[HN Gopher] The hyped and distorted claims of psychedelic marketing
       ___________________________________________________________________
        
       The hyped and distorted claims of psychedelic marketing
        
       Author : pmoriarty
       Score  : 55 points
       Date   : 2022-05-07 11:38 UTC (11 hours ago)
        
 (HTM) web link (www.psymposia.com)
 (TXT) w3m dump (www.psymposia.com)
        
       | eldenwrong wrote:
       | Terrible article gasping at straws
        
         | [deleted]
        
       | throw93232 wrote:
       | There is easy way to "disprove" it in any argument:
       | 
       | If drugs solve depression and improve mental state, suggest
       | goverment should finance and distribute drugs to homeless people.
        
         | Der_Einzige wrote:
         | Well, given that all the homeless are already in drugs in the
         | PNW, it looks like we know the results of this experiment
         | already!
        
         | JohnBooty wrote:
         | Even the most cursory examination of the topic would reveal to
         | you that psychedelic drugs are (allegedly) beneficial when
         | taken in a controlled manner, in safe environments - not
         | exactly in line with the homelessness experience.
         | 
         | Your statement is even less accurate, somehow, than saying
         | "well if chemotherapy really works then why don't we just hand
         | out random chemotherapy drugs to homeless people."
         | 
         | I won't bother quoting any studies, because they wildly
         | contradict one another, but the conventional wisdom is that
         | _some_ drugs can be beneficial in _some_ circumstances. And
         | often the benefit is harm reduction, ie managing pain with
         | cannabis rather than opioids.
        
           | throw93232 wrote:
           | I agree with you. But drugs and "microdosing" are marketed as
           | holy grail that heals anything. My statement above is very
           | easy way to disprove it.
        
           | sidewndr46 wrote:
           | This is nothing more than a "Rules for thee and not for me"
           | attitude towards the poor. Homeless and doing drugs? OK, you
           | are an addict, you have to get help, you have to get cleaned
           | up, you're ruining your life, etc. Nothing more than a
           | parasite on society.
           | 
           | Wealthy and able to have a "doctor" prescribe you drugs? OK
           | it's fine. You aren't one of those dirty "addicts" because a
           | guy with two letters in front of his name says it OK.
        
             | throwamon wrote:
             | The issue with psychedelics has nothing to do with
             | addiction. Google "psychedelics set and setting" and
             | "psychedelics psychosis risk factors" for a start.
        
             | hey2022 wrote:
             | Replace drugs with surgery in this train of thought and you
             | will notice that it does in fact make sense.
             | 
             | This is not a war on the poor, psychedelic medicine
             | requires care when administered.
        
               | sidewndr46 wrote:
               | The US government literally calls it the "War on Drugs".
               | Given that it is notoriously difficult to maim, jail, or
               | prosecute a chemical we can be assured it is actually a
               | war on people. Having been through the system once
               | myself, I can assure you that it is incredibly oppressive
               | to poor people who cannot afford legal representation.
               | 
               | I'm all for someone deciding they need drugs to function.
               | It doesn't matter to me how you live your life. If you do
               | it with a doctor, fine. If you want to figure it out on
               | your own because you don't have access to medical care,
               | that does not make that person a criminal.
               | 
               | There are plenty of people self medicating with nicotine
               | & alcohol every day, no one says it is necessary to lock
               | them up. The only difference I see is it is a handy
               | source of tax revenue and somehow "socially acceptable".
        
               | unethical_ban wrote:
               | The person you're arguing with was simply saying
               | "throwing psychedelics at the car window at homeless
               | people won't make them better". They didn't say "lock up
               | the homeless for using mushrooms", he didn't say
               | "homeless people don't deserve treatment".
               | 
               | They were calling out the simplistic nature of the OP
               | comment, and asserting that proper use of psychedelics
               | for medical treatment involves a safe, controlled
               | environment.
               | 
               | Nothing they said or were asserting had to do with US
               | drug policy.
        
