This book is about a psychologist, "Jacob" (pseudonym), who applied psychedelic drugs throughout his practice of psychotherapy until his death twenty or so ago—in spite of the fact that such drugs had been declared illegal in the mid-60's. The body of the book is an interview with Jacob conducted in the early 80s but never before published; this is followed by an appendix paraphrasing the drug experiences of five of his clients, and an appendix listing resources for those interested in psychedelic therapy. The drugs favored by Jacob: LSD (he always started a series with LSD), sacred mushrooms (Psilocybe cubensis), mescaline, MDA, MDMA ("Ecstasy"), harmaline (yage') and ibogaine. Each has a somewhat different effect.
In successive chapters, Jacob discusses the preparation for a psychedelic session, the setting, the session itself, the dosages, and outcomes.
Apart from "here's how to do it right," the book's main messages are:
*Psychedelics have shown great promise as adjuncts to psychotherapy and "growth." In therapy, it allows many to break through personality blocks, resolve problems with relationships, and get on with more productive lives. As for growth, it allows many to see the world in new ways—sometimes yielding the same sort of epiphanies that are sparked by near-death experiences (everything in universe is interconnected, love is the answer, life continues after death, etc.)
*In spite of their promise psychedelics were banned in the 60s because they became associated with the youth movement, with its anti-establishment, anti-Vietnam War orientation; because of "Tune In, Turn On, Drop Out" promoters of hedonism like Allen Ginsburg and Timothy Leary; and more generally because of the America's hypermaterialism and its residual puritanism (salvation through work, suspicious of pleasure, there is no free lunch, if it comes too easily it must be bad, etc.). The effect of the ban was to kill legitimate research and therapy, overcrowd the prisons with minor offenders, and strengthen the drug mafia—without, of course, seriously impeding the recreational use of psychedelics in the general population. Much like Prohibition.
*The media acted irresponsibly (surprise!) during the rise of psychedelics by sensationalizing the dangers and the bizarreness but not the benefits. (For a reference point, imagine banning most prescription drugs because almost all of them trigger side-effects in some people. Better yet, imagine emphasizing the negative aspects of the automobile, which in the U.S. alone routinely kills over forty thousand people and injures over a million, year after year after year. Or booze, which, among other things, colludes with the automobile in a third of its manslaughters).
*The set, setting and procedure of the drug sessions are as important as—if not more important than—the drugs themselves. Preparation and expectations are key. Many longtime recreational users never had a notable experience with psychedelics until they went through a well-designed session. Safety is also vital: the psychotherapist never takes drugs during a session, and he/she requires the subject to agree beforehand to specific rules of conduct (no leaving the residence, no violence, no sex, etc.). Jacob worked out his procedures over many years of experimentation. Ironically, in the early 60s, before he became a mad dog celebrity, Timothy Leary also championed the closely-supervised use of psychedelics, with emphasis on set and setting.
*Different drugs have different effects. LSD, mescaline and sacred mushrooms tend to engender hallucinations and visions, for example, while MDMA ("Ecstasy") typically kindles feelings of all-encompassing love, harmaline purges and cleanses the psychic and physical systems, and ibogaine ("Mr. Ibogaine") forces you to face the truth about yourself—often in question-and-answer format. Of course, there are individual variations in reactions to drugs, and while most trips are positive, some are bummers (though the bummers, too, are often psychotherapeutic). For best effect, Jacob sometimes combines drugs—the purgative harmaline, for example, with the vision-producingr LSD.
This book is a quick and easy read, and presents a thoroughly tested blueprint for conducting effective psychedelic sessions. It is apparent that, as with religious visions, expectations (in group sessions, the expectations of the group as well as one's own) are key to outcome. Also, I suspect that belonging to an elite outlaw group is a strong reinforcer. The testimonials in the appendix I found disappointingly mundane; I have read much better ones elsewhere. But overall, the book is good for background and for the nitty-gritties of conducting a session.
Interesting note: Starting in the 90s, the FDA and DEA authorized several research projects to explore the therapeutic use of psychedelics. Apparently the Baby Boomers started asserting themselves.