Voluntary participation and non-coercion

The manuals converge strongly on voluntary participation as a core requirement. Across the LSD handbook, the ibogaine manual, and the BPL-003-203 protocol, the sources recommend that participation be based on informed willingness, with the person given a clear explanation of the treatment and the right to decline or withdraw. They also align in treating coercive pressure as inappropriate, and in linking respect for autonomy with a patient-centred or non-judgemental therapeutic stance. The main differences are in emphasis and context. The LSD handbook frames coercion as both unethical and therapeutically counterproductive, while the ibogaine manual adds explicit attention to social or treatment-related pressure and to truthful disclosure about possible death and serious adverse events. The BPL-003-203 protocol extends the same principle into research and therapy administration, with specific protections around optional interviews, recordings, ancillary assessments, and follow-up activities, and it also says participants should not be excluded for refusing optional recording use for training or optimisation.