               | achenet wrote:
               | Thank you for further explaining your point of view.
               | 
               | I think also that the US's healthcare is partially to
               | blame - if you had universal healthcare, then poor people
               | would also (in theory) have equal access to drug
               | prescriptions.
               | 
               | I do think that, generally speaking, many drugs are best
               | done under medical supervision. I have a friend of my
               | brothers who died of a heroin overdose, her first time
               | trying the drug. I tell myself that if we lived in a
               | world where foolish college kids have to go to a pharmacy
               | and get their hits administered by a registered
               | pharmacist, maybe she'd still be alive.
               | 
               | I also generally agree that the War on Drugs is bullshit.
               | It didn't work for alcohol during prohibition, and it's
               | not working now. The smart move is legalize, tax and
               | regulate.
        
             | germinalphrase wrote:
             | Feels like you are intentionally misreading the comment
             | you're responding to. Plenty of wealthy people have self-
             | doses drugs and destroyed their lives, their bodies. You
             | really don't see how medically supervised drug use could be
             | beneficial while the self-dosed, unsupervised drug use
             | could be explicitly destructive?
        
         | fullstick wrote:
         | Maybe the government should finance and distribute drugs to
         | homeless people. Some people are homeless because they can't
         | afford their prescriptions (drugs).
        
       | panqueque wrote:
       | "We are all wired into a survival trip now. No more of the speed
       | that fueled the 60's. That was the fatal flaw in Tim Leary's
       | trip. He crashed around America selling "consciousness expansion"
       | without ever giving a thought to the grim meat-hook realities
       | that were lying in wait for all the people who took him
       | seriously... All those pathetically eager acid freaks who thought
       | they could buy Peace and Understanding for three bucks a hit. But
       | their loss and failure is ours too. What Leary took down with him
       | was the central illusion of a whole life-style that he helped
       | create... a generation of permanent cripples, failed seekers, who
       | never understood the essential old-mystic fallacy of the Acid
       | Culture: the desperate assumption that somebody... or at least
       | some force - is tending the light at the end of the tunnel."
       | 
       | - Hunter S. Thompson, Fear and Loathing in Las Vegas
        
         | [deleted]
        
         | sysadm1n wrote:
         | I wish he could've elaborated about this piece of writing. Does
         | he mean all the people who took acid in the 60s are all
         | burnouts? If one out of every ten people who dropped acid had
         | an enriching experience and the rest got severe mental illness
         | does that mean the acid movement failed?
         | 
         | As for the 'old-mystic fallacy' of acid, there are people who
         | actually got enlightened from the stuff without having to spend
         | ten years meditating in a monastery. As McKenna said: 'but the
         | ferry costs a nickel'
        
           | the_only_law wrote:
           | > Does he mean all the people who took acid in the 60s are
           | all burnouts?
           | 
           | Aren't most of the people running the country of this
           | generation? If that's burn out I suppose I can live with it.
        
         | goldenkey wrote:
         | What most people fail to realize is that nature isn't humanoid
         | in any capacity. I've lived long enough and seen enough
         | synchronicities to know that reality is far more entangled than
         | a cause and effect standpoint would have you believe. But
         | nature being quite tightly coupled instead of locally isolated,
         | doesn't mean nature has a humanoid intent. It just means that
         | everything is connected. If the universe is a spider web, it
         | doesn't do us any favors to assume we are being taken care of
         | by some benevolent spider.
         | 
         | This video is the world we live in. It's difficult to watch a
         | komodo dragon eat a pregnant deer. But I challenge you to watch
         | this, because this is what reality actually is:
         | https://youtu.be/oHJuzE0k1V8
         | 
         | Reality is intimately connected through time and space. Reality
         | is beautiful, dark, ruthless, dreary but it is not kind.
         | 
         | Living as if nature is kind does not end well.
        
           | CPLX wrote:
           | Indeed. The scariest concept in the world isn't someone that
           | hates you and wants you dead. It's something that views you
           | as protein.
        
             | scollet wrote:
             | Easily top two worst nightmares is being in the presence of
             | a large cat or bear and the thing is looking at me.
             | 
             | It's horrifying.
        
           | jamal-kumar wrote:
           | Nice video to show people who are tripping but I prefer
           | YouTube links to wooks giving live birth in rivers
           | 
           | Really connects people
        
             | emptysongglass wrote:
             | What is a wook?
        
