Drug Dangerousness and Psychedelics Overview

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Questions and Answers

What term has been proposed as an alternative to hallucinogens?

  • Illusion genic (correct)
  • Reality modulators
  • Truth enhancers
  • Mind amplifiers

What did Timothy Leary refer to as 'turning in'?

  • Seeking external validation
  • Rejecting societal norms
  • Engaging in philosophical debates
  • Harnessing one's internal revelations to the external world (correct)

Which of the following terms describes psychedelic drugs as mind-altering?

  • Neuroactive
  • Psychotropic (correct)
  • Mind manipulators
  • Psychogenic

What was the response of drug advocates to the accusation that LSD users were 'sick and dangerous'?

<p>They argued that established powers were the true danger. (D)</p> Signup and view all the answers

How did John Lilly feel when he injected himself with LSD-25 and entered the isolation tank?

<p>He experienced terror due to warnings received. (C)</p> Signup and view all the answers

Why was LSD considered a significant tool by some researchers in the San Francisco Bay Area?

<p>It was believed to enhance creativity and problem-solving abilities. (A)</p> Signup and view all the answers

What was one of the results of taking psychedelic drugs during the 1960s?

<p>Development of counterculture movements (B)</p> Signup and view all the answers

What was the proposed effect of psychedelics according to participants in the research conducted in San Francisco?

<p>Increased mental fluidity and visualization skills. (A)</p> Signup and view all the answers

How did some engineers credit LSD's impact on the technology sector?

<p>By stating that it contributed to the birth of the computer revolution. (A)</p> Signup and view all the answers

Which of these statements about psychedelics is NOT true?

<p>They are universally accepted in medical research. (C)</p> Signup and view all the answers

What was Timothy Leary's initial experience with psychedelic drugs characterized as?

<p>An awakening from a long ontological sleep (C)</p> Signup and view all the answers

What was the intent behind Osmond's introduction of the term 'psychedelic'?

<p>To separate legitimate research from frivolous drug use. (A)</p> Signup and view all the answers

The term 'psycholytic' refers to which of the following?

<p>Mind dissolving (D)</p> Signup and view all the answers

What percentage of those hospitalized for LSD psychosis had received previous psychiatric treatment?

<p>37 to 49 percent (C)</p> Signup and view all the answers

What commonality exists among individuals with schizophrenia who have used drugs?

<p>Multiple drug use was common (D)</p> Signup and view all the answers

What is a significant issue in the study comparing drug users with schizophrenia to those without?

<p>Effects of psychedelics were conflated with other drugs (C)</p> Signup and view all the answers

What observation was made about the timing of acute psychoses related to LSD use?

<p>They occurred 2 to 7 days after using LSD (A)</p> Signup and view all the answers

What speculation did Hoffer and Osmond have regarding LSD and alcoholics?

<p>LSD sessions could mimic delirium tremens. (B)</p> Signup and view all the answers

What is the primary source of opium?

<p>Opium poppy plants (B)</p> Signup and view all the answers

Which of the following synthetic opioids is highlighted for its use as an analgesic and anesthetic?

<p>Fentanyl (B)</p> Signup and view all the answers

What percentage of death certificates for overdose deaths indicate opioid involvement?

<p>25 percent (B)</p> Signup and view all the answers

Which drug did Albert Hofmann first synthesize in 1938?

<p>LSD (B)</p> Signup and view all the answers

Who is credited with coining the term 'psychedelic'?

<p>Humphry Osmond (D)</p> Signup and view all the answers

What notable experience did Hofmann have on Bicycle Day?

<p>He experienced intensified imagination and hallucinations (C)</p> Signup and view all the answers

What is the main focus of David Nutt's evaluation of drug dangerousness?

<p>Acute reactions, long-term dependence, and social impacts (C)</p> Signup and view all the answers

What was the potency of carfentanil in relation to other opioids when it emerged on the illicit market?

<p>It was more potent than heroin (A)</p> Signup and view all the answers

What was Alber Hofmann's initial reaction when he first synthesized LSD?

