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1 Psyschedelic Birth: Bodies, Boundaries, and the Perception of Pain in the 1970s Wendy Kline, Purdue University Paper for Wits Interdisciplinary Seminar in the Humanities September 17, 2018 On 6 March 1973, Antonio, a thirty-two-year-old psychiatrist attempted to describe the unfathomable pain he had just experienced. 1 “Out of nowhere the most intense pain imaginable started penetrating my hands like a lazer beam or a nail,” he wrote. He could feel the “terrible, agonizing weight” of the nail tearing into his flesh. The intense pain in turn triggered earlier memories of pain. The first was the severing of his umbilical cord at birth; the second, his circumcision as a medical student. And then, another pain started, one even more torturous. The skin at the edge of his fingernails started peeling off, little by little. The only thing that kept him from collapsing, ironically, was the sheer intensity of the pain; it did not allow room for anything else. “It felt as if I was suffering the pain of all mankind,” he reflected. 2 Antonio’s experience would not be surprising to literary scholar Elaine Scarry, who argued in 1985 that during intense moments of pain, the “contents of consciousness” are “obliterated.” 3 In The Body in Pain, she posits a direct connection between levels of pain and an individual’s sense of self. “It is the intense pain that destroys a person’s self and world, a destruction experienced spatially as either the contraction of the universe down to the immediate vicinity of the body or as the body swelling to fill the entire universe,” she explains. 4 Pain forces the individual to

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Page 1: Paper for Wits Interdisciplinary Seminar in the Humanities · Paper for Wits Interdisciplinary Seminar in the Humanities September 17, 2018 On 6 March 1973, Antonio, a thirty-two-year-old

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PsyschedelicBirth:Bodies,Boundaries,andthePerceptionofPaininthe1970s

WendyKline,PurdueUniversity

PaperforWitsInterdisciplinarySeminarintheHumanitiesSeptember17,2018

On6March1973,Antonio,athirty-two-year-oldpsychiatristattemptedto

describetheunfathomablepainhehadjustexperienced.1“Outofnowherethemost

intensepainimaginablestartedpenetratingmyhandslikealazerbeamoranail,”he

wrote.Hecouldfeelthe“terrible,agonizingweight”ofthenailtearingintohisflesh.

Theintensepaininturntriggeredearliermemoriesofpain.Thefirstwasthe

severingofhisumbilicalcordatbirth;thesecond,hiscircumcisionasamedical

student.Andthen,anotherpainstarted,oneevenmoretorturous.Theskinatthe

edgeofhisfingernailsstartedpeelingoff,littlebylittle.Theonlythingthatkepthim

fromcollapsing,ironically,wasthesheerintensityofthepain;itdidnotallowroom

foranythingelse.“ItfeltasifIwassufferingthepainofallmankind,”hereflected.2

Antonio’sexperiencewouldnotbesurprisingtoliteraryscholarElaine

Scarry,whoarguedin1985thatduringintensemomentsofpain,the“contentsof

consciousness”are“obliterated.”3InTheBodyinPain,shepositsadirectconnection

betweenlevelsofpainandanindividual’ssenseofself.“Itistheintensepainthat

destroysaperson’sselfandworld,adestructionexperiencedspatiallyaseitherthe

contractionoftheuniversedowntotheimmediatevicinityofthebodyorasthe

bodyswellingtofilltheentireuniverse,”sheexplains.4Painforcestheindividualto

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completelydissociatefromthecorporealbody,somethingthatScarryandother

academicsperceivedtobeatraumaticexperience.

Anotherstoryofalteredconsciousness,however,challengesthenotionthat

suchdissociationwasinherentlytraumatic.OnAugust2,1973,afterhoursofpain,a

younghippiebythenameofEllenfoundherselftransformed.Itbeganwithmusic,

assheaskedherhusbandPhiltoplaythepiano,thinkingitmighthelpsootheher.

“WhileIamnotanactualpianoplayer,”Philrecalled,“somequietmusicdidseemto

haveacalminginfluence.”5AndEllenbegantoreleasetheintensepain.“Onceit

startedhappening,”shewrote,“Iforgotallaboutthatotherstuffandexperienceda

wholeotherlevelofconsciousnessthatseemedeternalandtimeless.”Shelater

rememberedthat“thesenseofreliefandrelaxationmadeitseemlikeIwasmelting.

Iremembermymouthhangingopen,drooling,andfeelingverywarmand

psychedelicandlight-headed.Layingthere,IfeltOnewitheveryoneinthe

Universe.”6

Withinmonthsofeachother,AntonioandEllenperceivedintense

experiencesofpaininverydifferentways.Bothappearedtobeinalteredstatesof

consciousness,eitherbecauseoftheirpain,orinspiteoftheirpain.Whatwas

happening,andwhy?

Inordertoexplorethesignificanceoftheirexperiences,wehavetoputthem

inhistoricalcontext.Antoniohadswallowed400microgramsofLSDaspartofa

professionalstudyandtrainingprogramattheMarylandPsychiatricResearch

Institute,oneofapproximately116clinicalLSDstudiesfundedbytheNational

InstituteofMentalHealthintheU.S.7Inthisparticularstudy,conductedatthe

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SpringGroveStateHospitalbetween1970and1975,108mentalhealth

professionalsvolunteeredtotakebetweenoneandthreehighleveldosesofLSD

andrecordtheirshortandlong-termreactionstothedrug.Theaverageageofthe

volunteerswasbetween39and41,andtwo-thirdsofthemwereeitherM.D.sor

Ph.D.s.Eighty-sixofthesubjectsweremale;onlytwenty-twowerefemale–aresult

ofthedecisionamongthepsychedelicresearchstafftoexcludewomenof

childbearingage“intheremotepossibilitythattheremaybesomedanger.”8This

decisionmayhavebeenaresponsetoLSDstudiesconductedinthelate1960son

pregnantratsandhamsterstotestforfetalabnormalities.9A1968reportdelivered

attheFederationofAmericanSocietiesforExperimentalBiologysuggestedthat

LSD’seffects“canbepasseddownthroughgenerations”butemphasizedthatthe

datacouldnotbeappliedtohumans.”10Likemanyscientistsengagedinpsychedelic

researchinthelate1960s,however,theydidn’twanttotakeanyunnecessaryrisks.

AsLSDbecamearecreationaldrugofthecounterculture,scientistsrightly

suspectedthattheirresearchwasinjeopardyandproceededwithcaution.

ThustheMPRIprofessionalstudyfocusedpredominantlyonmen,though

thisgenderimbalancewasnotdiscussedinthefindings.Theresultswerepositive

thoughsomewhatinconclusiveastolong-termeffects.Two-thirdsofthesubjects

experiencedpsychedelic“peak”experiences.Antoniowasoneofthem.Hiswasan

imaginedpain,inducedbyadrugthatalteredhisstateofconsciousnessonthat

memorableMarchday.

Ellen,ontheotherhand,hadnottakenanydrugsduringherAugustepisode.

