OPEN Foundation

Author name: OPEN Foundation

Recreational 3,4-methylenedioxy-N-methylamphetamine (MDMA) or ‘ecstasy’ and self-focused compassion: Preliminary steps in the development of a therapeutic psychopharmacology of contemplative practices.

Abstract

3,4-methylenedioxy-N-methylamphetamine (MDMA) produces diverse pro-social effects. Cognitive training methods rooted in Eastern contemplative practices also produce these effects through the development of a compassionate mindset. Given this similarity, we propose that one potential mechanism of action of MDMA in psychotherapy is through enhancing effects on intrapersonal attitudes (i.e. pro-social attitudes towards the self). We provide a preliminary test of this idea. Recreational MDMA (ecstasy) users were tested on two occasions, having consumed or not consumed ecstasy. Self-critical and self-compassionate responses to self-threatening scenarios were assessed before (T1) and after (T2) ecstasy use (or non-use), and then after compassionate imagery (T3). Moderating roles of dispositional self-criticism and avoidant attachment were examined. Separately, compassionate imagery and ecstasy produced similar sociotropic effects, as well as increases in self-compassion and reductions in self-criticism. Higher attachment-related avoidance was associated with additive effects of compassionate imagery and ecstasy on self-compassion. Findings were in line with MDMA’s neuropharmacological profile, its phenomenological effects and its proposed adjunctive use in psychotherapy. However, although conditions were balanced, the experiment was non-blind and MDMA dose/purity was not determined. Controlled studies with pharmaceutically pure MDMA are still needed to test these effects rigorously.

Kamboj, S. K., Kilford, E. J., Minchin, S., Moss, A., Lawn, W., Das, R. K., … & Freeman, T. P. (2015). Recreational 3, 4-methylenedioxy-N-methylamphetamine (MDMA) or ‘ecstasy’and self-focused compassion: Preliminary steps in the development of a therapeutic psychopharmacology of contemplative practices. Journal of Psychopharmacology, 0269881115587143.
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Immunomodulatory activity of ketamine in human astroglial A172 cells: Possible relevance to its rapid antidepressant activity.

Abstract

To determine if the immunomodulatory effect of ketamine is relevant to its rapid antidepressant activity, cultured human astroglial cells were incubated with ketamine, cytokine mix, or both. At 24h, ketamine dose-dependently (100-500 μM) decreased IL-6 and TNFα production and gene expression and, at clinically relevant concentration (100 μM), augmented IL-β release and gene expression in both unstimulated and cytokine-stimulated cells. In unstimulated cells, ketamine also increased IL-8 production and mRNA expression. The reduction in IL-6 mRNA was significant within 1h in unstimulated cells and at 4h after stimulation. Ketamine suppressed the production of the only established depression-relevant proinflammatory cytokines, IL-6 and TNFα.

Yuhas, Y., Ashkenazi, S., Berent, E., & Weizman, A. (2015). Immunomodulatory activity of ketamine in human astroglial A172 cells: Possible relevance to its rapid antidepressant activity. Journal of neuroimmunology, 282, 33-38. https://dx.doi.org/10.1016/j.jneuroim.2015.03.012
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Ketamine-induced state models schizophrenia

In the 1950’s, research on the psychoactive properties of lysergic acid diethylamide (LSD) led scientists to the serotonin hypothesis of schizophrenia, a theory still used to explain the neurochemical roots of schizophrenia. Today, Höflich et al. (2015) have used ketamine to explore the role of neurotransmitter glutamate in this mental disorder [3].

Since neuroimaging studies indicated dysfunctional glutamate pathways in schizophrenia, glutamate is thought to play a key role in its aetiology. These abnormalities are specifically apparent in the thalamus, a brain region regarded as the information integration system of the brain. By measuring brain activity in healthy volunteers after ketamine administration, Höflich et al. (2015) explored ketamine as a model for schizophrenia to further investigate the link between glutamate and schizophrenia. Ketamine is a glutamate antagonist, which means that it prevents neurotransmission by blocking the activity of glutamate on N-methyl-D-aspartate (NMDA) receptors. The effects of ketamine resemble some of the positive, negative, and cognitive symptoms of schizophrenia.

