{"id":1266,"date":"2021-06-30T19:56:06","date_gmt":"2021-06-30T17:56:06","guid":{"rendered":"http:\/\/mathiasdelattre.com\/?page_id=1266"},"modified":"2021-06-30T19:56:06","modified_gmt":"2021-06-30T17:56:06","slug":"jacques-mabit-the-discipline-and-sophistication-of-traditional-amazonian-medicines-a-resource-for-approaching-psychopathologies","status":"publish","type":"page","link":"https:\/\/mathiasdelattre.com\/index.php\/jacques-mabit-the-discipline-and-sophistication-of-traditional-amazonian-medicines-a-resource-for-approaching-psychopathologies\/","title":{"rendered":"Jacques Mabit &#8211; The Discipline and Sophistication of Traditional Amazonian Medicines :  A resource for approaching psychopathologies."},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>English + French bellow<\/p>\n<p>&nbsp;<\/p>\n<p>Interest in the topic of ayahuasca among populations of developed countries has increased over the last twenty years to the point that ayahuasca has become a fashionable phenomenon. This enthusiasm has widely exceeded the framework of the academic community and scientific laboratories. It has emerged following the expansion of self-exploration initiated in the 1960s \u2013 an exploration that sought to confront the lack of satisfying answers from churches, philosophical schools, and psychotherapeutic traditions.<\/p>\n<p>The search for an individual sense of life represents a typical Western project and is almost absent in tribal cultures who prioritize the survival and maintenance of collective cohesion. Indigenous peoples are endowed with a rich cosmogony and the mythical tools, legends, and stories that permit them to immediately reference their transpersonal experience and to integrate that experience within a coherent psychic and cultural framework, as much for themselves as for their group. The early submersion in a universe that can be grasped through metaphorical discourse, symbolic codes, analogical descriptions, makes it domesticable.<\/p>\n<p>Members of these ethnic communities have ritual spaces where they can learn how to enter into relationship with the invisible world, or the world of the spirits, in order to acquire answers and information of interest. Under the guidance of a master skilled in the control of the induction of altered states of consciousness, they undergo an initiation process that permits them to enrich their exploration of the beyond with the capacity to integrate into their lives the teachings acquired during their voyage. As they become aware of the danger surrounding a brave explorer, they also discover the considerable power of the archetypal forces, and consequently the respect that these forces merit.<\/p>\n<p>Systems of initiation and transmission of knowledge have been established in traditional medicines since ancient times. Schools have existed in jungles and sierras. Ayahuasquero Aquilino Chujandama from Chazuta, on the Huallaga River, told us how he spent nine months with a dozen other young people under the education of a teacher (Maestro) in the middle of the Amazon. He remembered the hard discipline of learning, moved to tears at over 80 years of age: fasts and diets, taking plants, isolation in huts, study of songs, and more. In all this, beyond the apparently \u2018folkloric\u2019 appearance there is an extremely rigorous practice that demands great personal commitment, strict obedience, and strong self-discipline. These external forms express a collective rigour of thought and inner attitude, and a principled ethics.<\/p>\n<p>Mistress plants, which induce altered states of consciousness, are used unscrupulously by false healers and \u2018shamans\u2019 with purely economic intentions (without ruling out other abuses such as the quest for power and the pursuit of sexual advantage). Opportunists, both Westerners and locals who have Indian features, disguise themselves, swell the self-proclaimed title of \u2018shaman\u2019, invent false genealogies, and exploit the growing market of anxious clients in search of healing, knowledge and existential meaning.