Psychedelics and collective trauma: multisystemic resilience and recovery pathways among Nova festival survivors – a qualitative study

<b>Objective:</b> On 7 October 2023, a mass-casualty attack at the Nova festival in Israel created an unprecedented convergence of collective trauma and altered states of consciousness. Many survivors were under the influence of psychedelics or other psychoactive substances at the time of the attack. This study explored how survivors made sense of and navigated recovery, with a focus on relational, community, and cultural processes.<b>Method:</b> We conducted semi-structured interviews with 45 Israeli survivors (25 male, 20 female), recruited through a nonprofit organization that provides trauma support. All participants had been under the influence of at least one psychoactive substance during the attack and were engaged in psychological support afterward. Data were analysed using Reflexive Thematic Analysis (Braun & Clarke [2019]. Reflecting on reflexive thematic analysis. <i>Qualitative Research in Sport, Exercise and Health</i>, <i>11</i>(4), 589-597) with a phenomenological orientation to lived experience. Reflexivity was supported by journaling, peer debriefing, and a positionality statement.<b>Results:</b> Two interrelated recovery pathways emerged from survivors' narratives: (1) Interpersonal and Therapeutic Supports (psychotherapy, therapeutic alliance, and peer solidarity) and (2) Collective Healing Practices (grassroots initiatives, community rituals, and culturally meaningful commemorations).<b>Conclusions:</b> Recovery from the Nova attack appears to be rooted in multisystemic and culturally significant contexts. In fact, psychedelic experiences became part of survivors' trauma stories not in isolation but when supported by therapeutic, peer, and community frameworks. These findings underscore the importance of culturally sensitive, system-level approaches to collective trauma recovery and emphasize the need for trauma services that incorporate community-led care and nonjudgmental engagement with altered states of consciousness.