointment and even resentment what she experienced during the ayahuasca ceremony.

I just got psychedelic colors, for example, there was a psychedelic Indian elephant. I didn't come here to get a trip with Indian elephants.

The Indian elephant is Ganesh, the god-figure who unblocks difficulties. Thats what she experienced. And in some part of her brain she knew that. But because she was resisting the experience rather than being open to it, she actually missed the point. Now, thats okay. If you go through it that way youll still learn what you need to learn, so Im not negating her experience. In fact, it turned out to be a beautiful experience for her. But people sometimes need the guidance to understand the experience. Its not enough, the experience.We have to find the meaning of the experience, and thats where my role comes in. Thats what I help people with. But that wouldnt be possible without the astonishing work of the ayahuasceros, the ayahuasceras, that I work with.

So its an overall gestalt; the plant, the ceremony, the chanting, the energetic work, and the psychological-emotional preparation beforehand, integration afterwards, and the joint exploration and the identification of meaning.

[applause]

Well, thank you.

Gabor Mate is a Canadian physician, speaker and author of four books.For more information, visitDrGaborMate.com.

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