#11378. Vegetative value: promissory horizons of therapeutic innovation in the global circulation of ayahuasca

July 2026publication date
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Journal’s subject area:
Health (social science);
Health Policy;
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Abstract:
Ayahuasca is a herbal brew that is widespread in Indigenous Upper Amazon and has undergone global expansion in the last decade. As it is taken up in an ever-growing range of ritual or experimental practices questions of authority, authenticity, propriety or safety become acute. This case allows us to interrogate contemporary processes of value-making as radically different and highly stratified values encounter each other, on the brink of a possible pharmaceuticalization of ayahuasca. The circuits of ayahuasca’s valorization reveal a complex coproduction of value that makes strategic use of various scales, sites and situations. The article examines the promissory horizon of extra-pharmacological value identified as key to understanding the efficacy of psychedelic substances such as ayahuasca. It then attends to the extraction of value from plants before closing with a reflexion on the politics of inclusion in the discussions that frame ayahuasca’s value globally.
Keywords:
Ayahuasca; Brazil; Evidence; Mental health; Pharmaceuticalization; Value

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