PMID- 9924843 OWN - NLM STAT- MEDLINE DCOM- 19990329 LR - 20131121 IS - 0279-1072 (Print) IS - 0279-1072 (Linking) VI - 30 IP - 4 DP - 1998 Oct-Dec TI - A method of conducting therapeutic sessions with MDMA. PG - 371-9 AB - A method for preparing clients and conducting therapeutic sessions with 3,4-methylenedioxymethamphetamine (MDMA) is described, with emphasis on the need for careful attention to the mental set of therapists and clients and the setting of the session. The therapists' belief was that MDMA inhibited the fear response to a perceived emotional threat, allowing the client to place the emotional sequelae of past experiences into a more realistic perspective in their current emotional lives and relationships. Clients were carefully screened and prepared until they had a clear purpose for the session, including a willingness to experience and to learn from anything that might happen. Sympathomimetic effects of MDMA determined the medical contraindications, and clients with histories of serious functional psychiatric impairments were excluded. Total doses of 75-150 mg, plus 50 mg if requested later, were administered, followed by clients lying down and listening to music with eyeshades and headphones during the peak MDMA effect. Screening and follow-up questionnaires were utilized. Two case histories are presented: a man achieving relief of pain from multiple myeloma, and a woman finding relief from problems as the daughter of Holocaust survivors. Use of consciousness-altering drugs in other contexts is discussed. FAU - Greer, G R AU - Greer GR AD - Heffter Research Institute, Santa Fe, New Mexico, USA. FAU - Tolbert, R AU - Tolbert R LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Psychoactive Drugs JT - Journal of psychoactive drugs JID - 8113536 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Aged MH - Bone Neoplasms/complications MH - Depressive Disorder/drug therapy/psychology MH - Female MH - Hallucinogens/*therapeutic use MH - Humans MH - Male MH - Multiple Myeloma/complications MH - N-Methyl-3,4-methylenedioxyamphetamine/*therapeutic use MH - Pain, Intractable/psychology/therapy MH - Psychotherapy/*methods EDAT- 1999/01/30 00:00 MHDA- 1999/01/30 00:01 CRDT- 1999/01/30 00:00 PHST- 1999/01/30 00:00 [pubmed] PHST- 1999/01/30 00:01 [medline] PHST- 1999/01/30 00:00 [entrez] AID - 10.1080/02791072.1998.10399713 [doi] PST - ppublish SO - J Psychoactive Drugs. 1998 Oct-Dec;30(4):371-9. doi: 10.1080/02791072.1998.10399713.