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Discussion (144 Comments)Read Original on HackerNews
I'm really happy to hear things like this. The potential benefits (and drawbacks, of course) been evident to lots of us psychonauts for a long time, and finally the sentiment seems to have turned enough so some money can actually get into the research to see if these things can help us today via treatments. A real joy to see after so many decades of the failed war on drugs that influenced policies across the globe.
The problem is the the unpredictability, because there are plenty of catastrophic results too, and we don't really know why. We can't tell "in your case you should take this dose, the risks are quantified and acceptable, and this is what we should do if things go wrong". And it is not for the lack of trying.
People tend to forget that LSD is a product of "big pharma" and they definitely tried to make a safe and effective treatment out of it, so that they could make money out of their patent.
The "war on drugs" certainly didn't help, but research never really stopped, but we are struggling to turn these drugs into treatments that up to modern standards. And by the way, many controlled substances are used in mainstream medicine: heroin, fentanyl, amphetamines (incl. meth), cocaine, ketamine,...
This is false. The scheduling of psychedelics such as psilocybin and LSD was catastrophic for medical research in the United States (as well as in many other countries) from the early 1970s until the mid-2000's. Even today, research on psychedelics is challenging.
> but we are struggling to turn these drugs into treatments that up to modern standards
The elephant in the room is that psychedelics don't really fit into our existing framework around development of psychiatric drugs. For example, you can't really run a RCT, because it's completely obvious to the patient whether they've received the drug or a placebo. The concepts of set and settings, and the importance of "guides" in trials, prove challenging as they introduce highly subjective elements. I would frame this as more of a mismatch than a case of "modern standards being better" - the jury is still out on whether psychedelics will prove effective, and we're still trying to figure out how to "prove" that.
There is a long way to go toward solid research on this topic. The studies that exist have small sample sizes and usually very limited monitoring periods after the dose, which makes them extremely prone to placebo effects. There’s no real blinding in a study with powerful psychedelics, so long-term comparisons against active comparators (therapy, other antidepressants) are needed.
There is a lot of reporting that would make the studies seem like slam-dunk, case closed results, but every study I’ve read so far has felt very weak compared to traditional antidepressant studies. That’s expected for early stage research, but it’s going to take a lot more to quantify the treatment effects.
> The problem is the the unpredictability, because there are plenty of catastrophic results too, and we don't really know why.
The studies go to great lengths to have controlled circumstances like therapists monitoring and guiding the situation for hours, including integration sessions afterward in a lot of the studies.
This helps control the situation for those studies, but it’s hard to translate that to real world practices. If the current proliferation of poorly-run ketamine clinics by cash grabbing providers is a clue, it would be really hard to ensure the level of trained therapist oversight that happens in these studies if this every becomes mainstream.
There’s also the big problem of occasional majorly negative outcomes, as you noted. There are a lot of reports around the internet of even seasoned psychonauts who eventually had a trip that left them depressed or dissociated for months. For the longest time these anecdotes were dismissed as having triggered an underlying mental health disorder as a way to avoid blaming the drug. The advice was always that people with mental health problems shouldn’t take the drugs. Well now that we’re talking about using these as antidepressants (maybe) then it would be exclusively people with severe mental health conditions taking them.
I don’t think it would take very many severely negative public cases to shut it down or at least severely restrict it.
It’s extremely analogous to anything that would make a normal day into a bad day.
Sometimes you have a hand you can't keep, and it's better to draw a new hand with one fewer card. Don't want to do that too many times, or you will almost certainly have a losing hand.
Even the bizarre murder of Central American fishermen is justified by someone somewhere having a dime bag or something.
Who needs trials , or evidence. Drugs are bad.
Government good.
Drugs bad.
We are struggling to pay for the research that would result in these being effective treatments (not subscription medicines) that would start out as generic drugs.
> ketamine
Great example, SPRAVATO, is a brand name patent protected version of this drug (enantiomer) that as a dose cost over 500 bucks.
Just like that special ketamine. Or all these ADHD medicine that is just tweaked and patented amphetamine.
