The varieties of ecstatic experience: an exploration of the subjective experiences of ecstasy
Abstract
Previous investigations of the subjective effects of MDMA (material sold as ecstasy) have conducted interviews and surveys of various groups of ecstasy users within particular sub-populations. This study examined subjective drug effects reported by different sub-populations of ecstasy users and explored whether the function or purpose served by using ecstasy influenced the nature of the drug experience. Drawing on previous measures of alterations in consciousness, psychedelic drugs and cannabis, and informal interviews with ecstasy users and MDMA researchers, a 130-item survey assessing subjective effects of ecstasy/MDMA was developed. Principal components analysis of responses of ecstasy users revealed six components; perceptual alterations, entactogenic effects, prosocial effects, aesthetic effects, negative effects and sexual effects. The derived scale was used to predict ecstasy use behaviours, and functions and experiences of use. A variety of component scores were related to ecstasy use parameters; in particular, heavier users expected fewer negative, perceptual and aesthetic effects from taking the drug. The reasons given for using ecstasy (use function) also influenced reported drug effects. Abstainers expected greater negative, perceptual, aesthetic and sexual effects than users. These data indicate that the subjective ecstasy experience is influenced by a variety of extra-psychopharmacological factors. Drug intervention strategies may be made more effective by targeting particular user groups defined by reasons given for substance use, as it is likely that their experiences of ecstasy effects will differ. Future research into ecstasy may be improved by recognizing user diversity.
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The drug's empathogenic effects are given as a reason people use ecstasy recreationally and may add to its reinforcing properties.
“Such effects are cited as a motivation to use ecstasy recreationally [2–3] and may contribute to its reinforcing capacity [4].”
From Is Ecstasy an “Empathogen”? Effects of +/- 3,4-Methylenedioxymethamphetamine on Prosocial Feelings and Identification of Emotional States in Others (2010) · cites this paper as [3]
Cites
(2000) · Cited by 2,832 · see citing works
Bunney, W. E., Hippius, H., Laakmann, G., & Schmauß, M. (1990) · Springer eBooks · doi:10.1007/978-3-642-74034-3 · Cited by 1,523 · see citing works
The Pharmacology and Clinical Pharmacology of 3,4-Methylenedioxymethamphetamine (MDMA, “Ecstasy”)
Green, A. R., Mechan, A. O., Elliott, J. M., O’Shea, E., & Colado, M. I. (2003) · Pharmacological Reviews · doi:10.1124/pr.55.3.3 · Cited by 1,272 · see citing works
LISREL Approaches to Interaction Effects in Multiple Regression
Alexander, W. P., Jaccard, J., & Wan, C. K. (1998) · Technometrics · doi:10.1080/00401706.1998.10485533 · Cited by 1,149 · see citing works
LISREL Approaches to Interaction Effects in Multiple Regression
Jaccard, J. J., & Wan, C. K. (1996) · Sage eBooks · doi:10.4135/9781412984782 · Cited by 890 · see citing works
Drunken Comportment: A Social Explanation.
Honigmann, J. J., MacAndrew, C., & Edgerton, R. B. (1970) · Social Forces · doi:10.2307/2575612 · Cited by 609 · see citing works
Drunken Comportment: A Social Explanation.
Wiseman, J. P., MacAndrew, C., & Edgerton, R. B. (1973) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2062131 · Cited by 565 · see citing works
Understanding reasons for drug use amongst young people: a functional perspective
Boys, A. (2001) · Health Education Research · doi:10.1093/her/16.4.457 · Cited by 463 · see citing works
Recreational MDMA use in Sydney: a profile of ‘Ecstasy’ users and their experiences with the drug
Solowij, N., Hall, W., & Lee, N. (1992) · British Journal of Addiction · doi:10.1111/j.1360-0443.1992.tb02003.x · Cited by 416 · see citing works
Gender differences in the subjective effects of MDMA
Liechti, M. E., Gamma, A., & Vollenweider, F. X. (2001) · Psychopharmacology · doi:10.1007/s002130000648 · Cited by 360 · see citing works
Ecstasy use in Australia: patterns of use and associated harm
Topp, L., Hando, J., Dillon, P., ROCHE, A. M., & Solowij, N. (1999) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(99)00002-2 · Cited by 353 · see citing works
Ecstasy (MDMA) effects upon mood and cognition: before, during and after a Saturday night dance
Parrott, A. C., & Lasky, J. (1998) · Psychopharmacology · doi:10.1007/s002130050714 · Cited by 342 · see citing works
(1988) · PubMed · Cited by 313 · see citing works
Curran, H. V., & Travill, R. A. (1997) · Addiction · doi:10.1111/j.1360-0443.1997.tb02951.x · Cited by 284 · see citing works
Marijuana and cocaine effect expectancies and drug use patterns.
