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Welcome Stuff to Blow Your Mind, a production of I Heart
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Radios How Stuff Works. Hey,
2:01
welcome to Stuff to Blow Your Mind. My name is Robert
2:04
Lamb and I'm Joe McCormick, and we're back
2:06
with Part four of our exploration
2:08
of psychedelics. Robert, have we ever made it
2:10
to a part four on any series on this
2:12
show before? Oh?
2:14
I don't think we we have really.
2:17
I mean there have been cases where we've had, like an informal
2:19
series where each episode
2:21
is more or less self contained. So uh,
2:24
yeah, I don't know. I can't think of one off hand that
2:26
that has been a four partner. On the other
2:28
hand, we could have gone to eight parts on Dune
2:31
maybe well may yeah, certainly, they're
2:33
they're there's so many topics that we could
2:35
have divided up more, or
2:37
we could have uh dwelt
2:40
on in greater length. Uh you
2:42
know this one though, I mean the curious things. I feel like
2:44
we've gone in fairly deep, but we still
2:46
are are only providing like
2:48
basically a surface outline and everything
2:50
you know, and and leaving lots of room for
2:52
listeners to then to go out and explore
2:55
topics and portions of this topic and greater
2:57
depth. Well yeah, with rich subjects like psychedelics,
3:00
I guess, especially anything dealing with the mind,
3:03
you run into the problem that the deeper you go,
3:06
the more you uncover that you should you know,
3:08
like you're always just opening up more cases
3:10
instead of closing them. Right. It's it's
3:12
like saying we were gonna we're gonna do an episode on consciousness.
3:15
Yeah, yeah, it's you could sort
3:17
of do an outline episode of it, and I imagine
3:19
we've probably done episodes that are essentially
3:21
that in the past, but ultimately consciousness
3:24
is an ongoing series on this show,
3:27
and the same we said for a number of different topics.
3:29
But hey, if you're just jumping in, you should probably
3:31
go back listen to those other episodes. First,
3:33
we did uh Psychedelics Parts one
3:35
through three before this, where what do we
3:37
talk about, Robert, Well, we talked about what psychedelics
3:40
are and also what what drugs are.
3:43
We talked about how psychedelics
3:45
factor into traditional societies, how
3:47
they factor into ancient and modern history,
3:50
and ultimately how they factor into
3:52
both the hopes and fears that individuals
3:55
and groups of individuals have had for humanity's
3:57
future. Yeah, and so in the last episode
4:00
in part three, we focused a lot on the twentieth
4:02
century and how there was research
4:05
in the nineteen fifties and nineteen sixties
4:07
looking into how psychedelics could be used
4:09
in say, psychedelic assisted therapy for
4:11
treating conditions like alcoholism.
4:14
How a lot of psychiatrists in the nineteen
4:16
fifties saw its potential as what they considered
4:19
a psychoto memdic, meaning that it
4:21
would mimic the conditions of psychosis
4:24
that would allow them to empathize with their patients.
4:26
But then, of course it turned out to be something
4:29
rather different than just mimicking the effects
4:31
of psychosis. And then we talked about
4:33
sort of in the in the mid sixties to about
4:35
nineteen seventy, where the wave of crashed psychedelic
4:38
research encountered a lot of
4:40
backlash and for several decades it's
4:42
sort of was was forced into the underground,
4:45
and it's only in recent years that it's
4:48
experienced a resurgence. And that's what we're going
4:50
to focus on today. Yeah. Now, I do want to
4:52
throw into a quick note that I don't want to
4:54
leave anybody with the idea that all
4:56
psychedelic research ended with
4:58
Nixon's Control Substance Is Act of nineteen
5:00
seventy and then didn't pick up at all
5:03
until after the nineties. Right.
5:05
We've made that point in previous episodes, I think, but
5:07
that most of it had been driven underground.
5:09
Right. I was actually found a good source
5:11
and this has a nice visual for you know,
5:13
the ups and downs of the research with
5:16
the Beckley Foundation at Beckley
5:18
Foundation dot org. They have a nice overview,
5:21
a nice graphic. Now, this uh,
5:23
particular organization was founded in
5:26
by Amanda Fielding. I don't know if you remember Amanda
5:28
Fielding. Oh yeah, she uh. I think
5:30
she talks to Michael Pollen in his book How To
5:32
change your mind, which we've been referring to throughout the
5:35
past few episodes. I'm sure we'll refer to several
5:37
times again today. But she talks
5:39
to him, I think at some point and says something
5:41
like, look, I understand I have an image
5:44
problem. I'm a druggy with a hole in my
5:46
head. Right, she underwent Trepid Nation. We
5:48
have an episode in the that we did in the past
5:51
Entrepid Nation. But but the Foundation itself
5:53
is a UK based think tank, you
5:55
and accredited ng O, and it's
5:57
dedicated to global drug policy reform its
6:00
parchedelic research anyway, as
6:02
they point out, the Control
6:04
Substances Act of nineteen seventy effectively ended
6:07
all government sanctions psychedelic research
6:09
and brought everything down to a mere trickle um.
6:12
But you still had some research going on that the
6:14
lowest point identified um um
6:17
on this website is seemingly in the mid
6:19
nineties. That it was, you know, it was
6:21
also very low in like the mid eighties,
6:24
and now we're at the point where the research
6:26
is even surpassing the previous high point,
6:28
the previous heyday of the late
6:31
nineteen sixties. I've got an informal
6:33
theory that you will see an
6:35
almost perfect correlation in in
6:37
the twentieth century timeline between the
6:40
quantity and quality of action movies
6:43
produced by Hollywood and the lack of
6:45
psychedelic research being done.
6:48
It's like the year Speed came out, there can't
6:50
have been much psychedelic research going on. That's
6:53
that would be interesting to compare those timelines for sure.
6:55
Now, I thought maybe the first thing that would be good
6:57
to get into today is a question neurochemistry,
7:01
the question of what's actually
7:03
happening in the brains of people who
7:06
take psychedelics like LSD and psilocybin.