<p>Restlessness and dizziness (D)</p> Signup and view all the answers

Which aspect of psychedelics did David Nutt evaluate in terms of dangerousness?

<p>Acute reactions and social impacts (C)</p> Signup and view all the answers

What significant law governed the control of psychedelic drugs in the United States starting in 1970?

<p>Comprehensive Drug Abuse Prevention and Control Act (A)</p> Signup and view all the answers

Which strain of mushroom is known for containing psilocybin?

<p>Stropharia cubensis (C)</p> Signup and view all the answers

What is the main psychoactive ingredient in ayahuasca that allows for 'better and brighter visions'?

<p>Dimethyltryptamine (DMT) (A)</p> Signup and view all the answers

Which psychedelic drug is noted for its extremely potent effects at low doses?

<p>LSD (D)</p> Signup and view all the answers

In what context is 'tolerance' used when discussing psychedelic drug use?

<p>Increased amount required for desired effects (D)</p> Signup and view all the answers

What percentage of Tibetan Buddhist practitioners in a 1990 survey reported previous experiences with psychedelics?

<p>77% (B)</p> Signup and view all the answers

What kind of experiences can be triggered by flashbacks associated with psychedelics?

<p>Transitory recurrence of emotions and perceptions (C)</p> Signup and view all the answers

What physiological effect is noted to be similar but milder in psilocybin compared to LSD?

<p>Increased heart rate (D)</p> Signup and view all the answers

What challenge faced the use of psychedelics in research during the 1990s?

<p>Investigation of their phenomenological effects rather than physiological ones (D)</p> Signup and view all the answers

What is a noted risk associated with the use of LSD concerning mental health?

<p>Exacerbation of schizophrenia-like symptoms (A)</p> Signup and view all the answers

Which species has been linked to producing the psychoactive effects associated with mescaline?

<p>Peyote cactus (B)</p> Signup and view all the answers

What compound is most likely to cause 'hallucinogen persisting perception disorder'?

<p>LSD (A)</p> Signup and view all the answers

What is a common long-term effect reported by users of psychedelics?

<p>Increased hypnagogic imagery (A)</p> Signup and view all the answers

What was the purpose of the LSD sessions in Arnold Ludwig's study?

<p>To provide structured therapeutic benefits (D)</p> Signup and view all the answers

What lasting effect have psychedelics shown in patients receiving treatment for terminal cancer?

<p>Persistent analgesic effects (D)</p> Signup and view all the answers

What was measured during the Good Friday experiment after participants consumed psilocybin?

<p>Characteristics of mystical experiences (B)</p> Signup and view all the answers

How did participants prepare for the Good Friday experiment?

<p>With positive expectation and trust. (C)</p> Signup and view all the answers

What did the follow-up study 40 years later reveal about participants' experiences with psilocybin?

<p>Eleven percent rated their experience as the most meaningful in their lives. (D)</p> Signup and view all the answers

What was a common factor among participants who experienced transcendental effects from psychedelics?

<p>They often felt reconciled to their impending death. (D)</p> Signup and view all the answers

What distinct experience did participant Mike Young report during the Good Friday experiment?

<p>He found himself at the center of a circle. (C)</p> Signup and view all the answers

What psychological state did Huston Smith encounter during the experiment?

<p>An unpleasant experience leading to incoherence. (C)</p> Signup and view all the answers

What was one of the main findings of Ludwig's study regarding LSD therapy's effectiveness?

<p>There were no differences in outcomes when using LSD. (A)</p> Signup and view all the answers

In the Johns Hopkins study, what portion of participants reported experiencing significant fear during the psilocybin session?

<p>Eleven percent indicated they experienced extreme fear. (D)</p> Signup and view all the answers

What technique was used to attempt to enhance the therapeutic benefit of LSD in Ludwig's therapy group?

<p>Hypnosis during the LSD session. (A)</p> Signup and view all the answers

What was the outcome related to the sacredness aspect in the Good Friday experiment?

<p>No statistically significant difference on sacredness. (A)</p> Signup and view all the answers

In what key way did participants’ attitudes toward death change after experiencing psychedelics?

