[HN Gopher] An untold story of LSD psychotherapy in communist cz...
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       An untold story of LSD psychotherapy in communist czechoslovakia
        
       Author : anarbadalov
       Score  : 89 points
       Date   : 2024-01-02 14:43 UTC (8 hours ago)
        
 (HTM) web link (thereader.mitpress.mit.edu)
 (TXT) w3m dump (thereader.mitpress.mit.edu)
        
       | morbicer wrote:
       | There's a bizarre and partly funny short document about LSD test
       | in Czechoslovak army. Sadly no English subs although I am
       | considering running it through Whisper and translating it
       | 
       | https://www.youtube.com/watch?v=5HXMHdhQL_8&pp=ygURbHNkIGluI...
       | 
       | On a more serious note, it's a shame that the psychotherapy
       | research was stopped.
       | 
       | Another article from Maps https://maps.org/news-
       | letters/v17n1/lsd_in_prague-long_term_...
        
       | labrador wrote:
       | I've successfully done self-therapy using nitrous oxide,
       | psilocybin, 5-MeO-DMT and LSD, most recently to come to terms
       | with my difficult father to forgive him. My problem with the
       | current push for this type of therapy is the requirment that it
       | be done by professionals charging hundreds or thousands of
       | dollars. One must never mention "self-therapy" because that might
       | scare legislatures into keeping these drugs illegal. I remain
       | resistant to this insertion of the state into what should be my
       | right to use my own mind the way I see fit.
        
         | UberFly wrote:
         | Do you feel that including drugs in the therapy was a benefit
         | over more common dialog-type therapy? If so how was it
         | different?
        
           | radicaldreamer wrote:
           | I'm curious about this as well, a lot of studies have shown
           | that psychedelic therapy is most effective when bracketed by
           | talk therapy -- the brain plasticity (or anti-inflammatory
           | effects, the jury is still out) induced by psychedelics open
           | the mind to the suggestions of talk therapy and that without
           | talk therapy (or some kind of self dialogue perhaps?)
           | psychedelics are not as effective.
        
             | labrador wrote:
             | There's a ton of free lectures on psychedelics and therapy.
             | Ram Dass aka Richard Alpert comes to mind. Stanislav Grof
             | is another. I can't afford to see a therapist anymore, but
             | maybe going right to the source for free is better. I do a
             | lot of writing too. Actually at this point I'd be surprised
             | if I got any benefit out of doing a trip with a psychedelic
             | therapist.
        
             | beenBoutIT wrote:
             | The studies are designed this way to keep the shaman in the
             | equation when the drugs become treatments. Informal polling
             | over decades shows MDMA is pretty impressive on its own.
             | 
             | We need a clinical study where a group of veterans with
             | PTSD is given MDMA and an isolated quiet place to go for
             | several hours. Each of them is told they're receiving a
             | drug that cures PTSD. The placebo effect paired with the
             | brain rewiring effect of MDMA will cure more people than
             | any other method and demonstrate that the effect is self-
             | contained.
        
               | OkayPhysicist wrote:
               | I'd take the bet that MDMA + talk therapy is more
               | effective than MDMA alone, based on the theory of action
               | that recollection is not a read-only operation in the
               | brain, and traumatic memories remain as such in no small
               | part due to the intense negative emotions experienced
               | when recalling them. By forcing/encouraging recollection
               | of traumatic memories, while subduing the negative
               | emotions with MDMA, the connection between those strong
               | negative emotions and the memories are weakened.
               | 
               | Basically, the MDMA subdues the negative emotions, and
               | the talk therapy forces recollection. Without the latter,
               | you just have a pleasant trip, but I highly doubt real
               | progress would be made against the trauma.
        