Schafer, J., & Brown, S. A. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.4.558 · Cited by 257 · see citing works
Marijuana and cocaine effect expectancies and drug use patterns.
Schafer, J., & Brown, S. A. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.59.4.558 · Cited by 256 · see citing works
Implications of LSD and experimental mysticism
Pahnke, W. N., & Richards, W. A. (1966) · Journal of Religion and Health · doi:10.1007/bf01532646 · Cited by 254 · see citing works
Liechti, M. E., & Vollenweider, F. X. (2001) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.348 · Cited by 236 · see citing works
Camí, J., Farré, M., Mas, M., Roset, P. N., Poudevida, S., Mas, A., San, L., & de la Torre, R. (2000) · Journal of Clinical Psychopharmacology · doi:10.1097/00004714-200008000-00010 · Cited by 234 · see citing works
Subjective and hormonal effects of 3,4-methylenedioxymethamphetamine (MDMA) in humans
Harris, D. S., Baggott, M., Mendelson, J. H., Mendelson, J. E., & Jones, R. T. (2002) · Psychopharmacology · doi:10.1007/s00213-002-1131-1 · Cited by 229 · see citing works
Parrott, A. C., Milani, R. M., Parmar, R., & Turner, J. J. (2001) · Psychopharmacology · doi:10.1007/s002130100897 · Cited by 210 · see citing works
Altered states: the clinical effects of Ecstasy
Cole, J. C., & Sumnall, H. R. (2003) · Pharmacology & Therapeutics · doi:10.1016/s0163-7258(03)00003-2 · Cited by 190 · see citing works
Self-citationA Method of Conducting Therapeutic Sessions with MDMA
Greer, G. R., & Tolbert, R. (1998) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1998.10399713 · Cited by 182 · see citing works
Verheyden, S. L., Henry, J. A., & Curran, H. V. (2003) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.529 · Cited by 171 · see citing works
Scholey, A. B., Parrott, A. C., Buchanan, T., Heffernan, T., Ling, J., & Rodgers, J. (2004) · Addictive Behaviors · doi:10.1016/j.addbeh.2004.02.022 · Cited by 166 · see citing works
von Sydow, K., Lieb, R., Pfister, H., Höfler, M., & Wïttchen, H. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(01)00195-8 · Cited by 159 · see citing works
Impulsivity, risk taking and recreational 'ecstasy' (MDMA) use.
Butler, G., & Montgomery, A. M. J. (2004) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2004.04.003 · Cited by 156 · see citing works
Tancer, M., & Johanson, C.-E. (2003) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(03)00172-8 · Cited by 153 · see citing works
The content of ecstasy tablets: implications for the study of their long‐term effects
Cole, J. C., Bailey, M., Sumnall, H. R., Wagstaff, G. F., & King, L. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.00222.x · Cited by 150 · see citing works
Self-citationThe pre-clinical behavioural pharmacology of 3,4-methylenedioxymethamphetamine (MDMA)
Cole, J. C., & Sumnall, H. R. (2003) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(03)00031-9 · Cited by 146 · see citing works
Self-citationSubjective reports on the effects of the MDMA (‘ecstasy’) experience in humans
Cohen, R. S. (1995) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/0278-5846(95)00231-6 · Cited by 136 · see citing works
Phenomenology and Sequelae of 3,4-Methylenedioxymethamphetamine Use
Liester, M. B., Grob, C. S., BRAVO, G. L., & WALSH, R. N. (1992) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199206000-00001 · Cited by 128 · see citing works
The Use of Drugs within the Techno Party Scene in European Metropolitan Cities
Tossmann, P., Boldt, S. L., & Tensil, M.-D. (2001) · European Addiction Research · doi:10.1159/000050709 · Cited by 125 · see citing works
MDMA: Nonmedical Use and Intoxication
Siegel, R. K. (1986) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1986.10472368 · Cited by 121 · see citing works
Places and patterns of drug use in the Scottish dance scene
FORSYTH, A. J. M. (1996) · Addiction · doi:10.1046/j.1360-0443.1996.9145116.x · Cited by 121 · see citing works