           | throwamon wrote:
           | > I've lived long enough and seen enough synchronicities to
           | know that reality is far more entangled than a cause and
           | effect standpoint would have you believe.
           | 
           | I've no idea what you mean by that.
           | 
           | > This video is the world we live in.
           | 
           | Reality _includes_ komodo dragons, just as it does kindness.
           | You say nature isn 't "humanoid" and then ascribe to it
           | qualities like ruthlessness. You're just as biased and
           | delusional as whoever you're criticizing.
        
             | goldenkey wrote:
             | > I have no idea what you mean by that.
             | 
             | A brief read about Jung's concept of synchronicity might
             | clear that up.
             | 
             | https://en.wikipedia.org/wiki/Synchronicity
             | 
             | https://en.wikipedia.org/wiki/Pauli_effect
             | 
             | > You say nature isn't "humanoid" and then ascribe to it
             | qualities like ruthlessness.
             | 
             | Definition of kind: "having or showing a friendly,
             | generous, and considerate nature."
             | 
             | One can argue that non-humanoid processes or things are
             | kind without violating basic precepts. For instance, a
             | crane machine at an arcade might be viewed as kind or
             | forgiving if its claws don't drop items so easily. Or the
             | machine might be viewed as ruthless if its claws drop items
             | all the time.
             | 
             | > You're just as biased and delusional as whoever you're
             | criticizing.
             | 
             | Fucking rude, dude. My post wasn't criticism - it was an
             | explanation..
        
           | thucydides wrote:
           | I'm curious what kind of synchronicities you are referring to
        
           | mjthrowaway1 wrote:
           | And yet we have kindness in nature as well.
        
         | elevaet wrote:
         | I know a lot more people whose lives have been deeply enriched
         | by acid, than those who've ended up on the ends of those
         | proverbial meat hooks.
         | 
         | That being said, casualties are real and can happen, it's great
         | work that Psymposia is doing shining a light on the
         | uncomfortable dark corners of psychedelic enthusiasm.
         | Especially when it comes to corporate interests and influence
         | in the space.
         | 
         | I hope that this time around, we can keep psychedelics in their
         | right place as valuable tools for humanity. Not elevated to
         | culty worship, nor demonized.
         | 
         | And that they stay at least a little bit wild.
        
       | the_only_law wrote:
       | I see it as at least partly an overcorrection of the past. I
       | still can't search something as benign as Kava without websites
       | swearing to me it's more dangerous than hard drugs and telling me
       | I should to pay for their addiction treatment for a non addictive
       | substance.
        
       | ArtWomb wrote:
       | Unfortunate hype cycle. Ironic indeed given that opening the
       | doors of perception is supposed to give one a cosmic perspective,
       | a gaia hypothesis model of the world. And this is in every way
       | self-serving. Best thing is just to show the trip live, like an
       | ayahuasca diary reality show demonstrating marked behavioral
       | progress over 6-9 months or so ;)
        
         | leetrout wrote:
         | I think some of this is covered by Vice's show "Hamilton's
         | Pharmacopeia".
         | 
         | Not as you described with lasting effects on someone but
         | certainly showing the acute effects and exploring various
         | drugs.
        
         | blastro wrote:
         | great idea
        
       | photochemsyn wrote:
       | The USA has a rather distorted health care and medicine system,
       | in that it's viewed here as a profit center, not as a basic
       | societal necessity. In contrast, police and judicial services are
       | not really viewed as an investment opportunity (let's skip
       | private prisons), just a basic necessity.
       | 
       | Where this comes out in the 'psychedelic treatment' movement is
       | that it's not going to be very profitable, and in fact - if it
       | works as advertised - will mean a lot of people will end up
       | spending much less on anti-depressants on one hand, and alcohol
       | and opiates and cannabis on the other.
       | 
       | This is because psychedelics - administered not as daily
       | microdosing, but rather as infrequent full-dose experiences,
       | ideally under somewhat controlled conditions - show promise in
       | providing treatments for depression and addiction that don't
       | require further daily interventions. The effects of a single dose
       | can last for weeks to months.
       | 
       | From the business end of the health care system, this is a fiscal
       | disaster. Someone spending $50 a day on alcohol, or cannabis, or
       | opiates, or antidepressants and therapy, now spends $50 every few
       | months on a bag of psychedelic mushrooms, with a more postive
       | long-term outcome r.e. depression and addiction.
       | 
       | One conclusion is that a society that views health care as a
       | profit opportunity, rather than a basic necessity, has some
       | serious value problems that end up encouraging unhealthy
       | behavior, i.e. pushing junk food in schools, encouraging obesity
       | and depression and addiction, which then generate further profits
       | for hospitals and pharmaceutical producers.
        