7:09
We've talked a lot about the the anecdotal
7:11
phenomenological reports people
7:14
have. You know, what, what do people commonly say
7:16
about their experiences on these drugs, But
7:18
what's causing them to have those experiences
7:21
chemically in the brain? Right, Because it's
7:23
all obviously going to come down to neurochemical
7:26
um in a situation. You know, the
7:28
magic mushrooms are not actually magic
7:31
h the machine, They're not actually
7:33
working on your mind. Uh, there's something
7:35
going on chemically inside the brain. Yes,
7:38
But to go back to another point we've made
7:40
repeatedly already is the importance
7:42
of set and setting uh psychopharmacology
7:45
should acknowledge that, especially with some
7:47
drugs, psychedelics being some of them,
7:49
that the context
7:52
is going to highly influence what the
7:54
chemicals due to the brain, and that in
7:56
many ways these chemicals should be thought of
7:58
as um not necessary really the cause
8:01
of particular experiences, but facilitators
8:04
of experience of varying degrees
8:07
of intensity. Uh So,
8:09
these psychoactive compounds are, of course different
8:12
from one another. LST is not exactly psilocybin,
8:14
psilocybin is not exactly d MT, and
8:16
so forth. Uh So what's found
8:19
about one doesn't necessarily apply to all
8:21
of them, but there do appear to be some important
8:23
chemical similarities in the brain. And
8:26
so I want to talk about serotonin
8:28
and serotonin receptors. On the
8:30
neurochemical level, there appears to
8:32
be this really important connection between certain
8:35
psychedelics and the endogenous neurotransmitter
8:38
serotonin. Serotonin is also known
8:40
as five hydroxy trip to ME and
8:42
the role of serotonin in the brain and the body
8:45
is fantastically complex
8:47
and still not fully understood, and
8:49
I think partially because of its role
8:52
in the history of research on mood and
8:54
depression, Serotonin is often
8:56
thought of as an internal chemical that
8:58
creates happiness sort positive
9:00
mood, such that if you don't have
9:03
enough of it you get depressed. But
9:05
I think it turns out that this is a monumentally
9:08
oversimplified and largely incorrect
9:11
view. The most commonly prescribed
9:13
antidepressant drugs these days are
9:15
s s R EYES, which stands for selective
9:18
serotonin reuptake inhibitors,
9:20
and what they do is they block the reabsorption
9:23
of serotonin in the brain, increasing
9:26
serotonin levels overall. But
9:28
we shouldn't draw the wrong conclusions from
9:30
this. It is not simply a case
9:32
that more serotonin equals
9:34
more happiness or more serotonin
9:37
equals less depression. In fact,
9:39
ending up with too much serotonin due to drug
9:41
interactions can cause a potentially fatal
9:43
condition known as serotonin syndrome. Right.
9:46
One key interactive interaction of
9:49
where it can occur is is with ayahuasca
9:51
and certain antidepressants. Yeah, which
9:54
is a reason that is often stated
9:56
like you should be very careful if
9:58
you are engaging in know and what's
10:00
some code called freelance um
10:03
therapeutic psychedelic use. Well, yeah, exactly.
10:06
I mean that's one of the things that we alluded
10:08
to. And I guess we'll talk about more as the episode goes on,
10:10
is that even though we've established
10:12
that psychedelics have relatively low
10:14
recognized risk when compared to many
10:17
other drugs, it's not impossible for them to represent
10:20
risks, especially when you think about how they
10:22
may interact with existing psychological
10:25
conditions or other drugs that you might
10:27
be taking. Right. So, back to serotonin. While
10:29
serotonin does seem highly involved
10:32
in the internal regulation of mood,
10:34
it's mechanism is somewhat
10:36
complicated, and it's also involved
10:39
in a number of other processes throughout the body
10:41
and brain that aren't directly related to mood,
10:43
at least as far as we know. For example, digestion,
10:46
the like the vast majority of the body, serotonin
10:49
is found in the gastro intestinal tract, and
10:51
it has something to do with the regulation
10:53
of bowel movements. I'm sure some
10:55
comedian out there has a great joke about
10:57
like their depression slash
11:00
owl movements serotonin thing. I don't
11:02
know, I haven't put it together in my head, but run
11:04
with it somebody. Uh. But serotonin
11:06
also has a lot of other uses in the body.
11:08
It apparently, somehow seems linked to the regulation
11:11
of sleep, to bone metabolism,
11:13
so you know, like the creation of the osteoblasts
11:16
and osteogenesis, uh, sexual
11:18
arousal, blood clotting. So
11:20
there's a lot of stuff going on. And according
11:23
to the psychedelic researcher Robin L.
11:25
Carhart Harris, who's going to show up in research
11:27
that we will talk about later, quote,
11:29
a compelling unified theory of brain serotonin
11:32
function has not yet been established.
11:35
This is likely due to the exceptional complexity
11:37
of the serotonin system, with its
11:39
fourteen plus receptors,
11:42
over twice the number identified for
11:44
any of the other major neuromodular
11:46
systems. So there are a lot of different
11:49
basically holes in the body and the
11:51
brain for that molecule to put its
11:53
peg into, and they probably
11:55
all do slightly different things or
11:57
maybe largely different things. Never
12:00
unless it is clear that serotonin plays
12:02
some important role in psychiatric
12:05
disorders like depression, and
12:07
one recent theory I thought this was pretty interesting.
12:09
It's probably not conclusive. Again, we don't
12:11
have a agreed upon the theory of
12:13
serotonin yet, but one recent theory
12:16
is that, in Carhart Harris's words, seratinergic
12:19
processes are important for quote
12:21
mediating an individual's sensitivity
12:24
to context. So you
12:26
know, serotonin might play this important role
12:28
in the brain for like increasing the
12:31
salience of contextual
12:33
things in the environment. But
12:36
where does psychedelics come in. So what
12:38
happens is the classic psychedelics
12:40
appear to bind to a
12:42
specific subclass of serotonin
12:45
receptor known as the serotonin
12:47
to A receptor, and these receptors
12:50
are found concentrated in the human cortex.
