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Undergraduate Thesis
for the Degree of Bachelor of Arts
in Natural Sciences (History and Philosophy of Science)
by Luke Williams, April 1999
Cambridge University
Supervisor: Martin Kusch
Acknowledgements
I
would like to express my thanks and gratitude to the following people:
Roland
Neal, for the loan of books, assitance in information gathering and inspiration
for this project.
John
Rogers, for supplying me with psychological knowledge at short notice.
John
Block, for letting me keep his copy of “PIHKAL” for so long.
Bear
Wilner and Rick Strassman for mailing me documents from across the Atlantic.
Martin
Kusch, for agreeing to supervise an unothodox topic and giving me timely advice
and criticsm.
Finally,
everyone on the MAPS forum who has supplied me with references, information and
advice.
The
field of human based research into psychedelic drugs has in the last ten years
become a legitimate field of study, after years of repression by governments
around the world. This study explores the history and current work done by
scientists into the study of the chemical nature, means of action and possible
therapeutic uses of psychedelic drugs in humans. It falls into two sections:
Firstly, a description of the history of psychedelic research from the
beginning of the century until the present day, which explains how a scientific
culture based around psychotherapy emerged, shows how the new field was
restricted and neglected due to social and political considerations from the
1970s until the 1990s, and details the reasons and factors involved in the
renewing of human psychedelic studies. The second section takes a sociological
approach, using elements from the sociology of scientific knowledge in
particular, to explain the reasons why psychedelic research is conducted the
way it is. It concludes that the scientists involved in modern research are
determined to make their work more acceptable to their audience than that
conducted in the 1960s, which has a strongly negative image associated with it.
This includes discussion of how some of the unusual methodological and ethical
issues raised in psychedelic studies are tackled.
The
word “psychedelic” was coined by the psychiatrist Humphry Osmond in
1956, during a correspondence with the novelist Aldous Huxley.[1]
He chose this new term because it was uncontaminated with previous
associations, unlike the existing terms used to describe these drugs:
“hallucinogenic” or “psychotomimetic”, and because these
terms emphasise certain aspects of the experience. Psychedelic is derived from
the Greek, meaning literally “mind-manifesting”, and the most
useful definition of the term comes from Grinspoon and Bakalar: “a
psychedelic drug is one which, without causing physical addiction, craving,
major physiological disturbances, delirium, disorientation, or amnesia, more or
less reliably produces thought, mood, and perceptual changes otherwise rarely
experienced except in dreams, contemplative and religious exaltation, flashes
of vivid involuntary memory and acute psychoses”.[2]
This definition thus excludes drugs like opium, amphetamines, cocaine etc., all
of which can produce psychedelic like states, but not as their primary effects.
My study will also not discuss THC, the main active ingredient in cannabis
plants, for two main reasons: (1) It is generally not considered to be in the
same class as the other “true” psychedelics[3],
although it does produce some psychedelic effects at high levels, as it has
different qualitative effects. (2) The literature on the chemistry,
pharmacology, historical use and medical applications is so huge as to be
almost as big as the rest of the other psychedelics together.
Why
are scientists interested in studying psychedelic drugs? And why is this area
of science of interest to the historian or sociologist of science?
To
answer the first question, the scientists themselves must respond: here are the
reasons given for conducting psychedelic research by Dr. Rick Strassman, one of
the leading researchers of the early 1990s. “Firstly, they
[hallucinogenic drugs] elicit a multifaceted clinical syndrome, affecting many
of the functions that characterise the human mind, including affect, cognition,
interoception, and perception. Characterising hallucinogens’ properties
will enhance understanding of important mind-brain relationships...Second,
naturally occurring psychotic syndromes share features with those elicited by
these drugs. Understanding effects and mechanisms of action of hallucinogens
may provide novel insights and treatments in endogenous psychoses. Third,
increasing use and abuse of hallucinogens over last several years, particularly
LSD, by young adults may produce a similar spate of adverse psychiatric sequelae
seen with the first wave of their illicit use in the 1960s. Treatment of these
adverse effects consume scarce public resources and safe, selective and
efficacious treatments of acute and chronic negative effects of these drugs are
needed. Finally, the enhancement of the psychotherapeutic process, sometimes in
treatment refractory patients, reported by earlier studies has relevance to
current emphasis on time-limited psychotherapeutic interventions.”.[4]
Why
should a historian study the psychedelic sciences? The obvious answer is that
all branches of science deserve study, as all exhibit different methods and
techniques. Psychedelic research is particularly interesting for several
reasons: the study and therapeutic use of psychedelics is one of the most controversial
and heavily politicised fields of science, which many non-scientists, from
politicians to parents to activists and users have opinions on. Psychedelics
also provide an interesting interface between the two cultures of science and
art- the use of such drugs has had a hand in shaping popular literature and
music from the 1960s onwards, and yet they are well characterised chemicals
with a place in the scientific literature too.
PART ONE: A History of Psychedelic Research
Psychedelic
substances have been present in nature and used by many cultures for hundreds,
if not thousands of years (carvings found in South America suggest that
hallucinogenic mushrooms have been used there since before 1000 B.C.).[5]
The plants which contain these substances vary widely, and include cacti,
mushrooms, morning glory vines and even common reed grasses. The earliest
scientific research done on these fascinating chemicals was the isolation of
the main psychoactive alkaloid found in the peyote cactus by Heffter in 1896,
which he named mescal.[6] There were other, small-scale studies done
into mescaline and other psychoactive plants at the turn of the century, but
scientific interest in such substances was not truly aroused until the
discovery of the first synthetic hallucinogen - Lysergic Acid Diethylmide (LSD
- from the German Lysergsäure-diäthylamid).
LSD
was first synthesised in the 1938 at the Sandoz research labs in Basel,
Switzerland by Dr. Albert Hofmann.[7]
Hofmann and his colleagues were conducting research into ergot, a fungus which
grows on rye and other grain producing plants, and had caused mass poisoning in
the middle ages which were commonly known as “Saint Anthony’s
fire”. The symptoms included hallucinations and gangrene in the
extremities due to a contraction of the blood vessels, and ergot had been used
research was being done to see if this contracting attribute could be useful in
modern medicine, in reducing blood loss during childbirth. The alkaloids
present in ergot had been isolated in the early thirties, and Hofmann was
working on the partial synthesis of ergobasin, one of these alkaloids. The
basic group of all the ergot alkaloids is a compound known as lysergic acid,
and Hofmann succeeded in synthesising ergobasin (lysergic acid propanolamide)
in the lab, which allowed him to produce modified variants of the natural
compound. He produced several derivatives of the lysergic acid and tests were
done on their effectiveness in contracting blood vessels in the womb. Some of
these derivatives proved to be more effective than the natural alkaloid, and
were subsequently mass-produced and introduced into general medical practice.
Lysergic acid diethlyamide (abbreviated to LSD-25 as it was the 25th
modification of the natural alkaloid) was only 70% as effective as ergobasin in
controlling blood flow in the uterus, and had no other observable effects, so
testing was stopped and the
compound was shelved and forgotten. It was not until five years later when Dr.
Hofmann decided to conduct further tests on LSD-25 and, by chance, accidentally
ingested a microscopic amount of lysergic acid by absorbing it through his skin
that its psychedelic properties became known. Dr. Hofmann subsequently carried
out a self-experiment to confirm that it was in fact LSD that was the
psychoactive compound, and took 250µg (he had no way of knowing this was
a large dose - no other chemical had ever been synthesised which produced
physical effects at lower doses). This led to his infamous bike ride home heavily
under the influences of a full-blown LSD experience. He was able to make it
home guided by his assistant, although during the journey he was unsure at
times whether he was moving or not. At home, he called a doctor, worrying that
he was going mad, or even dying - once friendly faces seemed like grotesque
masks, and he was filled with a sense of fear and dread. The doctor examined
him, but could find nothing abnormal except for extremely dilated pupils. The
horrific nature of the experience slowly waned, to be replaced by pleasant
visual hallucinations - intense, alternating colours. The next day, Hoffman
awoke feeling refreshed.