In the study of Höflich et al. (2015), thirty healthy volunteers completed a double-blind, placebo-controlled, randomized, crossover study in which each volunteer was scanned using fMRI on two separate days. Brain network activation under ketamine was compared to placebo. The brain images revealed higher functional connectivity in the thalamus hub network in the ketamine condition compared to placebo. Furthermore, ketamine induced higher connectivity between thalamic regions and somatosensory and temporal cortices. Connectivity between the thalamus and prefrontal, motor, posterior parietal, and occipital cortices did not differ significantly.

The authors conclude that ketamine temporarily triggers alterations in functional connectivity in healthy volunteers that resemble structural brain connectivity patterns in schizophrenic patients. They infer that the ketamine-induced state might function as a model of schizophrenia, especially relative to characteristic sensory filtering problems. However, their results did not reveal a decrease of prefrontal-thalamic connectivity typical for schizophrenic patients [4] suggesting that other neurotransmitters also account for the manifestation of schizophrenia. Using ketamine and other drug models [5] to investigate the relationship between neurotransmitter systems and the symptomatology of schizophrenia could yield valuable information about the neural underpinnings of this mental disorder.


[1] Gaddum, J. H., Hebb, C. O., Silver, A., & Swan, A. A. B. (1953). 5-Hydroxytryptamine. Pharmacological action and destruction in perfused lungs. Quart. J. Exper. Physiol., 38, 255.
[2] Woolley, D. W., & Shaw, E. (1954). a Biochemical and Pharmacological Suggestion About Certain Mental Disorders. Proceedings of the National Academy of Sciences of the United States of America, 40(4), 228–231. doi:10.1073/pnas.40.4.228
[3] Höflich, A., Hahn, A., Küblböck, M., Kranz, G. S., Vanicek, T., Windischberger, C., …Lanzenberger, R. (2015). Ketamine-Induced Modulation of the Thalamo- Cortical Network in Healthy Volunteers As a Model for Schizophrenia. International Journal of Neuropsychopharmacology, 1–11. doi:10.1093/ijnp/pyv040 [Abstract]
[4] Leitman DI, Sehatpour P, Higgins BA, Foxe JJ, Silipo G, Javitt DC (2010) Sensory deficits and distributed hierarchical dysfunction in schizophrenia. Am J Psychiatry 167:818–827
[5] Steeds, H., Carhart-Harris, R. L., & Stone, J. M. (2014). Drug models of schizophrenia. Therapeutic Advances in Psychopharmacology, 5(1), 43–58. doi:10.1177/2045125314557797 [Abstract][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

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Ketamine geïnduceerde staat als model voor schizofrenie

Onderzoek naar de psychoactieve eigenschappen van lysergeenzuurdi-ethyladmide (LSD) in de jaren ’50 bracht wetenschappers op de serotonine hypothese van schizofrenie [1][2], een theorie die nog steeds wordt gebruikt om de neurochemische oorsprong van schizofrenie te verklaren. Recentelijk hebben Höflich et al. (2015) ketamine gebruikt om de rol van neurotransmitter glutamaat in deze psychische stoornis te onderzoeken [3].

Vanwege het feit dat er in eerder neuroimaging onderzoek verstoorde glutamaterge hersennetwerken zijn gevonden bij schizofrene patiënten, wordt er gedacht dat glutamaat een sleutelrol speelt in de etiologie van schizofrenie. Deze afwijkingen doen zich vooral voor in de thalamus, het hersengebied dat betrokken is bij het integreren en doorgeven van informatie uit andere hersengebieden. Door de hersenactiviteit te meten bij gezonde vrijwilligers die ketamine toegediend kregen, onderzochten Höflich e.a. (2015) of ketamine gebruikt kan worden als een model voor schizofrenie om zo de link tussen glutamaat en schizofrenie verder te bestuderen. Ketamine is een glutamaat antagonist. Dit betekent dat ketamine de glutamaterge neurotransmissie verhindert door de overdracht van glutamaat te blokkeren op de N-methyl-D-aspartaat (NMDA) receptor. De effecten van ketamine lijken op een aantal van de positieve, negatieve en cognitieve symptomen van schizofrenie.