Ninemonthspregnant,herpainstemmedfromcontractionssheexperiencedwhile

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inlabor.Thoughshefelt“verywarmandpsychedelicandlightheaded,”herjourney

intoanalteredstateprovidedherwithanaturalsenseofpainrelief.Shewasoneof

sevenhundredhippieswholivedinbuses,tents,andafewhousesonathousand

acresofpropertyjustoutsideofSummertown,Tennessee,inanintentional

communityknownas“TheFarm.”By1973,TheFarmwasalreadywellknown,and

aremarkablefifteenthousandvisitorstraipsedthroughthepropertythatyear

alone,sometogawk,othersseekingfood,shelter,oraplacetogivebirth.Duetothe

presenceofself-trainedmidwivesandabeliefinthespiritualandtransformative

natureofbirth(whendoneoutsideofthehospital),childbirthonTheFarmbecame

itsownkindofpsychedelicexperience.11

Otherthantheiralteredstatesofconsciousness,Antonio’sandEllen’s

experiencesappeartosharenothingincommon.Antoniowaspartofa

predominantlymalescientificstudyconductedinalaboratorysetting,whileEllen

wasoneofagrowingnumberofwomenseekinganalternativetohospitalbirth.

Together,however,theirstoriessuggestsomethingdeeperaboutthequesttoinfuse

twoprofessions--psychiatryandmidwifery--withgreaterspiritualmeaningata

timeofgreatsocialupheaval.12LSDresearchersandhippiehomebirthmidwives,

marginalizedbyboththemainstreamandlaterhistorians,pushedtheboundaries

betweenscienceandspiritualism,betweenpainandpleasure.

GENDERANDPAIN

YettherewassomethingfundamentallydifferentinthewayAntonioand

Ellenexperiencedandinterpretedpain,eveninanalteredstateofconsciousness.

Culturalassumptionsaboutgenderhelptoexplainthisdifference.Studiessuggest

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thatwomenbothexperienceandtendtoreportmorepainthanmen.Yettheyare

“morelikelytobelesswelltreated.”13Thiswasagreaterprobleminthe1960s,

whengenderdifferenceswereevenmorepronounced.Priortothewomen’shealth

movementandthefeministdemandforagencyandvalidityinthedoctor’soffice,

thesubjectivityofexperiencedpainseemedtosupporttheassumptionthatwomen

wereindeedtheweakersex.Ifwomenweremorefragileandemotional,thenof

courseitwas“allintheirhead.”14Withoutthepresenceofobjectivebiological

indicatorsofpain—theonlytypeofevidencevaluedinmodernmedicine—then

subjective,experientialreportswereirrelevant.

Butbytheearly1970s,somescholarsbegantochallengethismedicalmodel,

andthepresumeddistinctionbetweenbodyandmind.15AssociologistGillian

Bendalowargues,therewas“aneedtobroadenoutthedefinitionofpainfromthe

Cartesianpropositionwhichinevitablyactstodivorcementalfromphysicalstates

andtendstoattributesinglesymptomstosinglecauses.”16Opponentstothe

Cartesianmodelsuggestedthatpsychological,cultural,andemotionalfactors,could

anddidalterpainperception.SociologistIrvingZola—nostrangertofeminism,as

hewasmarriedtonotedwomen’shealthactivistJudyNorsigian—arguedthatpain

was“asmuchaculturalconstructasascientificone.”17Anesthesiologistand

medicalethicistHenryK.Beecherintroducedthenotionofaplaceboeffect,

observingthatundercertaincircumstances,placeboscouldeffectivelyrelieve

pain.18Asaresult,historianKeithWailoonotes,paintheorymoved“deliberately,

relentlessly,towardappreciatingthepowerofthesubjective,themind,psychology,

andperceptioninpainanditscontrol.”19

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Theimplicationsofthisshiftwereenormous.Experiencingpain—whether

throughtheintensecontractionsoflabororthepotentiallyperilousjourneyofthe

psychedelictrip—tookonnewmeaningandvalue.Paincouldbetransformative;a

process,aspiritualjourney,apathtowardenlightenment.Yetnotallpainwas

createdequal;somevoicescontinuedtospeaklouderthanothers.

AstheauthorsoftheIntroductionofthisspecialissuenote,childbirth

becameakeyfocalpointinthedebateofpain.Itwasclearlygendered;onlywomen

givebirth.Butnaturalchildbirthadvocates,evenbeforethe1970s,stressedthe

extenttowhichpainstemmedlessfromthebiologyofbirthandmorefromfear.

OneofthefirstadvocateswasDr.GrantlyDick-Read,whopublishedhisfirstbook,

NaturalChildbirth,in1933.Inthatandhislater1944publication,Childbirth

WithoutFear,hepositedthatpaininchildbirthwasnotphysiological,butwas

insteadrootedinfear.Thesolutionwasnotanesthesiabutpreparationand

education.Over95percentofwomen,heargued,arecapableofexperiencing

childbirthwithoutunbearablepain.20

SETANDSETTING

Themosteffectivewaytoreducepaininchildbirthwithoutanesthesiawas

tocontroltheenvironmentinwhichlabortookplace.Creatingasettingtoreassure

laboringwomenthattheyweresafeandgettingtheminarelaxedmindsetwould

thereforeminimizepain.Childbirthcouldbepainless,evenwithouttheuseof

drugs.

Atestamenttotheunusualparallelsbetweenpsychedelicsandchildbirth,the

“setandsetting”principleemergednotfrombirthreformers,butfromLSD

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research.ItwasintroducedbyTimothyLearyintheearly1960stoexplainwhat

madethepsychedelicdrugsdifferentfromothertypesofmedicine.Theactual

effectofpsychedelicdrugssuchasLSDdependedontwothings,Learyexplained.

First,itwascontingentuponthesetofthepersonhavingtheexperience–“his

personality,preparation,intentionandexpectation.”Second,itreliedonthesetting

–physical,social,andcultural(wheretheexperiencetookplace,withwhom,andin

whattypeofenvironment).21Anindividual’sperceptionofpainandpleasure,and

theabilitytoexperiencespiritualtransformationandalteredconsciousness,was

entirelycontingentuponsetandsetting,accordingtopsychedelicresearchers.22

Thus,ifwereturntothestoriesofAntonioandEllen,wecanbegintoseethe

extenttowhicheachbelievedthattheyhadchosenamechanismtowardspiritual

enlightenmentthroughpain.Whilethevehicletowardstransformationdiffered,the

processwassurprisinglysimilar.Andtheywerenotalone.Throughtheirstories,

andthoseofotherhippiehomebirthers(primarilyfemale)andpsychedelic

psychiatrists(primarilymale),weareabletotrackhowtwodifferenttypesof

alternativepractitionerssoughttoreshapeandredefinetheirprofessions.Three

themesareapparentinthesestories:thefluidityofboundaries,out-of-body

experiences,andcosmicunity.Theyappearintwoverydifferentcontexts:ahippie

communeandapsychiatrichospital.

