My 96-year-old mother who suffers from progressive dementia was in quite "a state" last night at the assisted living complex. It was difficult to figure out what the problem was, or if there even was a problem, objectively speaking, especially since I was speaking with her via my computer screen and so was not actually in the room with her. She would point, first to her TV screen and then at the nearby hallway, complaining (as far as I could tell) of a group of conspiring children (the young caretakers on site?) who were foiling her in her attempt to do something: perhaps to leave the building in search of her parents, or perhaps merely to watch TV undisturbed, I could not tell precisely. The only thing that I knew for certain was that she was quite "worked up" and that there was very little that I could do or say to help her.
I say there was very little that I could do. But upon looking back on this incident this morning, I realize a still greater problem: that there is very little that modern medicine can do, either. When we call a doctor in on such cases, we expect a pep talk for the patient and perhaps the prescription of a one-size-fits-all cure for extreme anxiety, which today means nothing more than a tranquilizer. We do not really want to make the patient feel good - that would be giving her "drugs." We want them to be quiet and peaceable. This has been the leitmotif of psychiatry through the 20th century and beyond: a search for treatments and drugs that pacify the patient rather than inspire them. That is why Antonio Moniz won a Nobel Prize for creating the protocol of electroshock therapy: not because it inspired patients or made them feel good, but because it quieted them down so that they caused less trouble for their overseers. Lithium, Thorazine, enemas and ice baths: all were used with the same goal in view: to render the patients placid, either by using these treatments or by merely threatening their use. Nor have the goals of psychiatry changed much over the years. Whatever one says about SSRIs today, no one has accused them of making users leap for joy and see the world in a new and brighter way.
But that's what my mother really needed last night.
The funny thing is, however, I cannot imagine a doctor administering this kind of medicine. Today's doctor qua doctor is a materialist who wants to "really" fix something and it's beneath their dignity merely to make their patients laugh. "Any drug dealer could do that, after all," they would sniff.
But that's the whole point: any drug dealer COULD do that, and doctors won't. So much the worse for doctors.
The fact is that my mother did not need a doctor last night in any case. By assigning doctors to such cases we are medicalizing and pathologizing an entirely natural manifestation of spiritual angst. That's not a field in which doctors have any special insight. My mother did not need a doctor looking down at her from the icy realm of professional objectivity. She needed an empathic individual, albeit one who is trained in psycho-pharmacology from a scientific and a sociocultural point of view. She needed a friend who is ready and authorized to use ANY SUBSTANCE IN THE WORLD that can help her deal with her extreme angst and confusion by elating and inspiring her! (Any substance in the world - imagine that!) And drugs for this purpose abound, starting with MDMA and the hundreds of related substances synthesized by Alexander Shulgin.
The empath I envision would listen to my mothers concerns while hugging her and drinking tea with her, which in this case would contain the medicines that the empath deemed useful under the circumstances for calming and clearing the sufferer's mind of worry. Nor would these medicines be administered "on the sly" but rather with the patient's full knowledge that they are receiving a medicine to help them process their current situation -- not just their immediate physical situation, such as one's residency in a care home, but also their overall situation in the grand scheme of things, as a unique human being on planet earth with connections to the world around them. The goal? Make them happy with simply sitting and talking about their situation and concerns with this newly minted shamanic "professional" by their side, perhaps while leafing through a scrapbook of old photographs from the sufferer's past.
Just imagine the enormous amount of psychological suffering that is going on right now in care homes and assisted living facilities around the world, all because we have been taught from grade school that we should hate drugs rather than use them for the benefit of humankind. If we really care about preventing suffering, then this attitude must change. We must consider psychoactive medicines as our friends, not our enemies. When that day comes, I hope that the above suggestions will provide at least a hint of a protocol that can be used to leverage the power of psychoactive medicine for the elderly.
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against the hateful war on US
Most people think that drugs like cocaine, MDMA, LSD and amphetamines can only be used recreationally. WRONG ! This represents a very naive understanding of human psychology. We deny common sense in order to cater to the drug war orthodoxy that "drugs have no benefits."
Here is a sample drug-use report from the book "Pihkal":
"More than tranquil, I was completely at peace, in a beautiful, benign, and placid place."
Prohibition is a crime against humanity for withholding such drug experiences from the depressed (and from everybody else).
Brits have a right to die, but they do not have the right to use drugs that might make them want to live. Bad policy is indicated by absurd outcomes, and this is but one of the many absurd outcomes that the policy of prohibition foists upon the world.
Another problem with MindMed's LSD: every time I look it up on Google, I get a mess of links about the stock market. The drug is apparently a godsend for investors. They want to profit from LSD by neutering it and making it politically correct: no inspiration, no euphoria.
Every video about science and psilocybin is funny. It shows nerds trying to catch up with common sense. But psychedelics work, whether the FDA thinks so or not. It's proven by what James Fadiman calls "citizen science," i.e. everyday experience.
Rick Strassman isn't sure that DMT should be legal. Really?! Does he not realize how dangerous it is to chemically extract DMT from plants? In the name of safety, prohibitionists have encouraged dangerous ignorance and turned local police into busybody Nazis.
There are endless creative ways to ward off addiction if all psychoactive medicines were at our disposal. The use of the drugs synthesized by Alexander Shulgin could combat the psychological downsides of withdrawal by providing strategic "as-needed" relief.
I think many scientists are so used to ignoring "drugs" that they don't even realize they're doing it. Yet almost all books about consciousness and depression (etc.) are nonsense these days because they ignore what drugs could tell us about those topics.
When folks banned opium, they did not just ban a drug: they banned the philosophical and artistic insights that the drug has been known to inspire in writers like Poe, Lovecraft and De Quincey.
The worst form of government is not communism, socialism or even unbridled capitalism. The worst form of government is a Christian Science Theocracy, in which the government controls how much you are allowed to think and feel in life.
Most people think that drugs like cocaine, MDMA, LSD and amphetamines can only be used recreationally. WRONG ! This represents a very naive understanding of human psychology. We deny common sense in order to cater to the drug war orthodoxy that "drugs have no benefits."