The weaponization of medicine: Early psychosis in the Black community and the need for racially informed mental healthcare

Frontiers in Psychiatry, Год журнала: 2023, Номер 14

Опубликована: Фев. 9, 2023

There is a notable disparity between the observed prevalence of schizophrenia-spectrum disorders in racialized persons United States and Canada White individuals these same countries, with Black people being diagnosed at higher rates than other groups. The consequences thereof bring progression lifelong punitive societal implications, including reduced opportunities, substandard care, increased contact legal system, criminalization. Other psychological conditions do not show such wide racial gap as disorder diagnosis. New data that differences are likely to be genetic, but rather origin. Using real-life examples, we discuss how overdiagnoses largely rooted biases clinicians compounded by traumatizing stressors among due racism. forgotten history psychosis psychology highlighted help explain disparities light relevant historical context. We demonstrate misunderstanding race confounds attempts diagnose treat individuals. A lack culturally informed exacerbates problems, implicit prevent patients from receiving proper treatment mainly mental healthcare professionals, which can empathy. Finally, consider role law enforcement stereotypes combined psychotic symptoms may put danger police violence premature mortality. Improving outcomes requires an understanding perpetuating racism pathological stereotypes. Increased awareness training improve plight severe health disorders. Essential steps necessary multiple levels address issues discussed.

Язык: Английский

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The Need for Psychedelic-Assisted Therapy in the Black Community and the Burdens of Its Provision

Frontiers in Psychiatry, Год журнала: 2022, Номер 12

Опубликована: Янв. 20, 2022

Psychedelic medicine is an emerging field that examines entheogens, psychoactive substances produce non-ordinary states of consciousness (NOSC). 3,4-methylenedioxymethamphetamine (MDMA) currently in phase-3 FDA clinical trials the United States (US) and Canada to treat symptoms posttraumatic stress disorder (PTSD). MDMA used conjunction with manualized therapy, because its effectiveness reducing fear-driven stimuli contribute trauma anxiety symptoms. In 2017, designated as a "breakthrough therapy," signaling it has advantages safety, efficacy, compliance over available medication for treatment trauma-, stress-, anxiety-related disorders such PTSD. US Canada, historical contemporary racial mistreatment frequently experienced by Black people via variety macro micro insults. Such experiences trigger physiological responses fear, which are associated chronically elevated hormone levels (e.g., cortisol epinephrine), similar documented among those diagnosed disorder. This paper will explore benefits entheogens within psychedelic assisted-therapy their potential addressing sequelae pervasive frequent negative race-based promoting healing thriving Black, Indigenous other People Color (BIPOC). The author(s) discuss ethical responsibility providing psychedelic-assisted therapy culturally competent provider framework importance researchers recruit retain BIPOC populations research training.

Язык: Английский

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Perceived Risk of Trying Lysergic Acid Diethylamide in the United States from 2015 to 2019: Are Americans Assessing Lysergic Acid Diethylamide's Risk Profile More Favorably?

Psychedelic Medicine, Год журнала: 2024, Номер 2(2), С. 74 - 86

Опубликована: Янв. 9, 2024

Though lysergic acid diethylamide (LSD) use is rising in the United States amid expanding research into therapeutic potential of psychedelics, little scholarly work exists on whether perceived risk trying LSD (prLSD) changing or factors influencing prLSD among general public. Therefore, we sought to investigate changes from 2015 2019 and identify characteristics associated with respondents National Survey Drug Use Health (NSDUH). Using NDSUH data 2019, investigated correlates temporal trends prLSD, reporting results for entire sample, as well under age 18 (<18) older (18+) subgroups. Orthogonal polynomial contrasts were used evaluate across survey years. Multivariable models constructed prLSD. On multivariable modeling 18+, lower had statistically significant associations later year, personal use, younger age, higher education level, male gender, identifying a sexual minority, past year psychological distress, other factors. Higher was Black Hispanic, suicide attempt, having children home. Notable differences <18 subgroup no association between Hispanic gender being From there linear decreasing trend proportion who "great" [from 70.5% 64.8%; (p < 0.0001)]. Similar observed most subgroups that analyzed. We subgroups, suggesting such race, ethnicity, history may be related Overall, Americans appear assessing LSD's profile more favorably recent years, though still perceive great LSD.