<p>They achieved a deeper understanding and acceptance of it. (D)</p> Signup and view all the answers

What was one reason for examining psychedelic treatment in alcohol use disorders?

<p>Traditional treatments have a high failure rate. (C)</p> Signup and view all the answers

Flashcards

Opium

A chemical compound extracted from the seed pods of opium poppy plants.

Opioids

Substances that contain opium or its psychoactive constituents, or chemically similar drugs.

Synthetic Opioids

Synthetically produced drugs chemically similar to naturally occurring opioids.

Fentanyl

A synthetic opioid used as an analgesic and anesthetic.

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Carfentanil

The most potent commercially available opioid, often found in illicit drug markets.

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David Nutt's Drug Dangerousness Evaluation

An evaluation of drug dangerousness considering factors like acute reactions, long-term dependence, and social/health impacts.

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Psychedelic

A neologism coined by Humphry Osmond in 1956, meaning mind-manifesting or soul-revealing.

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Humphry Osmond

The British-born psychiatrist who coined the term 'psychedelic' and was the director of the Weyburn Mental Hospital.

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Abram Hoffer

A Canadian psychiatrist who was Osmond's director of research at the Weyburn Mental Hospital.

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LSD (Lysergic Acid Diethylamide)

A new chemical compound, LSD-25, synthesized by Albert Hofmann in 1938 at Sandoz company.

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LSD as a Sacrament

LSD use was seen as a path to transformative experiences, often compared to traditional mystical practices.

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LSD in the Bay Area

The San Francisco Bay Area was a hotbed for LSD experimentation during the 1960s, with researchers exploring its potential to enhance creativity.

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LSD and the Computer Revolution

Engineers and other professionals believed LSD's effects, like mental agility and problem-solving abilities, contributed to innovations, particularly in Silicon Valley.

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Psychedelic: A New Word

Humphrey Osmond, a psychiatrist, coined the term "psychedelic" to emphasize the mind-expanding nature of these drugs.

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Osmond's Attempt to Redefine Psychedelics

Humphrey Osmond, concerned about the misuse of psychedelics, aimed to distance legitimate research from recreational use by introducing the term "psychedelic."

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Turning On

A subjective experience of a profound shift in consciousness, often reported as a sense of awakening or enlightenment.

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Turning In

The process of applying insights gained from a psychedelic experience to the external world and everyday life.

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Dropping Out

A deliberate withdrawal from conventional societal values and pursuits to embark on a spiritual journey, often influenced by psychedelic experiences.

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Psychedelic Experience

A state of altered awareness characterized by perceptual distortions, vivid imagery, and profound emotional experiences, often induced by psychedelic drugs.

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Ego Death

A type of psychedelic experience that dissolves boundaries between self and external reality, leading to a sense of interconnectedness and unity.

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Psychedelic Drugs

A mind-altering drug that induces a state of altered awareness and altered perceptions, often associated with spiritual and psychological insights.

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Psychedelic Sixties

A term used to describe the countercultural movement of the 1960s, characterized by experimentation with psychedelic drugs, exploration of spirituality, and rejection of societal norms.

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Turning On, Tuning In, Dropping Out

A term coined by Timothy Leary to describe the use of psychedelic drugs as a means of awakening consciousness and achieving spiritual liberation.

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Drug Use and Schizophrenia

A study comparing people with schizophrenia who had used drugs to those who hadn't found that drug users had better psychological adjustment before the onset of schizophrenia, but worse adjustment overall compared to non-schizophrenic individuals.

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Confounding Effects of Multiple Drug Use

The difficulty in attributing psychosis to a single drug when individuals with schizophrenia have used multiple substances.

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Vulnerability to Psychedelic-Induced Psychosis

The idea that some individuals may be more susceptible to experiencing psychosis after using psychedelics.

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Delirium Tremens and LSD Similarity

The similarity between delirium tremens, a severe alcohol withdrawal symptom with hallucinations, and the psychological effects of LSD.

