it seemed to me, was the recognition that these powerful, anarchic medicines can and have been misused and that if they are to do more good than harm, they require a cultural vessel of some kind: protocols, rules, and rituals that together form a kind of Apollonian counterweight to contain and channel their sheer Dionysian force. Modern medicine, with its controlled trials and white-coated clinicians and DSM diagnoses, offers one such container; the underground guides offer another.