<\/p>\n<p>The use of ayahuasca is only one example of the many rituals involved in this pursuit that are found in the practices of ancestral communities, which have maintained, across time, space, and culture, certain characteristics that are constants for the induction of altered states of consciousness.<\/p>\n<p>A person who drinks ayahuasca does not lose consciousness during the session and because of this, this person is at the same time observer and observed. He can actively intervene in his own internal processes and thus return as the direct protagonist of his treatment. Afterwards, he will notice an improvement in his self-esteem and experience a powerful sense of self-confidence over that which he has discovered, generating motivation to implement the changes necessary in his life. He can verify the certainty of the interpretive proposals of his therapist, and retake the reigns of his being.<\/p>\n<p>Since the effective doses of ayahuasca at cerebral levels are close to toxic doses, the ortho-sympathetic phase can be accompanied by digestive evacuation in the form of vomiting and diarrhea. This has earned ayahuasca the deserved name \u2018<em>purga, <\/em>purge, by the local population. At the time of vomiting the subject experiences a concomitant elimination of emotional charges linked to recovered memories, while living the purge subjectively as an expulsion of fear, anger, and negative feelings. It\u2019s because of this link that the purgative effects do not constitute an undesirable secondary effect from drinking ayahuasca, rather, they represent an essential, cathartic, curative function.<\/p>\n<p>Ayahuasca is a natural beverage which respects the physiological barriers and natural mechanisms of self-regulation through the functions of evacuation (diarrhea, vomiting, sweat, and urine) when the patient reaches the limits of his capacity of resistance. Because of this, there is no risk of toxicity to the drinker. We are reminded that studies on rats by Dr Mitras Costa of the University of Campinas in Brazil, indicated that the lethal dose for a 75kg man would be 7.8 liters of ayahuasca \u2013 this represents approximately fifty times the usual therapeutic doses. The extremely disagreeable taste of the beverage makes it effectively impossible to reach this dose, and no cases of death following the ingestion of ayahuasca have been reported. Clinical studies of the Hoasca project carried out by James Callaway and his team in the 1990s clearly indicate that the correct, long-term usage of ayahuasca could not negatively affecting the drinker. In fact, the study found, taking ayahuasca actually improved the physical and psychological health of the participants, when compared to a control group. We have noted the same salubrious effects among ourselves, as well as among the <em>Ayahuasqueros<\/em>, master healers trained in ayahuasca preparation and use, who are healthy at advanced ages. As with any medicine, however, the indications must to take into account the patient&rsquo;s anamnesis, previous pathologies, the use of medication or drugs: the dangers result more from these omissions than from the potion itself.<\/p>\n<p>Observations of animals have also implied the existence of an instinct in all species to almost compulsively seek experiences that modify consciousness through the ingestion of natural intoxicating substances. An appetite to acquire superior levels of consciousness appears to manifest as an intrinsic impulse of all living beings. This self-exploration of consciousness, through the modification of perceptions, includes much more than the use of psychoactive substances. There are infinite methods for inducing these states through hypo- or hyper-stimulation of the senses. Indeed, in everyday life, human beings constantly modify their state of consciousness and sometimes achieve very powerful and spontaneous alterations of consciousness without the ingestion of any substances at all (for example, through orgasm, dream, trauma, extreme physical exercise, extreme pain, fasting, prayer, or meditation). Given that modifications induced in human consciousness are at once natural and indispensable (you cannot live without dreaming), and furthermore that they represent a necessity for the realization of one\u2019s spirituality, these modified states of consciousness must be protected as an inalienable right of people.