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闪回:从历史角度看使用麦角酸二乙酰胺(LSD)进行的精神科实验。

Flashback: psychiatric experimentation with LSD in historical perspective.

作者信息

Dyck Erika

机构信息

Department of History, McMaster University, Hamilton, Ontario.

出版信息

Can J Psychiatry. 2005 Jun;50(7):381-8. doi: 10.1177/070674370505000703.

Abstract

In the popular mind, d-lysergic acid diethylamide (LSD) research in psychiatry has long been associated with the CIA-funded experiments conducted by Ewen Cameron at the Allen Memorial Institute in Montreal, Quebec. Despite this reputation, a host of medical researchers in the post World War II era explored LSD for its potential therapeutic value. Some of the most widespread trials in the Western world occurred in Saskatchewan, under the direction of psychiatrists Humphry Osmond (in Weyburn) and Abram Hoffer (in Saskatoon). These medical researchers were first drawn to LSD because of its ability to produce a "model psychosis." Their experiments with the drug that Osmond was to famously describe as a "psychedelic" led them to hypothesize and promote the biochemical nature of schizophrenia. This brief paper examines the early trials in Saskatchewan, drawing on hospital records, interviews with former research subjects, and the private papers of Hoffer and Osmond. It demonstrates that, far from being fringe medical research, these LSD trials represented a fruitful, and indeed encouraging, branch of psychiatric research occurring alongside more famous and successful trials of the first generation of psychopharmacological agents, such as chlropromazine and imipramine. Ultimately, these LSD experiments failed for 2 reasons, one scientific and the other cultural. First, in the 1950s and early 1960s, the scientific parameters of clinical trials shifted to necessitate randomized controlled trials, which the Saskatchewan researchers had failed to construct. Second, as LSD became increasingly associated with student riots, antiwar demonstrations, and the counterculture, governments intervened to criminalize the drug, restricting and then terminating formal medical research into its potential therapeutic effects.

摘要

在大众观念中,精神病学领域的麦角酸二乙酰胺(LSD)研究长期以来一直与中央情报局资助、由埃文·卡梅伦在魁北克省蒙特利尔市艾伦纪念研究所开展的实验联系在一起。尽管有这样的名声,但二战后的许多医学研究人员探索了LSD的潜在治疗价值。西方世界一些最广泛的试验发生在萨斯喀彻温省,由精神病学家汉弗莱·奥斯蒙德(在韦本)和艾布拉姆·霍弗(在萨斯卡通)指导。这些医学研究人员最初被LSD吸引是因为它能产生“典型精神病”。他们对这种奥斯蒙德后来著名地描述为“迷幻剂”的药物进行的实验,使他们提出并推广了精神分裂症的生化本质假说。这篇简短的论文借鉴医院记录、对 former research subjects 的访谈以及霍弗和奥斯蒙德的私人文件,审视了萨斯喀彻温省的早期试验。它表明,这些LSD试验远非边缘医学研究,而是精神病学研究中一个富有成果且确实令人鼓舞的分支,与第一代精神药理药物(如氯丙嗪和丙咪嗪)更著名且成功的试验同时进行。最终,这些LSD实验失败有两个原因,一个是科学原因,另一个是文化原因。首先,在20世纪50年代和60年代初,临床试验的科学参数转变为需要随机对照试验,而萨斯喀彻温省的研究人员未能构建此类试验。其次,随着LSD越来越与学生骚乱、反战示威和反主流文化联系在一起,政府进行干预将该药物定为犯罪,限制并随后终止了对其潜在治疗效果的正式医学研究。

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