             | matrix87 wrote:
             | > and that without talk therapy (or some kind of self
             | dialogue perhaps?) psychedelics are not as effective.
             | 
             | Probably because there aren't any people there looking for
             | specific boxes to check
             | 
             | Doing this in front of one of them is a horrible idea
             | because it all gets documented. That's not a very relaxing
             | environment tbh, it isn't a relationship where you are both
             | on equal footing
             | 
             | And this all gets exacerbated if the therapist has their
             | own issues that you aren't aware of
        
           | labrador wrote:
           | Oh yes, nitrous oxide for example lets me surface and
           | approach traumatic events without over-whelming anxiety that
           | blocks the memory out. I've done years of talk therapy
           | without drugs and the problem is that it's hard to let go of
           | my ego personality when I'm talking to another person and it
           | also takes a long time to get a therapist up to speed about
           | what is going on with me internally, because I don't often
           | even know. I did MDMA therapy with an alternative/underground
           | therapist in the 90's and didn't get much out of it because
           | it felt like the experience conformed to her expectations. I
           | didn't feel free to let my mind wander.
           | 
           | I'm not knocking dialog-type therapy or psychedelic therapy,
           | but maybe I'm built different and as a computer programmer
           | figured out how to use these drugs to debug myself.
        
             | UberFly wrote:
             | Thank you - great info. Hope you keep making progress.
        
             | zozbot234 wrote:
             | > it's hard to let go of my ego
             | 
             | This is what mindfulness meditation is best for. Drugs are
             | just a cop out.
        
               | carpo wrote:
               | Why does it matter how someone achieves this? If it helps
               | them and doesn't hurt anyone else, your view on the
               | "correct" way to achieve it is really only you virtue
               | signalling.
        
               | OkayPhysicist wrote:
               | "Drugs are just a cop out" sounds like a massive ego
               | talking. A tool is a tool, and there's no shame in using
               | powerful tools to achieve a goal. Sometimes our goals
               | might be to overcome a challenge with sub-par tools, like
               | climbing Everest without supplemental oxygen, but most of
               | the time our goals are simply the accomplishment in of
               | itself, utilizing whatever tools we have available.
        
         | littlestymaar wrote:
         | > My problem with the current push for this type of therapy is
         | the requirment that it be done by professionals charging
         | hundreds or thousands of dollars. [...] I remain resistant to
         | this insertion of the state into what should be my right to use
         | my own mind the way I see fit.
         | 
         | It's kind of sad to see that the anti-state libertarian
         | propaganda is working so well: the problem at stake here is not
         | "too much state", it's that you don't have universal healthcare
         | to pay for these professional bills and keep the rate these
         | guys charge at a decent level.
         | 
         | Nobody should be forced to do their own research and risk their
         | health just because therapists are unaffordable.
        
           | throwaway59609 wrote:
           | I live in a state with universal healthcare through mandatory
           | insurance that's 30% of my income. Guess what? The state
           | doesn't recognize this kind of therapy, and the insurance
           | pays out only for whatever the state recognizes (and there is
           | no free market of healthcare insurance), so I have to pay
           | _everything_ out of my pocket. And it costs the equivalent of
           | hundreds of thousands of dollars.
           | 
           | That's alright, that's new experimental therapy and it will
           | improve, you might say. Well, they don't even pay anything
           | for my ADHD treatment because the state says adults can't
           | have it, it's children's disease. That's what I get for 30%
           | of my income - nothing.
           | 
           | The antistate libertarian "propaganda" is working so well
           | because it's not propaganda but the only way to get
           | treatment. At least they let me pay for the drugs myself, I'd
           | probably kill myself if I couldn't get them just because the
           | state said so.
        
             | littlestymaar wrote:
             | First of all, you're moving the goalpost since the
             | conversation was about the _cost of professionals_ , not
             | the availability of treatment.
             | 
             | > The antistate libertarian "propaganda" is working so well
             | because it's not propaganda but the only way to get
             | treatment. At least they let me pay for the drugs myself,
             | I'd probably kill myself if I couldn't get them just
             | because the state said so.
             | 
             | It only works for the very small fraction that can pay "he
             | equivalent of hundreds of thousands of dollars" worth of
             | treatment, which means that for pretty much everyone it's
             | literally as if state said that they cannot get them! In
             | the richest country in the world, some people can't even
             | afford drugs that are decades old, call that a way to get
             | treatment.
        