<\/p>\n<p>The Takiwasi Center was co-founded in 1992 to address this necessity. Located in the Peruvian high-Amazon, it was created by French physician Jacques Mabit as a centre for the treatment of addiction and mental health and for research into traditional Amazonian medicine. Takiwasi has pioneered the construction of an intercultural therapeutic model. A multidisciplinary team of doctors, psychologists, and healers work together to restore the health of the patients who are welcomed into its therapeutic community.<\/p>\n<p>Where Western people have an awkward and tentative relationship with modified states of consciousness, ancestral medicines have a confident and very sophisticated knowledge. When controlled by the latter, non-ordinary states of consciousness do no damage, while creating opportunities to face the recent development of addictions. Drawing on the experience of the High Peruvian Amazonian forest, Takiwasi therapeutically prescribes wisely chosen medicinal plants, including psychoactives such as ayahuasca. This therapeutic system, elaborated within an institutional framework which combines traditional practices and modern psychotherapy, is efficient, as is demonstrated by the very encouraging outcomes: the experience is positive for two out of three patients. It works outside the cultural environment that creates drug addicts and therapists, inviting Westerners to expand our notion of initiation. This experience, largely forgotten in the Western modern context, seems to be the purpose of the spiritual quest embarked on by drug addicts.<\/p>\n<p>In sum, the current state of medicine in a globalized world in crisis invites us to reflect on the differences and convergences between tradition and modernity in the field of health. Traditional indigenous medicine, in which shamanism often plays a key role, appears at this juncture as a privileged environment for research, and for the production of new models of wellness and good living. The main elements of these new models will be epistemological reflections; the analysis of social realities and the power relations they imply; ethics; the logic of articulation; and an openness to the complexity of the human being and to life in general.<\/p>\n<p>Takiwasi, March 2020.<\/p>\n<p>&nbsp;<\/p>\n<p>Dr. Jacques Mabit is co-founder of the Takiwasi Centre for Addiction Treatment and Research on Traditional Medicines, Tarapoto, Peru, <a href=\"http:\/\/www.takiwasi.com\">www.takiwasi.com<\/a>. This article is a digest of the following publications authored by Dr. Mabit, or on the subject of his work:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2010) \u2018Apports th\u00e9rapeutiques de l&rsquo;Ayahuasca dans le cas d&rsquo;addictions\u2019, <em>Les plantes hallucinog\u00e8nes : Initiations, th\u00e9rapies et qu\u00eate de soi<\/em> , Christian Ghasarian &amp; S\u00e9bastien Baud, eds. Imago, pp.267-286.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2007) \u2018L\u2019ayahuasca dans le traitement des addictions\u2019, <em>Psychedelic Medicine (Vol. 2): New Evidence for Hallucinogic Substances as Treatments<\/em> 1, Thomas B. Robert, Michael J. Winkelman, eds., Praeger Ed, pp.87-103.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2001) \u2018L\u2019alternative des savoirs autochtones au \u00ab tout ou rien \u00bb th\u00e9rapeutique\u2019,\u00a0<em>Psychotropes<\/em>, De Boeck Sup\u00e9rieur, Vol. 7 (|), pp.7-18<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2013) Bonicard, Jes\u00fas Gonz\u00e1lez M. Mariscal, \u2018Vers une m\u00e9decine transculturelle. R\u00e9flexions et propositions fond\u00e9es sur l&rsquo;exp\u00e9rience du Centre Takiwasi\u2019, <em>Journal of Transpersonal Research<\/em>, Vol. 5 (2), pp.49-76.