THEFARMANDSPIRITUALMIDWIFERY

WhileTheFarmwaslocatedinTennessee,itsfounderswerefirmlygrounded

inCalifornia’scounterculture.MostwerefollowersofStephenGaskin,whohad

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beenteachingcreativewritingandsemanticsatSanFranciscoStateCollegeinthe

1960s.Bytheendofthedecade,hebeganofferingacoursethroughthe

ExperimentalCollegecalled“MondayNightClass,”aseriesoflecturescovering

everythingfrommeditationtodiscussionsaboutpolitics,religion,andpsychedelics.

Thecoursereflectedtheexperimentationandsyncretismofthecountercultural

1960s.“Whenwefirstgottheclasstogetherwewerelikearesearchinstrument,

andwereadeverythingwecouldonreligion,magic,superstition,ecology,

extrasensoryperception,fairytales,collectiveunconscious,folkways,andmathand

physics,”Gaskinrecalled.“Andwebeganfindingthingsoutaswewentalongabout

thenatureofthemind.”23By1969,thisclasshadgrowntoseveralthousandpeople,

manyofwhombegantoseeGaskinastheirspiritualteacher.“Theideawasto

comparenoteswithothertrippersabouttrippingandthewholepsychicand

psychedelicworld,”wroteGaskin,bythenheavilycaughtupintheSanFrancisco

counterculturalscene.

PsychiatricresearchonLSDandotherpsychoactivesubstanceshadbeenon

theincreaseoverthepastdecade,asscientificstudiessuggestedtheirtherapeutic

potential.24GaskinandhisMondayNightfollowersalsobelievedinthetherapeutic

potentialofpsychedelics,butinadifferentcontext.AccordingtoGaskin,

psychedelicsservedasacatalysttoexpandhumanconsciousnessandattaingreater

spiritualawareness.Thus,drugs(initiallyLSD,butthennaturalsubstancespeyote

andpsilocybin)werearegularpartofMondaynightclass,aswellasSunday

MorningServices(standingmeditations)heldbeforesunriseinSutroPark.

Accordingtoonefollower,“SundayServicewasconsideredanidealplacetotrip—a

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peacefuloasisintime,wheretheenergywasdependablyhigh,thevibesgood,andof

course,therewasStephen—trippingguideextraordinaire.”25

In1970,Gaskinwasinvitedtodeliveraseriesoflecturesatschoolsand

churchesacrossthecountry,andovertwohundredofhisfollowersdecidedtojoin

himinschoolbusesforthisso-called“AstralContinentalCongress,”acallfora

spiritualandsocialrevolution.TheCaravan,asitcametobecalled,generatedmore

andmoremediaattentionasitscollectionofschoolbuseswoundtheirwaythrough

forty-twostatesspreadingtheinchoatemessagesofpeace,spiritual,andsocial

revolutiontostudentsandchurchgoers.

PerhapsthemostremarkableaspectoftheCaravanwastheelevenbirths

thattookplaceonbusesenroute.Thefirstbirthhappenedinaparkinglotat

NorthwesternUniversity,whileStephenwaslecturinginsideanauditorium.Bythe

endofthetrip,acoregroupofwomen,undertheleadershipofInaMayGaskin,had

becomethedesignatedmidwives,teachingthemselvesalongtheway.

Attheendofthetour,Gaskinandhisfollowersdecidedtopurchaselandin

Tennesseeandcreateacommuneonathousandacres.Oncesettled,InaMayGaskin

andafewotherwomenestablishedamoreformalpracticeofmidwifery,consulting

thelocaldoctorwhoregularlydeliveredthenearbyAmishbabiesathome.Asthe

populationgrew(upto1500in1982,withabout14,000visitorsperyear),sodid

thenumberofbirths.Over2500babieshavebeenbornonTheFarmbythese

midwives,whosefavorablestatistics(includinga1.8%cesareansectionrate)have

caughttheattentionofconsumersandbirthpractitionersaroundtheworld.26

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ManymorebirthshavebeenaffectedbyInaMay’shomebirthingphilosophy

thanthosebornonTheFarm,however.Herbook,SpiritualMidwifery,aguideto

birthingforconsumersandbirthpractitionerspublishedonTheFarm,hassoldover

halfamillioncopies,hasbeentranslatedintosixlanguages,andisstillinprint.

Ellen’sstorywasoneofoverseventybirthstoriesinthebookthatintroduced

ordinaryreaderstotheconceptofout-of-hospitalbirth.Fromtheveryfirstedition

ofthebookin1975toitsmostrecentprintingin2004,thesestorieshaveinspired

manyreaderstorethinkhowandwheretheirchildrenshouldbeborn.

Incontrasttothestandarddescriptionsoftheagonyofchildbirth,birth

storiespublishedinSpiritualMidwiferyweremorelikelytofocusontheecstasy.

Theyalsoutilizedthesamehippievocabularyusedtodescribedrugexperiences.“I

laiddownonthebedandbegantorushandeverythinggotpsychedelic,”described

MaryofherlaboronTheFarm.“Ibeganhavingbeautiful,rushingcontractionsthat

startedlow,builtuptoapeak,andthenleftmefloatingabouttwofeetoffthebed,”

shecontinued.Ashercontractionsintensified,theybecamemorepleasurable.“It

feltlikeIwasmakinglovetotherushesandIcouldwigglemybodyandpushinto

themanditwasreallyfine.”WhetherornotMary’sexperienceaccurately

representedatypicalbirthonTheFarm,itbecamethestandardtoaimfor,andwas

highlightedinthebookas“agooddescriptionofhowtohandletheenergyofthe

rushesofchildbirth.”27Itwasanintenselyphysicalandemotionalexperience,and

therebyanopportunityforspiritualgrowth.Withtherightpsychictools,Farm

hippiesbelieved,energycouldbechanneledintopleasureratherthanpain.

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Repeatedreferencestopsychedelicstatesduringlaborunderscoredthe

connections--whetherliteralormetaphorical—thatFarmbirthersperceived

betweenthetwo.“IfelthigherthanIeverhadinmylife.Itwassuchaheavy

spiritualexperience,andsomuchfun.InbetweenrushesI’dlaughathowtelepathic

itwas,”wrotemidwifeCarolNelson28Inthepropersetting,physicalboundaries

betweentheself/bodyandtheexternalworldcouldmeltaway.“Iwassomewhere

ontheastralplane,feelingalltheforcesoftheUniverse,itfeltlike,poundingmy

body,”anotherwroteofherlabor,addingthat“Iflashedonwildstallions,thunder

andlightning,andtheocean.Ifeltlikemybrainandupperbodywereseparatefrom

therestofme,andwerelookingdownontheaction.”29

ManystoriesfeaturedinSpiritualMidwiferymadereferencestocommunal

out-of-bodyexperiencesthatappearedtoprovidepainrelief.“MaryLouisecame

overandputherattentiontotallytome.SheandIswappedbodies,”wroteSheila.

