Craig K Comstock

The Psychedelic Future of the Mind

Can our society make a place for psychedelics intended not only to return people to normality (the medical model) but also to go beyond ordinary reality? If so, what might we find there? In his new book, The Psychedelic Future of the Mind: How Entheogens Are Enhancing Cognition, Boosting Intelligence, and Raising Values, Thomas B. Roberts has one answer.
So far, we have put a toe in the water by permitting limited experiments with the use of psychoactives for such curative tasks as ending alcohol abuse or assisting therapy for post-traumatic stress; by allowing marijuana to be ingested (in Colorado and Washington states) alongside some of our society's traditional drugs of choice (such as beer, wine and hard liquor); and by legalizing the traditional use of mescaline in rituals of the Native American church and the importation of ayahausca "tea" by two churches that, after being founded in Brazil, are now represented in the U.S. Meanwhile, for a generation, according to surveys on use, a massive underground activity has continued in spite of the war on drugs.
The constraints on progress for drug reform are so many that the medical model offers a path of least resistance, forcing a wide-ranging reform organization like MAPS to focus much of its energy on validating psychedlics through medical research.
Arguably, or so I heard from participants at a conference sponsored by MAPS, one of the dangers posed by psychedelics is, by lifting the curtain around ordinary reality, to occasion doubt about authority structures built on a narrow assumption of what's possible. Whatever dangers exist for certain people (those who are "pre-psychotic," for example), these substances pose a challenge to the assumption that the ordinary work-a-day world is all there is, and that other worlds are distortions, distractions, or as Oliver Sacks may be taken as implying in his new book, "hallucinations."
One of the very few above-ground exceptions to the medical model is the work by Roland Griffiths and his colleagues at Johns Hopkins, which revealed, at least in the peer-reviewed scientific literature, that psilocybin can occasion "mystical-type experiences." For decades unofficial explorers with mescaline and psilocybin had reported MTEs outside scientific literature, as in Aldous Huxley's Doors of Perception (1954), in Terence McKenna's books, and in the famous Good Friday experiment in Boston University's Marsh Chapel (1962). Another exception, although the setting was quasi-medical, is recent research on using a psychedelic to ease fears of the dying.
In 1999, while staying on the Big Island of Hawaii for a vacation, I stopped by a conference being held in Kona, on the subject of the effect of psychedelics on the arts and sciences and more generally on creativity. Among the speakers were a novelist, a composer, a screenwriter, a film producer, and a couple of painters who described what they owed to psychedelics, along with discussion of the role of these molecules in advertising and in the computer industry. There was talk of Kary Mullis' recent crediting of LSD's role in his Nobel Prize discovery of polymerase chain reaction, as well as unsubstantiated rumors of other scientific discoveries made while high. These people were talking about the stimulation not of healing, but of creativity.
Obviously, revelation of illegal activities will remain limited as long as use of the molecules may lead to harsh sanctions. Meanwhile, observers often confuse psychedelics with "hard" drugs such as amphetamines and morphine. In this connection, Oliver Sacks offers a set-up for this confusion in casual readers by an account of his own youthful psychoactive drug use in one chapter of his new book, Hallucinations. While he did take LSD as a young man, the chapter does not focus on any sacramental experience purely on a psychedelic. Instead, we are immersed in experiences launched from amphetamine (combined with marijuana and LSD), or occasioned by a prescription anti-spasmotic sold as Artane, or by intravenous morphine from his absent father's medicine cabinet.
Each of these "trips" produced hallucinations, defined as something that isn't really there. The descriptions are absorbing, such as his watching a vivid but miniature Battle of Agincourt on his bathrobe, or seeing on a white wall a pear-shaped blob of true indigo (a color that, according to Sacks, Giotto tried in vain to paint).
Sacks is a neurologist, not a shaman or a "psychonaut." As a neurologist, Sacks has done service within the medical model, getting patients back to normal or at least helping them to manage and tolerate their conditions. In his work, being outside the ordinary is normally a problem, not a privilege. He deals with unusual states (for example, "the man who mistook his wife for a hat") that are hurting patients and tries to rescue them. He is not in the business of inducing unusual states, as, for example, James Fadiman or Stanislav Grof have been.
Sacks expresses discomfort with the drug-taking that he faithfully reports with his usual flair. He describes the drugs available during his California residency as "seductive." He was "shocked" by the way he spent a night staring at Agincourt. Amphetamine produced a "vapid mania." What he values in his work, apart from the writer's delight in describing syndromes, is accurate diagnoses, plus medicines and techniques that allow a return to normal.
For the life of a generation, the "psychonaut" community has been operating outside the law. For a generation, members of this community have largely been unable to get grants, do scientific research, or publish what they have seen and felt. Meanwhile, they have risked jail. They have had trouble getting pure drugs. In some cases, they have made claims that require scrutiny. Threatened by the government, they have tended automatically to support one another, when a healthier life would have included a stream of friendly, open challenge.
Much of the pro-psychedelic argument is summarized by Thomas B. Roberts in The Psychedelic Future of the Mind. Neither a report of groundbreaking research nor lovely naturalistic observation as in Sacks, the book begins methodically with what could be a useful annotated bibliography of some books and ideas. One of his most provocative and playful contributions in the book is consigned to the appendix and a late chapter, in which Roberts envisions a network of "community psychedelic centers" which, after legalization, would not only boost the immune system and in general heal (the medical model again) but also facilitate "professional development" in such areas as "spiritual development and religious studies," "creativity and problem solving," "self-development and self-knowledge." The network would sell stock, and like eye clinics and grocery stores, be part of the normal community.
As his title suggests, Roberts wants to help produce a better brain, a "neuro-singularity" that would amplify intelligence and induce creativity. After chapters by Roger Walsh on religious experience and by Charles Grob and Alicia Danforth on their research about using psychedelics at the end of life, the book offers chapters on "enhancing cognition, boosting intelligence" and explicitly on "bigger heads and better brains." While giving a deft summary of Grof's thesis about experiences surrounding birth, Roberts wants to go beyond psychotherapeutic understanding, and into a new world in which humans are advanced beyond what is now considered normal, just as Ray Kurzweil foresees a technological singularity, Roberts particularly praises Benny Shannon's study of ayahuasca: "his focus is not on the particular topics of cognitive psychology, but on its unstated assumptions."
In short, Roberts' book offers a well-informed introduction to the broad spectrum use of psychedelics, a prospectus for community growth centers, and a vision of intelligence and creativity higher than what we now enjoy, plus news from one of the best thinkers and a pair of the most imaginative researchers in the field. And he is careful not to allow readers to confuse, under the loose rubric of "drugs," very different kinds of molecules. Calling methamphetamine and psilocybin both "drugs" makes about as much sense as attaching the label of "store" to both a big-box retailer and a boutique. The label in both cases is accurate but misleading.