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2018) Politi, M.; Friso, F., \u2018Amazonian medicinal plants botanical garden of Takiwasi Center in Peru; a case report of 25 years\u2019 hands-on experience\u2019, MedCrave. <em>Horticulture International Journal<\/em>. Vol. 2 (3), pp.69-71<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2018) Berlowitz, I. et al, \u2018Conceptions and practices of an integrative treatment for substance use disorders involving Amazonian medicine: traditional healers\u2019 perspectives\u2019,\u00a0<em>Brazilian Journal of Psychiatry<\/em>,\u00a0Vol. 40 (2), pp.200-209. Epub December 18, 2017.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2019) Berlowitz, I. et al, \u2018Short-Term Treatment Effects of a Substance Use Disorder Therapy Involving Traditional Amazonian Medicine\u2019, <em>Journal of Psychoactive Drugs<\/em>51 (4), pp.323-334<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>(2017) O&rsquo;Shaughnessy, D.M.,\u00a0<em>Takiwasi: addiction treatment in the \u00ab\u00a0Singing House\u00a0\u00bb.<\/em>\u00a0PhD thesis, James Cook University, Australia<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2011) \u2018Ritual Ayahuasca Use and Health: An Interview with Jacques Mabit\u2019, <em>The Internationalization of Ayahuasca<\/em>, Caiuby Labate, B. et al, eds, Berlin, pp.223-243<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>(2001) Valleur, M., \u2018L\u2019ordalie. Au risque du hasard\u2019, <em>Fronti\u00e8res, <\/em>Automne\u00a0pp.18-24<\/li>\n<li>(2005) Brisson, P., \u2018Avant, pendant et apr\u00e8s l\u2019exp\u00e9rience psychotrope\u00a0: Plaidoyer pour une approche spirituelle de la question drogue\u2019, <em>Programme d\u2019\u00e9tudes en toxicomanie, Universit\u00e9 de Sherbrooke, in Actes du XXXII<sup>e<\/sup><\/em> <em>Colloque<\/em>. <em>De la pr\u00e9vention \u00e0 la r\u00e9adaptation\u00a0: traditions, impacts, approches<\/em>. Longueuil\u00a0: Association des intervenants en toxicomanie du Qu\u00e9bec, Canada pp.195-206.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>FR :<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>Depuis une vingtaine d\u2019ann\u00e9es l\u2019int\u00e9r\u00eat des populations des pays d\u00e9velopp\u00e9s s\u2019est accru sur le sujet de l\u2019ayahuasca au point de susciter un ph\u00e9nom\u00e8ne de mode et d\u2019enthousiasme qui d\u00e9passe largement le cadre de la communaut\u00e9 acad\u00e9mique et des laboratoires scientifiques. Il se situe dans le prolongement des tentatives d\u2019auto-exploration commenc\u00e9es dans les ann\u00e9es soixante face au manque de r\u00e9ponses convaincantes des \u00e9glises, des \u00e9coles philosophiques, des projets politiques et des psychoth\u00e9rapies conventionnelles pour r\u00e9pondre au malaise existentiel collectif de l\u2019Occident.<\/p>\n<p>La qu\u00eate d\u2019un sens individuel de la vie repr\u00e9sente un projet typiquement occidental, presque absent des cultures tribales o\u00f9 ce qui fait sens concerne avant tout le maintien de la coh\u00e9sion du groupe et sa survie. L\u2019indien amazonien est dot\u00e9 d\u2019une riche cosmogonie et des outils des mythes, des l\u00e9gendes et des contes qui lui permettent de situer imm\u00e9diatement une exp\u00e9rience transpersonnelle et l\u2019int\u00e9grer dans un cadre psychique et culturel coh\u00e9rent aussi bien pour lui que pour son groupe de r\u00e9f\u00e9rence. La submersion pr\u00e9coce dans un univers saisissable \u00e0 travers un discours m\u00e9taphorique, des codes symboliques, des descriptions analogiques, rend celui domesticable.