“Itwasfarout.IfeltmyselfleaveandenterMaryLouise’sandshecameoverand

didafewcontractionsforme,”shecontinued,believingthatthisprocessrenewed

herstrength.Italsotransportedhertoanotherdimension.Thensheadded:

“Ifoundmyselfinabeautifulplacewithagreenfieldandahouse.Itwasa

placeI’dneverseenbefore.Icouldstilltellmybodywascontracting,butI

wasdetachedfromit.ItoldMaryLouisewhathappenedandshesaidshe’d

beendoingthatcontractionandhadbeenabletofeelitall.”30

Recentstudiespointtoevidencethatvalidatesout-of-bodyexperiences

(OBEs)asa“knownandrecognizablephenomenon”ratherthanillusory.

Interestingly,currentscholarsattributetheexistenceofout-of-bodyexperiences

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duringchildbirthasanindicationoftrauma,ratherthanasacopingmechanismor

anexpressionofjoy.Scholarsperceivedescriptionsofwomenfloatingoutoftheir

bodies,observingthebirthfromabove,asaformofdissociationordisembodiment,

signifyingcurrentorpasttrauma.31

ThiswasnotwhatwasbeingdescribedinSpiritualMidwifery.Inthiscontext,

birthwastrulyacommunalexperience–notjustwitnessedbyothers,butfeltby

othersaswell.Thisispartofwhatmadeittransformative.“Wekeptpassingthe

energybetweenus,andMaryLouisekneltnearmylegsandCarolandEdwardwere

oneithersideofme,”wroteanotherwomaninlabor.“I’drushandtheenergy

wouldmoveuptheirspinesandthey’darchtheirbacksandstraightenasthey’d

rush.”32Birth,inthissetting,provideda“contacthigh”foritsparticipantsthatcould

guidethemalltowardsgreaterspiritualawareness.“Maureen’sbirthwasavery

psychedelicexperienceforJosephandme,”wrotemidwifeMaryLouise.“She

seemedtobefillinguswithherconsciousness.”33Birthprovided,inthewordsof

psychologistAbrahamMaslow,apeakexperience–those“powerfulmomentsof

clarity,joy,orreligiousecstasy”thathewroteaboutinhisinfluential1964volume,

Religions,Values,andPeakExperiences.34Maslowdescribedpeakexperiencesas

“rare,exciting,oceanic,deeplymoving,exhilarating,elevatingexperiencesthat

generateanadvancedformofperceivingreality,andareevenmysticandmagicalin

theireffectupontheexperimenter.”35

Psychedelicbirthalsostrengthenedthematernalinfantbond,accordingto

itsadvocates.“Icouldn’tbelievethestrongbondIfeltformynewbabyandthe

overwhelmingmaternalinstinct,”wroteonenewmother.Shedescribedthefirst

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momentswithhernewbornsonas“paradise;”shewas“mindblown”byhisbeauty

andherloveforhim.Herdescriptiontakesonadecidedlypsychedelictone.“The

treesandtheearlymorninglightjustflashedandreverbedlikeastrobe-light,and

forseveraldaysIwouldhaveaflashbackateverydawnandsunset.Iwasecstatic

fortwoweeks,”shewrote.36

Perhapsthemostprofoundaspectofthebirthexperiencedescribedwithin

thepagesofSpiritualMidwiferywasitsabilitytoinstillasenseofcosmicunity.

PsychiatristStanGrofdescribedbasiccharacteristicsofthecosmicunityexperience

as

“transcendenceofthesubject-objectdichotomy,exceptionallystrong

positiveaffect(peace,tranquility,serenity,bliss),aspecialfeelingof

sacredness,transcendenceoftimeandspace,experienceofpurebeing,and

arichnessofinsightsofcosmicrelevance.”37

ThoughhewasreferringtotheexperienceofLSDsubjects,cosmicunity–or

“oceanicecstasy,”asGrofsometimescalledit,wasaprevalentdescriptorinSpiritual

Midwiferybirthstories.“Wewereridingtherusheslikeasurferridesthewaves,”

wroteEdwardofhiswife’slabor.“TheenergywouldswellupandJanet’seyes

wouldgrowdeeperuntilitseemedlikeIcouldlookthroughthemlikepeepholes,

andseethevastnessofthecosmosoutbeyondherpupils;endlessspace.”38Ellen

“experiencedawholeotherlevelofconsciousnessthatseemedeternalandtimeless”

duringherlabor.“Layingthere,IfeltOnewitheveryoneintheUniverse,”she

wrote.39Anotherexperiencedasenseofcosmicunityafterherdaughterwasborn,

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writing:“HereyesopenedrightawayanditlookedliketheUniversebeingunfolded

beforemyeyes.”40

Inthecounterculturalcontext,then,childbirthbecameacommunityevent,a

sourceofspiritualawakeningandtranscendence,andevenapsychedelic

experience.IttookrootinNorthernCaliforniaasanaturalextensionofStephen

Gaskin’steachings.AsthepracticetraveledfromthehillsofSanFranciscotothe

busesontheCaravanandontoSummertown,Tennessee,itgainednewmeaning

andsignificance.Whatstartedasanexperimentinalternativebirthingbecamean

establishedprofession,ablendingofspiritualtheories,trialanderror,andmedical

advice.

Itwasfarfrommainstream,thoughmediacoverageandthepublicationof

SpiritualMidwiferydidputalternativemidwiferyonthemap.Morewasneeded,

however,tocounteracttheclaimsthatwhatwashappeningonTheFarmwasrisky

andselfish,privilegingthedesiresofthemotheroverthesafetyofthechild.To

understandhowalternativebirthcontinuedtogaincredence,weneedtoturntothe

emergingtheoriesofpsychiatry.

PSYCHEDELICPSYCHIATRYATSPRINGGROVESTATEHOSPITAL

StanislavGrofwasamedicalstudentworkinginthepsychiatrydepartment

atCharlesUniversityinPraguewhenapackagearrivedonemorningin1956.The

boxwasfromSandozPharmaceuticalLaboratoriesinBasel,Switzerland.Itwasnot

thatunusualforpharmaceuticalcompaniestodistributetheirdrugsinthehopes

thatresearcherswouldconductstudiesonthem.Whatwasspecialaboutthis

packagewasitschemicalcontents:LSD-25.Sandozsuggestedinaletterinthebox

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thatLSD“mightbeusedasakindofunconventionaltrainingtoolthatwould

providepsychiatrists,psychologists,students,andnursestheopportunitytospend

afewhoursintheworldoftheirpatients.”41Sandozhadbegunshipping

investigationalsamplesunderthetradenameDelysidtopsychiatristsin1949for

experimentaluse,arguingitcouldbeusedtotreatschizophreniaandanxiety,as

wellas“toinducemodelpsychosesofshortdurationinnormalsubjects,thus

facilitatingstudiesonthepathogenesisofmentaldisease.”42

Grofwasintrigued.OnNovember13,1956,--St.Stanislav’sday—he

swallowed150microgramsofLSDasoneoftheearliestCzechvolunteersforsucha

study.“Whathappenedtomewasenormous,andseemedlikethebeginningofa

newlife,”hesaidlater.43Withinafewhoursofingestingthedrug,hisentire

conceptionaboutthehumanpsycheandtheroleofpsychoanalysiswasturned

upsidedown.“Icouldn’tbelievehowmuchIlearnedaboutmypsycheinthosefew

hours,”herecalled.Hewas“hitbyaradiancethatseemedcomparabletothe

epicenterofanuclearexplosion.”Theexplosion“catapulted”himoutofhisbody.