12:52
The cortex is the outer layer of the cerebrum
12:55
the brain, which is associated with a lot
12:57
of higher brain functions like sensation.
13:00
Uh, you know, the visual cortex, the auditory
13:02
cortex, it's associated you know, it's where
13:04
you have centers for speech and language, for
13:06
voluntary action and stuff like
13:08
that. So when you take a psychedelic
13:11
like LSD R psilocybin mushrooms,
13:13
the active compounds make their way into
13:16
the brain and they sort of play act
13:18
as serotonin binding to these serotonin
13:20
to A receptors. Now,
13:23
because we have such a limited grasp
13:25
of the role of serotonin to begin with, we
13:27
don't fully know how to interpret the
13:30
neurochemistry here, like what's happening
13:32
with the serotonin too A receptors that's
13:34
associated with or creating this psychedelic
13:37
experience. But Robin Carhart
13:39
Harris hypothesizes something really
13:41
interesting. So Carhard Harris says that
13:43
quote serotonin differentially
13:46
encodes behavioral and physiological
13:48
responses to uncertainty.
13:51
So under this model, you have like another serotonin
13:53
receptor, a different one, the serotonin one
13:56
A receptor, and Carhart's Harris
13:58
says, quote that provides bay soul
14:00
control during normal conditions
14:02
be a moderating emotion and anxiety
14:05
and promoting a generalized patience.
14:07
But the two A receptor,
14:10
which psychedelics have these agonist properties
14:12
for you, the psychedelics go in the two A receptor.
14:15
Quote is hypothesized to engage
14:17
more during conditions of crisis
14:20
when the above mentioned default mechanism
14:22
becomes suboptimal e g. When
14:24
an individual's internal and or external
14:27
milieu become so changeable
14:30
and or inconsistent with his or her
14:32
prior beliefs and behaviors
14:34
that significant revisions become
14:36
mandated. In other words,
14:38
Carhart Harris is hypothesizing that psychedelics
14:41
provide a neurochemical hyper stimulation
14:44
two receptors in the brain that normally
14:46
work during situations of crisis
14:49
and change to quote relax
14:51
prior assumptions or beliefs held
14:54
at multiple levels of the brain's functional
14:56
hierarchy perceptually, emotionally,
14:59
cognitive, lee, and philosophically e
15:01
g. In terms of biases. In
15:03
so doing, it opens a door to heighten
15:06
sensitivity to context, an ideal
15:08
precondition for effective change.
15:11
So that was really interesting to me. Like,
15:13
to be clear, we still don't know if this hypothesis
15:16
of what's happening is correct, but
15:18
it seems informed by what we do know about serotonin
15:21
receptors and about the neurochemistry of psychedelics,
15:24
And I guess the idea is that they sort
15:26
of mash frantically at
15:28
buttons in the brain that naturally,
15:31
when pressed, caused the brain
15:33
to break internal habits, associations,
15:35
and traditions at every level, from
15:37
the senses to the beliefs.
15:40
Interesting so in the same way that a basically
15:43
like a traumatic experience can change
15:45
or alter our our our
15:48
preconceptions about the world, or
15:50
in the same way that glimpsing something
15:53
marvelous like seeing the Grand Canyon
15:55
for the first time might have
15:58
some at least minor change the way you
16:00
think about about the natural world,
16:03
Like the the psychedelic state
16:05
is kind of um, like leaning into
16:08
those uh uh, those
16:10
kind of experiences though that the facilitate
16:13
change. I think that's right according
16:15
to this hypothesis at least, And this does seem
16:17
to ring true to me based on everything else we've read.
16:20
Uh, it's kind of like how I think we've talked about this
16:22
on the show before, how it really seems
16:24
like it's easier to break habits
16:27
or make changes in your life while
16:29
you're on vacation or we
16:31
in in any other kind of It doesn't have
16:34
to be just vacation. While you're external
16:36
contextual circumstances are different.
16:39
You know, you're faced with a different environment,
16:41
different stimuli, maybe you're meeting different people,
16:44
you're facing different challenges or problems.
16:46
That seems to give rise to processes
16:49
in the brain that makes us better at
16:51
changing what we've done and how we've been
16:53
before. And it makes sense, right because if
16:55
we as an organism, we change location,
16:57
we change what, we change set, and you
17:00
know, we we end up having to update
17:02
our priorities and our our judgments
17:05
about where we are and ultimately who
17:07
we are. And so it seems like
17:09
under this hypothesis, psychedelics
17:11
maybe doing something like that,
17:14
but in an even more intense and chemically
17:17
focused way right, And
17:20
yeah, it's interesting and in
17:22
a way that does not necessarily require
17:25
an experience of trauma, um or
17:27
or some sort of you know, tremendous
17:30
physical travel. Well, but there are interesting
17:32
parallels to trauma. I mean, again, this
17:35
is something that's very common in the report, so that,
17:37
like we've read about with the participants of the
17:39
March Chapel experiment, Uh, people
17:42
very often report having
17:44
some kind of experience of dying
17:46
or going through some great trauma during
17:49
their trip, and yet after their trip
17:51
on the whole, they report positive effects
17:53
and changes in their mindset and in their life.
17:55
So I don't think we should necessarily
17:57
discount the relationship to trauma
18:00
there. There may be sort of not
18:03
physical traumas, but but emotional
18:05
and psychological traumas that gets simulated
18:07
or run through in the brain during the psychedelic
18:10
experience. Yeah, I mean, so
18:12
many of these accounts that we've read or you
18:14
know, acquainted ourselves with, they
18:17
do involve at least a challenging
18:19
portion of the overall trip.