<\/p>\n<p>Il existe pour les membres d\u2019une communaut\u00e9 ethnique des espaces rituels o\u00f9 ils peuvent apprendre \u00e0 entrer en relation avec le monde invisible ou monde des esprits afin d\u2019obtenir des r\u00e9ponses ou des informations d\u2019int\u00e9r\u00eat. Guid\u00e9 par un ma\u00eetre form\u00e9 au contr\u00f4le de l\u2019induction des \u00e9tats modifi\u00e9s de conscience, ils vivront un processus initiatique qui leur permettra de revenir enrichis de leur exploration dans cet au-del\u00e0 et avec la capacit\u00e9 d\u2019int\u00e9grer dans leur vie les enseignements acquis au cours du \u00ab voyage \u00bb. Ils d\u00e9couvriront \u00e9galement la puissance consid\u00e9rable des formes arch\u00e9typiques et, de l\u00e0, le respect qu\u2019elles m\u00e9ritent ainsi que le danger qu\u2019elles renferment pour un explorateur t\u00e9m\u00e9raire.<\/p>\n<p>Depuis les temps anciens, des syst\u00e8mes d&rsquo;initiation et de transmission du savoir ont \u00e9t\u00e9 mis en place dans les m\u00e9decines traditionnelles. De v\u00e9ritables \u00e9coles ont exist\u00e9 dans les jungles et les sierras. L\u2019ayahuasquero Aquilino Chujandama de Chazuta, sur le fleuve Huallaga, nous a racont\u00e9 comment il avait pass\u00e9 neuf mois avec une douzaine d&rsquo;autres jeunes dans \u00ab\u00a0l&rsquo;\u00e9cole\u00a0\u00bb d&rsquo;un enseignant (maestro) en pleine Amazonie. Il se souvenait, \u00e9mus jusqu\u2019aux larmes \u00e0 plus de 80 ans, de la dure discipline des apprentissages : je\u00fbnes et di\u00e8tes, prises de plantes, isolement dans des huttes, \u00e9tude des chants, etc. Derri\u00e8re les apparences \u00ab folkloriques \u00bb, apparait une extr\u00eame rigueur dans la pratique, une grande exigence d\u2019engagement personnel, l&rsquo;ob\u00e9issance stricte \u00e0 l&rsquo;enseignant et une forte auto-discipline. Ces formes ext\u00e9rieures expriment une rigueur identique de la pens\u00e9e, de l\u2019attitude int\u00e9rieure et des principes \u00e9thiques.<\/p>\n<p>Des plantes-ma\u00eetresses qui induisent des \u00e9tats modifi\u00e9s de la conscience sont utilis\u00e9es sans scrupules par de faux gu\u00e9risseurs et \u00ab chamanes \u00bb avec un objectif uniquement \u00e9conomique et sans \u00e9carter d\u2019autres abus comme la qu\u00eate de pouvoir et la recherche d\u2019avantages sexuels. Des opportunistes, aussi bien des occidentaux que des locaux se valant de leurs traits indiens, se d\u00e9guisent, s\u2019enflent du titre autoproclam\u00e9 de \u00ab chamane \u00bb, s\u2019inventent de fausses g\u00e9n\u00e9alogies, et exploitent le march\u00e9 croissant de clients anxieux en qu\u00eate de gu\u00e9rison, de connaissance et de sens existentiel.<\/p>\n<p>L\u2019Ayahuasca repr\u00e9sente sans aucun doute un outil tr\u00e8s puissant de connaissance de soi et donc un moyen privil\u00e9gi\u00e9 de facilitation du travail du psychoth\u00e9rapeute.<\/p>\n<p>Pendant la prise d\u2019Ayahuasca, le sujet ne perd pas conscience et joue simultan\u00e9ment le r\u00f4le d\u2019observateur et d\u2019observ\u00e9. Il est lui-m\u00eame son propre objet d\u2019observation. Il peut intervenir activement dans son propre monde int\u00e9rieur et devient par l\u00e0 le protagoniste direct de son traitement. Ce qui ne manque pas d\u2019am\u00e9liorer notablement sa propre estime et renforcer puissamment sa conviction quant aux d\u00e9couvertes qu\u2019il effectue sur lui-m\u00eame et, du m\u00eame coup, consolider sa motivation pour concr\u00e9tiser les changements n\u00e9cessaires \u00e0 sa vie. Il peut v\u00e9rifier la v\u00e9racit\u00e9 des propositions interpr\u00e9tatives de son th\u00e9rapeute. Il r\u00e9cup\u00e8re les r\u00eanes de son \u00eatre qui lui \u00e9chappaient.