“Ataninconceivablespeedmyconsciousnessexpandedtocosmicdimensions”44

Thetimingwasfortuitous,forGrofwasinthemidstofanexistentialcrisis.

LikemanypsychiatristsinEuropeandtheU.S.inthe1950s,hewasinspiredby

Freudiananalysis.Psychoanalytictheory,hebelieved,offered“seeminglybrilliant

explanationsforavarietyofmysteriousproblems–thesymbolismofdreams,

neuroticsymptoms,thepsychopathologyofeverydaylife,insightsintoreligion,

sociopoliticalmovements,art,andmanyothers.”45

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Theproblemwasthedisconnectbetweentheoryandpractice.Theresultsof

psychoanalysiswereextremelylimited,hebelieved,andtookmassiveamountsof

timeandmoney.“Ihadgreatdifficultycomingtotermswiththissituation,”Grof

reflected.“Tobecomeapsychoanalyst,onehadtostudymedicine.Andinmedicine,

ifwereallyunderstandaproblem,weareusuallyabletodosomethingpretty

dramaticaboutit.”

Heneededevidence.AccordingtopsychiatristJeffreyLieberman,past

presidentoftheAmericanPsychiatricAssociationandauthorofShrinks:TheUntold

StoryofPsychiatry,thishasbeentheAchillesheeloftheprofessionfromthestart.

Didmentalillnessliewithinthemind,orwithinthebrain?“Oncologistscantouch

rubberytumors,pulmonologistscanpeerthroughamicroscopeatstringsof

pneumoniabacteria,andcardiologistshavelittletroubleidentifyingtheyellowish

placquesofartery-clottingcholesterol,”hewrote.“Psychiatry,ontheotherhand,

hasstruggledharderthananyothermedicalspecialtytoprovidetangibleevidence

thatthemaladiesunderitschargeevenexist,”hecontinued.46Psychiatrysuffered

thesamechallengesthatpaindid;howwasitpossibletoproveitwasreal,givenits

subjectivityandthelackoftangibleevidence?

Grofagreed.Overthenextfifteenyearshewouldpersonallyconductover

2,000psychedelicsessions,atfirstinPrague,andthenattheMarylandPsychiatric

ResearchInstituteinCatonsville,MD.HisobservationsconvincedhimthatFreud’s

studyofhumanpersonalitywasonlythetipoftheiceberg.LSDhadchanged

everything,demonstratingtheinadequacyoftheexistingtheoreticalframeworksto

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explainhumanpersonality.Grofproposedwhathecalled“anewCartographyofthe

humanpsyche.”

Thekeycamefromthatlittlebox.LSDwasadifferentkindofdrug.Itwas

notcausingsomething,perse.Everyonereacteddifferently,andtheexperience

couldbedifferenteverytime,foreveryperson.Instead,heargued,LSDwasa

catalystforpsychologicalprocesses(anargumentalsomadebyStephenGaskin).It

wasnot“producingartificialexperiencesbyinteractingwiththebrain.Rather,by

increasingtheenergeticlevelinthepsyche,thepillswerebringinginto

consciousnessthecontentsfromthedepthoftheunconscious.”Thisoffered

enormouspotentialtomentalhealthprofessionalstodevelopnewtherapeutic

techniques(suchasGestalttherapy,encountergroups,psychedelictherapy,and

whatGrofwouldcall“transpersonalexperiences”).

Thus,atthesametimethatGaskinandhisfollowerswereapplying

psychedelicexperiencestonewwaysoflivingandbirthinginTennessee,Grofset

outtorecreatetheseexperiencesinalaboratorysetting.Thoughtheyhadsimilar

ideasaboutthepotentialofpsychedelicdrugs,Grofandhiscolleaguesatthe

MarylandPsychiatricResearchInstitutewentoutoftheirwaytoappearanything

butcountercultural.LSDtripstookplaceinacontrolledenvironment(aroom

insideofthehospital),observedbytwoprofessionals-apsychiatristandan

assistant.Thesubjectworeaneyemaskandlistenedtomusicintendedtoenhance

andguidethesession,whichwasthenrecordedandanalyzed.DidLSDhelpthe

terminalcancerpatientcomingtotermswithdeath?Thealcoholicwhocouldn’t

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stopdrinking?Thedepressedpatientcontemplatingsuicide?Theanswer,Grofand

otherpsychedelicresearchersbelieved,inallofthesecases,wasyes.

Thetherapeuticimplicationsofthisdrugdiscoverywererevolutionary,

accordingtoitsadvocates.Onedidn’tneedtobeanalcoholicorsuicidalordying

fromcancertobenefitfrompsychedelictherapy.Everyonestoodtobenefit,by

achievingahigherstateofconsciousness(asthehippiesaspired),orexperiencing

“self-actualization”(aspsychologistAbrahamMaslowpromoted).Newconferences

andpublicationsinthelate1960slaidthefoundationfora“newinterdisciplinary

approachtothestudyofconsciousness.”47Theseideassolidifiedintoanewformof

psychologyknownas“transpersonalpsychology,”markedbytheintroductionofthe

newJournalofTranspersonalPsychologylaunchedbyMaslowin1969.48

MakingtheInvisibleVisible:TheMPRIstudy

Simplyput,LSDputpsychiatrybackintheplayingfield.“Ifweacceptthe

basicpremise,thatpsychedelicdrugsmakeitpossibletostudythecontentand

dynamicsoftheunconsciousprocessesthataredifficulttoreachwithlesspowerful

techniques,”Grofproposedatananthropologyconferencein1972,“theheuristic

valueofthesesubstancesbecomesimmediatelyobvious.”Psychedelicdrugs

“exteriorize[d]otherwiseinvisiblephenomenaandprocesses,”andinthehandsof

researchers,theycarried“unusualpotentialasresearchtoolsforexplorationofthe

humanmind.”Andhere,hebelieved,ishowitwouldsavepsychiatry:“Itdoesnot

seeminappropriatetocomparetheirpotentialsignificanceforpsychiatryand

psychologytothatofthemicroscopeformedicineorthetelescopeforastronomy.”49

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LSDprovidedthe“tangibleevidence”(inthewordsofLieberman)thatpsychiatrists

hadbeenlackingsincethebirthoftheirprofession.

