Mackenzie Robin
Kent Law School, University of Kent, Canterbury, CT2 7NY, UK.
Curr Drug Abuse Rev. 2014;7(3):136-45. doi: 10.2174/1874473708666150107114927.
Health-related psychedelic research should focus on helping us flourish, not just remedying ill-health or addiction. We don't know enough about how psychedelics could enhance human flourishing. Factors promoting health-through-flourishing include finding meaning in life, spiritual practices, comfortable levels of social bonds, emotionally/physically satisfying sex in a long-term monogamous relationship and control over one's daily life. Psychedelic research could find more. Neuroscience anchors psychedelic research into disease and disorder, e.g. addiction, PSTD, migraine, anxiety, pain etc. Neurophenomenological psychedelics research could illuminate relationships between health, ASC/NOSCs and cognitive liberty to promote human flourishing. If we accept the self as an epiphenomenon of subsystems within the brain, we 'know' 'unconsciously', but are not aware of, many things which affect our lives profoundly. These include control over identifying, remembering and forgetting our states of mind and how to move between them. A prerequisite for integrated investigations into ASC/NOSCs is the establishment of a taxonomic knowledge base which lists, categorises and characterises ASC/NOSCs to enable us to choose specific states of mind and move securely among them. Or, in other words, to enable us to exercise our cognitive liberty safely. I believe that human health and flourishing would be enhanced were we able to direct our states of being by consciously choosing them. Given the promise of mindfulness techniques to enhance our health, happiness and spiritual growth, constructing both personal and generic classifications of salient ASC/NOSCs makes sense. Laws need to change. The neuroscience of pleasure, love, spirituality, decision-making, pattern recognition and location of meaning should inform health-enhancing psychedelic research while promoting flourishing through cognitive liberty. As part of cognitive liberty, our end-of-life choices should include how we die. In other words, our idea of the good death should include access to psychedelics. Dying high is increasingly likely to become a popular choice as baby boomers age and place their economic clout behind the reform of end-of-life laws as well as drug laws. Achieving such crucial legal changes depends partly on the ability to produce research to anchor evidence based law and policy. Research into psychedelics, ASC/NOSCs and the neurobiology of the dying process is essential.
与健康相关的迷幻药研究应专注于帮助我们实现蓬勃发展,而不仅仅是治疗疾病或成瘾。我们对迷幻药如何促进人类蓬勃发展了解不足。通过蓬勃发展促进健康的因素包括在生活中找到意义、精神修行、适度的社会关系、长期一夫一妻制关系中情感/身体上令人满足的性行为以及对日常生活的掌控。迷幻药研究可能会发现更多。神经科学为迷幻药在疾病和紊乱方面的研究奠定基础,例如成瘾、创伤后应激障碍、偏头痛、焦虑、疼痛等。神经现象学的迷幻药研究可以阐明健康、改变状态/非普通意识状态与认知自由之间的关系,以促进人类蓬勃发展。如果我们将自我视为大脑内子系统的附带现象,我们会“无意识地”“知道”许多深刻影响我们生活的事情,但并未意识到。这些包括对识别、记忆和遗忘我们的心理状态以及如何在这些状态之间转换的控制。对改变状态/非普通意识状态进行综合研究的一个先决条件是建立一个分类知识库,该知识库列出、分类并描述改变状态/非普通意识状态,使我们能够选择特定的心理状态并在它们之间安全转换。或者,换句话说,使我们能够安全地行使我们的认知自由。我相信,如果我们能够通过有意识地选择来引导我们的存在状态,人类健康和蓬勃发展将会得到提升。鉴于正念技巧有望增进我们的健康、幸福和精神成长,构建突出的改变状态/非普通意识状态的个人和通用分类是有意义的。法律需要改变。关于愉悦、爱、灵性、决策、模式识别和意义定位的神经科学应该为增进健康的迷幻药研究提供信息,同时通过认知自由促进蓬勃发展。作为认知自由的一部分,我们临终时的选择应该包括我们如何死亡。换句话说,我们对善终的观念应该包括使用迷幻药。随着婴儿潮一代变老,并将他们的经济影响力投入到临终法律以及毒品法律的改革中,在迷幻状态下离世越来越有可能成为一种流行的选择。实现如此关键的法律变革部分取决于能否开展研究以支撑基于证据的法律和政策。对迷幻药、改变状态/非普通意识状态以及临终过程的神经生物学研究至关重要。