<\/p>\n<p>\u00c9tant donn\u00e9 que les doses efficaces d\u2019Ayahuasca au niveau c\u00e9r\u00e9bral sont proches des doses toxiques, la phase orthosympathique peut s\u2019accompagner d\u2019une \u00e9vacuation digestive sous forme de vomissements ou de diarrh\u00e9es. Cela a valu \u00e0 l\u2019Ayahuasca l\u2019appellation de \u201cpurge\u201d (<em>purga<\/em>) qui lui est commun\u00e9ment donn\u00e9e par les populations locales. Au moment de vomir, le sujet exp\u00e9rimente l\u2019\u00e9limination concomitante des charges \u00e9motionnelles li\u00e9es aux m\u00e9moires recontact\u00e9es et le vit de fa\u00e7on subjective comme l\u2019expulsion d\u2019une peur, d\u2019une col\u00e8re, ou tout autre sentiment n\u00e9gatif. Ces diff\u00e9rentes formes de purgation ne repr\u00e9sentent donc pas des effets secondaires ind\u00e9sirables ou adverses des prises d\u2019ayahuasca mais constituent plut\u00f4t une fonction curative et cathartique essentielles.<\/p>\n<p>Il n\u2019existe pas de risque de toxicit\u00e9 dans l\u2019utilisation du breuvage naturel sur des sujets sains puisque les barri\u00e8res physiologiques sont respect\u00e9es et des m\u00e9canismes d\u2019autor\u00e9gulation agissent au moyen des fonctions d\u2019\u00e9vacuation (diarrh\u00e9e, vomissement, transpiration, urine\u2026) quand le patient atteint les limites de sa capacit\u00e9 de r\u00e9sistance. Rappelons que les \u00e9tudes sur les rats du Dr. Mirtes Costa de l\u2019Universit\u00e9 de Campinas au Br\u00e9sil signalent que la dose mortelle pour un \u00eatre humain standard (75 kgs) serait de 7,8 litres d\u2019Ayahuasca, ce qui repr\u00e9sente en moyenne 50 fois la dose th\u00e9rapeutique habituelle. Le go\u00fbt extr\u00eamement d\u00e9sagr\u00e9able du breuvage rend impossible d\u2019atteindre cette dose. Les \u00e9tudes cliniques du projet Hoasca effectu\u00e9 au Br\u00e9sil par une \u00e9quipe pluridisciplinaire de l\u2019Universit\u00e9 de Berkeley indiquent clairement que l\u2019utilisation correcte et prolong\u00e9e de l\u2019Ayahuasca non seulement n\u2019affecte pas ceux qui l\u2019ing\u00e8rent mais qu\u2019elle leur apporte de nettes am\u00e9liorations tant sur le plan physique que psychique par rapport \u00e0 un groupe de contr\u00f4le. Nous m\u00eame avons observ\u00e9 la m\u00eame chose sur nous-m\u00eame et parmi les gu\u00e9risseurs qui atteignent en bonne sant\u00e9 des \u00e2ges avanc\u00e9s. Comme pour toute m\u00e9decine, les indications devront cependant prendre en compte l\u2019anamn\u00e8se du patient, ses pathologies ant\u00e9rieures, la consommation de m\u00e9dicaments ou de drogues: les dangers r\u00e9sultent davantage de ces omissions que de la potion en elle-m\u00eame.<\/p>\n<p>L\u2019observation des diff\u00e9rentes esp\u00e8ces zoologiques r\u00e9v\u00e8le \u00e9galement chez l\u2019animal une qu\u00eate instinctuelle et quasi compulsive d\u2019exp\u00e9riences de modification de la conscience au moyen de l\u2019ingestion de substances naturelles qui procurent l\u2019ivresse. L\u2019aspiration \u00e0 acqu\u00e9rir constamment des degr\u00e9s sup\u00e9rieurs de conscience semble se manifester comme une impulsion propre \u00e0 tout \u00eatre vivant. Cette auto-exploration de la conscience au moyen de la modification des perceptions va au-del\u00e0 de l\u2019usage des substances psychoactives et il existe une infinit\u00e9 de m\u00e9thodes d\u2019induction de ces \u00e9tats gr\u00e2ce \u00e0 l\u2019hypo stimulation (d\u00e9privation sensorielle) ou l\u2019hyper stimulation (excitation sensorielle) des divers sens. Finalement, dans la vie quotidienne, l\u2019\u00eatre humain modifie constamment son \u00e9tat de conscience et produit parfois des alt\u00e9rations tr\u00e8s fortes de la conscience de fa\u00e7on spontan\u00e9e sans avoir ing\u00e9r\u00e9 aucune substance (orgasme, sommeil, traumatismes, exercices physiques extr\u00eames, douleur aigu\u00eb, je\u00fbne, pri\u00e8re-m\u00e9ditation, musique, etc.). Si l\u2019on consid\u00e8re que les modifications induites de la conscience chez l\u2019\u00eatre humain sont \u00e0 la fois naturelles et indispensables (l\u2019on ne peut vivre sans r\u00eaver), et repr\u00e9sentent, en outre, une n\u00e9cessit\u00e9 pour sa r\u00e9alisation spirituelle, elles m\u00e9ritent d\u2019\u00eatre consid\u00e9r\u00e9es comme un droit inali\u00e9nable des personnes.