The
new compound was tested by several other researchers at Sandoz.[8]
After verifying its effects, LSD-25 was tested for toxicity in animals, and
Sandoz decided to continue research in the hope of producing a marketable
product. The son of Arthur Stoll (who was the head of the pharmaceutical
department at Sandoz), Werner Stoll, was the first person to use LSD in a
psychiatric environment, were he discovered that low doses allowed repressed
material to surface easier.[9]
After Stoll published his findings, Sandoz marketed LSD under the trade name
“Delysid” as a tool to aid the release of repressed material and as
method of allowing the psychiatrist to experience the world of psychotic
patients.[10]
The
subsequent explosion of interest in LSD and psychedelics in general in the
postwar period can be explained by several factors: Firstly, the discovery and
manufacture of LSD only became possible after the emergence in the 20th century
of large scale industrial chemistry, with all its techniques and equipment.
Before this period, individual chemists did not have the resources to
investigate and, importantly, produce chemicals of high purity. Second, the
relatively new fields of psychiatry and psychoanalysis gave a range of possible
applications for the new drug. Doctors studying psychosis were looking for a
possible chemical cause of madness, and psychotherapists were keen to
investigate any drug which might make the therapy process easier. The
blossoming of research into the effects and applications of LSD (and quickly,
other psychedelics) will be discussed in the next section.
The
first experimental use of LSD was as a psychotomimetic - a drug mimicking psychosis.[11]
The idea that a chemical substance could induce psychosis or schizophrenia was
first put forward by Emil Kraeplin in 1892[12],
who suggested that such disorders could be produced by the overproduction of a
endogenous chemical in the brain. The desire to find a chemical which was a
biochemical cause of madness was thus already present when LSD was discovered.
Yensen describes LSD as an exemplar, in the Kuhnian sense, for the
psychotomimetic view: “[LSD] served the same organising and limiting
functions for research in this area as have other major paradigms of science
described by Thomas Kuhn”[13]
- it lead to the resurrection of older theories of the biochemical origins of
schizophrenia and psychosis, and influenced the design and implementation of
experiments through the early period of the 1950s. This view was very appealing
to scientists of the time, as the introduction of tranquillisers at around this
time suggested that since there were now anti-psychotic and psychotomimetic
drugs, the biochemical basis for schizophrenia would soon be discovered.[14]
The psychotomimetic paradigm was thus the basis for the first experiments with
LSD, and early experiments were characterised by a negative slant on the
psychedelic experience. Researchers noted “distortions” and
“upsets” in reality, and used primarily negative adjectives to
describe the effects, as they viewed the LSD state as being similar to
psychosis.[15] The
accepted paradigm, that LSD produced psychosis, dictated that the experience
should be described in these terms.
Much
of the early, psychotomimetic research was covertly sponsored by a CIA project
known as MK-ULTRA.[16]
Since the war, the CIA had been conducting investigations into developing a
“truth drug” that could be used in interrogations to allow the
interrogator to impose his will upon the subject, and thus force the subject to
reveal whatever secrets he might be guarding. In 1953, Project MK-ULTRA was
formally approved, to investigate the potential of a wide range of drugs as
possible truth serum. The CIA quickly concentrated on LSD as the prime
candidate, and after securing a supply from Sandoz, the Chemical division, led
by Sid Gottlieb, began conducting research. It soon became clear that they did
not have the time or manpower to do full behavioural and psychological
experiments, so they began sponsoring research. Two organisations were used as
fronts, the Josiah Macy Foundation and the Geschickter Fund for Medical
Research, and many researchers received large grants from them to conduct some
very ethically dubious studies, including dosing patients with LSD without
their prior knowledge or consent.[17]
After the exposure of a number of scandals - the most serious being the suicide
of an army chemist who had been dosed with LSD unknowingly[18]
- interest in the project slowed. It was also becoming clear that LSD was not a
particularly effective truth drug - the effects were too unpredictable for
that.
From
this initial psychotomimetic model, two new paradigms emerged. They were both
based on therapy, rather than objective descriptions of the drug’s
effects. Two different kinds of therapy were eventually to emerge: psychedelic
therapy and psycholytic therapy. These two types of therapy were characterised
by Dr. Hanscarl Leuner as follows[19]:
|
PSYCHOLYTIC THERAPY |
PSYCHEDELIC THERAPY |
|
Low doses of LSD (30-200µg) or psilocybin
(3-15mg) producing symbolic dream images, regressions and transference
phenomena. |
High doses of LSD (400-1500µg) leading to
so-called cosmic-mystic experiences. Oneness and ecstatic joy are attained. |
|
Activation and deepening of the psychoanalytic
process. |
Without foundation in the classical psychological
theories. Parallels to religio-psychological experience, mystics, satori. |
|
Numerous sessions required. |
One single “overwhelming” experience is
aimed at. |
|
Analytic discussion of experienced material in
individual and group sessions. |
Extremely suggestive preparation and use of specific
surroundings and music. No detailed discussion of experience. |
|
Reality comparison, and attempt to adapt experience
to everyday life. |
Adaptation to reality not desired, but rather the
fixation of the psychedelic experience. |
|
Goal: cure through reconstruction of personality in
the sense of a maturing process and loosening of infantile parental bonds,
requiring several months |
Symptomatic cure in a change of behaviour not
further defined |
|
Classical indications for psychotherapy: neuroses,
psychosomatic cases and further: psychopaths, sexual perverts, borderline
cases. Neither alcoholism nor psychoses. |
Alcoholism, neuroses? |
Psycholytic
therapy was first developed in England at Powick Mental Hospital by Dr. Ronald
Sandison in 1953, after he read an article by Busch and Johnson which
“was the stimulus which encouraged me...to think of starting to use LSD
therapeutically in England”[20].
Psycholytic therapy became predominantly a European phenomena, refined and used
by Leuner at the University of Goettingen after he read Sandison’s first
paper on LSD in 1956,[21]
whereas psychedelic therapy was developed and used almost exclusively in
America and Canada.
Busch
and Johnson had observed that patients were sometimes better able to elaborate
repressed material when they were under the influence of toxic delirium brought
about by sodium pentothal, insulin shock or electroshock therapy.[22]
Thus, with LSD widely regarded as a psychotomimetic, it was not long before
Busch and Johnson tried it on their patients. LSD offered immediate advantages
over these other agents: patients under the influence of LSD did not suffer
from amnesia, or delirium which made communication difficult, both of which
were characteristic of the previously explored methods.[23]
From their studies, Sandison developed a system of therapy which was to become
known as psycholytic. He and his colleagues gave relatively small doses of LSD
to their patients as part of the psychotherapeutic process.[24]
The theory behind psycholytic therapy is based on Freudian psychoanalysis. The
idea is that LSD acts as primitivizing agent by inhibiting synapses in the
brain involved with maintenance of ego-identity. This leads to a breakdown of
ego defences and boundaries, resulting in depersonalisation, derealisation and
mystical experiences which may enable the patient to see some of his conflicts.[25]
Psychedelic
therapy was first developed by Abram Hoffer and Humphrey Osmond in Canada in
1953[26],
and also grew out of the psychotomimetic paradigm. Osmond noted that many
alcoholics who had recovered had gone through a period of “hitting
bottom” where they experienced delirium tremens and its accompanying
hallucinations. He hit on the idea of trying to induce a DT-like experience
through LSD, one that was so horrible that it would frighten their patients
away from drinking. They administered high doses of LSD to their patients;
Abram Hoffer explains what happened “We began to treat alcoholics with
LSD, trying to make them have this absolutely horrible experience. To our
amazement we found that we couldn’t. In spite of everything we tried,
they’d have a good experience...they enjoyed it, they felt good, they saw
strange things, they were excited about it”.[27]
So they changed their approach, and attempted to make their subjects have a
good, transcendental experience. They introduced pleasant, non-threatening
surrounds and talked them through the experience, and try to help them relate
it to their drinking. The emphasis was on inducing a “mystical”
type of experience, so the patient would go through an almost religious
conversion and give up their drinking.[28]
This produced better results, but was clearly not in line with the predominant
psychotomimetic paradigm. So Osmond coined the term psychedelic, to
differentiate their model from the older idea of LSD as being similar to the
psychotic state. As mentioned above, psychedelic therapy was predominantly an
American phenomena, but another major use of this type of therapy was in
Prague. Here, Stanislov Grof used LSD to treat heroin addicts in much the same
way Osmond and Hoffer used it to treat alcoholics.[29]
Both
of these two new kinds of therapy showed that the effects of LSD were not
exactly like those caused by psychosis or schizophrenia, and the
psychotomimetic paradigm began to lose support. The varying qualities of the
psychedelic experience also brought the now familiar concept of the importance
of “set and setting” to the use of LSD as an adjunct to therapy.