18:21
Maybe the trip itself is not a quote unquote
18:24
bad trip, uh, because
18:26
again that's that's kind of disingenuous
18:28
to get into the idea of like purely a good trip
18:30
bad trip scenario. Um
18:32
so yeah, so much of the time there is a
18:35
you know, for lack of a better word, a monster. But sometimes
18:38
you have to defeat a monster, right, I mean
18:40
it's it's it's kind of the old hero's
18:42
journey. Well, this is one of the things that's commonly
18:45
reported by psychedelic guides, people who
18:47
do psychedelic assisted therapy that
18:50
Michael Paulan talks about this and how to Change Your Mind
18:52
a good bit about UH. One
18:54
effective strategy of guiding people
18:57
through their meditative experience on
18:59
psychedelic is to encourage
19:01
them to approach challenging experiences
19:04
in their minds. So if you know they're faced
19:06
with something that scares them, don't run
19:09
away from it, go toward it. And
19:11
this actually tends to cause people to have very empowering
19:13
experiences of discovery. I'm
19:15
reminded of the the original ending to
19:18
Alan Moore's v for Vendetta. I don't know if you ever
19:20
read the comic book. I don't believe saw
19:22
the movie, but yeah, I don't think I don't think this made
19:24
it into the film. But in in the book
19:27
there's an individual who ends up like
19:30
taking LSD I believe it was LSD
19:33
and visiting the side of you know
19:35
what is essentially like like a labor
19:37
camp or uh, in order
19:39
to like fully process, like,
19:42
you know, the state of the world and his relationship
19:44
with it. Really more of a like a shamanistic
19:48
um kind of psychedla
19:50
delic encounter, but one that is intentionally
19:54
traumatic because the character feels
19:56
that they must they must confront something
19:58
that is troubling and traumatic in
20:00
their life. Yeah, I think there could very well
20:02
be uses like that that are
20:05
that are legitimate and take best advantage
20:08
of the psychopharmacology at work here. All
20:10
right, on that note, we're going to take a quick break, but we'll
20:12
be right back. Today's
20:14
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one day when he started talking with the FBI
21:06
and promised that he could take the mob
21:08
down. I've spent the past year
21:10
trying to figure out why he flipped and what
21:12
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21:15
Bob was too good to be true. There's got to
21:17
be something wrong with this. I wouldn't
21:19
trust that guy. He looks like a little
21:21
scum bag layer still Bidgeon. He looked
21:23
like what he was or at I can say
21:25
with all certainty I think he's a hero because
21:28
he didn't have to do what he did, and he did it anyway.
21:30
The moment I put the wire around the first
21:32
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21:35
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21:38
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21:59
does glorifier for motilicit activities.
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you get your podcast. Okay,
22:23
we're back. So we've been talking about the
22:25
neurochemical action of
22:28
psychedelics and and some ideas
22:30
about what may be going on in the brain there with
22:32
their relationship to a certain
22:34
serotonin receptor of the serotonin two
22:36
A receptor. But there are also
22:39
ways of going beyond the neurochemical level
22:41
and just looking at the neurological effects of psychedelics
22:43
through brain imaging studies. Right yeah,
22:46
I mean, nothing spells good
22:48
trip more than getting somebody
22:50
on psilocybin and sticking them in
22:52
an fMRI machine. Right, But you can't.
22:54
I mean, I wonder what those subjective experiences
22:57
are like. Surely somebody has studied that, Like asking
22:59
for the uh, the experiential reports
23:01
of people have been in the fm R I, But I mean
23:04
the studies are are quite useful looking at
23:06
where, you know, where does the blood flow change,
23:08
what, what's receiving oxygen in the brain.
23:11
Pollen talks about this at length in his book.
23:13
One of the most interesting things is that psychedelics
23:17
apparently tend to
23:19
reduce activity in
23:21
one of the most interesting networks of the brain,
23:23
which is the default mode network.
23:28
Well, normally you'd be thinking, okay, psychedelics
23:30
must be causing increased activity
23:33
somewhere right, But here it's fascinating
23:35
to see where, you know, the brain may
23:37
be empowered by suppressing certain
23:40
parts of it. So the default mode
23:42
network is a brain subsystem we've talked
23:44
about before. It involves different
23:46
regions all over the brain. So it's not just like one
23:48
little node somewhere you know, it's happening all over.
23:50
But it's a set of interlinked
23:52
and and related nodes
23:55
of the brain that work together. And it's normally
23:58
believed to be most active when we
24:00
are not engaged in any other particular
24:02
task. It seems to be highly associated
24:04
with an idol wandering mind. But
24:08
it is not only active when
24:10
we're mentally unoccupied. It's not only
24:12
when our mind is wandering or idle, that we use
24:14
the default mode network. Activation of the default
24:16
mode network is associated with
24:18
many kinds of deliberate thought processes,
24:21
especially self referential
24:24
thought processes, so like autobiographical
24:27
and self evaluative thinking. The
24:30
default mode network seems highly involved in
24:32
knowing facts about yourself
24:35
and in understanding and evaluating
24:37
characterizations of yourself. If I
24:39
give you a list of adjectives and
24:41
ask you to think how they apply to
24:44
you, we will probably see activation
24:46
and regions of the brain that are associated
24:49
with the primary activity of the default mode
24:51
network. Right, and pretty much anytime
24:53
you catch yourself thinking,
24:55
contemplating, worrying
24:57
over who you are and how others
25:00
perceive you. Uh, this is the network
25:02
that is in play, right Uh.
25:04
The default mode network also seems to be associated
25:06
with forms of meta cognition, so
25:08
like reflecting on your own emotional
25:11
states and thought processes, which
25:13
this in itself, I mean not to really
25:15
categorize any of these isn't isn't is
25:18
good or bad, but but certainly
25:20
metacognition in and of itself. Being able to think about
25:22
your emotions and be self aware, I mean, it's
25:24
a uh, it is worth pointing out, yeah
25:26
that even though it's a lot of worrying
25:29
is caught up in the default mode network.