From1970to1975,GrofandhiscolleaguesattheMarylandPsychiatric

ResearchInstituteconductedanLSDProfessionalStudyandTrainingProgram.

Antoniowasoneof86menoutofthe108participants.Thoughthegender

imbalancewasostensiblytoprotectwomenofchildbearingagefrompassingonany

possiblegeneticdefectsresultingLSDuse,italsohadimplicationsforthestudy’s

findings,thoughtheseremainedunarticulatedatthetime.50AsSarahShortall

argues,thewaysinwhich“gendermediatedanddifferentiatedthedrugexperience”

inthe1960and‘70swaslargelyignored.Whilebothscientistsandhippieswho

believedinthetherapeuticbenefitsofLSDarguedthatthedrug“transcendedall

humanboundaries”suchasraceandgender(inthewordsofAllenGinsberg),there

remaineda“distinctlywhite,male,middle-classbias”withinboththe

counterculturaldiscourseandthescientificstudies.51

Theexperienceofthe(predominantlymale)subjectsprovedinvaluableto

Groffortheirarticulationofthepsychedelicexperienceinacontrolledenvironment

(thesewere,remember,highlyeducatedhealthprofessionalswhohadavested

interestinthemainstreamingofpsychedelicdrugsfortherapeuticintervention).

TheircolorfuldescriptionsappearedtofollowacoherentstructurethatledGrofto

developanewpsychologicalschematic.

Nearlyallsubjectsexperiencedafluiditybetweentheirbodiesandtheir

environment.“ThefirstthingInoticed,”wrotesubject7,athirty-nineyear-old

male,“wasadissolvingofsomeofmybodyboundariesasIexperiencedmyhands,

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whenplacedontopofoneanother,meltintoeachother.”52Subject6,atwenty-

four-year-oldmale,wrotethat“itwaslikeIwasslippingthroughthespaces

betweencells,thespacesbetweenmusclefiberoutintotheuniverse.AtonepointI

rememberfeelinglikeagreatweightwaspressingonmyphysicalbodyand

crushingmeandIwasleakingoutofmybody.”53Subject15,athirty-year-oldmale,

remarkedthat“mybody,meanwhile,wasmoistandfeltmalleable,asthoughits

boundarieswereonlyarbitrary.”54

Moredramaticwasthedescriptionof“peak”experiencesunderLSD

(reportedbytwo-thirdsofallsubjects).“Ipushedandpushedandthenitwashere,”

wrotesubject10,afemale.“Clearlightallaboutandpureenergy..notelectrical

energybutsomeotherkindofenergy...energyofwhichItoowascomposed.”55

Subject15wrote,

“Iwasconsciousofbeingstretchedoutandfeelingelongatedsuddenlyand

instantaneouslyasilentwailcamefromverydeepinsidealmostbelowme

andrushedthroughmesostrongly,sorapidly,thatIbecameacylinderbut

astheanguishpouredthroughitbroughtwithitatremendoussurgeof

energythatshotmeskywardbutcarriedmewithit.Myanguishbecame

myenergythatbecamemyjoy.”56

Inthisaccount,painwasanecessarysteptowardsspiritualtransformation.There

wouldbenojoywithoutpain.Emotionalpain,intheformofanguish,providedthe

catalystinsubject15’snarrative.Believingthatpainwasaninevitablepartof

transformationundoubtedlyprovidedassuranceandabilitytoembraceemotional

discomfortasbothinevitableandpositive.

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WhatGrofrealizedfromhisownobservationsandhisanalysisofthese

writtenreports,isthestrikingsimilaritybetweentheseaccountsandthoseof

childbirth.“Thegeneralideacamefast–butthedetailswereaddedovertheyears,”

heexplained.“Searchingforasimple,logical,andnaturalconceptualizationofthis

fact,Iwasstruckbytheastoundingparallelsbetweenthesepatternsandtheclinical

stagesofdelivery.”Whataccountedforthesimilarities,hewondered?“Igradually

realized..onecommondenominator:asignificantcontributionfromthetraumaof

birth.”57

Antonio,subject18inthestudy,providedGrofwithacoherentand

convincingaccountoftherelationshipbetweenbirthtraumaandpeakLSD

experiences.Hereceivedhisfirstdosage(300mcg;afairlylargedose)on

November21,1972.Threemonthslater,hewasgivenanevenhigherdoseof400

mcg.“Ibeganaverystrongdefinitefeelingofbeinginabirthsituationandfeeling

thatinordertogothroughwithit,”hedescribedafterhisfirstsession.“Icouldnot

usemyselfbutthatIhadtorelyonStanasthemidwife.Hewouldhelpmethrough

thisexperienceofbirth,”concludedAntonio.58

StanGrofservingasamidwife:ThisdescriptionmusthavestruckGrofasa

usefulandpowerfulmetaphor.Byguidingthesubjectthroughthememoryofbirth

traumainagentlersetting,Grofcouldhelphimreintegratethepainfulexperience

andbegintoheal.59Grofbegantorealizethat,likeaspiritualmidwife,hecould

empowerhispatienttoturnpainandfearintosomethingblissfulandmeaningful

andproductive.

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Antoniocontinuedtoarticulatethesignificanceofbirthtohuman

developmentexperiencedinhispsychedelictrip:

“ThenIbegintofeelmybirthasbeingsomethingimportant..wantingitto

besomethingspecial,butinsteadIamperceivingmyselfbeingrebornlike

intoamachineorintoaspacecapsule.Ifeelacoldnessaboutthebirthin

termsofthemechanicalmachinequalityofitinrelationshiptoglorious

noblebirththatIwouldexpect.”60

Thiswas,ofcourse,theveryassessmentofbirthreformerswholabeledhospital

birthascoldandmechanical.

Ratherthanfocusonlyontheexperienceforthelaboringmother,Antonio

alsounderscoredtheimportanceforthechild.Asamentalhealthprovider

interestedinhumanbehavior,heexperiencedarevelationregardingtheimpactof

birthandbonding,writing:

“Isuddenlyfeltthetremendousimportanceforthechildtohaveproper

loveandmaternalcareafterbirth....Ifthechildweretobedeprivedof

propercare,thefeelingoflossanddespairhemighthaveexperiencedin

thewombatbirthwouldhavebeenreinforcedthroughouthislife.He

wouldgrowtofeelinsecurewithfeelingsofdoubtandasenseofdeepguilt

andunworthinessabouthimselfandhewouldn’tknowwhy.”61

Ensuringapositivebirthexperiencethatenabledaninfanttobondwiththemother,

Antoniosuggested,wascrucialforhumandevelopment.

