Many South Africans are seeking out psychedelic medicine and retreats, even though it's illegal. In the interests of harm reduction, this Voice Diary looks at how to put medical support in place for those who decide to try this therapy process through the underground community. And it considers how the medical community can prepare itself for when this form of medicine becomes legal and mainstream.

Psychonauts Voice Diary 5 - Accessing psychedelic medicine in South Africa

South African science writer Leonie Joubert trips into the strange new world of psychedelic psychiatry, ahead of hallucinogenic mushrooms going on trial in South Africa in 2018.

Science

On 20 February 2020, people around the world are going to share stories of the healing and transformation that they’ve experienced through the use of psychedelic medicine. It’s a bit like a global ‘coming out’ campaign. South African science writer Leonie Joubert of The Psychonauts speaks with the organisers of the Thank You Plant Medicine global campaign.

The Psychonauts Thank You Plant Medicine global campaign

For some people, depression can be a terminal illness. 
American novelist David Foster Wallace was one of its victims. He died of depression in September 2008. A few years before that, he wrote something beautiful that might help a well person better understand the peculiar kind of hell that depression is. He said that a depressed person doesn’t choose this end because they find death suddenly appealing. Someone ends their life, he wrote, in ‘the same way a trapped person will eventually jump from the window of a burning high-rise’. The terror of falling from a great height is easier to face than the terror of the fire’s flames.
Chronic pain - whether it’s emotional, or physical - can be so maddening, so crushing, that it’s easier to jump than to burn. 
But what if there’s a medicine that’s proven to relieve the pain of depression, and slow down the headlong plummet into suicide? What if it’s shown to be safe, affordable, and easy to administer? But what if that treatment is illegal, and the state won’t kick into gear the legislative changes that could easily bring it to a hospital near you?
Is there scope, in all of this, for civil disobedience? Why should a potentially terminally ill person have to choose between illegally accessing this lifesaving medicine, or a jail term?

The Psychonauts Episode 9 - Clusterf*ck

Kalk Bay Books is an independent bookstore outside Cape Town that regularly invites authors to speak about their latest book projects. This month, they hosted science writer Leonie Joubert to speak about her podcast The Psychonauts, a serialised audio-book project which she's release chapter by chapter as the book unfolds. Leonie sat in conversation with medical doctor Rene Usdin to talk about research in the field of psilocybin-therapy, and the changes of mainstreaming it in South Africa.

The Psychonauts Voice Diary 7 Kalk Bay Books

In South Africa, the underground psilocybin community is relatively new, and from the outside might look more like a religious group than a collective of therapists. These journey guides work by a set of principles for how to facilitate journeys, which, for the most part, try to manage the risks that come with deep-dose sessions. They draw on tried-and-tested shamanic traditions and some good old-fashioned common sense. But a whole lot of New Age gimmickry has crept in, too, which is a bit off-putting for those wanting a more secular or medical approach. 
If we want to mainstream psilocybin-assisted therapy into day-to-day medical practice in traumatised, post-apartheid South Africa, the medical sector will need to draw on the accumulated knowledge of the underground community which is still unregulated, self-taught, and largely answerable only to itself.

Psychonauts Episode 8 - Going Gonzo

Human beings are hardwired to ruminate, leading to depression, anxiety, and addictive rituals. 
Boosting our emotional wellbeing with techniques like mindfulness and meditation is a bit like good oral hygiene: we need to brush and floss and visit the dentist regularly. But every now and then, we might need something a bit more drastic, like root canal. That’s where a psychedelic session comes in.

Psychonauts Voice Diary 5 - Accessing psychedelic medicine in South Africa

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