25:32
You can argue then that a certain amount
25:34
of our ability to to stop and
25:37
uh and think about how we're thinking is also
25:39
tied up there. Sure, I mean, yeah, the default mode
25:41
network is I mean, it's quite clear
25:43
we have it for a reason, right. It probably it
25:45
does something useful for us. It
25:47
probably just comes with a lot of downsides
25:50
too. It probably allows
25:52
us to be philosophical and
25:54
to you know, to do a lot of stuff that we value
25:56
about human culture and human mental abilities.
25:59
But it just also tends to be highly
26:01
involved in ruminating on what's
26:03
wrong with yourself and the world
26:06
and your life and all that. Right, And the
26:08
next example is a key example
26:10
of this. Well, yeah, so the defaultment network
26:12
seems to be highly associated with mental time
26:14
travel, thinking about things that happened
26:17
in the past and episodic memories
26:19
of those things and then imagining
26:21
events in the future, which is all this
26:23
is key if we're going to to
26:25
navigate the world, be at
26:27
the world that we've built for ourselves or even just the natural
26:30
world. Uh, you need to
26:32
be able to we need to be able to to mental time
26:34
travel, to to think about the lessons we've
26:36
learned and prepare for the challenges ahead.
26:39
But of course, as humans, we take
26:41
this too ridiculous extremes and we get
26:43
trapped in the past or trapped in the
26:45
future, and uh, everything
26:47
that is between those points is just stretched
26:50
out to the point of writting. Well, to mention
26:52
rumination again as a you know, psychological
26:54
phenomenon, rumination in
26:57
a way, a positive version of it
26:59
could be thinking about plans
27:01
for the future, trying to think through what you should
27:03
do and figure out the best thing to do. That's an
27:05
important skill that we have with
27:07
our brains. But also that
27:10
leads to people just imagining,
27:12
you know, like recursive thought patterns of the
27:15
way all the ways things could go wrong in horrible
27:17
ways that are not actually useful.
27:20
Right, well, I mean and ultimately too, it's you
27:22
know, the idea of pursuit of happiness, the idea
27:24
that we should be happy. That's um,
27:27
you know, that's that's a that's also a human complication,
27:30
right, It's really part of the evolutionary
27:32
model, right. I would guess one of the easiest
27:35
ways to make yourself unhappy is
27:37
to try really hard to be happy
27:40
or to think about how to make yourself happy.
27:43
Absolutely, I remember moments of the
27:45
purest joy are going to be the times when we're not
27:48
actively seeking and grasping for it.
27:50
Yeah. Another thing that seems to
27:52
be associated with the default
27:54
mode network is thinking about other people. It's
27:56
important for theory of mind, so imagining
27:59
the mental states of others, trying I'm
28:01
thinking, what is Robert thinking? That's
28:04
theory of mind. But then also in making
28:06
judgments and evaluations about other
28:08
people. Yeah, and of course this is this.
28:11
This is one of those things that's involved in some
28:13
of the noblest and most sought after
28:15
human experiences. You know, this is
28:17
in this is tied up in in
28:19
in love and UH and
28:21
and family, but it's also caught up
28:23
in like the worst inclinations
28:25
of humanity as well. Yeah, and so
28:28
the default mode network, we've bashed
28:30
it before, but obviously it's not
28:32
bad. And I guess this is sort of a sidetrack,
28:35
But I have read somewhere that the concept
28:37
of the default mode network is one coherent
28:40
brain subsystem has been criticized or
28:42
challenged by somebody. So no, I think not all
28:44
UH neuroscientists would accept that the
28:46
default mode network is actually a coherent
28:49
network, but right, like a lot of these
28:51
things, it lends itself to being
28:54
used as a mere metaphor for making sense
28:56
of our our environmental processes,
28:59
and in a similar way that serotonin
29:01
can be sort of misinterpreted, is you
29:04
know, but but perhaps perhaps,
29:06
but perhaps I think that the default mode network, if
29:08
it, if it is being misused as metaphor uh,
29:10
some of the times or even a lot of the times by people,
29:13
maybe it's a little more useful or at least
29:15
less harmful and metaphor. Well, I do
29:17
think it's still largely accepted within
29:20
neuroscience, you know, but I'm not talking about
29:22
it like it's not
29:24
being you know, a valid theory, but
29:26
more like when I when I'm engaging
29:29
with it, Like to what extent am I engaging with it
29:31
as a metaphor for how my mind? Oh? Yeah,
29:33
I see, yeah yeah, um, but yeah,
29:35
yeah. I mean, it's just so interesting that
29:38
this would be a major effective psychedelics
29:40
on the brain, the suppression of
29:42
activity in the default mode network, Like
29:45
could it be that suppression of activity
29:48
in the default mode network, which is so largely
29:50
focused on the self and metacognition
29:53
and thinking about the past and future and the
29:55
evaluation of self. That this
29:58
suppression is what CAU causes
30:00
all these subjective reports of ego
30:03
loss or ego dissolution on psycho
30:05
psychedelics boundary dissolution.
30:07
Yeah, and again, if you don't remember
30:10
from we talked about it in the first episode
30:12
of the series, ego loss or ego suppression
30:14
is one of the most interesting common reports
30:16
of people, especially on higher doses of psychedelics.
30:19
And the best way to I mean, that's kind of inherently
30:22
ineffable, but the best way to describe
30:25
it, I guess, is the experience
30:27
of having experience without
30:30
a self, to have the experience or
30:32
of sort of being without being
30:34
an eye or a me. And of course,
30:37
isn't it interesting that we also encountered this
30:39
in dream as well, except
30:41
maybe not that first night of sleep in a new
30:43
location. I remember study that came out several
30:46
years ago that that pointed out that
30:48
what do you see, uh, with increased
30:50
activity on that first night of slumber
30:52
in a new location the default mode network.