         | cortesoft wrote:
         | I always feel like people who make this sort of argument around
         | health care in the US (that the health industry doesn't want
         | cheap cures because it will reduce their profit from expensive
         | treatments) are forgetting one of the major players in this...
         | the insurance companies.
         | 
         | Health insurance companies love cheap cures, because that means
         | lower costs and more profit for them. They have every incentive
         | to promote cheap cures, and are a huge industry that spends a
         | ton of money on lobbying.
        
           | bryanrasmussen wrote:
           | >Health insurance companies love cheap cures, because that
           | means lower costs and more profit for them.
           | 
           | If things are easy and cheap to cure do you really need
           | insurance against them?
        
             | msla wrote:
             | If you can come up with a miracle drug sovereign against a
             | catastrophic car crash, we're all ears.
        
               | bryanrasmussen wrote:
               | I said: If things are easy and cheap to cure do you
               | really need insurance against them?
               | 
               | evidently you think catastrophic car crashes are
               | something that are easy and cheap to cure? If so, it is I
               | that am all ears.
               | 
               | on edit: changed is all ears to am all ears, while the
               | former is, I believe, grammatically correct, it is the
               | latter in idiomatic usage.
        
               | msla wrote:
               | I'm saying that, even if somehow all "illness" were cheap
               | and easy to cure[1], we'd still need health insurance for
               | injury, especially sudden and catastrophic injury, such
               | as car accidents.
               | 
               | [1] And defining "illness" as distinct from "injury"
               | isn't all that easy.
        
               | bryanrasmussen wrote:
               | and I'm saying that I obviously never said otherwise.
        
           | andrei_says_ wrote:
           | Health insurance companies love collecting insurance money
           | and not paying out. Denying coverage, not covering
           | procedures, not covering full treatments, not covering the
           | full staff needed for a procedure, covering suboptimal but
           | cheap treatments are some of the other tools in their
           | toolset.
           | 
           | Let's not pretend that installing one more extraction point
           | accountable only to shareholders between patients and their
           | care is somehow driving progress.
        
             | pmoriarty wrote:
             | What's the alternative?
        
               | Centigonal wrote:
               | Single payer?
               | 
               | Medicaid as an option for everybody?
               | 
               | A public insurance option?
               | 
               | Cost transparency or anti-trust regulation that helps
               | further commodify health insurance and drive down costs?
               | 
               | Stealing ideas from the several dozen other countries
               | that have solved the point-of-care cost problem?
        
               | pmoriarty wrote:
               | I'm all for these suggestions, but they don't address any
               | of the problems listed in the post I was replying to:
               | 
               |  _" Health insurance companies love collecting insurance
               | money and not paying out. Denying coverage, not covering
               | procedures, not covering full treatments, not covering
               | the full staff needed for a procedure, covering
               | suboptimal but cheap treatments are some of the other
               | tools in their toolset."_
               | 
               | Exactly the same problems can and do occur with single-
               | payer, medicaid, etc...
        
               | lou1306 wrote:
               | At least two alternatives:
               | 
               | * The state maintains a public, affordable health
               | insurance service
               | 
               | * The state directly funds a public network of doctors
               | and hospitals
        
           | pmoriarty wrote:
           | The search for quick cures (both by insurance companies and
           | time/money-limited patients) is one of the major reasons that
           | relatively short-acting psychedelics like MDMA, psilocybin
           | and ketamine are popular.
           | 
           | The even faster acting psychedelics like DMT (NN-DMT) and
           | 5-MeO-DMT are also likely to become popular for the same
           | reason.
           | 
           | Their use may eventually eclipse more traditional and slower
           | acting psychedelics, because what could be more convenient
           | than tripping for 15 minutes, being "cured" of your
           | depression, and then going on with the rest of your day?
        