               | throwaway59609 wrote:
               | Yes, indeed. So what's your suggestion? Nobody should get
               | it? Same with the ADHD treatment too? That's also
               | unavailable to many due to the prices - I pay $100/month
               | for the drugs I desperately need, that's 10% or more of
               | income for at least 30% of the local population where I
               | live.
        
               | littlestymaar wrote:
               | > Yes, indeed. So what's your suggestion? Nobody should
               | get it? Same with the ADHD treatment too?
               | 
               | No, quite the opposite: everyone should get it, and to
               | get there the affluent should use their money to help
               | this cause, not sidestep the problem for themselves and
               | be fine with the status quo not moving for the commoners.
        
               | throwaway59609 wrote:
               | The affluent are a very, very minor group here. The state
               | policy is not in any way controlled by them. It's the
               | "commoners" and the populist socialist parties they vote
               | for (that have way over 30% of the parliament and lead
               | the government) who want to and do preserve the status
               | quo even though it's actually bad for them. They label
               | the affluent ones, who indeed would like exactly what
               | you're suggesting, as dangerous liberals that will
               | destroy the traditional values of this country.
               | 
               | ADHD is a classic example, it's actually being discussed
               | in the media right now - the drugs and therapy are
               | labeled as one of the dangerous liberal ideas, the
               | mainstream suggestion is stricter parenting, which of
               | course includes beating the children - that's a
               | traditional value here as well ("we survived it, they
               | will survive it too", right?).
               | 
               | My suggestion to Americans - don't let the "commoners"
               | use the state to capture your healthcare like it happened
               | here. Countries like ours need you to develop new
               | treatments. System like ours will never produce anything
               | and will never move forward without your example. If you
               | adopt this kind of system, the world is fucked.
        
           | drugstherapy wrote:
           | Not OP, but personally I have no problem with people going to
           | licensed therapists to do psychedelic assisted therapy if
           | that's what they feel comfortable with. What I would take
           | issue with is if that becomes the only way to access
           | something like LSD legally.
           | 
           | I've only ever taken psychedelics on my own, and while I've
           | done regular talk therapy, I don't think I'd want that
           | experience with a therapist. Taking 100-150ug of LSD at my
           | house while listening to music, meditating, and practicing
           | yoga should be available legally to me if I choose it. It's
           | completely transformed my life for the better.
        
         | cyberax wrote:
         | > One must never mention "self-therapy" because that might
         | scare legislatures into keeping these drugs illegal.
         | 
         | That's because it's dangerous. Even good old weed can provoke
         | psychosis, never mind LSD and mushrooms. Case in point:
         | https://www.reuters.com/business/aerospace-defense/off-duty-...
         | 
         | LSD, ketamine, and other chemicals seem to be working for some
         | people. But it doesn't mean that they're completely _safe_.
        
           | chimeracoder wrote:
           | > That's because it's dangerous. Even good old weed can
           | provoke psychosis, never mind LSD and mushrooms. Case in
           | point: https://www.reuters.com/business/aerospace-
           | defense/off-duty-... > > LSD, ketamine, and other chemicals
           | seem to be working for some people. But it doesn't mean that
           | they're completely _safe_.
           | 
           | Nobody should ever be getting behind the wheel of a car, let
           | alone the cockpit of a plane, if they have not slept in 40+
           | hours.
           | 
           | There are lots of things that went wrong in that story, at
           | multiple points. Using it to conclude that drugs are
           | categorically unsafe, and therefore should be criminalized,
           | is the wrong takeaway.
        
