Opioids and Psychedelics Overview

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Questions and Answers

What was the reaction of drug advocates to the labeling of LSD users as 'sick and dangerous'?

  • They advocated for stricter controls on drugs like LSD.
  • They agreed with the authorities' perspective.
  • They argued that the established powers were the ones who were sick and dangerous. (correct)
  • They called for medical research into the safety of LSD.

In what way did LSD reportedly benefit participants in the experiments led by researchers in the San Francisco Bay Area?

  • It increased their physical energy significantly.
  • It made them feel more relaxed and calm.
  • It enhanced their ability to visualize and recontextualize problems. (correct)
  • It allowed them to access hidden historical knowledge.

What did some engineers believe about LSD's influence in Silicon Valley?

  • It was a distraction from their work.
  • It played a significant role in the birth of the computer revolution. (correct)
  • It negatively impacted their mental health.
  • It hindered collaborative efforts.

What term did Osmond attempt to introduce in order to differentiate legitimate research from frivolous use of psychedelics?

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

What criticism did Osmond have regarding Leary's approach to psychedelics?

<p>He claimed it was dangerous. (C)</p> Signup and view all the answers

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

<p>37-49% (D)</p> Signup and view all the answers

Which statement is true regarding drug users prior to the onset of schizophrenia?

<p>They had better psychological adjustment than non-drug users. (D)</p> Signup and view all the answers

What is a significant challenge in determining the effects of psychedelics on chronic psychosis?

<p>Previous drug use often involved multiple substances. (A)</p> Signup and view all the answers

What might indicate vulnerability to psychosis induced by psychedelics?

<p>Experiencing acute psychoses 2 to 7 days after using psychedelics. (A)</p> Signup and view all the answers

What was Hoffer and Osmond's speculation about the potential treatment for alcoholism?

<p>Using LSD to replicate the hallucinations of delirium tremens. (D)</p> Signup and view all the answers

What does the term 'psychotomimetic' refer to in the context of psychedelic drugs?

<p>Drugs that mimic or induce psychosis (A)</p> Signup and view all the answers

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

<p>A deep religious experience leading to awakening (A)</p> Signup and view all the answers

Which phrase did Timothy Leary use to describe the externalization of internal revelations?

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

Which of the following terms refers to the idea of pursuing an authentic spiritual quest, according to Timothy Leary?

<p>Dropping out (C)</p> Signup and view all the answers

In what year was the first article about LSD published?

<p>1947 (D)</p> Signup and view all the answers

What alternative term has been proposed for 'hallucinogens'?

<p>Illusion genic (C)</p> Signup and view all the answers

What significant trend did psychedelic drugs inspire by the late 1960s?

<p>The emergence of a counterculture with distinct lifestyles and rivalries (C)</p> Signup and view all the answers

What did John Lilly experience when he injected himself with LSD-25 in an isolation tank?

<p>A sense of light and consciousness merging (D)</p> Signup and view all the answers

What is the main psychoactive component of opioids?

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

What substance is considered the most potent commercially available opioid?

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

What year did Albert Hofmann first synthesize LSD?

<p>1938 (A)</p> Signup and view all the answers

Which type of drug did David Nutt evaluate for danger based on various criteria?

<p>Psychedelic drugs (C)</p> Signup and view all the answers

Who coined the term 'psychedelic' in 1956?

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

During his first experience with LSD, what sensations did Hofmann report?

<p>Feeling restless and dizzy with vivid visual imagination (B)</p> Signup and view all the answers

How did heroin become more dangerous according to trends in the drug market?

<p>It was combined with larger amounts of fentanyl. (B)</p> Signup and view all the answers

What did Hofmann mistakenly believe about his initial LSD exposure?

<p>He thought some had absorbed through his fingertips. (C)</p> Signup and view all the answers

What percentage of death certificates for overdose deaths mention opioids?

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

What significant day is associated with Hofmann's bike ride after taking LSD?

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

In what year did possession of LSD become illegal throughout the United States?