The patients mind “set” and the “setting” of the
environment could have profound influences on the nature of the trip, as was
observed when less thoughtful researchers tried to replicate Osmond and
Hoffer’s results, but instead of keeping their subjects in a friendly
environment, they kept them restrained in a hospital. Unsurprisingly, the
results were not good.[30]
During
this period, two new psychedelic chemicals were discovered: psilocin and
psilocybin. These were isolated by Dr. Hofmann at Sandoz, but they had come to
him from the explorations of the ethnobotanist Gordon Wasson.[31]
He had been attempting to locate the semi-mythical hallucinogenic plants used
in the religions of the native tribes of the South American rainforests. After
a year of searching he finally located the teonanacatl or “flesh of the gods”, as
they were known: mushrooms of the genus Psilocybe. Eventually, a number of the mushrooms
were sent to Sandoz, where Hofmann isolated the psychoactive alkaloids. These
new psychedelics produced an effect similar to LSD, but one which is often
characterised as being gentler, or less intense.[32]
They were quickly integrated into the existing therapies.
The Banning of Psychedelic Drugs
A
general malaise that developed in many different groups of therapists and
researchers during the ‘50s was a complacency in the control of their
supplies of LSD. The popularisation of LSD by authors Aldous Huxley and Gerald
Heard, and later Tim Leary, the Harvard psychologist who was to become one of
the founding fathers of the ‘60s counter-culture movement, led to
unqualified people setting up LSD therapy practices, which was often extremely
financially lucrative. Psychiatrists also began giving LSD to their friends and
family, and holding LSD “parties”.[33]
In 1962, as the recreational use of LSD spread, Dr. Sidney Cohen published an
article warning of the dangerous side effects that could result from improper
use of LSD.[34] Cohen had
been involved in LSD research since 1957, when he received a consignment of LSD
and began research into its psychological effects in Los Angeles. He had
previously published an article in 1960 that concluded that LSD was safe if
used on carefully screened patients in a correct environment[35],
but the spread of illegitimate use and an increasing number of patients who had
had LSD treatment and developed side effects encouraged him to present a more
negative attitude. The coincidence of his report with the breaking thalidomide
crisis forced the government to reassess the laws involving
“Investigational Drugs”. These regulations were tightened by
Congress, with the introduction of the Kefauver-Harris Drug Amendments in
October 1962, which required the FDA (Food and Drug Administration) to give
approval for the testing of investigational drugs. Sandoz stopped supplying LSD
to any physician who asked, and only gave LSD to doctors from the NIMH
(National Institute of Mental Health) or state commissioners of mental health.[36]
As the popularity of LSD spread to the sixties “counter culture”,
the government introduced further regulations. In 1965 the Drug Control
Amendments forbade the manufacture and sale of psychedelic drugs, and the year
after Sandoz stopped supplying LSD altogether and almost all LSD research was
stopped. In 1968, the NIMH Division of Narcotics Addiction and Drug Abuse was
created with Cohen as its first director.[37]
In 1970, the Controlled Substances Act came into force, creating the five drug
Schedules in place today:[38]
substances in Schedules I and II require a special license from the FDA too
posses or use in experiment. Schedule I is the most restrictive category, with
drugs in it defined as having no medical use and as being unsafe to use, even
under medical supervision, with a high potential for abuse. The other schedules
are less stringent; Schedule II drugs are still dangerous drugs with the
potential for abuse but with some medical applications. Schedule III drugs have
moderate potential for abuse and are considered safe under medical supervision.
The government bodies that control aspects of drug scheduling and research are
the DEA (Drug Enforcement Agency) and the FDA. The DEA controls which drugs are
scheduled, and who has the right to possess and manufacture such drugs, and
gives licenses to researchers. Researchers of all kinds of drugs, not just
scheduled ones, must submit their experimental design and protocol to the FDA
for approval.
Subsequently,
the United States applied international pressure to encourage other countries
to implement similar controls over psychedelic drugs.
Traditional
historical views have been that the governmental restriction and regulation was
due to social considerations; attempts to control the growing counter-culture
movement. The historian Steven J. Novak has argued that medical and
subsequently governmental opposition to LSD was due to health concerns, rather
than social ones and the medical profession, rather than being pressured by the
government to oppose LSD lobbied the government to tighten controls.[39]
However, looking at the studies published at the time, it seems that
Cohen’s critique was motivated by the spreading social use. His critical
paper includes only nine cases of serious complications, and at that time
thousands of people in the states were using LSD on a regular basis.[40]
Despite enormous amounts of sensationalism in the press, LSD related murders
and suicides were rare. At the Congressional hearings conducted in 1966, it
became clear that the worry wasn’t the few cases where a bad reaction
lead to long lasting damage, but rather the non-conformist attitude that seemed
prevalent among the majority of LSD users.[41]
Sidney Cohen himself, when testifying at the hearings said “We have seen
something which in a way is most alarming, more alarming than death in a way.
And that is the loss of all cultural values...these people...are deculturated,
lost to society, lost to themselves”.[42]
Up until the spread of the non-medical use of LSD, Cohen was happy to declare
it safe in the hands of experienced doctors who could correctly screen out
potential bad cases.[43]
It was only with people like Leary promoting psychedelics as being safe for
everyone to use, and putting forward ideas of nonconformism and the
counter-culture lifestyle, that Cohen felt it necessary to produce a critical
study.[44]
Up until that point, criticism that LSD was unsafe to use had little data to
support it - Cohen’s earlier report was unchallenged in the field.[45]
Even in his second report, which contained the nine adverse case studies he
recommended that use should only be “restricted to investigators in
institutions and hospitals where the patients’ protection is greater and
appropriate countermeasures are available in case of adverse reaction”.[46]
However the end result was the complete halting of research, responsible or
irresponsible, when the FDA gained control over investigational drugs.
Although
the crackdown and subsequent moratorium on human psychedelics studies was due
to social considerations, many of the studies at the time were far from
perfect. Although high rates of success were claimed by therapists in both of
the different schools of LSD therapy, few long term studies were done to check
that the results were permanent.[47]
Also, effect of “set and setting” mentioned above, although known,
was hardly ever mentioned in clinical reports. Since these factors are
extremely influential on the outcome of the experiment, there is little wonder
that results were difficult to replicate: everyone was conducting their studies
under widely different conditions.
Underground Research: Alexander Shulgin
After
the banning of LSD, psilocybin and mescaline, the whole program of scientific
study into the properties of psychedelics in the U.S. changed. During the
70’s and 80’s, there were no human studies conducted.[48]
A large number of animal studies were conducted, most into the toxicity of the
psychedelics. At the same time, the underground search for new psychedelic
drugs began in earnest. Many of those searching to find new drugs were simply
looking to make a profit by supplying new “highs” to those who
wanted them on the street. Others were looking for ways to produce new
chemicals with similar properties to the banned hallucinogens, but which were
legal to manufacture and sell. A few researchers, however, were interested in
developing new hallucinogens for less material goals. They believed that drugs
of this kind had many possible therapeutic applications, and wished to extend
the sphere of human knowledge in this area. The most important and famous of
these researchers was Dr. Alexander Shulgin. The remainder of this chapter will
concentrate on him as the leading example of a scientist conducting psychedelic
research outside the general scientific community. First, however, brief
mention must be made of the situation in Europe.