         | sprayk wrote:
         | > The USA has a rather distorted health care and medicine
         | system, in that it's viewed here as a profit center, not as a
         | basic societal necessity. In contrast, police and judicial
         | services are not really viewed as an investment opportunity
         | (let's skip private prisons), just a basic necessity.
         | 
         | The profit center vs societal necessity way of looking at these
         | things is super interesting and definitely new to me (at least
         | in such a concise form). In this framing, I'm not sure I want
         | healthcare to move, since everything I can think of on the
         | societal necessity side of the spectrum is slow moving and
         | underfunded. Police departments tend to be underfunded and slow
         | to adopt new technology (though maybe that's a feature), while
         | hospital facilities and medical treatments seem to advance
         | quickly to adapt to new discoveries/tech despite insane FDA
         | regulations as a barrier.
         | 
         | If we flipped a switch and made law enforcement a profit
         | center, what would that look like? I'll go first, but I
         | sincerely want to hear your take, as I'm sure I'm missing
         | something. I assume they still have to enforce
         | local/state/federal laws, but they will somehow be subject to
         | the same tug of war over tech/efficiency advances and
         | regulations around safety/civil rights. I hope we pay them
         | directly/willingly, rather than them simply making bank on
         | speeding/redlight cameras or parking tickets. Maybe we have to
         | pay some kind of crime insurance, where rates (i.e. risk)
         | changes depending on crime stats in the area defined by the
         | insurance companies, which could incentivize the police to
         | meaningfully reduce crime. Insurance would pay out when crimes
         | are solved, and any attempts to fudge the numbers by the police
         | would be insurance fraud. Sounds wild.
        
           | ajb wrote:
           | Private policing was indeed Wild:
           | https://en.m.wikipedia.org/wiki/Jonathan_Wild
        
       | scrollbar wrote:
       | We're at the point in the cycle where dollars donated to
       | Psymposia will get better ROI than dollars to MAPS. Psychedelics
       | aren't going away at this point. Powerful tools must be handled
       | with care, lest they cause more harm than good.
       | 
       | Psymposia patreon https://www.patreon.com/psymposia
       | 
       | Donate https://www.psymposia.com/donate/
        
         | pmoriarty wrote:
         | _" We're at the point in the cycle where dollars donated to
         | Psymposia will get better ROI than dollars to MAPS."_
         | 
         | I don't know about that.
         | 
         | - Not even a single psychedelic has been taken off Schedlue 1
         | (the most prohibited category) in the US.
         | 
         | - Only MDMA therapy has reached Phase 3 trials and is ready for
         | mainstream adoption.
         | 
         | - Despite all the research done on psychedelics, our
         | understanding of how and why they work, and of their potential
         | is still in its infancy.
         | 
         | - It's still difficult to do large double-blind, placebo
         | controlled studies with psychedelics due to funding shortages.
         | 
         | - Most people still don't know much about psychedelics and have
         | never tried them.
         | 
         | Psymposia does good work in exposing scandals, but doesn't do
         | anything to address any of the above issues.
         | 
         | MAPS still has a long, long way to go and is every bit as
         | deserving of funding as it ever was.
        
           | scrollbar wrote:
           | At this point it seems like Psymposia's MO is that MAPS _is_
           | the scandal, and is generating bad science. Not sure I 100%
           | agree but I think it's a point worth considering.
        
       | gkop wrote:
       | This is why I decline to invest in psychedelic angel funds.
       | Hopefully if the government steps back, shrooms will sell
       | themselves (safely).
        
         | the_only_law wrote:
         | I'm wondering if increased visibility into DXM is going to get
         | it RX only'd. I read somewhere that the only reason it is OTC
         | is because the best alternative was Codeine, not sure if it's
         | true.
        
       | anm89 wrote:
       | What problem, are these companies solving again?
       | 
       | Go buy a legal spore syringe and you can grow more mushrooms than
       | you could eat in a decade for $100 with the uncle Ben tek or the
       | poor boy tek or whatever.
       | 
       | You don't need to pay big pharma 1000x price by weight for the
       | same stuff
        
         | the_only_law wrote:
         | > What problem, are these companies solving again?
         | 
         | If I had to guess visibility. I may be wrong but at the very
         | least it seems research is being done intro drugs that haven't
         | had the most or best research done. I one time gave my self a
         | serotonin syndrome scare and was concerned by the lack of
         | quality research and information on the serotonergic affects of
         | many drugs.
        