<p>1968 (B)</p> Signup and view all the answers

What dosage range typically produces psychedelic effects from LSD?

<p>50 to 150 micrograms (B)</p> Signup and view all the answers

Which substance is regarded as producing a gentler psychological effect compared to LSD?

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

What was a significant event in 2006 that shifted attitudes toward psychedelics?

<p>The celebration of Albert Hofmann’s 100th birthday (A)</p> Signup and view all the answers

How does tolerance to psychedelics like LSD typically develop?

<p>Within two to three days and disappears quickly (B)</p> Signup and view all the answers

What is a common adverse effect associated with the use of psychedelics?

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

Which psychedelic is known for producing prolonged effects lasting from 8 to 12 hours?

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

What is the primary psychoactive compound found in the Stropharia cubensis mushroom?

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

What psychological experience is often linked with the excessive activation of 5-HT2 receptors?

<p>Schizophrenia-like symptoms (D)</p> Signup and view all the answers

What is one of the roles of the pineal gland related to psychedelic experiences?

<p>Possible source of DMT surges (B)</p> Signup and view all the answers

What factor is considered when discussing the context of drug use, particularly with psychedelics?

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

What ingredient does ayahuasca contain that makes it different from other psychedelics?

<p>Beta-carbolines (A)</p> Signup and view all the answers

Which experience is NOT typically associated with the use of mescaline?

<p>Psychoactive effects lasting for several days (A)</p> Signup and view all the answers

Ayahuasca tourism began in which decade?

<p>1990s (C)</p> Signup and view all the answers

What was the main focus of Arnold Ludwig's research on LSD and alcoholism?

<p>To evaluate the impact of LSD on therapeutic outcomes for alcoholism (C)</p> Signup and view all the answers

What additional element was incorporated in the therapy of the group that received both LSD and hypnosis?

<p>Posthypnotic suggestions about personal responsibility (D)</p> Signup and view all the answers

Which outcome was observed regarding the use of LSD in Ludwig's study at the 6-month follow-up?

<p>No differences in outcomes compared to control groups (D)</p> Signup and view all the answers

What was the primary purpose of psychedelic therapy for those dying of cancer according to Stanislav Grof's research?

<p>Pain relief and a change in attitude toward death (B)</p> Signup and view all the answers

In the Good Friday experiment, how were participants divided to ensure a double-blind study?

<p>Using random assignment to psilocybin and control groups (C)</p> Signup and view all the answers

What key finding did the Good Friday experiment reveal in comparison between experimental and control groups?

<p>Statistically significant differences in mystical experience characteristics (A)</p> Signup and view all the answers

What negative experience did participants in the Johns Hopkins University experiment report?

<p>Extreme fear during the session (D)</p> Signup and view all the answers

How many participants in the Johns Hopkins study rated their psychedelic experience as the single most meaningful of their lives?

<p>11% (C)</p> Signup and view all the answers

What significant change in perception did Mike Young experience during his psychedelic session?

<p>Intensification of visual colors and patterns (D)</p> Signup and view all the answers

What aspect of the experience did Huston Smith observe in one of the participants during the Good Friday experiment?

<p>Incoherent behavior and departure from the chapel (D)</p> Signup and view all the answers

What common outcome was reported by participants who underwent psilocybin experiences in both the Good Friday experiment and the Johns Hopkins experiment?

<p>A sense of unity or oneness (C)</p> Signup and view all the answers

What challenge was noted regarding the nature of psychedelic experiences among participants?

<p>They often involved significant psychic struggles (B)</p> Signup and view all the answers

What therapeutic benefit was structured into the LSD sessions combined with hypnosis?

<p>Providing posthypnotic suggestions for problem-solving (A)</p> Signup and view all the answers

Flashcards

Opium

A chemical compound present in opium poppy plants.

Opioids

Substances derived from opium or chemically similar synthetic drugs.

Synthetic Opioids

Synthetic drugs mimicking the effects of naturally occurring opioids.