BacktoBirth:Grof’sBasicPerinatalMatricies(BPM)

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Grofwassoldonthisnotion.“Istartedseeingthattherewasthisdeep

perinatalpoolofdifficultemotionsandphysicalfeelingsinthehumanunconscious,

whichisthesourceofvariousformsofpsychopathology...roots[ofdisorders]can

betracedtothetraumaofbirthanddifficultiesofprenatallife,”hewrote.62He

createdatemplateoffour“basicperinatalmatrices”relatedtothedevelopmentof

thefetusandtheexperienceofbirth.Thesefourmatricescorrespondedroughlyto

thedevelopmentofthefetus,followedbystagesoflabor.Eachmatrix,Grofargued,

hadanenormousimpactonthehumanpsyche.“Thinkingintermsofthebirth,”he

explained,“providesnewanduniqueinsightsintothedynamicarchitectureof

variousformsofpsychopathologyandoffersrevolutionarytherapeutic

possibilities.”63However,morewasatstakethansimplyrecoveryofunconscious

traumasinbirth.Undertherightconditions,heargued,theseprocessescouldlead

to“orgiasticfeelingsofcosmicproportions,spiritualliberationandenlightenment”

alongwith“mysticalunionwiththecreativeprincipleintheuniverse.”64

ThesimilarityinlanguageanddescriptionsbetweenLSDpeakexperiencesin

thelaboratoryandspiritualbirthonTheFarmcannotbeoverlooked.Theyappear

tobedescribingalmostexactlythesamething,despitethegenderdifference.Allthe

birthstoriesweretoldbywomen,whilethepsychedelictripsweredescribed

predominantlybymen.Whilemanyoftheirdescriptionsofbirthtraumastemmed

fromtheperspectiveoftheinfantexitingthebirthcanal,theactuallanguageoften

alsomimickedthoseofthelaboringwomen.Itmightseemsurprisingtoseethese

unexpectedentanglementsbetweenpsychedelicpsychiatryandspiritualmidwifery.

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Yetbothgroups(psychedelicpsychiatristsandspiritualmidwives)benefitedfrom

thisideologicaloverlap.

Forthemidwives,Grof’sfindingsaddedtotheirbeliefthatanout-of-hospital

birthwasbeneficialtothebaby,andnotjustempoweringtothemother.Frequently

accusedofbeingirresponsibleandselfishbychoosingtostayoutofthehospital,

theywelcomedevidencethatimpliedpsychologicalbenefitstothebaby.They

believedthatwhattheyweredoingwasnotonlyspiritualandcounterculturalbut

scientific,andtheydrewuponthetheoriesofscientists–includingpsychedelic

researchers--tobuttresstheirclaims.Theendresult,intheformofabooksuchas

SpiritualMidwifery,wasagrowingacceptanceandmainstreamingofout-of-hospital

birth.

Forthepsychiatrists,theconnectionbetweenpsychedelic“peak

experiences”andspiritualbirth,includingperceptionsofpain,furtherlegitimized

theirclaimsthatpsychedelicdrugsofferedinsightsintohumanbehaviorand

consciousness.Likemidwives,psychedelicpsychiatristswerewaryofbeinglabeled

asirresponsibleorhedonistic.BymarketingLSDasatherapeuticresearchtoolthat

couldhealwoundsfromtraumaticbirth,theypositionedtheircraftascuttingedge.

Bothgroups–themidwivesandthepsychedelicresearchers–borrowedfromeach

other’sbeliefsystemsandtheoriestolegitimizetheirownclaimsaboutthe

significanceofawakeningtheunconscious.Bydoingso,theyexpandedthe

parametersoftheirprofessions,suggestingthepossibilityofnewapproachestothe

psychologyofthemindandthepsychologyofbirth.

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1Nothisrealname.2Subject18,box1,MSP170,MarylandPsychiatricResaerchCenterLSDProfessionalTrainingProgramStudyFiles,KarnesArchivesandSpecialCollections,PurdueUniversityLibraries,WestLafayette,IN.3ElaineScarry,TheBodyinPain:TheMakingandUnmakingoftheWorld(OxfordUniversityPress,1985),p.304Scarry,p.355emailcorrespondencewithauthor,December2,2017.6QuotedinInaMayGaskinSpiritualMidwifery:RevisedEdition(Summertown:TheBookPublishingCompany,1977),p.137.7KatherineR.Bonson,“RegulationofhumanresearchwithLSDintheUnitedStates(1949-1987),Psychopharmacology(October262017).8“PsychedelicResearchStaffMeeting,”January27,1969,page1,folder2,box11,MSP70,CharlesSavagepapers,PurdueUniversityLibraries,WestLafayette,Indiana.9TheodoreBarber,LSD,Marihuana,Yoga,andHypnosis(Routledge2017),p.50.10“RatsDeformedbyLSDExperiments,”TheGuardian,16April1968,clippinginDB26file,RDLaingpapers,UniversityofGlasgowSpecialCollections.YetaccordingtoKatherineR.Bonson,memberoftheControlledSubstanceStaff,CenterforDrugEvaluationandResearchattheFoodandDrugAdministration,“therearenocredibledatasupportingtheallegationthatLSDaltersgeneticmaterial.”SeeBonson,“RegulationofhumanresearchwithLSDintheUnitedStates(1949-1987),Psychopharmacology(October262017).11FormoreonTheFarm,seeWendyKline,“TheLittleManualThatStartedaRevolution:HowHippieMidwiferyBecameMainstream,”inDavidKaiserandW.PatrickMcCray,eds.,GroovyScience:Knowledge,InnovationandAmericanCounterculture(Chicago:TheUniversityofChicagoPress,2016),pp.172-204.12 For more on the quest for greater spiritual meaning and authenticity in the 1970s, see LucasRichertandMatthewDeCloedt,“Supplebodieshealthyminds:yoga,psychedelicsandAmericanmentalhealth,”Med.HumanitiesEpub,March30,2018 13Hoffmann,D.E.andTarzian,A.J.,“TheGirlWhoCriedPain:ABiasAgainstWomenintheTreatmentofPain,”JournalofLaw,Medicine&Ethics,Vol.29,pp.13-27,2001.p.2214SeeWendyKline,BodiesofKnowledge:Sexuality,ReproductionandWomen’sHealthintheSecondWave(Chicago:UniversityofChicagoPress,2010).15JoannaBourke,TheStoryofPain:FromPrayerstoPainkillers(Oxford:OxfordUniversityPress,2017)p.300.16Bendelow,G.(1993),PainPerceptions,EmotionsandGender.SociologyofHealth&Illness,15:273–294,p.275.17Wailoo,Pain,p.6618seeFabrizioBenedetti,“BeecherasClinicalInvestigator:PainandthePlaceboEffect,”PerspectivesinBiologyandMedicine,2016,Vol.59(1),p.3719Wailoo,Pain,p.67.