Incumbent President of Colombia Signs Public Letter Questioning Drug War

Manuel Santos, incumbent President of Colombia, which has fought a long-time war on drugs with the support of the U.S., has just signed a public letter questioning that war on grounds of efficacy, cost, side effects, and fairness. 

According to a public letter circulated by the Beckley Foundation, which was founded in the UK by Amanda Feilding, the global war on drugs "has failed and has had many unintended and devastating consequences worldwide." Failed how? Drugs are "cheaper, purer, and more available." The unsuccessful "war" on drugs is costing taxpayers "billions per year." The drug industry, the "third most valuable industry in the world," is "all in the control of criminals." This cash flow pays for rampant "corruption." And people's lives are being wrecked when they are deprived of freedom (and then of a vote).

Breaking the Taboo, a new documentary on the war on drugs, can be viewed on YouTube as of December 7, and serves as part of the Beckley Foundation's challenge to prohibitionist policies encoded in a U.N. convention on "narcotic" drugs. Inspired in part by a Brazilian film of the same name that had its premiere in Rio in 2011, the new documentary is narrated by Morgan Freeman and directed by Cosmo Feilding Mellen of Sundog Pictures in London. 

Meanwhile, Beckley's public letter has attracted many signatures. It is hard enough to get support from leaders no longer in office, such as, in Europe, the past presidents of Poland and Switzerland; and in Latin America, the past presidents of Brazil, Colombia, and Mexico; as well as, in the U.S., past presidents Jimmy Carter and Bill Clinton, both of whom are featured in the new documentary, Breaking the Taboo. All of them are signers. It is very much harder to win the commitment of a sitting leader, such as Otto Perez Molina, President of Guatemala, also a signer, as well as, now, Juan Manuel Santos of Colombia.

In the cautious language of diplomacy, the Beckley letter states that "we must seriously consider shifting resources away from criminalizing tens of millions of otherwise law-abiding citizens and move toward an approach based on health, harm-reduction, cost-effectiveness, and respect for human rights."