Fentanyl

A powerful opioid used as a pain reliever and anesthetic.

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Carfentanil

An opioid with intense potency used illegally.

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Drug Dangerousness Scale

A scale that examines the harm produced by drugs based on acute reactions, long-term dependence, and social impact.

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Psychedelic Drugs

Drugs that alter perception and consciousness.

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Psychedelic

The term coined by Humphry Osmond in 1956 to describe mind-manifesting or soul-revealing substances.

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Abram Hoffer

The director of research at Weyburn Mental Hospital, who worked with Humphry Osmond on psychedelic research.

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LSD (Lysergic Acid Diethylamide)

The chemical compound synthesized by Albert Hofmann in 1938, known for its potent psychedelic effects.

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Turning On

A state of heightened awareness and expanded consciousness often accompanied by vivid sensory experiences.

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Turning In

The process of integrating and applying insights gained from psychedelic experiences into everyday life.

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Dropping Out

The pursuit of personal growth and spiritual awakening often involving withdrawal from mainstream society.

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World Illusion Genic

The concept that the world we perceive is an illusion, potentially influenced by factors like our beliefs and consciousness.

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Psychotropic Drugs

Mind-altering substances that induce a state of altered consciousness often marked by hallucinations and altered perceptions.

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Psycholytic

A term used to describe the process of dissolving mental barriers and fixed ways of thinking.

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Psychotomimetic Drugs

Drugs that can mimic or induce psychosis, a mental state characterized by distorted thoughts and behaviors.

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LSD and Creativity in Silicon Valley

The use of LSD by artists, engineers, architects, and scientists in the San Francisco Bay Area to enhance creativity, resulting in reported benefits like enhanced mental fluidity and improved problem-solving abilities.

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Psychedelic vs. Psychotomimetic

Humphry Osmond's attempt to distance legitimate psychedelic research from its more frivolous use by introducing the term "psychedelic" as an alternative to "psychotomimetic"

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LSD as a Liberating Sacrament

The belief held by some individuals that psychedelics like LSD could liberate people and provide visionary experiences previously reserved for mystics and esoteric groups.

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The LSD Debate: Sick and Dangerous

Drug advocates using LSD, faced accusations of being "sick and dangerous" by authorities, while they countered by accusing medical personnel and lawmakers of promoting enslaving drugs like alcohol and nicotine while prohibiting liberating psychedelics.

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Psychedelics as a Creativity Catalyst

The use of psychedelics to explore and potentially enhance creativity, often leading to breakthroughs in fields like technology and art.

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Psychosis induced by psychedelics

A condition in which a person experiences hallucinations, delusions, and disordered thinking, often triggered by drug use.

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Vulnerability to psychosis

The possibility that some individuals are more susceptible to developing psychosis when exposed to psychedelic drugs.

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LSD treatment for alcoholism

LSD was used to mimic delirium tremens, a severe withdrawal syndrome in alcoholism, hoping to prevent alcoholics from reaching this dangerous stage.

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Acute psychoses after LSD use

The acute psychoses that appear within 2-7 days of LSD use, often characterized by vivid hallucinations and altered perception, differ from those with no drug use.

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Confounding effects of multiple drug use

The difficulty in attributing chronic psychosis to any single drug of abuse, due to the common use of multiple drugs.

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Milieu Therapy

A form of institutionalized care focusing on humane treatment and a supportive environment.

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LSD, psychotherapy, and hypnosis combination

The rationale for combining LSD with psychotherapy and hypnosis in a study was to increase the structure and potential therapeutic benefit of LSD sessions.

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Hypnosis in LSD sessions

Hypnosis was used to structure LSD sessions, enabling focused discussions on personal problems and post-hypnotic suggestions encouraging positive change.

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LSD's impact on alcohol treatment

The study found no significant differences in therapeutic outcomes between groups using LSD and those without, even after a year.