30:55
Oh so you're dreaming with a higher,
30:57
higher state of awareness of self and self
30:59
other distinctions, right, or at least it's
31:02
too revved up to allow like a proper night's
31:04
sleep to take place. So
31:07
yeah, so the ego loss thing definitely
31:09
suffers from ineff ineff ability.
31:11
But to whatever extent we can understand it,
31:13
it seems to involve a a reduction
31:16
or loss in the sense of self
31:18
as a distinct other, separate from
31:20
the rest of the universe or from nature, or
31:23
from whatever is being observed. It's kind
31:25
of ego loss is pure experience
31:27
without a me. And so I guess
31:29
you can see if if the default mode network
31:31
is being suppressed, the default mode network does all
31:34
the stuff we're just talking about, that may
31:36
be what's active there. And it's also worth pointing out
31:38
that there are studies showing that meditation
31:40
tends to reduce activity in the default
31:43
mode network. Absolutely. We've talked about some
31:45
of the research on the show before, and as we discussed
31:47
in previous episodes, there are some strong parallels
31:49
between the psychedelic experience caused by drugs
31:52
and the you know, the experience of master
31:54
meditators or people who achieve you
31:56
know, like the greatest points
31:58
of I don't know what you call it, the peaks of
32:01
conscious experience as as
32:03
sought after by by meditation, like mindfulness
32:05
and stuff. Oh yeah, I mean it comes back
32:07
again to this idea that metacognition is
32:10
part of the default mode network. It's like, yes, you can,
32:12
you can potentially turn to pharmaceutical and
32:15
pharmacological keys to
32:17
the to the locks that that
32:20
imprison you. But also the key
32:22
is already in the cell like that, the key is
32:24
is present arguably
32:26
within the default mode network itself. The
32:29
one thing at least seems to me, I
32:31
mean, you're much more experienced with meditation
32:33
than I am, is that the meditation
32:35
route seems to take a lot of work, right,
32:38
Like it takes a lot of practice and people
32:40
can't always necessarily get there on their own.
32:43
Um yeah, I mean it does. But
32:46
then again I think I think one of them
32:48
I'm not trying to knock it, but no, no, no, But I think the
32:50
other side is that, like we have to drive home that
32:52
with um, with psychedelics
32:54
like that, you know, again the importance of set and setting
32:57
and intention that this is not
33:00
necessarily the easy road either.
33:02
I mean, it does seem to be the case that with with
33:04
psychedelics you can you can induce
33:07
a state like this, uh
33:09
a lot quicker. But at
33:12
the same time, it's not it's
33:14
it's not easy. It's just not like hitting the Nirvana
33:16
switch on somebody's brain. Uh
33:19
and uh. And there's gonna be a certain amount
33:21
of work involved there, and there's gonna be there're
33:24
gonna be some risks. Well, maybe we should talk
33:26
about what the science says about
33:28
those risks when we come back from another
33:30
break. Hello, and welcome
33:32
to our show. I'm Zoie de Channel and I'm so
33:34
excited to be joined by my friends and cast
33:36
mates Hannah Simone and Lamar and Morris
33:38
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33:41
New Girl. Join us every Monday on
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the Welcome to Our Show podcast, where we'll
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34:03
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34:05
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34:10
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34:12
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34:14
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34:16
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35:42
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Podcasts or wherever you get
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36:31
Than all right, we're
36:33
back. So we've We've spoken a lot
36:36
on this show in these episodes
36:38
about like particular examples of
36:40
individuals taking a psychedelic substance
36:43
and having some sort of mind altering
36:45
experience, life altering experience.
36:48
But we haven't really talked about any of the sort
36:50
of uh, you know, cautionary
36:53
tales of the psychedelic experience,
36:55
for one part, because those stories
36:58
are pretty prevalent in our culture
37:01
due to the backlash and the moral panic
37:03
surrounding psychedelics. But but I
37:05
but I did think it would be helpful at this point in
37:07
the episode to focus briefly on
37:09
one example, UM, and
37:11
that would be I think one of the more famous
37:13
examples of
37:15
of of of psychosis,
37:17
schizophrenia, schizzo effective disorder
37:20
being linked to the psychedelic experience, to
37:22
the consumption of a psychedelic substance, Beach
37:24
Boys co founder Brian Wilson um
37:27
UH brilliant musician, but has
37:30
also lived with schizo effective disorder
37:32
since the mid sixties, with his symptoms
37:34
reportedly remote emerging shortly
37:37
after he took LSD and
37:39
after after he had taken it. After these symptoms
37:41
began to emerge, he would he ended up
37:43
having to struggle with auditory hallucinations
37:46
from that point on, still struggles
37:48
with them today, I understand now.
37:51
At the same time, it's worth noting that he's had a lot of
37:53
positive things to say about the spiritual and
37:55
creative influence of psychedelics.
37:57
But his case does seem to stand
37:59
as a cautionary tale of psychedelic
38:02
how psychedelics can affect someone with a predisposition
38:05
for schizophrenia or schizoeffective
38:07
disorder, or at least the
38:09
perception that they could have played a role
38:11
there. I mean, because I think we still don't
38:13
know for sure exactly what that interaction
38:16
is. But it does. It does not, but
38:18
but it is. It's certainly it seems real
38:20
enough that everyone mentions it and
38:23
urges everyone to exercise caution in
38:25
that area. If you do have a, say,
38:27
a family history of schizophrenia.