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20GrantlyDick-Read,TheNaturalChildbirthPrimer(NewYork:HarperandRow,1955),p.1.FormoreonDick-Readandnaturalchildbirth,seePaulaMichaels,Lamaze:AnInternationalHistory(OxfordUniversityPress,2014).21IdoHartogsohn,“APsychedelicTechnology:HowSetandSettingShapedtheAmericanPsychedelicExperience1950-1970,”inBenSessa,editor,BreakingConvention:PsychedelicPharmacologyforthe21stCentury,2017,p.14222FormoreonLSDstudiesthattrackedtheimportanceofsetandsetting,seeErikaDyck,PsychedelicPsychiatry:LSDFromClinictoCampus(Baltimore:JohnsHopkinsUniversityPress,2008),pp.67-68.23StephenGaskin,TheCaravan,rev.ed.(1972;Summertown,TN:BookPublishingCo.,2007),127.24Thereisavastandexpandingliteratureonthehistoryofpsychedelicpsychiatry.SeeinparticularErikaDyck,PsychedelicPsychiatry:LSDfromClinictoCampus(JohnsHopkins2008),MatthewOram,“TheTrialsofPsychedelicMedicine:LSDPsychotherapy,ClinicalScience,andPharmaceuticalRegulationintheUnitedStates,”PhDdiss.,UniversityofSydney,2014;DouglasOsto,AlteredStates:BuddhismandPsychedelicSpiritualityinAmerica(ColumbiaUP2016)NicholasLagnlitz,Neuropsychedelia:TheRevivalofHallucinogenResearchsincetheDecadeoftheBrain(Berkeley:UniversityofCaliforniaPress,2012);DonLattin,ChangingOurMinds:PsychedelicSacramentsandtheNewPsychotherapy(NewYork:SynergeticPress,2018);Lattin,TheHarvardPsychedelicClub:HowTimothyLeary,RamDass,HustonSmith,andAndrewWeilKilledtheFiftiesandUsheredinaNewAgeforAmerica(NewYork:Harper,2011);MartinA.LeemandBruceShlain,AcidDreams:TheCompleteSocialHistoryofLSD:TheCIA,TheSixties,andBeyond(NewYork:GrovePress,1985);LucasRichertandMatthewDeCloedt,“Supplebodieshealthyminds:yoga,psychedelicsandAmericanmentalhealth,”Med.HumanitiesEpub,March30,2018;SarahShortall,“PsychedelicDrugsandtheProblemofExperience,”PastandPresent(2014),Supplement9,pp.187-206;MichaelPollan,HowtoChangeYourMind:WhattheNewScienceofPsychedelicsTeachesUsaboutConsciousness,Dying,Addiction,Depression,andTranscendence(NewYork:Penguin,2018).

25MelvynStiriss,VoluntaryPeasants:LaborofLove(HotButtonPress,Warwick,NY2012)location679(kindle).26http://www.thefarmmidwives.org/preliminary_statistics.html.LastviewedMay30,2013.27Thisedition(original)doesn’thavepagenumbers28SpiritualMidwifery:RevisedEdition,p.70.29SpiritualMidwiferyRevisedEdition,p.141.30SpiritualMidwifery:RevisedEdition,p.6331LyndaBateman,CatrionaJones,andJulieJomeen,“ANarrativeSynthesisofWomen’sOut-of-BodyExperiencesDuringChildbirth,”JournalofMidwiferyandWomen’sHealth,Vol62,no.4,July/August2017,p443.32SpiritualMidwifery:RevisedEditionp.15433SpiritualMidwifery:RevisedEditionp.6234WalterTruettAnderson,TheUpstartSpring:EsalenandtheHumanPotentialMovement:TheFirstTwentyYears(iuniverse,2004),p.66

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35AbrahamMaslow,Religions,Values,andPeakExperiences,1964,p.245(check).FormoreonMaslow,seeNadineWeidman,“BetweentheCountercultureandtheCorporation:AbrahamMaslowandHumanisticPsychologyinthe1960s,”inKaiserandMcCray,eds.,GroovyScience,pp109-141.36SpiritualMidwifery:RevisedEditionp.14237StanGrof,“VarietiesofTranspersonalExperiences:ObservationsfromLSDPsychotherapy,”JournalofTranspersonalPsychology,VolumeIV,No.1,1972,p.51.38SpiritualMidwifery:RevisedEditionp.15339SpiritualMidwifery:RevisedEditionp.13340SpiritualMidwifery:RevisedEditionp.7741Grof,interview,“TheGreatAwakening,”inRogerWalshandCharlesGrob,eds.,HigherWisdom:EminentEldersExploretheContinuingImpactofPsychedelics(NewYork:SUNYPress,2005),p.12242QuotedinBronson,“RegulationofhumanresearchwithLSDintheUnitedStates.”43Grof,“TheGreatAwakening,”p.12344GrofinterviewedinKeithThompson,“SearchfortheSelf,”YogaJournal,July/August1990,p.57.45Grof,“TheGreatAwakening,”p.12046JeffreyA.Lieberman,Shrinks:TheUntoldStoryofPsychiatry(BackBayBooks,2016),106.47Grof,“VarietiesofTranspersonalExperiences,”JournalofTranspersonalPsychology,1972,p.4748MartinHalliwell,TherapeuticRevolutions:Medicine,Psychiatry,andAmericanCulture,1945-1970(RutgersUniversityPress2014),p.26149Grof,“Implicationsofpsychedelicresearchforanthropology:observationsfromLSDpsychotherapy”atconference“Ritual:ReconciliationinChange”July21-29,1973,PaperpreparedinadvanceforparticipantsinBurgWartensteinSymposiumNo.59,p.8,box1folder3,MSP1,StanislavGrofpapers,PurdueUniversityLibraries,WestLafayette,Indiana.Emphasisadded.50FormoreontheMarylandPsychiatricResearchInstitutestudies,seeMatthewOram,“TheTrialsofPsychedelicMedicine,”PhDdiss.,Univ.ofSydney.51SarahShortall,“PsychedelicDrugsandtheProblemofExperience,”PastandPresent(2014),SupplementB,177-206,p.201.SeealsoDouglasOsto,AlteredStates:BuddhismandPsychedelicSpiritualityinAmerica(ColumbiaUP2016)52Subject7,box1,MSP17053Subject6,box1,MSP17054Subject15,box1,MSP17055Subject10,box1,MSP17056Subject15,box1,MSP17057Grof,“TheGreatAwakening,”p.13358subject18,box1,MSP17059Indevelopingthistheory,Grofwasundoubtedlyinfluencedbyotherpsychiatristswhohadfocusedonbirthtrauma,namelyOttoRank,andtosomeextentSigmundFreud.Othersbegantofocusonbirthandprimaltherapyinthepostwarera/1970s,suchasJanov,butdisagreedaboutwhattypeoftherapeuticeffectswouldbesuccessful.60subject18,box1,MSP17061subject18,box1,MSP170

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62Grof,“TheGreatAwakening,”p.13363Grof,TheAdventureofSelf-Discovery:DimensionsofConsciousnessandNewPerspectivesinPsychotherapyandInnerExploration(NewYork:SUNYpress,1988),p.9.64GrofquotedinJeffreyKripal,Esalen:AmericaandtheReligionofNoReligon(Chicago:UniversityofChicagoPress,2008)p.258.