scholarly journals Day trip to hell: A mixed methods study of challenging psychedelic experiences

Author(s):  
Petter Grahl Johnstad

AbstractBackground and aimsThis article presents a mixed methods study of challenging psychedelic experiences or “bad trips”, with the aim of exploring the nature and characteristics of such experiences. While challenging psychedelic experiences have been studied in previous research, the article posits that the focus of this research has been overly narrow in terms of the characteristics and etiology of these experiences, and that it would be helpful to broaden our understanding of what a challenging psychedelic trip might be and how it affects users.MethodsIn the first study, respondents (N = 38) were recruited at various online fora for individual anonymous interviews via private messaging. The Cannabis and Psychedelics User Survey used for the second study was constructed on the basis of the knowledge obtained from interviews, and recruited 319 participants (median age 33; 81% male) from seven different online communities. Respondents were asked to characterize both a typical and their worst psychedelic experience, allowing for comparisons between the two and for regression analyses of associations between challenging experiences and other factors.ResultsBoth in interviews and in the survey, respondents reported a broader range of characteristics for challenging psychedelic experiences than what has previously been recognized in the research literature. Despite the often dramatic narratives, they were convinced that the experience had positive long-term consequences.ConclusionsThe two studies found that challenging psychedelic experiences have a greater thematic range than what has previously been identified. Besides the near ubiquity of fear in these experiences, confusion was also identified as an important aspect. Meditation practice had paradoxical effects on challenging psychedelic experiences, appearing as a fruitful area for further research.

2020 ◽  
Vol 74 (7) ◽  
pp. 1115-1116
Author(s):  
George Thom ◽  
Stephan U. Dombrowski ◽  
Naomi Brosnahan ◽  
Yasmin Y. Algindan ◽  
M. Rosario Lopez-Gonzalez ◽  
...  

2012 ◽  
Vol 37 (3) ◽  
pp. 164-178 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel ◽  
Derek Daniels ◽  
Stephanie Hughes

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Anne Rogers ◽  
Helen Brooks ◽  
Ivaylo Vassilev ◽  
Anne Kennedy ◽  
Christian Blickem ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018006 ◽  
Author(s):  
Wytske Geense ◽  
Marieke Zegers ◽  
Hester Vermeulen ◽  
Mark van den Boogaard ◽  
Johannes van der Hoeven

IntroductionDue to advances in critical care medicine, more patients survive their critical illness. However, intensive care unit (ICU) survivors often experience long-term physical, cognitive and mental problems, summarised as post-intensive care syndrome (PICS), impacting their health-related quality of life (HRQoL). In what frequency PICS occurs, and to what extent this influences ICU survivors’ HRQoL, is mostly unknown. The aims of this study are therefore to study the: (1) 5-year patient outcomes, (2) predictors for PICS, (3) ratio between HRQoL of ICU survivors and healthcare-related costs, and (4) care and support needs.MethodsThe MONITOR-IC study is a multicentre prospective controlled cohort study, carried out in ICUs in four Dutch hospitals. Patients will be included between July 2016 and July 2021 and followed for 5 years. We estimated to include 12000 ICU patients. Outcomes are the HRQoL, physical, cognitive and mental symptoms, ICU survivors’ care and support needs, healthcare use and related costs. A control cohort of otherwise seriously ill patients will be assembled to compare long-term patient-reported outcomes. We will use a mixed methods design, including questionnaires, medical data from patient records, cost data from health insurance companies and interviews with patients and family members.Ethics and disseminationInsights from this study will be used to inform ICU patients and their family members about long-term consequences of ICU care, and to develop prediction and screening instruments to detect patients at risk for PICS. Subsequently, tailored interventions can be developed and implemented to prevent and mitigate long-term consequences. Additionally, insights into the ratio between HRQoL of ICU patients and related healthcare costs during 5 years after ICU admission can be used to discuss the added value of ICU care from a community perspective. The study has been approved by the research ethics committee of the Radboud University Medical Center (2016-2724).Clinical trial registrationNCT03246334


2020 ◽  
Vol 74 (4) ◽  
pp. 622-632 ◽  
Author(s):  
George Thom ◽  
Stephan U. Dombrowski ◽  
Naomi Brosnahan ◽  
Yasmin Y. Algindan ◽  
M. Rosario Lopez-Gonzalez ◽  
...  

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