<\/p>\n<p>N\u00e9 comme un centre de traitement de la toxicomanie, de la sant\u00e9 mentale et de recherche sur la m\u00e9decine traditionnelle amazonienne, le Centre Takiwasi, situ\u00e9 dans la haute Amazonie p\u00e9ruvienne, a \u00e9t\u00e9 co-fond\u00e9 en 1992 par le m\u00e9decin fran\u00e7ais Jacques Mabit.<\/p>\n<p>Takiwasi est un lieu pionnier dans la construction d\u2019un mod\u00e8le th\u00e9rapeutique interculturel. Une \u00e9quipe pluridisciplinaire de m\u00e9decins, psychologues et gu\u00e9risseurs y travaillent ensemble au r\u00e9tablissement de la sant\u00e9 des patients accueillis dans cette Communaut\u00e9 Th\u00e9rapeutique particuli\u00e8re.<\/p>\n<p>\u00c0 la maladresse avec laquelle l\u2019occidental induit des modifications de sa conscience, les m\u00e9decines ancestrales r\u00e9pondent par un savoir faire des plus sophistiqu\u00e9s o\u00f9 non seulement l\u2019induction contr\u00f4l\u00e9e d\u2019\u00e9tats non-ordinaire de la conscience n\u2019est pas dommageable mais permet m\u00eame de faire face au d\u00e9veloppement moderne du ph\u00e9nom\u00e8ne toxicomaniaque. \u00c0 partir de son exp\u00e9rience clinique en Haute Amazonie p\u00e9ruvienne, Jacques Mabit t\u00e9moigne des ressources th\u00e9rapeutiques que rec\u00e8le un sage usage des plantes m\u00e9dicinales y compris celles \u00e0 effets psychotropes non addictifs comme la fameuse liane ayahuasca. La mise en place, au sein d\u2019une structure d\u2019accueil, d\u2019un dispositif th\u00e9rapeutique articulant les pratiques autochtones et la psychoth\u00e9rapie contemporaine, permet d\u2019obtenir des r\u00e9sultats tr\u00e8s encourageants (positifs chez 2\/3 des patients), au-del\u00e0 du contexte culturel dont \u00e9manent toxicomanes et th\u00e9rapeutes. Ce qui invite \u00e0 une reconsid\u00e9ration des approches conventionnelles vers l\u2019introduction de l\u2019universelle notion d\u2019initiation oubli\u00e9e en Occident et vers laquelle semble tendre le toxicomane \u00e0 travers sa qu\u00eate ordalique.<\/p>\n<p>Pour conclure, l\u2019\u00e9ventail actuel des m\u00e9decines dans un monde globalis\u00e9 et en crise, invite \u00e0 r\u00e9fl\u00e9chir sur comment se produisent les rencontres et rendez-vous rat\u00e9s dans le domaine de la sant\u00e9 entre des logiques li\u00e9es \u00e0 la tradition face \u00e0 celles de la modernit\u00e9 en mati\u00e8re de sant\u00e9. La M\u00e9decine Traditionnelle Amazonienne o\u00f9 le chamanisme joue un r\u00f4le cl\u00e9, laisse appara\u00eetre face \u00e0 cet \u00e9cart\u00e8lement, un champ d\u2019analyse privil\u00e9gi\u00e9 afin d\u2019\u00e9laborer de nouveaux mod\u00e8les op\u00e9ratifs autour de bien-\u00eatre et du bien vivre. Ce point de vue vise \u00e0 l\u2019\u00e9laboration d\u2019une m\u00e9decine \u00e0 la hauteur des d\u00e9fis de nos soci\u00e9t\u00e9s contemporaines. La r\u00e9flexion \u00e9pist\u00e9mologique n\u00e9cessaire, l&rsquo;analyse des r\u00e9alit\u00e9s sociales, les relations de pouvoir implicites, l&rsquo;\u00e9thique, les logiques d&rsquo;articulation et l\u2019ouverture \u00e0 la complexit\u00e9 de l&rsquo;\u00eatre humain et de la vie, en sont les \u00e9l\u00e9ments principaux.<\/p>\n<p>Takiwasi, Mars 2020.<\/p>\n<p>&nbsp;<\/p>\n<p>Le Dr Jacques Mabit est m\u00e9decin cofondateur du Centre Takiwasi de traitement des toxicomanies et de recherche sur les m\u00e9decines traditionnelles,Tarapoto, P\u00e9rou, www.takiwasi.com. Cet article est un condens\u00e9 de diverses publications du Dr Mabit, ou sur le sujet de son travail :<\/p>\n<p>&nbsp;<\/p>\n<p>Jacques Mabit. (2010) Apports th\u00e9rapeutiques de l&rsquo;Ayahuasca dans le cas d&rsquo;addictions. Article publi\u00e9 dans \u00ab <em>Les plantes hallucinog\u00e8nes : Initiations, th\u00e9rapies et qu\u00eate de soi<\/em> \u00bb, Christian Ghasarian &amp; S\u00e9bastien Baud, Ed. Imago, 2010, pp 267-286.<\/p>\n<p>&nbsp;<\/p>\n<p>Jacques Mabit. (2007) L\u2019ayahuasca dans le traitement des addictions. \u201c<em>Psychedelic Medicine (Vol. 2): New Evidence for Hallucinogic Substances as Treatments<\/em>\u201d 1, by Thomas B. Robert, Michael J. Winkelman, pp. 87-103, Praeger Ed., USA.