In
contrast to the situation in America, several European countries continued with
psychotherapy using psychedelics. Hanscarl Luener continued to use LSD,
ketamine and MDMA analogues in psycholytic therapy in Goettingen until his
death in 1996.[49] However,
the European community of psychedelic therapists was disintegrating even before
it was fully formed, particularly in Britain. Sandison blamed the escape of LSD
from the lab into the subculture, and the movement of those who had been
working with LSD into other areas.[50]
They “were also hampered by the insistence of some European colleagues
that only medical therapists could become members [of the newly formed
Psycholytic Society], thus excluding some who had contributed significantly to
LSD therapy”.[51]
Most of the research and therapy that continued in Europe was done in private
practice, and went unreported in the general scientific and medical journals.[52]
Alexander
Shulgin began his career in the 1950s as chemist working for Dow Chemicals,
after completing a Ph.D. in biochemistry, and after he developed an insecticide
for them which was highly marketable, he was given a free rein to research in
what ever he liked.[53]
So the turned to psychoactive drugs, an area he claims to have been interested
in for a long time. His research consisted of looking at existing
hallucinogens, and making derivatives or entirely new compounds with similar
structures by moving chemical groups within the molecules. There was no
established model for the evaluation of psychedelics, and Shulgin realised the
limitations of animals as test subjects - they were useless for determining the
qualitative differences between different psychedelics. So he used himself as the
experimental subject for the new compounds he developed. However, he also
realised that this was not an accepted scientific method of research, and he
also set up a series of experiments using Siamese fighting fish (which were
popular animals for drug testing at the time), and adding LSD to the water to
see if any behavioural changes could be noted. These fish experiments were the
scientifically acceptable “cover” that allowed Shulgin to continue
his work. He never obtained any results from the fish which might suggest the
action of a psychedelic.[54]
The
starting point for his research was mescaline, a drug he himself had sampled in
the spring of 1960, and Shulgin began producing synthetic variations of
mescaline. The only one that he new of that had already been synthesised was
TMA (trimethoxy-amphetamine),[55]
which he synthesised, assayed on himself to confirm its psychoactive
properties, and then began trying to modify its structure to produce new
psychedelics.
His
research continued, and over the next six years Shulgin synthesised and tested
a range of different psychedelics. However, his employers began to realise that
the end products of his research were unmarketable - in fact, Dow owned patents
on several popular street drugs by this point, his work having filtered into
the counter-culture of drug dealers and users.[56]
So in 1966 Shulgin left the company and spent the next two years back at
university studying medicine to broaden his knowledge of neurochemistry and
biology and then set himself up as a scientific consultant. He built himself a
lab in his garden and furnished it with equipment.[57]
He continued to publish in his own name the results of his syntheses in various
chemical and medical journals, and supported his research by consultancy work.
He was soon acknowledged as an expert on a wide range of psychedelic drugs and
in this role appeared as an expert witness in a number of trials. He also
refined his method of human assaying for use in group structure and began
testing his new substances with a small group of friends[58]
(see the section on methodology for a description of Shulgin’s
experimental methods).
A
community of sorts grew up around Shulgin and researchers like him - the new
drugs spread to psychotherapists and academics, forming a new, mini-psychedelic
movement in the 80’s, which Stevens calls the “neuro-conciousness
frontier”.[59] MDMA, the
most popular of the new, so-called “designer drugs” was
enthusiastically taken up by a number of psychotherapists. The most complete
clinical study was conducted by Greer and Tolbert[60]
which concluded that MDMA was physically safe and was useful in
insight-orientated psychotherapy, particularly to aid communication between
people in emotional relationships.
His
work continued without many problems from the authorities - he held a Schedule
One license allowing him to own and manufacture Schedule One drugs which was
necessary for his research and consultancy work, and since he kept mostly to
himself, was careful to avoid publicity and never distributed or sold any
controlled substances to anyone outside his trusted research group he was
tolerated by the U.S. government.
The
first move to curb the work of Shulgin, and others like him, was the scheduling
of MDMA in 1985 and the introduction of the Anti-Drug Abuse Act the year after,
which contained the Controlled Substance Analogue Enforcement Act.[61]
This law made it illegal to manufacture or posses a drug analogue designed for
human consumption. An analogue is defined as a drug which meets any one of the
following criteria: if its chemical structure is “substantially
similar” to a Schedule I or II drug, if it has a stimulant, depressant or
hallucinogenic action that is “substantially similar” to a Schedule
I or II drug, or if it is intentionally represented as having a stimulant,
depressant or hallucinogenic action that is “substantially similar”
to a Schedule I or II drug. This law effectively put an end to Shulgin’s
legal research: up to that point he had been giving drugs to his research group
that were not Scheduled - the Analogue Drug Act meant that these analogues were
treated as Schedule I drugs.
Although
the analogue law restricted the proliferation of these “designer
drugs”, Shulgin was not himself directly targeted by the authorities
until the publication in 1991 of the book “PIHKAL” written by
Shulgin and his wife Ann. PIHKAL (an acronym for Phenethylamines I Have Known
And Loved) contains two distinct parts - Book 1 is a story based on
Shulgin’s life and his study of psychedelics. The book claims that the story
is semi-fictionalised, a strategy adopted by the Shulgins to avoid
incrimination - if ever asked they could claim that the parts of the book
involving the distribution of controlled substances to the research group were
entirely fictional.
Book
2 is even more controversial: it contains a list of 179 different
phenethylamines, with notes describing the chemical structure, methods of
synthesis, dosage and duration and qualitative reports from members of the
research group. The compounds listed include a range of infamous street drugs
and drugs of abuse including 2-CB, TMA, DOB and MDMA. Up till this point, the
Shulgins had maintained excellent relations with the DEA - they were close
friends with Paul Freye, who was administrator of the DEA’s western labs.
Over the twenty year period of his DEA license ownership, Alexander Shulgin was
inspected several times by DEA agents, who found nothing out of order with his
work.[62]
However, after the publication of PIHKAL, hostile feeling towards
Shulgin’s research became much more pronounced. Two years after the book
was published, DEA agents called again, and this time found a number of
violations of DEA regulations.[63]
The DEA attempted to get Shulgin’s lab shut down on environmental health
grounds, but the inspectors from both the State Environmental Protection Agency
and the Federal Environmental Protection Agency failed to find any violations
serious enough to get the lab shut down.[64]
The suggestions they made were carried out by Shulgin, but the DEA demanded
that Shulgin hand over his license and pay a $25,000 fine for violations of DEA
Schedule 1 license rules. The Shulgins were extremely surprised at the
DEA’s reaction; they had had a model relationship with the authorities
for over twenty years and had never had any problems with the DEA inspectors
before. In their eyes, it was clear that the motivation for this clampdown was
political - before the publication of PIHKAL the DEA had been willing to
tolerate Shulgin’s research, but after putting his results into the public
domain, they felt they could not allow him to continue.[65]
The
eventual result of this was the Shulgin’s second book, published in part
as a retaliation to the DEA’s closing of the lab. The new book, TIHKAL
(Tryptamines I Have Known And Loved) was again subdivided into two main
sections: Book 1 contains a collection of essays by Shulgin and his wife on
various aspects of psychedelics, Book 2 contains a list of 55 tryptamines and
descriptions of structure, synthesis, dosage, duration and qualitative effects.
There are also several appendices on natural alkaloids: one on cactus
alkaloids, one on carbolines and one on histamines. Each appendix contains an
index of all the members of the chemical family and where they are found in
nature.
In
contrast to PIHKAL, Book 1 contains the most politically sensitive information.
There are several “stories” of drug experiences and communications
with others interested in the use of psychedelics but the most important part
of Book 1 is the section on naturally occurring DMT (N, N-Dimethyltriptamine)
and its analogues. This long section details where DMT is found in nature and
how it can be extracted from common plants, thereby putting it within reach of
people who otherwise have no access to the chemicals needed to synthesise the
other compounds found in the two books. DMT is an extremely potent and short
lasting hallucinogen, when administered intravenously or intramuscularly, or
when smoked. As Nicholas Saunders puts it in his preface “...the means
for psychedelic exploration can never be controlled again. The genie is out of
the bottle and all the king’s horses and all the king’s men cannot
put it back again”.[66]
What made Alexander Shulgin let the genie out of the bottle? His belief that
psychedelics should be legalised is obviously the driving force behind the
publication of TIHKAL, but it could be suggested that the contents of TIHKAL
might have gone unpublished for several years if the DEA had not been so heavy
handed in its clampdown on the lab of Dr. Shulgin. The book can be seen as a
retaliation to the DEA, a direct attempt to strike back in the only way they
knew how.
The Renewal of Legal Human Experimentation
The
last five to ten years have seen a slow change in the attitudes of governments
and the public to the use of psychedelics in medical and scientific research.