         | pmoriarty wrote:
         | It takes more than a syringe to grow mushrooms.
         | 
         | It takes equipment, time, effort, and knowledge -- things most
         | people don't have and don't want.
         | 
         | This is the same reason most cannabis users don't grow their
         | own supply, though it's supposedly "easy". Also the same reason
         | most people go to grocery stores instead of growing their own
         | food, and go to liquor stores instead of brewing their own
         | beer.
         | 
         | Most people want to offload the growing to others, and prefer
         | the ease and convenience of buying premade and prepackaged
         | goods. The huge variety of preparations and (in an ideal world)
         | quality of commercial products is unlikely to be equaled by
         | amateurs who dabble in growing on the weekend either. Also,
         | advertising and packaging is going to draw people to commercial
         | products.
         | 
         | They might not technically "need" these, and maybe with enough
         | time and effort the average person might be able to grow their
         | own, but most certainly don't want that. They want a quick and
         | convenient, commercially made and packaged product.
        
         | achenet wrote:
         | Their founders lack of a third vacation home. :p
         | 
         | There are a relatively large number of companies that aren't
         | really "solving a problem" but still making bank.
         | 
         | For example, what problem is Instagram solving? Giving
         | advertisers an even easier way to target insecure teenage
         | girls?
        
       | ipsin wrote:
       | I'm worried that we're going to split into a two-tiered system
       | where people with money can go to clinics for recreational or
       | therapeutic treatments, and people who don't want to spend that
       | money can go to jail.
       | 
       | That's already the situation for ketamine clinics.
        
         | goldenkey wrote:
         | Indeed. Special K is a great breakfast. Kelloggs never locked
         | anyone up :-)
        
         | monkeybutton wrote:
         | It's always been like that, from Dr. Roberts in New York to
         | people flying to South America and paying for ayahuasca trips.
         | 
         | Edit for reference: http://www.beatlesebooks.com/dr-robert
         | 
         | >Dr. Robert Freymann, whose discreet East 78th Street clinic
         | was conveniently located for Jackie Kennedy and other wealthy
         | Upper East Siders from Fifth Avenue and Park to stroll over for
         | their vitamin B-12 shots, which also happened to contain a
         | massive dose of amphetamine.
        
         | [deleted]
        
       | _fat_santa wrote:
       | Not directly related to the article. But I'm just glad we as a
       | society have come back around to psychedelic's.
       | 
       | It was clear in the 1960's that these drugs have massive
       | potential to help treat mental illness, but we all know what
       | Nixon did. I was watching a documentary about it the other day
       | and it just made me sad, imagine where we would be today with
       | mental health treatment had Nixon not made these drugs illegal.
       | 
       | It seems that we as a society are starting to overcome the sins
       | of the past. The problems mentioned in this article are real
       | problems, but I almost look at it as a "good problem". If we're
       | at the point with Psychedelics where our biggest issue is how the
       | capitalists market it, I think we're doing alright.
        
         | goldenkey wrote:
         | They can just as easily cause mental illness. Marijuana can
         | cause psychosis [1] but the cannabis lobby pretty much won and
         | there's nothing on the packaging indicating this risk. Cannabis
         | is involved in approximately 50% of psychosis, schizophrenia,
         | and schizophreniform psychosis cases. Thats significant,
         | wouldn't you say?
         | 
         | In the same vein, DMT raped my brain and I felt like a fucking
         | husk for two years after breaking through.
         | 
         | These things are oversold. We should legalize them, but lets
         | not kid ourselves about how potent and powerful these
         | substances are.
        
           | jotm wrote:
           | Cannabis is... overrated. It is rather similar to alcohol in
           | that it helps a bit, but with prolonged use or regular abuse
           | the downsides quickly overtake the benefits.
           | 
           | It was a bit useful for me for a while, but there are better
           | alternatives out there. And choosing a good strain is nigh
           | impossible these days unless you grow it yourself - the high
           | THC low CBD stuff preferred by sellers even in regions where
           | it's legal is only good for fun/recreational use, not helping
           | with depression, anxiety or pain.
        