It's not like it's a novel drug -- the gatekeeping is ridiculous. Fuck the DEA.
i can think of a way to find out :)
we'll have to take it in stages https://en.wikipedia.org/wiki/Clinical_trial
“Artificial General Intelligence arose from the streets of San Francisco ca. 2027 possibly due to the high use of opiates among the population. Scientists have found that many locals at the time (of the dominant natural species - Homo sapiens) would consume vast amounts of fentanyl on the city streets - an incredibly dangerous drug originally used at the time as painkiller - which might be the source of artificial intelligence.”
In particular it is the thumbnails that look identical.
https://www.youtube.com/watch?v=l6NeLNYCGo0 The Zombies Of America! (i have never seen anything like this..) by Frank van Dam.
https://www.youtube.com/watch?v=snN0PNZVWNA Inside Philadelphia's Real Life Zombie Outbreak by Tyler Oliveira
https://www.youtube.com/watch?v=htZCX1Y0ZiA THE ZOMBIES OF AMERICA (I'VE NEVER SEEN ANYTHING LIKE THIS) by Joe HaTTab
I think there might be multiple groups in play there
There's a really great YouTube channel called Desert Lore and he covers this topic in depth in this episode. It was really fascinating:
https://youtu.be/Vp4JlUEnPTs?si=j8gH0WnHRpeo1BJu
@rkozakand 10 months ago
The so called "southwestern motif" is found wherever people weave. Our native rugs in the mountains of Ukraine use the exact same motif, only in different colors. It is a natural outgrowth of weaving techniques, which encourage triangles. We also have ancient pottery from what is called the Trypillian culture, which includes spirals and what you call 'zen tangle' motifs, which we call 'bezkonechnyk'. This pottery looks very similar to Southwest American pottery, even being executed in the same colors. I therefore doubt that they are as tied to specific plants as you think, although patterns repeat in nature, and maybe we have similar plants.
I have read every trip report on Erowid in relation to tropanes.
Art influenced by datura would look like Clive Barkers Hell Raiser. The trip reports are incredibly consistently dark because the person taking the substance is being poisoned. Not figuratively, literally.
The more interesting thing if you look into it is how ayahuasca use might be a modern phenomena. Maybe a few hundred years old.
Even more interesting is how there is a mindset that would not want this to be true and would never accept the evidence for it.
Here's where he breaks down all three: https://youtu.be/Vp4JlUEnPTs?si=ZURxNd189w7_Rzfg&t=870
I do agree that drugs were often needed for people to ensure the hardships of civilization (alcohol is not just a disinfectant). My main problem though is that this is too often used as an argument to shove a bunch of drugs in the general population, when we maybe could achieve some better results by just improving society.
The people that take psylocibin/mescalin/whatever always tell other how much it expanded their mind, yet often they seem just as narrow minded to me as they did before, just in a different way
I know a local bar where there are 4 bartenders who have all been there over 25 years.
Recently I started asking them "How many pregnancies do you suppose you have caused throughout your career?". The most common response was to laugh but all of them also said "I know of a few at least".
Specifically, we have evidence of beer older than we have evidence of cereal domestication. There is evidence that beer's side effects were considered important for social and religious gatherings (as they are today as well). People wanted to make more beer and so figured out how to plant it. The process to make bread is actually a lot more involved than to make beer and porridge... and porridge just doesn't make as much sense as a motivating factor for domestication when the grains ripen at the same time as many many other easier and tastier foods are also ready in the natural environment.
Arguably, the domestication of grain and invention of agriculture played a role in the rise of many civilizations.
There's no reason to think that humans 10k years ago didn't enjoy getting buzzed, just like humans today do.
An often missed point about grains is that distilling or fermenting them into beverages made for easier transportation, storage, and resilience. Yeah, you could store grains in granaries nearby, but there is a lot of volume that makes it unwieldy for ox carts or train cars. If farmers can bottle their excess grain, then there is a diversified portfolio that can smooth over crop failures or market dips.