38:29
Absolutely, I mean, I'm all for exercising
38:32
caution. We I think we've said this in every
38:34
episode before, but we do want
38:36
to reiterate that we are just trying to be descriptive
38:38
in these episodes. We're not telling you that you should
38:41
take psychedelics. That's a decision you can only
38:43
make on your own and hopefully
38:45
in the with the consultation of a medical professional
38:48
and like learning, doing your own
38:50
research and all that kind of stuff. So you
38:52
should make sure that if you are going
38:54
to go down this path, you understand the risks
38:56
for yourself and you do all the digging you need to
38:58
do there. Now, it does seem
39:01
to be the case that there are plenty of reports
39:03
of of experiences on psychedelics
39:06
being timed to make it seem
39:08
as if they have triggered symptoms in people
39:10
with a predisposition for psychosis, and
39:13
of course psychosis we should probably define
39:15
that. I found a good definition by the
39:17
National Alliance on Mental Illness that
39:19
psychosis is quote disruptions to a
39:21
person's thoughts and perceptions
39:24
that make it difficult for them to recognize
39:26
what is real and what isn't um
39:29
and so so psychosis is a symptom, not
39:31
a disease. It's a symptom of conditions
39:33
like schizophreniaand schizo effective disorder.
39:36
But the I think an important
39:38
thing to emphasize there is that psychosis
39:40
is understood as as causing problems
39:43
recognizing reality, which is not necessarily
39:46
the same as the kinds
39:48
of experiences the perceptual disturbances
39:50
that people might have on psychedelics
39:52
where you can see things but you in
39:55
many cases know that they're not really
39:57
physically present. But I guess the question
39:59
is, is there any empirical evidence about
40:02
whether the use of psychedelics actually causes
40:05
psychosis. Uh, there's
40:07
a little bit. So I was reading a news
40:09
feature for the journal Nature by Zoe
40:11
Cormier which pointed to two
40:13
different studies from recent years
40:16
finding no link between psychedelic
40:18
use and symptoms of psychosis
40:20
or other mental health complaints.
40:22
So these studies are not necessarily definitive, but
40:24
this is what the evidence, at least as measured
40:27
here, seems to indicate. So the first study
40:29
was published in the Journal of Psychopharmacology
40:31
and by Johansson
40:33
and Crebs called Psychedelics
40:35
not Linked to mental health problems or suicidal
40:38
behavior of population study. Here
40:40
the authors reviewed survey data from
40:42
a huge population study comprising
40:45
more than a hundred and thirty five thousand adults
40:47
in the United States, and the cross
40:49
checked the use of LSD, psilocybin,
40:52
and mescalin. So the study only applies
40:54
to those three drugs, not necessarily to others.
40:56
Uh. Those three drugs versus reports
40:59
of mental health problems. Uh.
41:01
And I should know that almost twenty
41:03
thousand of the roughly a hundred and thirty
41:05
five thousand adults in study had to use
41:07
psychedelics, so that's about fourteen percent. They
41:10
found no correlation. Quote
41:12
after adjusting for sociodemographics
41:14
other drug use in childhood depression, we
41:17
found no significant associations
41:19
between lifetime use of psychedelics
41:21
and increased likelihood of past year serious
41:23
psychological distress, mental health
41:26
treatment, suicidal thoughts, suicidal
41:28
plans, and suicide attempt, depression,
41:30
and anxiety. We failed to find evidence
41:33
that psychedelic use is an independent risk
41:35
factor for mental health problems,
41:37
so that's one thing now. On the other
41:39
hand, Coromier's article also cites
41:41
an interview with Charles Grobe, a pediatric
41:44
psychiatrist at the University of California,
41:46
Los Angeles, who is also an advocate
41:49
for some use of psychedelics in certain clinical
41:51
settings, and Grobe seems
41:53
generally encouraged by these findings, but warns
41:55
that we shouldn't conclude that there are no risks
41:58
and says that individual cases of negative
42:01
effects from psychedelic use do occur.
42:03
One example, he gives his hallucinogen
42:06
persisting perception disorder or
42:08
hp p D, which is
42:10
sometimes described as like the never ending
42:12
trip. It involves like repeated
42:15
or incessant or invasive disturbances
42:17
of the visual field or shimmering lights
42:20
or seeing dots or something. Also
42:22
known as acid flashbacks if you will,
42:25
Uh, Grob gives a quote saying,
42:27
quote, I've seen a number of people with the symptoms
42:29
following a psychedelic experience, and it can be
42:31
a very serious condition. Right.
42:34
Uh. You know, we have an older episode
42:36
from years back on this that I think was based
42:38
in part of a two thousand thirteen study, and
42:41
if I remember correctly, that study
42:43
found that, you know, it's that it was extremely
42:45
rare, uh and in a large part
42:47
blown out of proportion by anti drug
42:49
messaging, because of course that was part of the
42:51
moral panic, because that everyone's going to take LSD
42:54
then they're going to You're either gonna force yourself
42:56
through a keyhole or you're gonna deal with acid
42:58
flashbacks the rest of your life. Uh, or
43:00
it's going to be the Blue Sunshine scenario. Right. But
43:03
oh man, Blue Sunshine has got
43:05
to be the best and ugliest psychedelic
43:08
exploitation cinema. Yeah, and thoroughly
43:10
not like non psychedelic really, but
43:13
still worth seeing. If that movie, that movie
43:15
is a tan shag carpet it
43:17
is just hideous starring Zalman King.
43:20
But I I do have to to mention too that
43:22
I remember when we aired this episode and this
43:24
was I think an episode I did with Julie Douglas back in the
43:26
day. We did hear from a couple of listeners
43:29
who insisted that they had experienced acid
43:31
flashbacks at some point in their
43:33
life. So, I mean, the the accounts
43:35
are out there, there is, uh, you know,
43:38
at least they're
43:40
at least accounts of people dealing
43:42
with these and and you know, claiming to
43:44
deal with the reality of of acid
43:46
flashbacks. So um, you know, perhaps
43:48
more studies needed. Well, I mean, according to
43:50
grow Is, it's not like that they're
43:53
serious doubt that some versions of these
43:55
things exist. The evidence seems
43:57
to show that if to whatever
43:59
extent these problems do exist, they're
44:02
rare enough that they don't really show up
44:04
statistically right. Well,
44:06
then you know, and also wonder too, like what
44:09
other factors are involved there, Like
44:11
if if you have had a psychedelic
44:13
experience and it was meaningful,
44:16
as a lot of them end up being, they ended up being
44:18
something that stick with you and they
44:21
give you a glimpse of, you know, something
44:23
that is in some way hallucinatory,
44:25
and then later on you have some sort of hallucinatory
44:28
uh experience that is tied
44:30
to another uh
44:33
situation, like you might have a tendency
44:35
to interpret it as being linked to
44:37
that original use. Well exactly,
44:39
yeah, there's a correlation causation issue here.