             | goldenkey wrote:
             | Let's adjust the statement a bit. It's overrated. Still
             | phenomenal compared to alcohol -- which is one of the
             | weakest drugs per unit mass or volume. Literally only 2% of
             | blood ethanol gets to the brain, so most of what folks
             | drink is actually performing organ damage, not CNS effects.
             | 
             | Like you said, Cannabis is a wildly diverse plant.
             | Cannabinoids like CBG, CBC, and CBDV are extraordinary
             | anti-inflammatory and anti-neoplastic agents.
             | 
             | 100% agree with you and the literature does too. Daily use
             | of high THC / low CBD cannabis is the main driver of the
             | temporary psychosis we are seeing across cities that have
             | legalized marijuana.
             | 
             | Studies show that CBD is actually antipsychotic whereas THC
             | is the opposite, so we have essentially bred the plant into
             | a tripping device versus what it used to be, a more
             | cerebral relaxing experience.
        
               | asguy wrote:
               | > Let's adjust the statement a bit. It's overrated. Still
               | phenomenal compared to alcohol -- which is one of the
               | weakest drugs per unit mass or volume. Literally only 2%
               | of blood ethanol gets to the brain, so most of what folks
               | drink is actually performing organ damage, not CNS
               | effects.
               | 
               | Most people don't consume alcohol because of its
               | efficiency. If they did, they'd be doing everclear shots
               | or boofing it. They wouldn't be mixing cocktails, aging
               | whisky for decades, or pairing wines with food.
               | 
               | Weed as a drug isn't "phenomenal" compared to alcohol,
               | unless you ignore most of the reasons people drink.
        
               | the_only_law wrote:
               | > It's overrated. Still phenomenal compared to alcohol
               | 
               | Most things that don't leave me with a splitting headache
               | and day long nausea are great compared to alcohol.
        
             | the_only_law wrote:
             | For a marijuana risk I've not seen mentioned often:
             | 
             | I fainted in my hallway while going to bed thanks to
             | orthostatic hypotension which is made significantly
             | stronger when I smoke.
             | 
             | I still don't consider it worse than alcohol though. It's
             | well known to be neurotoxic, hepatoxic, and addictive. And
             | if you do get addicted, the withdrawals are worse than many
             | hard drugs. The positive effects are generally pretty nice,
             | but almost invalidated by the next morning.
        
           | germinalphrase wrote:
           | " Cannabis is involved in approximately 50% of psychosis,
           | schizophrenia, and schizophreniform psychosis cases. Thats
           | significant, wouldn't you say?"
           | 
           | Maybe, maybe not. Nicotine was (is?) a very common self-
           | medication for schizophrenia. So much so that it became a
           | trope in movies, etc (e.g. "Clean, Shaven"). If a majority of
           | people with schizophrenia smoked cigarettes, would we argue
           | that nicotine is implicated in the development of that
           | condition?
           | 
           | My instinct is certainly that you're right, but the direction
           | of causality could simply be backwards too.
        
             | goldenkey wrote:
             | Thank you for highlighting the issue of correlation vs
             | causality vs backwards causality.
             | 
             | Nicotine is an antipsychotic, so psychosis generally leads
             | to nicotine use as it's much more user-friendly than
             | prescription antipsychotics.
             | 
             | About the movie tropes, nicotine is an acetylcholinergic
             | agent similar to caffeine. These agents act as nootropic
             | stimulants hence the movie tropes. Both natural and
             | synthetic insecticides have been known to poison people due
             | to their potent acetylcholinergic activity. [1]
             | 
             | THC is a different beast. It's well accepted that THC is
             | psychedelic enough to bring out latent schizophrenia. What
             | most folks don't know about is the temporary psychosis it
             | can cause.
             | 
             | [1] https://en.wikipedia.org/wiki/Organophosphate_poisoning
        