In the United States, applications for grants for psychedelic research with
human subjects have been made and granted, most notably work on DMT and
psilocybin. Several organisations now exist to promote research into
psychedelics, offering grants and a forum for results to be presented. The
foremost of these are MAPS (Multidisciplinary Association for Psychedelic
Studies) and the Hefter Institute.
Several
factors were involved in the renewal of human based studies of psychedelics in
the United States in the early 1990s:
(1)
Changes in science and technology: A huge amount of data from animal studies
had been collected, and it was recognised by researchers that human studies
were needed to allow this data to be useful for human pharmacology. Also,
advances in technology and molecular biology played an important part. The
development of PET (Positron Emission Tomography) and MRI (Magnetic Resonance
Imaging) scanning meant that the sites of action of hallucinogens in the brain
could be studied.[67]
At first, retrospective studies of the effects of long term use on the brain
were the focus of research, as this work could be done without having to give
subjects controlled drugs, by getting drug users to volunteer for study.[68]
This avoided all the bureaucratic difficulties and opposition that actually
giving controlled drugs to a subject entailed. Advances in molecular biology
meant that much more was understood about the normal functioning of
neurotransmitters in the brain.
(2)
Changes in political attitudes: A conscious change in the attitude of the FDA
also took place at the beginning of the decade. Curtis Wright, deputy director
of the FDA Division of Anaesthetic, Critical Care and Addiction Drugs, explains
why: “[In] the 1960s and 70s, the FDA’s role with respect to drugs
of abuse was very conservative. [The] FDA was seen as protecting the culture
from those who would use the drugs improperly...all protocols involving drugs
of abuse went through the FDA’s Drug Abuse Advisory
Committee...we...didn’t know what the long-term danger from exposure to
these agents [hallucinogenic drugs] were...So there was a tremendous amount of
conservatism about allowing research with hallucinogenic drugs except under
very careful control...the process [of approving a protocol] was very onerous
and lengthy.”[69]
However, in the 1990s, questions began to be asked if whether hallucinogenic
drugs and drugs of abuse should not be treated in the same way as other
potentially dangerous drugs: “the agency was challenged legally in a
number of cases and also underwent a process of introspection, asking Is it
proper to treat this class of drugs differently?...we were fortunate enough to have the NIDA (National
Institute on Drug Abuse, a government funding agency) challenge the FDA to do a
better job...the conclusion was that the FDA was going to treat all drugs the
same...the deputy director wrote...a statement that we were going to treat
[hallucinogens, marijuana, and other drugs of abuse] no differently than any
other [drug].”[70]
This was in 1994, and this has been the FDA’s official policy ever since.
(3)
The final, and perhaps the most important factor, was the catalyst of one man
with enough determination and perseverance to push the first human based study
though the application and approval process.
The
first legal studies of the action of hallucinogens in humans since the
1970’s were conducted by Dr. Rick Strassman in 1991 at the University of
New Mexico.[71] The study
carried out by Strassman and his colleagues was not into LSD, nor the
“designer drugs” (like MDMA) that Shulgin and others like him had
been investigating in the 1980’s. Rather, they chose a comparatively
unknown compound, DMT (see the previous section). The reasons for choosing this
drug as opposed to the “classic” psychedelics are detailed in the
article published as a result of the experiments and in a second article
written by Strassman describing the application process for federal approval of
their studies.[72] The reasons
for choosing DMT fall into different categories:
“Scientific”
reasons - DMT is present in small amounts in healthy humans, and it was
considered in the 1960s and 1970s to be a possible endogenous toxin which might
cause schizophrenia, and Strassman argued that an understanding of the action
of DMT might help increase understanding of the possible action of
schizophrenia.[73]
Political
reasons - DMT is a relatively obscure drug, without any of the troublesome
social history of LSD and psilocybin. This may have made the study more
palatable to the authorities who would have been less likely to approve a study
with a more widely abused drug. This factor also has the additional effect of
generating less expectations in the subjects of the drug’s effect,
because of its obscurity.
Practical
reasons - The short duration of the drugs effect (approximately 30 minutes when
delivered intravenously) makes it easier to use in a clinical situation than
longer acting hallucinogens. Reactions in the potentially stressful environment
of the clinic would be minimised.[74]
The
experiments were crucial not just for their scientific value, which was large,
as no-one had conducted detailed studies of the physiological effects of DMT on
humans before, but also for their political value as a test case for drugs
research approval. It took Strassman two years to wade through the bureaucracy
before he was given the go ahead. He faced several major hurdles: the IRB
(Institutional Review Board) was concerned how he could justify giving a
Schedule I drug which by definition had “no medical value” and
cannot be used safely, even under medical supervision, to subjects. They wanted
him to include a statement on the consent forms that DMT was a Schedule I drug
with no medical value. Strassman successfully argued that the drug had no current medical value, and was able to eventually
remove the statement from the form altogether by saying that if the FDA
approved his study then they would be accepting the fact that DMT had some
possible medical value.[75]
Another
problem he faced was having to find a supply of high purity DMT fit for human
consumption. The supplies of the drug available from chemical companies were
all lab-grade i.e. not intended for human delivery. Finding a source of
clinical-grade DMT was a major problem and Strassman says “at one point
in time I began to fear that the whole project would come to a dead end because
satisfactory DMT could not be obtained”.[76]
Eventually, Strassman was able to find a colleague with “experience in
synthesis of hallucinogens within a university setting”[77]
who was willing to make DMT to the specifications imposed by the FDA.
At
the end of the process of gaining FDA and DEA approval, Strassman showed that
it is possible to get permission to study Schedule I psychedelics in humans,
with perseverance, and he stressed the following points:[78]
(1)
A scientifically well reasoned experimental design and protocol is essential.
(2)
Funding from outside agencies increases the credibility of the application (in
this case, funding was given by the Scottish Rite Foundation for Schizophrenia
Research and the National Institute on Drug Abuse).
(3)
A collaboration with someone who can manufacture the required drugs may be
necessary, and drug companies may not be able to provide the substances
required at high enough purity for a reasonable price.
After
the success of Strassman’s application, the door was open for further
human experimentation with psychedelic drugs. The major hurdle now associated
with conducting psychedelic research was funding - the FDA were more willing to
accept protocols for psychedelic research, but few government funding agencies
were willing to put money into such scientific work. Pharmaceutical companies
were also cautious about supplying money, partly because of the negative image
of psychedelics, but also for economic reasons. Most of the classic
hallucinogens have been around for a long time, and many of the drugs perceived
as being more “modern” (e.g. MDMA and MDA) were first discovered
and patented at the beginning of the century. Once a drug has been patented
once, it cannot be patented again, so there is little financial incentive for
the pharmaceutical companies as they will not hold any control over any already
well known drugs they develop. So the two mainstays of research funding were
unwilling to contribute: the government because of a reluctance to sponsor
psychedelic research not aimed at addiction studies; and the industry because
of a lack of financial incentive. So In 1986 MAPS, the Multidisciplinary
Association for Psychedelic Studies, was founded by Rick Doblin, with the aim
of providing an alternative source of funds. MAPS “is a membership-based
non-profit research and educational organisation. We assist scientists to design,
obtain approval for, fund, conduct and report on research into the healing and
spiritual potentials of psychedelics and marijuana...MAPS has disbursed over a
quarter of a million dollars to worthy research projects since 1990”.[79]
The money has been spent on a wide range of studies into a wide range of drugs,
including MDMA, DMT, psilocybin, ibogaine, ketamine and LSD. Studies include
psychobiological and neurotoxicity research, as well as psychedelic assisted
psychotherapy. There have also been some important long-term follow-up studies
of LSD therapy from the 1960s, an area that received little attention at the
time of the original experiments, but which is crucial for demonstrating the
effects of the therapy. These various studies have been, and are being carried
out around the world: psychotherapy and treatment of heroin addicts with
ketamine in Russia, psychotherapy with MDMA in Switzerland, pharmacokinetic and
neurotoxicity studies of MDMA in the USA, treatment of cocaine addicts with
ibogaine in the USA and Israel.[80]
Another non-profit body which funds scientific psychedelic studies is the
Heffter Institute, set up in 1993, which has also funded a number of completed
and ongoing studies.[81]
Changing
attitudes can also be seen in the public attitude towards psychedelics: in 1997
the BBC screened a Horizon program on the renewal of psychedelics research in
the U.S., which painted it in a positive light.[82]
They interviewed all the important figures, both researchers who had been
active during the 1960s and those who have been conducting studies in more
recent times, including Abram Hoffer and Rick Strassman. The program concludes
that such research has the potential to help people in various ways, but also
warns that researchers must avoid the situation that developed in the
‘60s - “you can’t get too close to these
substances...they’re not to be used in a recreational way. They cannot be
used outside of established medical centres. That was the mistake of the
‘60s”.[83]
Interestingly, the program talked about LSD, ayahuasca, DMT and ibogaine, but
failed to mention MDMA entirely. Charles Grob, one of the researchers
interviewed had done extensive work with MDMA, but only his study of ayahuasca, a plant source of DMT, was mentioned. Dr.