Язык: Английский

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Can psychedelic use benefit meditation practice? Examining individual, psychedelic, and meditation-related factors

PLoS ONE, Год журнала: 2025, Номер 20(2), С. e0310160 - e0310160

Опубликована: Фев. 12, 2025

Meditation practice and psychedelic use have attracted increasing attention in the public sphere scientific research. Both methods induce non-ordinary states of consciousness that may significant therapeutic benefits. Thus, there is growing interest potential synergies between meditation with some research suggesting psychedelics benefit practice. The present study examined individual, psychedelic-related, meditation-related factors to determine under what conditions meditators perceive as beneficial for their Participants (N = 863) who had reported a regular (at least 3 times per week during last 12 months) were included study. To accommodate large number variables, machine learning (i.e., elastic net, random forest) was used analyze data. Most participants (n 634, 73.5%) found positive influence on quality meditation. Twenty-eight variables showed zero-order associations perceived benefits even following correction. Elastic net best performance (R2 .266) identify most important features. Across 53 model greater psychedelics, intention setting use, agreeableness, exposure N,N-Dimethyltryptamine (N,N-DMT) likely be associated perception results consistent across several different approaches Shapley values, feature ablation). Results suggest practice, with: 1) regularity 2) intentions 3) having an agreeable personality, 4) N,N-DMT being predictors perceiving beneficial. Longitudinal designs randomized trials manipulating are needed establish causality.

Язык: Английский

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The Content, Consistency and Accuracy of Stereotypes About Recreational Users of Various Psychoactive Substances

European Journal of Social Psychology, Год журнала: 2025, Номер unknown

Опубликована: Март 13, 2025

ABSTRACT We investigated the content, consistency and accuracy (i.e., convergence with self‐assessment) of stereotypes about recreational users common psychoactive substances. In Study 1 ( N = 470), participants rated a typical occasional user one seven substances (cannabis, MDMA, heroin, LSD, cocaine, amphetamine alcohol) on personality traits, values other attributes. Results revealed distinct highly consistent across 2 1163) assessed stereotype by comparing them to self‐reports from an international sample substance users. Accuracy (based overall distinctive similarity) was generally low, cocaine revealing highest accuracy. Modest also found for heroin. These findings highlight prevalence yet largely inaccurate in society. The discrepancy between agreement is discussed context origins these stereotypes.

Язык: Английский

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Mixed-Methods Study of Use and Attitudes About Psychedelics for Therapeutic Purposes Among Low-Income U.S. Veterans Nationally

Journal of Psychoactive Drugs, Год журнала: 2025, Номер unknown, С. 1 - 10

Опубликована: Март 24, 2025

There is great public and clinical interest in the use of psychedelics for therapeutic purposes. However, there has been little national study psychedelic U.S. veteran population. This used quantitative qualitative data from a nationally representative survey 1,031 low-income veterans who participated National Veteran Homeless Other Poverty Experiences (NV-HOPE) Study 2023. In total sample, lifetime prevalence purposes was 5.6%, 23.2% believed should be legalized therapeutics. Veterans reported more behavioral health issues (e.g. mental substance disorders) had history psychosocial problems homelessness) were likely to have reasons endorse legalization as Qualitative revealed mixed attitudes with positive related personal experiences beliefs potential benefits psychedelics, while negative concerns about risks doubts their treatment effectiveness. These findings highlight opportunities therapeutics among veterans, particularly those social problems. also moderate support this population toward

Язык: Английский

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Acute subjective effects of psychedelics in naturalistic group settings prospectively predict longitudinal improvements in trauma symptoms, trait shame, and connectedness among adults with childhood maltreatment histories

Progress in Neuro-Psychopharmacology and Biological Psychiatry, Год журнала: 2025, Номер unknown, С. 111361 - 111361