In het onderzoek van Höflich e.a. (2015) voltooiden dertig gezonde vrijwilligers het dubbelblinde, placebogecontroleerde, gerandomiseerde crossover onderzoek, waarbij iedere vrijwilliger op twee verschillende dagen werd gescand in een fMRI-scanner. Hersenactiviteit werd vergeleken tussen degenen die ketamine toegediend kregen en degenen die een placebo ontvingen. De hersenscans van degenen in de ketamineconditie vertoonden, in vergelijking met de placeboconditie, een hogere functionele activiteit van de thalamus. Ook veroorzaakte ketamine een hogere connectiviteit tussen de thalamische gebieden en de somatosensorische en temporale cortexen. Er werd geen significant verschil in connectiviteit gevonden tussen de thalamus en de prefrontale, motorische, posteriore pariëtale en occipitale cortexen.

De auteurs concluderen dat ketamine tijdelijk een veranderde functionele connectiviteit teweeg kan brengen in gezonde hersenen die lijkt op de structurele hersenconnectiviteit bij schizofrene patiënten. Ze leiden hieruit af dat de neurochemische toestand die wordt veroorzaakt door ketamine als model zou kunnen fungeren voor schizofrenie, vooral wanneer het om het verklaren van de karakteristieke problemen inzake zintuiglijke filtering betreft. In het onderzoek werd echter geen afname van de connectiviteit tussen prefrontale cortex en thalamus gevonden, hetgeen wel voorkomt bij schizofrene patiënten [4]. Deze bevinding suggereert dat andere neurotransmitters ook verantwoordelijk zijn voor de manifestatie van schizofrenie. Het gebruik van ketamine en andere drugsmodellen [5] om de relatie tussen neurotransmittersystemen en de symptomatologie van schizofrenie te onderzoeken kan waardevolle informatie opleveren over de neurale fundamenten van deze mentale stoornis.


 
[1] Gaddum, J. H., Hebb, C. O., Silver, A., & Swan, A. A. B. (1953). 5-Hydroxytryptamine. Pharmacological action and destruction in perfused lungs. Quart. J. Exper. Physiol., 38, 255.
[2] Woolley, D. W., & Shaw, E. (1954). A Biochemical and Pharmacological Suggestion About Certain Mental Disorders. Proceedings of the National Academy of Sciences of the United States of America, 40(4), 228–231. doi:10.1073/pnas.40.4.228
[3] Höflich, A., Hahn, A., Küblböck, M., Kranz, G. S., Vanicek, T., Windischberger, C., …Lanzenberger, R. (2015). Ketamine-Induced Modulation of the Thalamo-Cortical Network in Healthy Volunteers As a Model for Schizophrenia. International Journal of Neuropsychopharmacology, 1–11. doi:10.1093/ijnp/pyv040 [Abstract]
[4] Leitman DI, Sehatpour P, Higgins BA, Foxe JJ, Silipo G, Javitt DC (2010). Sensory deficits and distributed hierarchical dysfunction in schizophrenia. Am J Psychiatry 167: 818-827
[5] Steeds, H., Carhart-Harris, R. L., & Stone, J. M. (2014). Drug models of schizophrenia. Therapeutic Advances in Psychopharmacology, 5(1), 43–58. doi:10.1177/2045125314557797 [Abstract]

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Acid Hype: American News Media and the Psychedelic Experience

acid hypeNow synonymous with Sixties counterculture, LSD actually entered the American consciousness via the mainstream. Time and Life, messengers of lumpen-American respectability, trumpeted its grand arrival in a postwar landscape scoured of alluring descriptions of drug use while lesser outlets piggybacked on their coverage with stories by turns sensationalised and glowing.

Acid Hype offers the untold tale of LSD’s wild journey from Brylcreem and Ivory soap to incense and peppermints. As Stephen Siff shows, the early attention lavished on the drug by the news media glorified its use in treatments for mental illness but also its status as a mystical–yet legitimate–gateway to exploring the unconscious mind. Siff’s history takes readers to the center of how popular media hyped psychedelic drugs in a constantly shifting legal and social environment, producing an intricate relationship between drugs and media experience that came to define contemporary pop culture. It also traces how the breathless coverage of LSD gave way to a textbook moral panic, transforming yesterday’s refined seeker of truths into an acid casualty splayed out beyond the fringe of polite society.

Stephen Siff is an assistant professor of journalism at Miami University, Ohio.

Acid Hype: American News Media and the Psychedelic Experience, by Stephen Siff, History of Communication series, University of Illinois Press, 264 pages.