Jansen of the Institute of Psychiatry in London, who has conducted studies
involving MDMA and ketamine, believes that the high political profile of MDMA
in this country as a drug of abuse meant that the programmers had to leave it
out, for fear of the negative press it would generate[84]
The Future of Psychedelic Research
Drugs
intended for medical use go through three distinct phases in their development:
Phase I is the study of basic biological and physical effects, including
adverse reactions. Phase II involves giving the new drug to small groups of
patients with a particular disease. Phase III consists of large scale projects
with many test subjects. After that, the drug is submitted to the appropriate
administrative body (the FDA in the United States) for permission to sell the
drug to treat certain disorders.
Psychedelic
drugs appear to be in the first phase of development.[85]
There are several areas which can be identified as requiring further study:
Psychopharmacology
- Further studies of the action of psychedelics on neurotransmitters, and
further studies involving brain-scanning (i.e. PET and MRI). Such studies would
provide a more detailed description of how such drugs work in the brain.
Ethnopharmacology:
- There are a large number of plants used traditionally in many different cultures
around the world, which have claimed psychedelic properties. Scientific study
of these plants may reveal new and unusual psychoactive compounds. An example
of such work that has already happened is the isolation of Salvinorin-A from
the plant Salvia Divinorum.
This is of particular interest, since it is not an alkaloid, like most of the
naturally occurring hallucinogens.
Psychotherapy:
- The development of a standard protocol for psychedelically assisted
psychotherapy. Many researchers feel that the best way to do this would be to
combine elements of psychedelic therapy with elements of psycholytic therapy.[86]
Cognitive
Psychology: - The development of a cognitive theory of psychedelic action would
allow the two current branches of research, the pharmacological and the
psychological, to achieve an area of interaction, as has happened in other
fields of mainstream psychology, such as abnormal psychology.
It
is unclear how the study of psychedelics will progress beyond such Phase I
research, and it will probably not do so in the near future. Some of the major
claimed applications of psychedelics are as aids to creativity and religious
practice, and the use of drugs in this way is traditionally frowned upon in
western culture. The likely outcome is that psychedelics will be used to treat
alcoholics and other drug addicts, once protocols have been established, but
the use of psychedelics in a non-medical but non-recreational way, certainly in
western culture, is along way off.
PART TWO: The Sociology of Psychedelic Research
The
field of psychedelic studies has changed since its beginnings in the 1950s.
This section will explain the changes that have occurred, in methodology and
approach and show that the way in which the science is conducted is determined
by the wider social and political interests of the scientists involved. The
differences will be analysed in terms of the changes in “evidential
culture”, the public political views of the sciences involved, and the
approaches to the unique problems of methodology and ethics that the field
presents. It will then be shown that the reasons for these changes of approach
are all attempts to distance the modern field from the field of the 1960s,
whilst using some of the basic assumptions from that period, and the overall
aim of current researchers is to solve the problems of methodology and ethics
in a scientifically acceptable way.
Evidential Cultures in Psychedelics
To
look at the way the methodology and style of psychedelic studies have changed
since the 1960s, it is helpful to refer to Harry Collins’ model of
“evidential cultures”. In his theory, Collins identifies three
dimensions of evidential culture: “evidential collectivism” versus
“evidential individualism”; high versus low evidential
significance; and high versus low evidential thresholds.[87]
Evidential
collectivism is the belief that the responsibility for assessing the integrity
of the results is the job of the larger scientific community. Evidential
individualism, on the other hand, is the belief that it is the responsibility
of the individual, or the individual team or lab, to ensure that their data is
valid.[88]
High evidential significance means reporting statistical data as real
phenomena; low evidential significance means reporting data with little real
significance: in Collins’ example, this involves reporting seeing
“gravity waves” on the one hand, or simply seeing statistical
“coincidences”, with no theoretical claims.[89]
In psychedelic science, this might be reporting that “X% of subjects had
a transcendental experience, leading to their recovery” instead of just
reporting the statistics without offering any judgement. High evidential
significance leads to high “interpretative risk” - there is more
chance of attracting opposition and more ways of being wrong, whereas low
evidential significance is a much more “safe bet” - the
“interpretative risk” is much lower.[90]
The
final dimension of evidential culture, identified by Collins, is the evidential
threshold. This is simply the level at which results are considered as
significant - Collins notes that this can be simply a matter of the
rigorousness of the statistics: “social sciences have a low evidential
threshold while high-energy physics has a high evidential threshold”.[91]
The
three dimensions together characterise a science, or a specific school within a
science, as having a more “open” or “closed” evidential
culture. An open evidential culture has a high degree of collectivism, low
significance and low threshold. A closed culture has a high degree of
individualism, high significance and high threshold. It is important to stress
that not all the members of an overtly open or closed culture will individually
share all these beliefs about the way their evidence should be presented.[92]
How
does this model apply to psychedelic science? In Collin’s article, there
is a geographical separation between the two different cultures. The team from
Frascati has a more open-type culture, and the Louisiana team a more closed one
(both groups are studying gravitational waves). In the psychedelic sciences,
the separation is a temporal one: the early period (1950s-1960s) shows
characteristics of an open culture, whilst the more modern period (1990-the
present) is a more closed type culture. The next few paragraphs will explain
the changes in the different dimensions of the evidential culture.
In
the early period of psychedelic studies, the field was at first one in which a
philosophy of evidential collectivism was prevalent. Many individuals were
conducting experiments without much theoretical basis, and getting their
results published. Because of a lack of a coherent theory within the field as a
whole (the contrast between the psycholytic and psychedelic paradigms), the
evidential significance of the published results was low - Hoffer and Osmond
often said that they were getting good results with their alcoholic patients
(around 50-70% cured), but they didn’t know why.[93]
There was a great deal of speculation, and over time the evidential
significance grew, with different researchers beginning to give their results
psychological explanations.
Looking
at the modern status of the field, it is clear that the culture in place today
is a much more closed type culture. The responsibility lies with the
experimenter to provide good data, and the demand is for higher evidential
significance and higher evidential threshold. This move towards a closed
culture is linked with the perceived public view of the psychedelic sciences:
there is a strong desire to make the presented experimental work appear as
scientific and rigorous as possible. The period of the ‘60s is associated
with a very negative image of psychedelics, and the modern researchers wish to
distance themselves from it as much as possible. In particular, a more closed
culture puts the responsibility in the hands of the individual scientists,
which encourages more rigorous controls and experimental attitude than that
seen in an open culture.
The Politics and De-Politicising of psychedelics research
Psychedelic
drugs have been highly politicised in the past, with researchers commonly
taking a pro-drug, pro-legalisation stance and the government taking a
conservative, anti-drug view. Since the early 1990s, there has been a move on
both sides to move away from their traditional standpoints and to concentrate
on sound scientific research. Modern researchers take a much more neutral
stance, realising that such views alienate parts of their potential audience.
The audience for published work on psychedelic drugs is large, larger than the
audiences for many other sciences: it includes not just the scientists involved
in the field and the medical community, but also politicians, drug users,
parents, and teachers. Instead of promoting the chemicals they study for
recreational use, in the way Leary and Alpert did in the ‘60s, their aim
is to promote their science. In particular, some researchers have emphasised
the importance of publishing results of experiments which show psychedelics in
a negative light, instead of sweeping them under the rug,[94]
to prove to the general science community, the government and the general
public that they are putting science foremost and are not on any kind of
political crusade. The government’s change of stance was noted previously
in the last section, where Curtis Wright of the FDA explained that there has
been a conscious move to treat psychedelics in exactly the same way as other
drugs.
