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The early use of MDMA (‘Ecstasy') in Psychotherapy (1977–1985)
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3,4-Methylenedioxymethamphetamine (MDMA), also known as ecstasy, was first synthesized in 1912 but first reached widespread popularity as a legal alternative after the much sought-after recreational drug 3,4-methylenedioxy-amphetamine (MDA) was made illegal in 1970. Because of its benign, feeling-enhancing, and nonhallucinatory properties, MDMA was used by a few dozen psychotherapists in the United States between 1977 and 1985, when it was still legal. This article looks into the contexts and practices of its psychotherapeutic use during these years. Some of the guidelines, recommendations, and precautions developed then are similar to those that apply to psychedelic drugs, but others are specific for MDMA. It is evident from this review that the therapists pioneering the use of MDMA were able to develop techniques (and indications/counterindications) for individual and group therapy that laid the groundwork for the use of MDMA in later scientific studies. In retrospect, it appears that the perceived beneficial effects of MDMA supported a revival of psycholytic/psychedelic therapy on an international scale.
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“MDMA also functions as a stimulant and results in subjective effects including, most relevant to this paper, altered responses to social stimuli and experience of social emotion, including heightened feelings of empathy, and feelings of love (27) and compassion (28).”
In the citing paper
“Anecdotal reports of early therapists using MDMA indicated that clients often report greater ease in relating in both close and more distant relationships for weeks or months afterwards (28).”
In the citing paper
“In addition, anecdotal reports of MDMA-AT sessions suggest that MDMA increases self-compassion and self-acceptance (28, 110).”
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Brennan, B., & Belser, A. (2024) · Oxford University Press eBooks · doi:10.1093/9780197762622.003.0009
Considerations Prior to Meeting With a Participant
Brennan, B., & Belser, A. (2024) · Oxford University Press eBooks · doi:10.1093/9780197762622.003.0005
INTRODUCTION: A New Approach for the Whole Person
Brennan, B., & Belser, A. (2024) · Oxford University Press eBooks · doi:10.1093/9780197762622.003.0001
Choosing Suggested Integration Goals
Brennan, B., & Belser, A. (2024) · Oxford University Press eBooks · doi:10.1093/9780197762622.005.0004
Working Within the EMBARK Domains Cheat Sheet
Brennan, B., & Belser, A. (2024) · Oxford University Press eBooks · doi:10.1093/9780197762622.005.0003
Brennan, B., & Belser, A. (2024) · Oxford University Press eBooks · doi:10.1093/9780197762622.003.0007
Brennan, B., & Belser, A. (2024) · Oxford University Press eBooks · doi:10.1093/9780197762622.005.0002
An Overview of Psychedelic-Assisted Therapy
Brennan, B., & Belser, A. (2024) · Oxford University Press eBooks · doi:10.1093/9780197762622.003.0002
Metadata
- Authors
- Passie, T.
- Affiliations
- Goethe University Frankfurt (DE)
- Corresponding author
- Passie, Torsten
- ORCID
- Passie, Torsten
- Venue
- Drug Science Policy and Law
- Publisher
- SAGE Publications
- Published
- 2018-01
- Volume
- 4
- ISSN
- 2050-3245 (ISSN-L)
- OpenAlex
- W2797335301
- Cited by
- 116
- References
- 29
- Citations by year
- 2026: 5 · 2025: 13 · 2024: 28 · 2023: 35 · 2022: 17 · 2021: 9 · 2020: 5 · 2019: 2 · 2018: 2
- FWCI
- 5.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Drug Science Policy and Law (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- MDMA, ecstasy, psychotherapy, psychedelic therapy, history of psychotherapy, group therapy, individual psychotherapy, 1970s, 3,4-methylenedioxyamphetamine
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