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Psychedelics in palliative care

Dr. Stanislav Grof's research involved administering psychedelics to cancer patients, focusing on alleviating emotional and physical pain and promoting acceptance of death.

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Analgesic effects of psychedelics

Psychedelic experiences can sometimes have long-lasting analgesic effects, reducing pain for weeks after the initial drug effects.

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The Good Friday Experiment

The Good Friday experiment investigated whether psychedelic experiences shared similarities with mystical experiences described by mystics.

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The Good Friday Experiment design

The experiment involved giving psilocybin to participants before a Good Friday church service, aiming to replicate and analyze the effects on their religious experiences.

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Results of the Good Friday Experiment

The experiment revealed statistically significant differences between psilocybin and placebo groups in several characteristics of mystical experiences.

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Psychedelics and Mystical Experiences

The experiment showed that psychedelics can lead to experiences with qualities similar to mystical experiences, including a sense of oneness, ineffability, and profound personal meaning.

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Mike Young's psychedelic experience

Mike Young's experience involved an intensification of colors, geometric patterns, and a feeling of being at the center of a circle, culminating in a realization of his potential.

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Negative psychedelic experiences

Not all psychedelic experiences are pleasant, and some participants in studies have reported intense fear, anxiety, and dysphoria during their sessions.

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Johns Hopkins University Experiment

The Johns Hopkins University experiment replicated the Good Friday experiment with psilocybin and a placebo, showing similar results with increased participant numbers and long-term follow-up.

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Impact of psychedelic experiences

The Johns Hopkins experiment showed that a significant portion of participants rated the psychedelic experience as highly meaningful and reported positive changes in their sense of wellbeing and life satisfaction.

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Negative aspects of the Johns Hopkins Experiment

While the majority of participants in the Johns Hopkins experiment had positive experiences, some reported negative experiences, including fear, anxiety, and a desire to never repeat the session.

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Schedule I Drugs

The Comprehensive Drug Abuse Prevention and Control Act of 1970 categorized many psychedelic drugs as Schedule I controlled substances, signifying a lack of accepted medical use and high potential for abuse.

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Psychedelics and Tibetan Buddhism

A survey of Tibetan Buddhist practitioners in 1990 revealed that a significant percentage had previous experiences with psychedelic drugs, suggesting a potential connection between these substances and spiritual exploration.

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The Psychedelic Renaissance

A new wave of research on psychedelics emerged in the early 1990s, shifting the focus from their subjective experiences to their physiological and neurological effects, with the aim of exploring potential medical applications.

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Set and Setting

A psychedelic drug's effects can be influenced by the individual's expectations and the surrounding environment, highlighting the crucial role of context in drug experiences.

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LSD Effects

LSD is a potent psychedelic drug with effects starting at low doses and escalating with increased intake, producing a range of psychological and physiological changes.

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Psilocybin Trip

Psilocybin, the active compound in magic mushrooms, induces a psychedelic trip lasting several hours, with effects often characterized as more visual and less intense than LSD.

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Mescaline Trip

Mescaline, a psychedelic substance found in the peyote cactus, produces a prolonged trip accompanied by physiological arousal and a more sensual and stable experience compared to LSD.

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DMT Effects

DMT, a powerful psychedelic found naturally and synthesized, induces effects similar to LSD but with a rapid onset and a shorter duration, often leading to profound and otherworldly experiences.

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Ayahuasca

Ayahuasca, a traditional Amazonian brew, combines the psychoactive properties of Banisteriopsis vines and DMT-containing plants, producing a powerful psychedelic experience.

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Drug Tolerance

The term tolerance refers to the body's adaptation to increased drug use requiring larger doses for the same effect. Tolerance development and cross-tolerance between psychedelics can impact drug interactions.

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Neuropharmacology of Psychedelics

Psychedelics primarily act on serotonergic neural pathways, stimulating specific serotonin receptors in the brain, leading to altered perception and consciousness.

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Flashbacks

Flashbacks, unintentional re-emergence of psychedelic experiences, can occur long after drug use and can be triggered by other substances or sensory cues.