One
example of the politicisation of psychedelics is the politics of scheduling. In
the US, illegal drugs belong to different schedules, Schedule I being the most
restrictive. By definition, a Schedule I drug is a drug of abuse with no
medical value. Drugs can change Schedule: as an example, THC was reclassified
from Schedule I to Schedule II when it was shown to have medical uses, such as
appetite stimulation in anorexia. During the 1970s and ‘80s, the apparent
policy of the U.S. government was to Schedule drugs not on the basis of safety
considerations, but rather whether they were “abused” i.e. used
recreationally. An example of this is the scheduling of AET, a tryptamine
derivative. AET was scheduled because it was being sold and used
recreationally, but its sister compound, AMT, which is also psychedelic remains
off the schedule simply because it has not been as popular as a recreational
drug.[95]
The
introduction of the Controlled Substances Analogue Enforcement Act at this time
shows the attitude of the government: these laws made drugs illegal on the
basis of their qualitative effect - not on the basis of whether they were dangerous
or drugs of abuse. This leglislation is thus an attempt to exercise social
control, to stop people using drugs to produce altered mind states for
recreational purposes, whether or not it is actually detrimental to health.
Methodology of Psychedelics Research
Studies
done into the psychological effects of psychedelic drugs present interesting
problems not present in mainstream science or in animal studies of psychedelic
drugs. These problems centre around the subjective nature of the psychedelic experience.
The problems encountered in psychological research of the intrinsic
unrepeatability of certain experiments is here multiplied many times over: the
effect of any hallucinogenic drug not only varies widely from person to person,
but is extremely dependant on the “Set and Setting” of the user.
Several different approaches have been taken to this problem. In the therapy of
the ‘50s and ‘60s, there was little attempt at all to quantify the
psychedelic experience, either subjectively or objectively. Scientists such as
Abram and Hoffer seemed content to know that LSD could produce a wide range of
effects, and the only distinction made was that between the low dose experience
used in psycholytic therapy, and the high dose “peak experience” that
was characteristic of psychedelic therapy. Others, such as Leary and Alpert
tried to investigate the psychedelic state, but abandoned science to use a
religious or mystical model to describe the effects they were seeing.
Shulgin
takes a different approach. He claims to totally abandon any idea of
objectivity as unobtainable, but describes a method of quantifying the
subjective experience of the individual, to allow some degree of objective comparison.
He
describes his method of working in the introduction of “PIHKAL”.[96]
His starting assumption is that the pharmacological action in man, and thus its
psychological effect, of any new chemical is unknown until it is tested in man.
His method of assaying is to ingest a sample of a newly developed drug at
“10 to 50 time less, by weight, than the active level of its closest
analogue. If I have any doubts, I go down by a factor of 10 again”.[97]
Once this level has been tested and produces no observable effect, he increases
the dose “on alternate days, in increments of about a factor of times two
at low levels, and perhaps times one and a half at higher levels”. To
reduce the possibility of tolerance developing, no drug is repeated on
sequential days, even if there is no observed effect. Shulgin develops his own
qualitative scale for drug effects, which ranges in five stages from (-) to
(++++).
“(-)
or minus. There is no effect noted, of any nature, which can be ascribed to the
drug in question. This condition is also called “baseline”, which
is my normal state.
(±) or
Plus-minus. I am feeling a move off baseline, but I can’t be absolutely
sure it’s a drug effect...
(+)
or Plus-one. There is a real effect, and I can track the duration of that
effect, but I can’t tell anything about the nature of the
experience...early physical signs, if they arise at all, usually dissipate
within the first hour, but they must be considered real, not imaginary...
(++)
or Plus-two. The effect of the drug is unmistakable, and not only can its
duration be perceived, so can its nature. It’s at this level that first
attempts at classification are made, and my notes might read something like
this “there is considerable visual enhancement and much tactile
sensitivity, despite a light anaesthesia.”...
(+++)
or Plus-three. This is the maximum intensity of drug effect. The full potential
of the drug is realised. Its character can be fully appreciated (assuming
amnesia is not one of its properties) and it is possible to define the
chronological pattern exactly...
(++++)
or Plus-four. This is a separate and very special category, in a class by
itself. The four pluses do not imply that it is more than, or comparable to, a
plus-three...”[98]
These
ratings are not only used to give some scale to the maximum level of a drugs
effect, but are also a series of stages through which the subject progresses.
The reports in PIHKAL and TIHKAL might say “plus-one achieved after one
hour, which moved smoothly to a plus-two by the third hour, which was
maintained until the comedown period, five hours after ingestion”.
Shulgin them goes on to discuss the problem of objectivity, or lack of it
inherent in such testing. He first says that measurements of the drug’s
effect should be ideally objective but “in the case of drugs like these -
psychoactive drugs - the effects can be seen only within the subject’s
sensorium. Only he can observe and report the degree and nature of the
drug’s action. Hence, the subject is the observer and objectivity in the
classic sense is impossible”.[99]
This raises the question of whether such experimentation has any place in
science at all: since objectivity and repeatability are both impossible,
according to Shulgin, and these are two of the most important principles in
science.
Dr.
Strassman has taken a different approach. In his pioneering study of the physiological
and subjective effects of DMT, he created a device which he named the
Hallucinogen Rating Scale. This is a questionnaire, which was initially
developed by asking experienced DMT users in interview what the experience of
what the drug was like.[100]
The questionnaire was then tested and modified in an experimental situation: it
was given to 13 subjects given a low dose and to 12 subjects receiving a high
dose, non-blind. The end result is a series of 100 questions which are given to
the subject immediately after the drug experience (the DMT experience is too
intense to allow subjects to fill in the questionnaire whilst under it’s
influence). The 100 questions fall into five clusters After data was collected
from the 11 experienced users whom took part in the double-blind, placebo
controlled study it was found that the HRS score showed statistically
significant discriminations between different doses of the chosen drug, DMT. In
their experiments, Strassman found that the HRS was a much better discriminator
between different levels of the drug than all the detailed physical data they
had recorded from their subjects.[101]
Since then, the HRS has been adapted for other drugs (including LSD and
psilocybin) and translated into several languages and is fast becoming a
standard in the field.
Both
these methods rely on a degree of trust between experimenter and subject, of which is another
area of debate in the sociology of scientific knowledge.
The
question of trust in science in general is an important one: in many cases, if
not all, science is done in teams, from small groups in the lab to the
worldwide community of a scientific discipline. To claim knowledge of a
particular field requires implicit trust of ones fellow scientists - a particle
physicist may claim to “know” a lot about his field, but he could
never perform all the experiments himself that his subject is founded on.
Rather, he relies on texts and the published work of other physicists - whom he
trusts.[102] Here, as
in some fields of psychology, the experimenter must trust his subjects to
report clearly their subjective experience. This can have an obvious influence
on the choice of subjects. Both Strassman and Shulgin rely on experienced
hallucinogen users as there test groups, trusting that they will give an
accurate report. For an unexperienced user, the psychedelic effect, especially
of the stronger drugs, such as DMT, may be to much to allow detailed reporting.
Experienced users can also compare and contrast different drug experiences
which may be helpful to the researcher.
The
objection could be raised that experienced users would probably have a
political pro-drug stance, and stand to gain from any loosening of the
restrictions on drug control laws. Thus, they might be more likely to produce
favourable reports of the experimental experience if they thought it would lead
to some eventual change in the law. However, it could be countered that the
experience produced by high doses of LSD or DMT is so powerful that false
reporting becomes almost impossible. Descriptions of such doses of describe the
experience as life-changing or spiritual, with deep meaning,[103]
which would suggest that some serious motivation would be required to describe
the experience in any other way.
Mainstream
scientists might not look at it in this light. The negative image that drug
users have would probably not inspire confidence in their fidelity. A way
around this might be to conduct studies with academic scientists as subjects:
their drug naivety would perhaps be offset with their desire for truthful
reporting and analytic attitude.
This
kind of statistical tool gives more scientific credibility to the experiments
than the mystical explanations of the psychedelic experience that predominated
in the 1960s.