44:41
I mean the authors of the first study, Crebs
44:43
and Johansson I mentioned, they point out that
44:45
these symptoms of hpp D also
44:48
occur in people who have never taken psychedelics
44:51
that you know, so there could be there could be a causality
44:54
issue there. Decide another
44:56
study. There was a study by Hendricks
44:59
at All in the Journal of Psychopharmacology
45:01
and called classic psychedelic
45:04
uses associated with reduced psychological
45:06
distress and suicidality
45:08
in the United States adult population. So
45:11
this study looked at an even larger sample,
45:13
about a hundred ninety thousand survey respondents.
45:16
It also found that the use of
45:18
those three psychedelics was not and
45:21
again I mentioned earlier it was LSD,
45:23
psilocybin, and mescalin, so
45:26
not not necessarily applying to the others.
45:29
Those are the classic psychedelics I guess, so
45:31
the psychedelic classic not
45:33
to be confused with your classical psychedelics,
45:35
not new psychedelics. Anyway,
45:39
this study found that those three psychedelics
45:41
were not associated with any adverse
45:43
mental health outcomes. The study actually
45:46
found some evidence to the exact contrary.
45:49
People who had at some time used
45:51
LSD or psilocybin had a lower
45:54
lifetime risk of suicidal ideation
45:56
or suicide attempts, though it's not clear
45:58
that the psychedelics paws these lower
46:01
rates of suicidal thoughts and behavior. Maybe
46:03
there's some factor not controlled
46:05
for that makes people both less prone to
46:08
these problems and more likely to try
46:10
psychedelics at some point. But it is worth
46:12
noting that the use of other non
46:14
psychedelic illicit drugs was mostly
46:16
associated with increases in risk
46:19
for past months, psychological distress,
46:21
and suicidal thoughts and behaviors. The psychedelics
46:23
appeared to be the exception. They were the
46:26
drugs that that did not cause increase
46:28
mental health problems. And so, to go
46:30
back to Cormier's article, this was written up
46:32
with a with a quote from one of the authors of the paper
46:35
saying quote the author was Matthew
46:37
Johnson, saying quote, We're not claiming
46:39
that no individuals have ever been harmed by
46:41
psychedelics. Anecdotes about
46:43
acid casualties can be very powerful,
46:46
but these instances are rare. Uh
46:48
And he says that the population level, that
46:50
the data about the harms of psychedelics
46:53
have been overstated. So again we're
46:55
not advising any particular plan of action
46:57
or telling people to take psychedelics. I would say the
47:00
bottom line from my reading
47:02
on the risks of psychedelics is that there
47:04
do appear to be some risks, but the
47:06
risks are rare. There are risks to
47:09
any drug. Any drug you're going to take,
47:11
you should research from science
47:13
based sources and and if possible,
47:15
get medical advice before embarking
47:18
on um. But then also
47:20
those risks that do exist seem
47:23
to be relatively low and relatively
47:25
rare compared to the risks of lots
47:27
of other known drugs. Yeah, ultimately,
47:29
basic decisions on science
47:32
and not on whatever the last horror
47:34
movie you saw have or
47:36
or or comedy. You know, you could go either way,
47:38
right, depending on what you're watching. You can
47:40
get a very skewed view of what
47:43
a psychedelicy is and what kind of experience
47:45
you can expect from them. Aren't Psychedelic comedy
47:47
is generally more horrifying than psychedelic
47:49
horror. I'm trying to think of what a
47:51
good side. Well, you know, you're talking like the monkeys
47:54
movie like head and
47:56
and so forth, or Yellow Submarine
47:59
horror comedy. Okay,
48:01
did we did we run into the problem we envisioned
48:03
we might, which is that we thought this was going to be
48:05
the last part and then we only got halfway by
48:07
the time we're what like fifty minutes
48:10
now. Yeah, yeah, I think we're gonna need to cut
48:12
this episode off. There's gonna be one more. So for
48:14
everyone out there who is enjoying this, uh,
48:16
this ride of psychedelic episodes,
48:18
well then rejoice because we have one more for you.
48:21
Um for the rest of you, well, just
48:24
bear in mind there's only one more. I mean, you can't get
48:26
off. You gotta go all the way to the endpoint, right
48:29
right. Yeah, And our next episode, we're gonna we're
48:31
gonna discuss some of what's been going on in the
48:33
twenty one century, where we are now in the psychedelic
48:35
renaissance, and where we might be going in the future.
48:37
Sounds great. In the meantime, if you want to check
48:40
out more episodes of Stuff to Bow your Mind, head on
48:42
over to stuff to Blew your Mind dot com. That's
48:44
where you'll find them all. Uh. You also,
48:46
of course can support our show in
48:48
a few different ways, but the best way to do it is
48:50
to tell your friends about Stuff to Blow your Mind. Uh.
48:53
To make sure you have subscribed to this show as
48:55
well as our other show, Invention, which
48:57
is an exploration of human techno hit
49:00
Stree and UH and I think we're planning
49:02
to do an episode soon or
49:04
have already done an episode on
49:06
penicillin, depending on when
49:08
you listen to this. Yeah, we will not have already
49:11
done it. We will have done it. We
49:13
will do it. I'm not sure where we will
49:15
have agreed to do it. We will have agreed to
49:17
do it. It sounds to me
49:19
like you're struggling with mental time travel. It
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your friends about it. Huge thanks as always to
49:33
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49:35
Cole. If you would like to get in touch with
49:37
us with feedback on this episode or any other,
49:39
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49:41
just to say hello, you can email us at
49:44
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49:56
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