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HPPD

Hallucinogen persisting perception disorder (HPPD) encompasses a range of persistent perceptual distortions, including alterations in color perception, geometric patterns, and afterimages, that can continue for months or even years.

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Psychedelics and Psychosis

The potential connection between 5-HT2 receptor activation and the development of psychosis in schizophrenia has raised concerns about the potential risks of psychedelics.

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Psychedelics and Dreams

The prolonged use of psychedelics can cause changes in dream patterns, making them more intense and visually rich, reflecting the altered perception and consciousness induced by these substances.

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Study Notes

Drug Dangerousness

  • Opium is a chemical extracted from opium poppy plants
  • Opioids contain opium or chemically similar substances
  • Synthetic opioids are chemically similar to naturally occurring opioids, such as fentanyl
  • Heroin is often cut with fentanyl, leading to overdose cases
  • Carfentanil, a potent opioid, emerged in the illicit drug market in 2016
  • Opioids contribute to 25% of overdose deaths
  • Psychedelic drugs are not considered more dangerous than other legal/illegal drugs, based on acute reactions, long-term dependence, and social/healthcare impact

Modern History of Psychedelics

  • Humphry Osmond coined the term "psychedelic" in 1956
  • Osmond was the director of research at Weyburn Mental Hospital (Canada), which became a significant center for psychedelic research.
  • Abram Hoffer was a Canadian psychiatrist associated with Weyburn Mental Hospital, important in psychedelic research

Invention of LSD

  • Albert Hofmann created LSD-25 in 1938 while working at Sandoz company
  • Hofmann experienced a psychedelic trip while synthesizing LSD, in 1943, after being interrupted in his work by feelings of dizziness.
  • Hofmann thought the LSD was absorbed through his fingertips during crystallization

Effects and experiences of LSD

  • Hofmann experienced visual hallucinations and kaleidoscopic colors.
  • Initial experience with LSD had negative feelings and threatening forms.
  • Experiences of LSD led to new ideas and concepts
  • LSD caused a profound religious experience for Timothy Leary

Psychedelic Sixties

  • Psychedelic drugs gained prominence in the 1960s, leading to a counterculture movement.
  • The counterculture involved distinct lifestyles, leaders, and internal rivalries.
  • Timothy Leary was a proponent of psychedelic use.
  • Leary promoted "turning on" as a spiritual awakening

Psychedelic drug research and legality

  • LSD had been used for research with artists, engineers, architects, scientists and was associated with increased creativity.
  • Researchers explored if LSD could aid in areas of creativity
  • Legal restrictions on psychedelic drugs, including LSD and others, were implemented.
  • Possession of LSD became illegal in the US
  • Research, using psychedelic drugs, in the early 1990s was permitted and investigated.

Varieties of psychedelics

  • LSD is powerful psychedelic drug.
  • Psilocybin is found in certain mushrooms, such as Stropharia cubensis.
  • Mescaline is found in the peyote cactus and can be consumed.
  • DMT is chemically synthesized and found in plants around the world.
  • Ayahuasca is a combination of plants used to create a psychedelic cocktail.

###Neuropharmacology of Psychedelics

  • Tolerance to LSD, psilocybin, mescaline, and DMT develops and diminishes.
  • Psychedelic drugs can affect serotonin pathways in the brain.

Long-term effects of Psychedelics

  • Flashbacks can occur; replaying perceptual experiences.
  • Psychedelics, if used in amounts not appropriate or given repeatedly, can potentially lead to psychotic episodes.
  • Mental health problems are also a possibility with psychedelic use.

Palliative Care and Psychedelics

  • Psychedelics are being researched in palliative care.
  • Transcendental experience and philosophical changes during experiences are discussed.
  • Pahnke's Good Friday study in 1962 employed psilocybin with participants.
  • The results noted profound spiritual experiences for many, with some negative experiences as measured by anxiety or dysphoria.

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