         | ThinkBeat wrote:
         | This is something that would quite easily kill other people who
         | ventured into it.
         | 
         | Recommending it is not a safe and good idea.
         | 
         | At the most elemental level How can a person obtain medical
         | grade pure LSD?
         | 
         | Further people have widely different reactions to the drugs
         | mentioned, Making it into a cocktail is a recipe for disaster.
         | Perhaps not for you, and perhaps not for a few others but the
         | odds are against anyone who gives it a try.
         | 
         | Our current level of technology cannot even predict how a
         | single person will react to one of our many anti-depressants.
         | Here try this for a while.
         | 
         | " Dont like, doesn't work, lets try a different one. " (repeat
         | until something works or you run out of drugs).
         | 
         | I am not advocating anti-depressants over the drugs you mention
         | above necessarily. I have some faith that progress can be made
         | in the realm of chemistry and medicine there.
         | 
         | I am saying dont do this on your own kids.
         | 
         | There are some that clean you can have great insights, magical
         | experiences and some orgasm if you choke yourself nearly to
         | death. Not quite death, just before.
         | 
         | Given the cocktail above, self-administered controlled
         | strangulation might be safer.
        
         | matrix87 wrote:
         | How was 5-MeO compared to the other two?
        
         | FredPret wrote:
         | And if you screw this extremely delicate self-administered
         | chemical mind alteration up, the rest of us have to foot the
         | bill for the resulting care / homelessnes / crime.
         | 
         | I'm a huge free marketeer, but a minimal amount of regulation
         | really goes a very long way to improving outcomes.
         | 
         | Plus, you don't get a second chance fixing your own brain.
        
       | mrangle wrote:
       | Perception of psychotherapeutic progress does not equal progress.
       | Anyone can convince themselves of almost anything, for any number
       | of reasons. Including convicning themselves of a therapeutic
       | effect.
       | 
       | Conversely, "therapeutic" processing of trauma often occurs
       | subconsciously. Such as during sleep, and arguably more so as
       | sleep quality improves.
       | 
       | Instead of looking for benefit, at least for now, the
       | concentration should be on an assessment of harm. Only in that
       | context will a future study on possible benefit be informative.
        
         | jakubmazanec wrote:
         | > Anyone can convince themselves of almost anything, for any
         | number of reasons. Including convicning themselves of a
         | therapeutic effect.
         | 
         | This is a weird take. If a person is suicidal, and "convinces
         | himself" (whatever that actually means in the context of the
         | therapy) to not kill themself, this is therapeutic effect by
         | definition.
        
           | zdragnar wrote:
           | I agree that it is a weird take, but your analogy is off.
           | 
           | The actual therapeutic effect would be stopping suicidal
           | ideation, not a single instance of suicidal behavior. A
           | person may continue to suffer whatever ill effects that were
           | pushing them to suicide but (temporarily) reconsider the
           | action itself.
           | 
           | On the one hand, nobody can "fix" you; you need to
           | internalize different ways of thinking and build emotional
           | resilience. Drugs may help this process, or help maintain it,
           | but they're not a cure, and neither is talk therapy. It is,
           | in a sense, a matter of convincing yourself.
           | 
           | On the other hand, most people- even very introspective
           | people- will struggle with self-therapy. It isn't as easy as
           | "today I am happy".
        
       | gustavus wrote:
       | I've been noticing when I was growing up weed was in fact the
       | cure to all problems people had depression, anxiety, anger
       | issues? "Smoke a joint man it makes everything okay." People were
       | out there claiming weed cured cancer, that the whole reason weed
       | wasn't legal is because the evil pharmaceutical industrial
       | complex didn't want people to do it because it would cure all
       | their problems, that weed had absolutely no bad side effects and
       | if everyone was just puffing all day all their problems would go
       | away, etc. etc. Well weed became legal in most places and
       | research started being done and it turns out weed didn't cure
       | everyone's problems, weed does have side-effects and risks with
       | using it, especially if you smoke or vape it, and it isn't the
       | magical silver bullet to all mental health issues.
       | 
       | I feel like I am seeing the same cycle happen again with
       | psychedelics, especially shrooms and LSD.
        
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