Of course, today the tail is wagging the dog, because liquor production is demanding far more than just the excess harvest or a portion to transport. But you can see historically why its benefits were being touted to the consumer.
Caffeine in Floral Nectar Enhances a Pollinator's Memory of Reward - https://www.science.org/doi/10.1126/science.1228806
> Caffeine improves memory in humans, millions of whom find that their daily dose enhances clarity, focus, and alertness. The human relationship with caffeine is relatively recent, however, and thus its impact on our brains is likely a by-product of its true ecological role. Caffeine occurs naturally in the floral nectar of Coffea and Citrus plants. Wright et al. (p. 1202; see the Perspective by Chittka and Peng) found that caffeine presented at naturalistic levels significantly improved the ability of bees to remember and locate a learned floral scent and potentiated the responses of neurons involved in olfactory learning and memory.
PBS Eons Why Does Caffeine Exist? (5:13 for the bit on bees) - https://www.youtube.com/watch?v=PzshAqowsyI
> In experiments on bees, researchers have found that once they've had a sip of caffeine-laced nectar, it boosts their memory, makes them preferentially revisit the plants, and even helps them pollinate faster and more efficiently. So, for plants, caffeine is a multi-purpose molecule with a lot of adaptive benefits. But, for us, it has one main benefit: it gets us through Monday morning. ...
Makes you wonder what kind of selective pressures it exerted on the evolution of modern man. Select for chill and veg out types? For believers in cure-all panaceas (and snake oil)? For people who enjoy sucking on things? Or for something more sinister. It is the most fascinating evolutionary pressure.
Because in March of this year 2026 Nature published research that revealed that nicotine and its agonist buddies that stimulate niconitic acetylcholine receptors in the brain majorly screw with the reward system in the effort department.
The Nature March 2026 research showed that nicotine receptors make meaningless behavior meaningful as if you expend effort on it and vice versa makes meaningful effortful behavior meaningless. That displaces ambition and is very insidious cumulatively in all sorts of overt and sneaky ways. It's not even zombification, it's fundamentally creating bees that not only enjoy being worker bees but have zero ambition for anything else. I mean, we can talk about how profound this is and has been, but tobacco lobby will stifle any serious conversation before they even commence.
I honestly wish mind-altering drugs were more accessible sometimes, mostly because of safety. Millions are killed by adulterants in their street drugs.
Not only drugs, almost everything is bad at the wrong dosage. Case in point: water.
That said, the state of mind must be so wild that "is it poisonous in this specific/usual sense" is probably not the right thing to discuss.
What’s you’re arguments it’s not a drug?
Imagine what effect alcohol has
It’s amazingly coherent.
Why does this sound familiar? Silicon Valley, microdosing, everyone trying to be creative in finding best applications for AI (more or less creative, I must flag here)
Guess history repeats itself.
Just imagine the power you could wield as a shaman with drugs like DMT and psilocybin it would look like a literal magic
A big part of our consciousness is the default mode network (which is a default of how we operate day to day, things we think about, etc). Psychedelics allow us to change that DMN, but may it have created it too?
I don't dispute the utility of psychedelics. But I have observed (and this is anecdotal) that the fanatic devotees of the drugs tend to engage in magical thinking around the power/history/whatever of psychedelic substances, no matter their intelligence or accomplishment, or rigorous critical thinking in other areas.
Is it such a leap that fungi are one of the few natural drugs that cause brain elasticity so maybe our early ancestors took it to get the evolutionary process started.
0. https://en.wikipedia.org/wiki/Stoned_ape_theory
Consider the question yourself next time you are in the throes of an exoerience and see how hard it is to maintain objectivity...
It has also been shown to have negative correlation to networks in the brain associated with attention.
This reads like recycled lamarckism.
Recycled Lamarckianism would be Lysenkoism. :)
I have never taken psychedelics but I believe myself to be conscious.
Sorry to be rude, but what the hell does that mean?
In fact, when you take fungi, it tones down common neural pathways and allows new ones to form between new places.