I disagree about a clinical setting, though I think I mostly agree overall. Mainly I fear people will read this and mistake it for a defense of MDMA as a drug

I disagree about a clinical setting, though I think I mostly agree overall. Mainly I fear people will read this and mistake it for a defense of MDMA as a drug for going out with your mates. I think this can be helpful for some and very helpful for others but not as helpful as a clinical setting. Where a clinical setting is a therapists office and not a cold clinic room. I do think people would do just as well or better with a couple good mates, a nice set and setting like you described, and some intentionality (vaguely even) about why they are going on the trip. The problem is many don’t have a couple good mates, or don’t know how to talk things through with themselves or otherwise, and would benefit from guidance. Better if people go into it with an agenda like a therapist would have. Edit: The reason this bothers me is because I’ve tried to think through what gave the few old hippies I’ve met burnout. And maybe they were just high but I fear it was psychedelics too often and for people on message boards to assume MDMA discussions are the same as psychedelic discussions when the dosing patterns I’ve heard discussed are very different. This is I’m content with these synthetic drugs remaining prescription only. Having a system about it supports cultural expectations. The MAPS guys are really doing it right. The only problem is our system that doesn’t get approval for drugs out of patent. e.g. ketamine/s-ketamine