<\/p>\n<p>&nbsp;<\/p>\n<p>Jacques Mabit. (2001) L\u2019alternative des savoirs autochtones au \u00ab tout ou rien \u00bb th\u00e9rapeutique.\u00a0De Boeck Sup\u00e9rieur : <em>Psychotropes<\/em>. Vol. 7 | pages 7 \u00e0 18. Paris.<\/p>\n<p>&nbsp;<\/p>\n<p>Jacques Mabit Bonicard, Jes\u00fas Gonz\u00e1lez M. Mariscal. (2013) Vers une m\u00e9decine transculturelle. R\u00e9flexions et propositions fond\u00e9es sur l&rsquo;exp\u00e9rience du Centre Takiwasi. <em>Journal of Transpersonal Research<\/em>, Vol. 5 (2), 49-76.<\/p>\n<p>&nbsp;<\/p>\n<p>Matteo Politi, Fabio Friso. (2018) Amazonian medicinal plants botanical garden of Takiwasi Center in Peru; a case report of 25 years\u2019 hands-on experience.\u00a0MedCrave. <em>Horticulture International Journal<\/em>. Volume 2 Issue 3.<\/p>\n<p>&nbsp;<\/p>\n<p>Berlowitz, Ilana, Ghasarian, Christian, Walt, Heinrich, Mendive, Fernando, Alvarado, Vanessa, &amp; Martin-Soelch, Chantal. (2018). Conceptions and practices of an integrative treatment for substance use disorders involving Amazonian medicine: traditional healers\u2019 perspectives.\u00a0<em>Brazilian Journal of Psychiatry<\/em>,\u00a0<em>40<\/em>(2), 200-209. Epub December 18, 2017.<\/p>\n<p>&nbsp;<\/p>\n<p>Ilana Berlowitz, Heinrich Walt, Christian Ghasarian, Fernando Mendive<\/p>\n<p>&amp; Chantal Martin-Soelch (2019): Short-Term Treatment Effects of a Substance Use Disorder<\/p>\n<p>Therapy Involving Traditional Amazonian Medicine, <em>Journal of Psychoactive Drugs<\/em>.<\/p>\n<p>&nbsp;<\/p>\n<p>O&rsquo;Shaughnessy, David M.\u00a0(2017)\u00a0<em>Takiwasi: addiction treatment in the \u00ab\u00a0Singing House\u00a0\u00bb.<\/em>\u00a0PhD thesis, James Cook University.<\/p>\n<p>&nbsp;<\/p>\n<p>Jacques Mabit (2011) Ritual Ayahuasca Use and Health: An Interview<\/p>\n<p>with Jacques Mabit, in <em>The Internationalization of Ayahuasca<\/em>, Beatriz Caiuby Labate, Brian Anderson and Henrik Jungaberle ed, Berlin, 223-<em>243<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>Valleur, M. (2001) L\u2019ordalie. Au risque du hasard. <em>Fronti\u00e8res. <\/em>Automne\u00a0: 18-24.<\/p>\n<p>&nbsp;<\/p>\n<p>Pierre Brisson (2005), Avant, pendant et apr\u00e8s l\u2019exp\u00e9rience psychotrope\u00a0: Plaidoyer pour une approche spirituelle de la question drogue, <em>Programme d\u2019\u00e9tudes en toxicomanie, Universit\u00e9 de Sherbrooke, in Actes du XXXII<sup>e<\/sup><\/em> <em>Colloque<\/em>. <em>De la pr\u00e9vention \u00e0 la r\u00e9adaptation\u00a0: traditions, impacts, approches<\/em>. Longueuil\u00a0: Association des intervenants en toxicomanie du Qu\u00e9bec, (195-206).<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; English + French bellow &nbsp; Interest in the topic of ayahuasca among populations of developed countries has increased over the last twenty years to the point that ayahuasca has become a fashionable phenomenon. This enthusiasm has widely exceeded the framework of the academic community and scientific laboratories. It has emerged following the expansion of&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1266","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/mathiasdelattre.com\/index.php\/wp-json\/wp\/v2\/pages\/1266","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mathiasdelattre.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mathiasdelattre.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mathiasdelattre.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mathiasdelattre.com\/index.php\/wp-json\/wp\/v2\/comments?post=1266"}],"version-history":[{"count":1,"href":"https:\/\/mathiasdelattre.com\/index.php\/wp-json\/wp\/v2\/pages\/1266\/revisions"}],"predecessor-version":[{"id":1267,"href":"https:\/\/mathiasdelattre.com\/index.php\/wp-json\/wp\/v2\/pages\/1266\/revisions\/1267"}],"wp:attachment":[{"href":"https:\/\/mathiasdelattre.com\/index.php\/wp-json\/wp\/v2\/media?parent=1266"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}