Fantegrossi, W. E., Woolverton, W. L., Kilbourn, M. R., Sherman, P. S., Yuan, J., Hatzidimitriou, G., Ricaurte, G. A., Woods, J. H., & Winger, G. D. (2004) · Neuropsychopharmacology · doi:10.1038/sj.npp.1300442 · Cited by 117 · see citing works
Chemical Analysis of Ecstasy Pills
Baggott, M. J., Heifets, B. D., Jones, R. T., et al. (2000) · JAMA · doi:10.1001/jama.284.17.2190 · Cited by 116 · see citing works
Williams, L., & Parker, H. J. (2001) · International Journal of Drug Policy · doi:10.1016/s0955-3959(01)00104-9 · Cited by 113 · see citing works
Psychological Effects of MDE in Normal Subjects
Hermle, L., Spitzer, M., Borchardt, D., Kovar, K., & Gouzoulis, E. (1993) · Neuropsychopharmacology · doi:10.1038/npp.1993.19 · Cited by 104 · see citing works
Ghubash, R., Daradkeh, T. K., El-Rufaie, O. E. F., & Abou-Saleh, M. T. (2001) · European Psychiatry · doi:10.1016/s0924-9338(01)00550-8 · Cited by 104 · see citing works
Liechti, M. E. (2001) · Neuropsychopharmacology · doi:10.1016/s0893-133x(00)00199-8 · Cited by 102 · see citing works
Substance use among young people: the relationship between perceived functions and intentions
Boys, A., Marsden, J., Griffiths, P., Fountain, J., Stillwell, G., & Strang, J. (1999) · Addiction · doi:10.1046/j.1360-0443.1999.94710439.x · Cited by 101 · see citing works
‘Weddings, parties, anything…’, a qualitative analysis of ecstasy use in Perth, Western Australia
Hansen, D., Maycock, B. R., & Lower, T. (2001) · International Journal of Drug Policy · doi:10.1016/s0955-3959(00)00075-x · Cited by 95 · see citing works
Perceived functions predict intensity of use and problems in young polysubstance users
Boys, A., & Marsden, J. (2003) · Addiction · doi:10.1046/j.1360-0443.2003.00394.x · Cited by 87 · see citing works
Curran, H. V., Rees, H., Hoare, T., Hoshi, R., & Bond, A. J. (2004) · Psychopharmacology · doi:10.1007/s00213-003-1713-6 · Cited by 83 · see citing works
A contextual profile of club drug use among adults in Chicago
Fendrich, M., Wislar, J. S., Johnson, T. P., & Hubbell, A. (2003) · Addiction · doi:10.1111/j.1360-0443.2003.00577.x · Cited by 82 · see citing works
Perceived risk and risk reduction among ecstasy users: the role of drug, set, and setting
Shewan, D., Dalgarno, P., & Reith, G. (2000) · International Journal of Drug Policy · doi:10.1016/s0955-3959(99)00038-9 · Cited by 82 · see citing works
Is ecstasy perceived to be safe? A critical survey
Gamma, A., Jerome, L., Liechti, M. E., & Sumnall, H. R. (2004) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2004.08.014 · Cited by 78 · see citing works
Self-citationPlaces and patterns of drug use in the Scottish dance scene
FORSYTH, A. J. M. (1996) · Addiction · doi:10.1111/j.1360-0443.1996.tb02309.x · Cited by 74 · see citing works
Self-Reported Psychopathology in Polydrug Users
Sumnall, H. R., Wagstaff, G. F., & Cole, J. C. (2004) · Journal of Psychopharmacology · doi:10.1177/0269881104040239 · Cited by 60 · see citing works
Self-citationSusceptibility to Amphetamine-Induced Locomotor Sensitization Is Modulated by Environmental Stimuli
Fraioli, S. (1999) · Neuropsychopharmacology · doi:10.1016/s0893-133x(98)00079-7 · Cited by 53 · see citing works
Culture, drugs and unsafe sex: confusion about causation
Rhodes, T. (1996) · Addiction · doi:10.1080/09652149639970 · Cited by 47 · see citing works
Navarro, J. F., & Maldonado, E. (2002) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/s0278-5846(02)00250-6 · Cited by 46 · see citing works
Culture, drugs and unsafe sex: confusion about causation
Rhodes, T. (1996) · Addiction · doi:10.1111/j.1360-0443.1996.tb03565.x · Cited by 46 · see citing works
Prevalence of Drug Use: Key Findings from The 2002/2003 British Crime Survey
Condon, J., & Smith, N. (2004) · PsycEXTRA Dataset · doi:10.1037/e667972007-001 · Cited by 42 · see citing works
Preventing Problems in Ecstasy Users: Reduce Use to Reduce Harm
Baggott, M. J. (2002) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2002.10399949 · Cited by 41 · see citing works
Sorted: Ecstasy facts and fiction.