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LSD as a Potential Treatment for Alcoholism

The idea that giving high doses of LSD to alcoholics might mimic delirium tremens, potentially preventing them from experiencing severe withdrawal symptoms.

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Milieu Therapy

A type of therapy that aims to help individuals with alcohol use disorders by providing humane care within a controlled setting.

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Double-Blind Study

A research method where neither the participants nor the researchers know which group is receiving the treatment and which is receiving a placebo.

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Hypnosis-Enhanced LSD Therapy

A type of therapy that involves using hypnosis to enhance the effects of LSD and guide individuals towards self-reflection and positive change.

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The Good Friday Experiment

The Good Friday Experiment aimed to investigate whether the experiences induced by psilocybin resemble the mystical experiences described by religious mystics.

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Ineffability

A key characteristic of mystical experiences, referring to the inability to adequately describe the profound nature of the experience using language.

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Set and Setting

The overall environment and mindset in which a psychedelic experience takes place, which can significantly influence the nature and outcome of the experience.

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Ontological Awakening

The belief that psychedelic experiences can lead to a profound awakening of consciousness and a shift in one's understanding of oneself and the world.

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Psychedelics in Palliative Care

The use of psychedelics in palliative care aims to provide relief from emotional and physical pain, as well as changing perspectives on death through profound experiences.

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Johns Hopkins University Experiment

A research study conducted at Johns Hopkins University, which investigated the long-term effects of psilocybin on participants 40 years after the original Good Friday Experiment.

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Serotonin

A neurotransmitter that plays a crucial role in mood, sleep, appetite, and other functions, and is thought to be involved in the effects of psychedelic drugs.

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Psilocybin's Serotonergic Effects

The effect of psilocybin on the brain, which leads to changes in perception, thought, and emotion, is thought to be mediated through its interaction with serotonin receptors.

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Difficult Psychedelic Trip

A type of psychedelic experience characterized by intense emotional and psychological experiences, often involving fear, anxiety, or confusion.

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Psychedelic Integration

A key element of the therapeutic use of psychedelics, which involves preparation and integration, ensuring a safe and supportive environment for transformative experiences.

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Meaningful Experience

A profound emotional experience that is considered life-changing and holds great personal significance.

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LSD's Legal Journey

The legal status of LSD changed significantly in the 1960s and 1970s: it was available to physicians, then restricted, then made illegal nationwide. Eventually, the Comprehensive Drug Abuse Prevention and Control Act classified LSD as a Schedule I drug, meaning it has no recognized medical use and a high potential for abuse.

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Tibetan Buddhism and Psychedelics

A 1990 survey of Tibetan Buddhist practitioners revealed that a large portion of respondents had experienced psychedelics and some even attributed their interest in Buddhism to these experiences.

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Psychedelics' Renaissance

After a period of prohibition, government-sanctioned psychedelic research began to re-emerge in the early 1990s, focusing on the physiological and neurological effects rather than the subjective experiences.

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Shifting Perspectives on Psychedelics

The potential therapeutic uses of psychedelics started receiving more recognition in the 2000s due to events like Albert Hofmann's 100th birthday symposium, the Supreme Court's decision regarding ayahuasca, and a groundbreaking study on psilocybin.

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LSD's Potency

LSD is a powerful drug, with even tiny doses producing effects. Smallest doses create mild euphoria, while higher doses lead to more pronounced psychedelic experiences.

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Psilocybin's Effects

Psilocybin, the psychoactive compound in magic mushrooms, produces effects that are generally gentler than LSD but still result in visual and mental alterations.

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Peyote and Mescaline

The peyote cactus, used ceremonially by Native Americans, contains mescaline, a psychedelic compound known for its intense physiological arousal and sensory experiences.

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DMT: The Spirit Molecule

DMT, a powerful psychedelic found naturally and synthesized, creates effects similar to LSD but with a faster onset and a shorter duration. It's known for its intense and often alien-like experiences.

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Ayahuasca: The Vine of Souls

Ayahuasca, a brew made from Banisteriopsis vines and other plants, is a powerful psychedelic used in indigenous South American traditions.