Опубликована: Апрель 1, 2025

Studies of psychedelic use in naturalistic and clinical settings have suggested safety mental health benefits for adults with histories childhood maltreatment. Acute psychological mechanisms that predict therapeutic this population, however, yet to be determined. Two common group - organized ceremonies raves or other electronic dance music events might facilitate effects because the unique psychosocial environments they comprise. This prospective, longitudinal study sought investigate 2 primary questions: first, whether maltreatment planning drugs intent at would see enduring after their experiences; second, subjective dimensions acute experience associated lasting benefits. Eighty-five participants completed self-report measures month before, within days after, approximately months a planned ceremony rave assessing history; trauma symptoms, internalized (trait) shame, connectedness baseline follow-up; various experience. Mean scores posttraumatic stress disorder (PTSD) complex PTSD trait social connectedness, general significantly improved from 2-month follow-up (ds = 0.73-1.12). Longitudinal changes outcomes correlated These findings implications regarding both potential benefit among as well action psychedelics.

Язык: Английский

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Can Psychedelic Use Benefit Meditation Practice? Examining Individual, Psychedelic, and Meditation-Related Factors

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Авг. 28, 2024

Abstract Introduction Meditation practice and psychedelic use have attracted increasing attention in the public sphere scientific research. Both methods induce non-ordinary states of consciousness that may significant therapeutic benefits. Thus, there is growing interest potential synergies between meditation with some research suggesting psychedelics benefit practice. The present study examined individual, psychedelic-related, meditation-related factors to determine under what conditions meditators perceive as beneficial for their Method Participants ( N = 863) who had reported a regular (at least 3 times per week during last 12 months) were included study. To accommodate large number variables, machine learning (i.e., elastic net, random forest) was used analyze data. Results Most participants n 634, 73.5%) found positive influence on quality meditation. Twenty-eight variables showed zero-order associations perceived benefits even following correction. Elastic net best performance (R 2 .266) identify most important features. Across 53 model greater psychedelics, intention setting use, agreeableness, exposure N,N-Dimethyltryptamine (N,N-DMT) likely be associated perception results consistent across several different approaches Shapley values, feature ablation). Discussion suggest practice, with: 1) regularity 2) intentions 3) having an agreeable personality, 4) N,N-DMT being predictors perceiving beneficial. Longitudinal designs randomized trials manipulating are needed establish causality.

Язык: Английский

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Race, Ethnic, and Sex Differences in Prevalence of and Trends in Hallucinogen Consumption Among Lifetime Users in the United States Between 2015 and 2019

Frontiers in Epidemiology, Год журнала: 2022, Номер 2

Опубликована: Март 23, 2022

Background The current study is one of the first to examine race, ethnic, and sex differences in prevalence trends hallucinogen use among lifetime users United States. Methods Data came from 2015–2019 National Survey on Drug Use Health included respondent's reporting ever-using hallucinogens ( n = 41,060; female 40.4%). Descriptive multinomial logistic regression analyses were conducted Stata. Results Highest past year was Asian females (35.06%), which two-or-more times larger than White males/females Native American males. More half males/females, Multiracial males, Hispanic males reported had ever-used psilocybin or LSD, whereas less one-quarter Black use, a third LSD use. lowest MDMA (17.62–33.30%) but highest peyote (40.37–53.24%). Pacific Islander mescaline (28.27%), DMT (15.68–38.58%). Black, Asian, people greater odds past-year (ORs 1.20–2.02; p s &lt; 0.05) past-month 1.39–2.06; compared people. Females lower (OR 0.79; 0.05), 0.78; except for 1.29; 0.05). Conclusions These findings should inform public health initiatives regarding potential benefits risks racial/ethnic groups women.

Язык: Английский

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Acid liberalism: Silicon Valley's enlightened technocrats, and the legalization of psychedelics

International Journal of Drug Policy, Год журнала: 2022, Номер 110, С. 103890 - 103890

Опубликована: Окт. 21, 2022

Язык: Английский

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