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Participants were categorized by substance use: classic psychedelics (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200924), empathogens (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200919), and ketamine (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092). Data were analyzed within a critical realist framework across three temporal domains: immediate survival, in-event emotional coping, and post-event integration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Findings point toward a dissociative phenomenon we name \u201cadaptive psychedelic dissociation,\u201d characterized by a combination of traumatic and psychedelic dissociative features: emotional detachment, derealization and depersonalization, automatic behaviors, and preserved functionality. Participants\u2019 awareness and knowledge about their substance use created an \u201cepistemic container,\u201d which may have facilitated real-time containment of traumatic input while complicating later meaning-making. A neurophenomenological pattern emerged wherein psychedelic subjective effects appeared suppressed during the acute trauma exposure, resurging after the threat was over. Quantitative analysis showed a predominantly positive subjective impact of substance use on immediate survival (75%\u201379%) and emotional coping (83%\u201384%) but mixed outcomes in aftermath processing (42%\u201353% positive and 25%\u201326% negative).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Psychedelic-induced dissociation during trauma exposure may confer acute adaptive benefits while causing integration challenges a paradox with significant implications on trauma research. This singular perspective on the psychedelic\u2013trauma interface invites further research into these complex neuropsychological interactions. Psychedelics may serve as epistemological instruments, revealing cognitive processes and unique prisms through which trauma response, psychopathology, resilience, and the adaptive capacities of the human mind under extreme conditions can be re-examined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02698811251372508","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:26:54Z","timestamp":1762867614000},"page":"785-800","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Facing trauma under the influence of psychedelics: A phenomenological study with Nova rave survivors"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9871-0934","authenticated-orcid":false,"given":"Guy","family":"Simon","sequence":"first","affiliation":[{"name":"Department of Sociology and Anthropology, Bar Ilan University, Ramat Gan, Israel"},{"name":"Impulse Integrative Clinical Center, Haifa, Israel"},{"name":"SafeHeart, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Gal-Birman","sequence":"additional","affiliation":[{"name":"Impulse Integrative Clinical Center, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nir","family":"Tadmor","sequence":"additional","affiliation":[{"name":"Impulse Integrative Clinical Center, Haifa, Israel"},{"name":"SafeHeart, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3695-2161","authenticated-orcid":false,"given":"Demian","family":"Halperin","sequence":"additional","affiliation":[{"name":"Impulse Integrative Clinical Center, Haifa, Israel"},{"name":"SafeHeart, Israel"},{"name":"Department of Psychiatry, Maccabi Health Services, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tips.2021.08.003"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00477"},{"issue":"8","key":"e_1_3_3_4_1","first-page":"706","article-title":"Cognitive processing therapy for PTSD: A meta-analysis of the effects on PTSD symptoms and depression","volume":"29","author":"Bedard-Gilligan M","year":"2012","unstructured":"Bedard-Gilligan M, Duax Jakob JM, Doane LS, et al. 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