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Acid Hype: American News Media and the Psychedelic Experience

Now synonymous with Sixties counterculture, LSD actually entered the American consciousness via the mainstream. Time and Life, messengers of lumpen-American respectability, trumpeted its grand arrival in a postwar landscape scoured of alluring descriptions of drug use while lesser outlets piggybacked on their coverage with stories by turns sensationalised and glowing.

Acid Hype offers the untold tale of LSD’s wild journey from Brylcreem and Ivory soap to incense and peppermints. As Stephen Siff shows, the early attention lavished on the drug by the news media glorified its use in treatments for mental illness but also its status as a mystical–yet legitimate–gateway to exploring the unconscious mind. Siff’s history takes readers to the center of how popular media hyped psychedelic drugs in a constantly shifting legal and social environment, producing an intricate relationship between drugs and media experience that came to define contemporary pop culture. It also traces how the breathless coverage of LSD gave way to a textbook moral panic, transforming yesterday’s refined seeker of truths into an acid casualty splayed out beyond the fringe of polite society.

Stephen Siff is an assistant professor of journalism at Miami University, Ohio.

Acid Hype: American News Media and the Psychedelic Experience, door Stephen Siff, History of Communication reeks, University of Illinois Press, 264 pagina’s.

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Intranasal drug delivery in neuropsychiatry: focus on intranasal ketamine for refractory depression.

Abstract

Intranasal drug delivery (INDD) systems offer a route to the brain that bypasses problems related to gastrointestinal absorption, first-pass metabolism, and the blood-brain barrier; onset of therapeutic action is rapid, and the inconvenience and discomfort of parenteral administration are avoided. INDD has found several applications in neuropsychiatry, such as to treat migraine, acute and chronic pain, Parkinson disease, disorders of cognition, autism, schizophrenia, social phobia, and depression. INDD has also been used to test experimental drugs, such as peptides, for neuropsychiatric indications; these drugs cannot easily be administered by other routes. This article examines the advantages and applications of INDD in neuropsychiatry; provides examples of test, experimental, and approved INDD treatments; and focuses especially on the potential of intranasal ketamine for the acute and maintenance therapy of refractory depression.

Andrade, C. (2015). Intranasal drug delivery in neuropsychiatry: focus on intranasal ketamine for refractory depression. The Journal of clinical psychiatry, 76(5), e628-31. https://dx.doi.org/10.4088/JCP.15f10026

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MDMA for the treatment of mood disorder: all talk no substance?

Abstract

Background: Unipolar depression is the third highest contributor to the global burden of disease, yet current pharmacotherapies typically take about 6 weeks to have an effect. A rapid-onset agent is an attractive prospect, not only to alleviate symptoms before first-line antidepressants display therapeutic action, but as a further treatment option in nonresponsive cases. It has been suggested that 3,4-methylene-dioxymethamphetamine (MDMA) could play a part in the treatment of depression, either as a rapid-onset pharmacological agent or as an adjunct to psychotherapy. Whilst these hypotheses are in keeping with the monoamine theory of depression and the principles surrounding psychotherapy, explicit experimental evidence of an antidepressant effect of MDMA has rarely been established.

Aims: To address the hypothesis surrounding MDMA as a rapid-onset antidepressant by examining pharmacological, psychological and behavioural studies. We consider whether this therapy could be safe by looking at the translation of neurotoxicity data from animals to humans.

Method: A literature review of the evidence supporting this hypothesis was performed.

Conclusions: The pharmacology of MDMA offers a promising target as a rapid-onset agent and MDMA is currently being investigated for use in psychotherapy in anxiety disorders; translation from these studies for use in depression may be possible. However, experimental evidence and safety analysis are insufficient to confirm or reject this theory at present.

Patel, R., & Titheradge, D. (2015). MDMA for the treatment of mood disorder: all talk no substance?. Therapeutic Advances in Psychopharmacology, 2045125315583786. https://dx.doi.org/

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Xenolinguistics – Psychedelics, Language, and the Evolution of Consciousness

xenolinguisticsXenolinguistics – Psychedelics, Language, and the Evolution of Consciousness by Diana Reed Slattery, with a foreword by Allyson Grey. Evolver Editions, 2015.

Psychedelic research always in some way evokes what David Chalmers has called the “hard problem of consciousness”. How does experience arise from physical activity in the brain and, to apply this problem to psychedelics, how does the alteration of the chemistry of the brain alter this experience? Most published research into psychedelics does not address this question directly. Diana Reed Slattery, however, combines both her subjective experiences, those of several other people, with scientific insights from linguistics, biology and psychology. The result is a richly illustrated philosophical work rather than a scientific attempt at proof and explanation. Her work opens up new avenues for further scientific and philosophical inquiries.