Cole, J. C., Sumnall, H. R., & Grob, C. S. (2002) · Psychologist · Cited by 40 · see citing works
Self-citationNew Age Seekers: MDMA Use as an Adjunct to Spiritual Pursuit
Watson, L., & Beck, J. (1991) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1991.10471587 · Cited by 32 · see citing works
Expectancy and behavioral effects of socially used drugs.
Vogel-Sprott, M. D., & Fillmore, M. T. (2004) · American Psychological Association eBooks · doi:10.1037/10332-009 · Cited by 30 · see citing works
Chaiklin, H., & Tart, C. T. (1973) · The Family Coordinator · doi:10.2307/583009 · Cited by 27 · see citing works
Effects of Smoking and Smoking Deprivation on the Articulatory Loop of Working Memory
Blake, J. J., & Smith, A. P. (1997) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/(sici)1099-1077(199705/06)12:3 · Cited by 23 · see citing works
Zacny, J. P., Virus, R. M., & Woolverton, W. L. (1990) · Pharmacology Biochemistry and Behavior · doi:10.1016/0091-3057(90)90301-w · Cited by 17 · see citing works
Whittington, J. E., & Huppert, F. A. (1997) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/(sici)1099-1077(199709/10)12:5 · Cited by 14 · see citing works
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Effects of MDMA on sociability and neural response to social threat and social reward
Bedi, G., Phan, K. L., Angstadt, M., & de Wit, H. (2009) · Psychopharmacology · doi:10.1007/s00213-009-1635-z · Cited by 206 · see citing works
McGregor, I. S., Callaghan, P. D., & Hunt, G. E. (2008) · British Journal of Pharmacology · doi:10.1038/bjp.2008.132 · Cited by 171 · see citing works
Kamilar-Britt, P., & Bedi, G. (2015) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2015.08.016 · Cited by 163 · see citing works
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Kirkpatrick, M. G., Lee, R., Wardle, M. C., Jacob, S., & de Wit, H. (2014) · Neuropsychopharmacology · doi:10.1038/npp.2014.12 · Cited by 143 · see citing works
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Kirkpatrick, M. G., Francis, S. M., Lee, R., de Wit, H., & Jacob, S. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.04.006 · Cited by 106 · see citing works
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- Authors
- Sumnall, H. R., Cole, J. C., & Jerome, L.
- Affiliations
- Liverpool John Moores University (GB)
- University of Liverpool (GB)
- Multidisciplinary Association for Psychedelic Studies (US)
- Venue
- Journal of Psychopharmacology
- Publisher
- SAGE Publications
- Published
- 2006-09
- Volume
- 20
- Issue
- 5
- Pages
- 670-682
- ISSN
- 0269-8811 (ISSN-L)
- 1461-7285
- OpenAlex
- W2013498451
- Cited by
- 116
- References
- 63
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 8 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 12 · 2016: 6 · 2015: 10 · 2014: 11 · 2013: 7 · 2012: 2
- FWCI
- 8.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Anhui University of Science and Technology
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Forensic Toxicology and Drug Analysis
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- MDMA, ecstasy, subjective drug effects, perceptual alterations, prosocial effects, aesthetic effect, adverse outcomes, user heterogeneity
- MeSH terms
- Adolescent, Adult, Affect, Aged, Drug Interactions, Esthetics, Female, Hallucinogens, Humans, Male, Middle Aged, Motivation, Perception, Surveys and Questionnaires, Sexual Behavior, Sex Characteristics, Social Behavior, Social Environment, N-Methyl-3,4-methylenedioxyamphetamine, Substance-Related Disorders, Principal Component Analysis
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