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The early use of MDMA (‘Ecstasy') in Psychotherapy (1977–1985)
Open accessAbstract
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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Cited by
Sorted by citations
Psychedelics and Psychedelic-Assisted Psychotherapy
Reiff, C. M., Richman, E. E., Nemeroff, C. B., Carpenter, L. L., Widge, A. S., Rodriguez, C. I., Kalin, N. H., McDonald, W. M., & and the Work Group on Biomarkers and Novel Treatments, A. D. O. T. A. P. A. C. O. R. (2020) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2019.19010035 · Cited by 649
Reviewing the Potential of Psychedelics for the Treatment of PTSD
Krediet, E., Bostoen, T., Breeksema, J., van Schagen, A., Passie, T., & Vermetten, E. (2020) · International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyaa018 · Cited by 260
Self-citationGreenway, K. T., Garel, N., Jerome, L., & Feduccia, A. A. (2020) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2020.1772054 · Cited by 94
Wagner, A. C., Mithoefer, M. C., Mithoefer, A. T., & Monson, C. M. (2019) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2019.1589028 · Cited by 92
Brennan, W., & Belser, A. B. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.866018 · Cited by 90
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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