           | curun1r wrote:
           | > Cannabis is involved in approximately 50% of psychosis,
           | schizophrenia, and schizophreniform psychosis cases. Thats
           | significant, wouldn't you say?
           | 
           | Absolutely not. Alcohol is involved in 60% of the snake bites
           | in the US. It's easy to see the causal link. But that isn't a
           | reason to avoid alcohol or that alcohol puts you at a
           | significant risk of being bitten by a snake. And that's
           | because alcohol consumption is common and snake bites are
           | rare. Similarly, cannabis consumption is common and the
           | conditions you list are rare. Even if there is a causal link
           | there, and that's a big if, that's not a reason to avoid
           | cannabis. There's no reason to assume or even worry about
           | being in the sub-1% group.
        
             | goldenkey wrote:
             | It's not rare at all. Every practicing psychiatrist I've
             | talked to that works part-time at mental hospitals, have
             | told me they see cannabis related temporary psychosis on
             | the regular. The studies show it to be common. Anecdotes
             | show it to be common. And yet, it's not common - what
             | gives?
             | 
             | https://pubmed.ncbi.nlm.nih.gov/30902669/
        
               | curun1r wrote:
               | Studies absolutely don't show it to be common. Here's a
               | meta analysis [0] of many that, as I mentioned, shows it
               | below 1% of the population. That's rare. Don't confuse it
               | being easy to find with it being common. Whenever you
               | have a large number of people, you're going to reliably
               | find rare traits and conditions.
               | 
               | [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896987/
        
               | goldenkey wrote:
               | The majority of cannabis legalization has occurred in the
               | last few years.
               | 
               | The paper you linked uses decades old data and provides
               | statistics on overall incidence of schizophrenia with
               | varying durations of prevalence.
               | 
               | Bayes rule applies here - not everyone will go buy
               | cannabis and use it daily. Unless a study is accounting
               | for these factors, it's useless in making a determination
               | on the connection between psychosis and cannabis.
               | 
               | Your own point applies, frequency must be adjusted for,
               | by an understanding of priors.
        
               | the_only_law wrote:
               | I'm not trusting a single "study" on marijuana after the
               | last time I researched an aspect the drug and every
               | goddamn paper just contradicted another.
        
           | the_only_law wrote:
           | Alcohol can cause psychosis and yet most who consume it never
           | reach that level.
        
         | carapace wrote:
         | I knew a guy who fell in with some folks selling drugs & self-
         | improvement scams back in the 90's in the Bay Area.
         | 
         | You get some charismatic drug dealers, throw in whatever
         | pseudo-profound quasi-religious beliefs are popular at the
         | moment, and include a few techniques that have some kind of
         | effect (like hyperventilation) and presto! You can charge
         | people $$$ for your "classes" and then sell them MDMA at your
         | house party later on.
         | 
         | My friend spun out of control, started abusing nitrous oxide,
         | lost his job, his girlfriend (who was in the same group of
         | druggies), and his mind. He wound up wandering the streets of
         | Berkeley wrapped in a blanket for a few years. His "spiritual"
         | druggie friends abandoned him.
         | 
         | So one the one hand, it is good that we are not criminalizing
         | drugs themselves, but on the other, it really is a big
         | challenge to integrate these powerful chemicals into our lives,
         | our communities, and our ways of healing each other.
        
           | jotm wrote:
           | Yeah, I've started buying some drugs and had to deal with
           | actual "junkies"... and it's been rather eye opening. I can
           | see why they just blanket ban stuff.
           | 
           | It seems many, if not most, people, just can't control
           | themselves. Ironic, since I've got major self-control issues
           | myself. But seeing someone use stimulants for relaxation,
           | take a week's worth of it in 3 hours, then beg for more,
           | that's insane.
           | 
           | And a few kept trying to give me advice on how to "properly"
           | use them. It couldn't fit in their heads that I am not in it
           | for the high (which is shit imo). I guess it affects "normal"
           | people differently.
           | 
           | It is hard for those who can benefit from all the great
           | medicine out there. I wish I could get a licence to use
           | anything at my own responsibility, I don't use official
           | healthcare anyway (I'm glad I can get treated if I break an
           | arm or get into a car accident, but beyond that... useless).
           | Why am I risking prison time for trying to fix myself and
           | make my life better?
        
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