The focus of the book is xenolinguistics, which is defined as the study of alien (i.e. strange) languages. Slattery further limits the scope to previously non-existing languages that have been “received” during psychedelic experiences. Although this is a fringe phenomenon even within , understanding it might shed light on other aspects of the psychedelic experience and consciousness in general. Slattery’s aim is twofold. On the one hand she wants to show how psychedelic practices, the use of psychedelics within a certain ritualistic (secular, spiritual or religious) context, can be a “powerful means of gathering knowledge about consciousness”. On the other hand, she examines the results of her own and others’ psychedelic practice in the light of theories of the evolutionfrom a variety of disciplines, with a continuous focus on languages learned during the psychedelic experience.

The book is divided into three parts. The first deals with the practices used for xenolinguistics. The discussion of rituals and the philosophical segments on what can be considered “self” and “other” are among the most interesting of the book, as they pose questions about the way psychedelic experiences are interpreted; is the thing one communicates with the Self, subconscious, Other or even alien? Slattery argues that psychedelic practice hinges upon the setting of a clear intent, controlling the set and setting and the focus that one brings to the experience. Her practice is simple in the sense that no elaborate ritual or belief system accompanies the expglidemazeerience. The idea is to ingest the psychedelic (Slattery mostly uses psilocybin mushrooms, 2C-B, MDMA and cannabis) in solitude, experience and report as fully as possible. She got a “download” of the language she calls Glide quite early on in her practice and continued to explore the details in the years that followed. Glide is an aesthetically pleasing and purely visual language that meanders in all directions. It consists of glyphs, each comprising three rounded strokes. Combining these glyphs results in a ‘Maze’, where glyphs flow into each other. Meaning is multidimensional and reverberates throughout the field of meaning that is created. The result is non-linear and unbounded, much like the psychedelic experience. It is interesting to note that here, the focus on healing that we find in much research on psychedelics is largely absent, in order to focus on knowledge acquisition and creativity. This perspective is very welcome in a field that has become focused on one or just a few aspects of the psychedelic experience, namely the therapeutical applications and the neurobiological effects of psychedelics.

The second part of the book is more theoretical, as Slattery frames xenolinguistics within some scientific theories. This evaluation is far from complete and theories that do not support the possibility of xenolinguistics are not considered. The mere fact that people sometimes receive or develop strange languages under the influence of psychedelics disqualifies any theory that precludes this possibility. In this sense, a more dialectical approach would perhaps have been more beneficial. As it stands, however, it is a collection of fascinating scientific theories that all somehow fit in with the practice of xenolinguistics. Slattery refers to many key actors in psychedelic research; the extensive 16-page bibliography stands witness to this achievement and provides a wealth of information for those who want to dig further into the material. The theoretical ideas are interwoven with notes from her personal journal that support or illustrate the hypotheses about how perception, reality, language and consciousness are, to use one of the beautiful key concepts of the book, intertwingled.

The third part focuses on language, natural and unnatural, constructed and living. Slattery gives examples from a variety of xenolinguists of how meaning is put into language in the psychedelic experience. The role of language in society is also elaborated upon. Strange languages serve many purposes, according to Slattery: they help us express new ideas, new emotions; they enable us to convey these to others or alternatively to keep them private while still being expressed; and they allow us to experience reality in a different way, showing how the creative use of language can alter the way we see the world. Slattery refers to the idea put forth by Richard Doyle that the psychedelic experience is an ecodelic experience, which gives us the opportunity to see ourselves as part of nature and to see how things are interconnected.

Xenolinguistics is a book for those interested in the interplay between psychedelics, language and consciousness. The overall picture that emerges shows that psychedelics can shed light on the way in which language and consciousness interact and co-evolve, by providing us with new languages that stretch our awareness beyond that which we are accustomed to. While the scientific theories in the book are interesting and support the ideas put forth by the author, those looking for pure science will probably be disappointed. The strength of the book lies in its exploration of new ideas and their synthesis into an overarching worldview that invites the reader to think along. The role language plays in our ongoing search for meaning and connection needs further study. This book is an inspiring and inspired attempt to open up this new field.

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Community Nature Walk (Amsterdam) - September 25