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Ayahuasca Tourism

Ayahuasca tourism, a growing trend, involves travelers seeking experiences with the psychedelic brew, but it raises issues related to cultural appropriation and potential risks.

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Psychedelic Tolerance

The brain's ability to regulate its chemical balance can lead to tolerance for psychedelic drugs, resulting in the need for higher doses to achieve the same effects.

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Flashbacks and Hallucinogen Persisting Perception Disorder

Psychedelic drugs, particularly LSD, can lead to flashbacks, where past experiences under the influence can reoccur.

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Neuropharmacology of Psychedelics

Psychedelic drugs are known to interact with serotonin receptors in the brain, potentially affecting mood, perception, and self-identity.

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Long-Term Effects of Psychedelics

The long-term effects of psychedelics can include changes in perception, vivid dreams, and potential for psychosis-like experiences in vulnerable individuals.

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Study Notes

Drug Dangerousness

  • Opium is a chemical compound extracted from opium poppy plants
  • Opioids contain opium or similar chemicals
  • Synthetic opioids are chemically similar to naturally occurring opioids (e.g., fentanyl)
  • Heroin has been cut with increasing amounts of fentanyl, leading to overdose cases in the U.S.
  • Carfentanil, a potent opioid, has appeared on the illicit drug market recently.
  • Opioids contribute to 25% of overdose deaths.
  • Drug dangerousness is evaluated based on acute reactions, dependence, and social/healthcare impacts
  • Psychedelic drugs are not considered more dangerous than some legal and illegal drugs.

Modern History of Psychedelics

  • Humphry Osmond coined the term "psychedelic" in 1956.
  • Osmond directed research at Weyburn Mental Hospital in Canada.
  • Abram Hoffer, a Canadian psychiatrist, was an important researcher in psychedelics.

The Invention of LSD

  • Albert Hofmann created LSD-25 at Sandoz in 1938.
  • Hofmann experienced visual hallucinations after accidentally ingesting LSD in 1943.

LSD Experiences

  • Hofmann experienced vivid images and colors in 250 microgram dose.
  • Subsequent users experienced various effects, including alterations in perception, time, and reality.
  • LSD was associated with altered sensory experiences and emotional states.

The Psychedelic Sixties

  • Timothy Leary promoted psychedelic use in the 1960s.
  • Psychedelics contributed to a counterculture movement.
  • Psychedelic use led to various lifestyles, leaders, classifications, and rivalries.

Renaissance in Psychedelic Research

  • Research into psychedelics resumed in the 1990s
  • Research focused on physiological and neurological effects.

Varieties of Psychedelics

  • LSD: High potency, produces euphoria at low doses.
  • Psilocybin: Derived from mushrooms, milder effects than LSD, visual and psychological effects, lasts 2-5 hours.
  • Mescaline: Found in the Peyote cactus, effects similar to LSD, but gentler, lasting 8-12 hours.
  • DMT: Found in various plants and synthesized, produces intense visionary experiences.
  • Ayahuasca: South American drink containing DMT & other substances, intense visionary experiences.

Neuropharmacology of Psychedelics

  • Tolerance occurs to psychedelics over days, then quickly fades.
  • Cross-tolerance occurs with other psychedelic drugs.
  • Psychedelics affect serotonin pathways in the brain.
  • 5-HT2 receptors are particularly involved in their effects.

Long-Term Effects of Psychedelics

  • Flashbacks are a recurring experience of the drug
  • Flashbacks resemble the effects during intoxication

Psychedelic Effects on Schizophrenia

  • Psychedelics can trigger or increase symptoms of schizophrenia in vulnerable individuals

Psychedelic Treatment of Alcoholism

  • Hoffer & Osmond experimented with LSD to treat alcoholism.
  • LSD sessions mimicked delirium tremens, possibly aiding patients.

The Good Friday Experiment

  • Walter Pahnke experimented on the effects of psilocybin.
  • 20 participants experienced psychedelic effects leading to mystical experiences
  • Some participants reported profound transformations.

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