In addition to the various presidents, past and present, the letter has now been signed by a dozen Nobel Prize winners, various former public officials, professors, writers, as well as by Sting, Yoko Ono, and Richard Branson. Among the professors are not only the well-known progressive Noam Chomsky, but also his neighbor in Cambridge, the relatively conservative Harvard historian Niall Ferguson. 

In calling for harm-reduction, Beckley's letter is quite specific about the cause of the harm. "At the root of current policies lies the 1961 UN Single Convention on Narcotic Drugs."* "As the production, demand [for] and use of drugs cannot be eradicated, new ways must be found to minimize harm, and new policies, based on scientific evidence, must be explored."

Consider a metaphor from ancient culture of Hawaii, where, on the Big Island, I first met Amanda Feilding. Along the west coast is the City of Refuge, where, according to the National Park Service, "those who violated the kapu (sacred laws)" could come for sanctuary. If they made it within the wall, they were safe from retribution. Located in the UK, the Beckley Foundation is creating a sort of global refuge for those who are breaking the taboo of the drug war, a growing sanctuary that is endorsed by various world leaders and documented in the new film.

The campaign to question the war on drugs is notably inter-generational. Richard Branson's son Sam works at Sundog Pictures with Cosmo Feilding Mellen, director of the new documentary and a son of the woman who founded the Beckley Foundation.

Apart from helping to organize a reconsideration of public policy on drugs, the Beckley Foundation is supporting and in some cases taking part in research on these molecules (details on its website). In this, it parallels the efforts of such U.S. nonprofits as the Heffter Research Institute and the Multidisciplinary Association for Psychedelic Studies (MAPS). The latter has supported research that found MDMA useful, as an adjunct to psychotherapy, in treating post traumatic stress disorder.

Research Points to Clear Benefits of MDMA for Post-Traumatic Stress Disorder

Careful long-term studies are moving MDMA from being banned as a rave drug to being legal as prescription medicine.  New follow-up research shows its effectiveness, as an adjunct to psychotherapy, in cases of post-traumatic stress disorder (PTSD) that have been resistant to other treatments.
The finding is not that feeling good for a day is a cure, but rather that the state induced by MDMA can help a person suffering from PTSD be open to psychotherapy. Why? The molecule lowers defenses and helps the patient face what would otherwise be overwhelming memories.
Specifically, a small-scale but long-term study of 16 "subjects" shows definite improvement and no drawbacks. The average length of time since treatment was 45 months. None of the participants had developed a drug dependency and none had suffered cognitive impairment, which were two of the fears associated with earlier reporting about MDMA.
Supported by the Multidisciplinary Association for Psychedelic Studies (MAPS), the research was conducted by scientists in South Carolina, including principal investigator Michael Mithoefer. MAPS seeks to restore MDMA to the medicine chest of psychiatrists, a use it once had before being banned in the U.S. 27 years ago. 
Pharmaceutical drugs, which are legal and profitable to the firms that develop and market them, don't work in some cases. The Mithoefer study focuses not on a random sample of PTSD patients, but on people who were resistant to other treatments, in other words, on some of the hardest cases.
People with PTSD include victims of rape and soldiers who have been the victims of "improvised explosive devices" or other attacks. The Mithoefer study included both categories. Some of the sufferers had "flashbacks" of the distressing episode for years, a condition that could be not only unpleasant but debilitating. The average length of time from the traumatic incident to the treatment was 19 years.
MDMA has been experienced by millions of users, both before and after Federal officials made it illegal. However, after July 1, 1985, psychiatrists could not continue to use the molecule without risking their license to practice.
In sponsoring this research, MAPS examined the argument not that the drug can enhance life for "normals," but that it can act as a medicine to help restore damaged people to normality. In short, the MAPS campaign does not rely on a critique of "normality," which has been offensive to folks who had never experienced anything else. Rather, the investigators decided to focus on people who were the victims of a crime (rape) or a battlefield (IEDs) and who, with their long-suffering partners, just wanted to be freed from nightmares and other flashbacks.
The paper appears as an on-line preprint in The Journal of Psychopharmacology.

Can Psychedelic Drugs Treat PTSD?

Kept on hold for close to half a century, especially in the U.S., psychedelic science is now coming back to life, in large part due to efforts by the Multidisciplinary Association for Psychedelic Studies and researchers it has recruited and supported and with whom it has won approvals to do legal studies here and abroad. This month, MAPS held a conference with main speakers from, for example, Harvard, Johns Hopkins, NYU, Purdue, UCLA, and leading European universities.

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