One
important dilemma that is encountered in the study of psychedelic drugs in
humans is the balance between treating subjects ethically and the desire to
obtain the most useful information. For many studies, the best possible
experimental method would be to use large samples of drug naive subjects,
especially for research into what changes occur in the brain, if any, from a
single drug experience. However, this kind of study is widely regarded as being
unethical. The issue of debate is the necessity of getting the informed consent
of the subjects participating in a trial, and this is perceived as being
difficult, if not impossible for drug naive subjects. It is impossible to
establish any kind of “informed consent” since the variety of
possible experiences and effects of such drugs are manifold, and almost
impossible to describe to someone who has no experience of altered states of
consciousness.
This
has been the view for quite some time, and indeed in many cases it still is.
However, some studies are being conducted at the moment which use drug naive
subjects.[104] These
studies are necessary to determine the what changes occur in the brain from a
single use of a drug, but some might say they are ethically unsound. The
studies involve MDMA, which produces a much less overwhelming experience than
DMT or LSD, so there is less concern about adverse reactions to the drug.
Rather, it has been shown that MDMA causes some neurotoxic effects in rats, and
it seems ethically dubious to give a subject a drug which may have neurotoxic
effects and no current medical application. In this kind of case, it is crucial
that the doses administered are carefully controlled to minimise the risk to
the subjects, and the subjects must be informed of any possiblity of long term
effect.
Another
question of methodology is the value of blind studies. Shulgin believes that
blind studies have no value - the effects of the drug are so obvious as to
alert the subject. In some situations this could be detrimental, for instance
in Pahnke’s Good Friday experiment.[105]
In this study, psilocybin was given to a group of theology students, whilst
another group received a niacin placebo, and both groups attended the same Good
Friday service. The aim of the study was to see if the psychedelic could induce
a genuine religious experience, but it was a failure because it was quickly
obvious to the students which of them had had the psilocybin, and this coloured
their reports.[106]
However,
most modern research includes controlled blind studies (e.g. Strassman’s
DMT study), where the subjects do not observe each other, unlike in
Pahnke’s experiment. Again, the reasoning here is to make the experiments
scientifically acceptable. Blind studies are a requirement for most
psychological research, so psychedelics research must use them too if it wishes
to appear credible in the eyes of other scientists.
The
conclusions of this study are twofold:
Firstly,
a study of the history of psychedelic research has shown that the field showed
much promise at its early stages in the 1950s, but was effectively stopped in
the 1960s and ‘70s by legislation. This clampdown was caused by social
concerns, rather than any medical problems associated with LSD and other
psychedelics. However, part of the blame can be layed on scientists who
encouraged the spread of recreational use.
Subsequently,
human based research was only able to begin again after a change in the
attitude of governmental bodies and after Strassman showed it was possible to
conduct such research safely in a controlled environment.
Secondly,
the overall strategy of modern psychedelics researchers is to distance
themselves from the older style of working as practised in the 1950s and
‘60s, whilst at the same time acknowledging the pioneering work done in
this period. This can be seen in the three areas above: there has been a
movement towards a more closed evidential culture with its emphasis on the
scientific responsibility of the individual; a conscious attempt to de-politicise
the science from both researchers and government figures; and attempts to
tackle the problems of methodology and ethics in a scientifically accepted way.
The
study of psychedelic drugs has much to offer science: they may help us
understand how the biochemical processes of the brain work, and how they differ
between normal individuals and those with conditions such as schizophrenia and
psychosis. They may also prove to be useful as adjuncts to psychotherapy and to
help cure drug addiction of many forms.
However,
scientists must be careful to avoid the mistakes made in the 1960s which led to
the twenty year moratorium on such research and generated much fear and
hysteria about the dangers of psychedelic drugs, both medical and moral. There
is some debate over whether individuals have a right to use such substances
recreationally or as part of religious practice - such questions fall outside
the scope of this project, but if scientists wish to be able to continue
research into psychedelic drugs they must, at least for the foreseeable future,
keep psychedelics well within the realm of science and medicine.
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[1] Stevens [1987] p.57
[2] Grinspoon and Bakalar [1979] p.9
[3] Ibid. p.29-30
[4] Strassman [1995] p.127
[5] Wasson [1957] p.275-286]
[6] Stevens [1987] p.5-6
[7] Hofmann [1983] Ch.1 and Hofmann [1994] p.7-16
[8] Ibid. p.13
[9] Hofmann [1983] Ch.4 and Stevens [1987] p.11
[10] Homann [1983] Ch.4
[11] Yensen [1985] p.267
[12] As cited in ibid..
[13] Ibid. p.268
[14] Ibid. p.268
[15] Hollister [1962] p.81
[16] Pellerin [1998] p.49-55, Stevens [1987] p.79-84 and Wilner [1995] p.23-25
[17] Stevens [1987] p.81
[18] Pellerin [1998] p.54
[19] Leuner [1967] p.101
[20] Sandison [1997] p.60
[21] Caldwell [1968] p.121
[22] Yensen [1985] p.268
[23] Ibid. p.269
[24] Sandison [1997] p.60-61
[25] Buckman [1967] p.86
[26] Caldwell [1968] p.117-118
[27] Abram Hoffer, quoted in Pellerin [1998] p.46
[28] Yensen [1985] p.270
[29] BBC [1997]
[30] Ibid..
[31] Stevens [1987] p.74-77
[32] Grinspoon and Bakalar [1979] p.17
[33] Novak [1997] p.99
[34] Cohen and Ditman [1962]
[35] Cohen [1960]
[36] Novak [1997] p.107-108
[37] Ibid. p.109
[38] Shulgin and Shulgin [1997] p.593
[39] Novak [1997] and Novak [1998]
[40] Cohen and Ditman [1962]
[41] Stevens [1987] p.278
[42] Congressional Hearings, as cited in ibid. p.279
[43] Cohen [1960] p.39
[44] Novak [1997] p.107
[45] Stevens [1987] p.181
[46] Cohen and Ditman [1962] p.182
[47] Richter [1994] p.208-210
[48] Pellerin [1997] p.79
[49] Sewick [1997] Ch.3
[50] Sandison [1997] p.74
[51] Ibid..
[52] Sewick [1997] Ch.3
[53] Shulgin and Shulgin [1991] p.18
[54] Ibid. p19-21
[55] Ibid. p.22-25
[56] Ibid. p.41
[57] Ibid. p.42
[58] Ibid. p.xxxvi
[59] Stevens [1987] p.357-366
[60] Shulgin [1986] p.300
[61] Covered in detail in Shulgin and Shulgin [1997] p.437-441 and p.349-352
[62] Shulgin and Shulgin [1997] p.3
[63] Ibid. p.7-18
[64] Ibid. p.20-34
[65] Ibid. p.34-38
[66] Ibid. p.xvi-xvii
[67] Pellerin [1998] p.97
[68] Jansen [1996]
[69] From an interview, quoted in Pellerin [1998] p.162-168
[70] Ibid.
[71] Strassman et al. [1994]
[72] Strassman [1991]
[73] Ibid. p.30
[74] Strassman et al. [1994] p.88
[75] Strassman [1991] p.31-32
[76] Ibid. p.35
[77] Ibid. p.36
[78] Ibid. p.37-38
[79] MAPS [1999]
[80] MAPS [1999a]
[81] Pellerin [1998] p.175
[82] BBC [1997]
[83] Curtis Wright in BBC [1997]
[84] Jansen [1997]
[85] Strassman [1997] p.155
[86] Yensen [1985]
[87] Collins [1998]
[88] Ibid.
[89] Ibid.
[90] Ibid.
[91] Ibid.
[92] Ibid.
[93] Stevens [1987] p.86
[94] MAPS [1995]
[95] Shulgin and Shulgin [1997] p.437-441
[96] Shulgin and Shulgin [1991] p.xx-xxviii
[97] Ibid. p.xxii
[98] Ibid. p.xxiv-xxvi
[99] Ibid. p.xxvi
[100] Appendix to Strassman et al. [1994]
[101] Ibid.
[102] Hardwig [1985] and Hardwig [1991]
[103] Strassman [1997] p.157
[104] Gamma and Vollenweider [1998]
[105] Pahnke [1963]
[106] Yensen [1985] p.273