Calvey Tanya, Howells Fleur M
Faculty of Health Sciences, University of the Witwatersrand Medical School, Johannesburg, South Africa.
Translational Neuroscience Group, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Prog Brain Res. 2018;242:1-23. doi: 10.1016/bs.pbr.2018.09.013. Epub 2018 Nov 15.
This chapter is an introduction to the volume "Psychedelic Neuroscience" of Elsevier's Progress in Brain Research addressing the neurobiological mechanisms of psychedelic drugs, the resulting changes in brain activity and integration of traditional viewpoints. As the field is relatively new, there are discrepancies in the literature related to classification, composition and effects of the various psychedelics. Currently, psychedelics are grouped according to their neuro-receptor affinities into classic and atypical psychedelics, each with individual treatment potentials and abilities to elicit potent acute experiences and long-lasting changes in neurobiology through concurrent activation of several neuromodulatory systems. There is disparity in psychedelic brain imaging studies, delineating what is neural activity and hemodynamic needs further investigation for us to understand the brain "state" changes that are apparent. The psychedelic brain "state" is often compared to acute psychosis and we review the psychedelic animal models of psychosis and human brain imaging studies and contrast these to psychosis. The term "psychedelic" means mind-revealing and psychedelics have exceptional anti-amnesic effects and are able to "make conscious" that which was previously unconscious through changes in brain "state," but also there is growing evidence which demonstrates the role of epigenetic mechanisms. This supports traditional therapeutic use of psychedelics to heal ancestral trauma. Details of these mechanisms are provided along with suggestions for further research.
本章是爱思唯尔《脑研究进展》系列丛书中《迷幻神经科学》卷的引言,探讨了迷幻药物的神经生物学机制、由此导致的大脑活动变化以及传统观点的整合。由于该领域相对较新,关于各种迷幻药物的分类、成分和效果的文献存在差异。目前,迷幻药物根据其神经受体亲和力分为经典迷幻药和非典型迷幻药,每种药物都有各自的治疗潜力,并且能够通过同时激活多个神经调节系统引发强烈的急性体验和神经生物学的持久变化。迷幻药物的脑成像研究存在差异,要确定哪些是神经活动以及血液动力学情况,还需要进一步研究,以便我们了解明显的大脑“状态”变化。迷幻药物导致的大脑“状态”常与急性精神病相比较,我们回顾了精神病的迷幻动物模型和人类脑成像研究,并将其与精神病进行对比。“迷幻”一词意为揭示心灵,迷幻药物具有特殊的抗遗忘作用,能够通过大脑“状态”的变化使之前无意识的东西“变得有意识”,而且越来越多的证据表明表观遗传机制也发挥了作用。这支持了迷幻药物在传统治疗中用于治愈祖传创伤的应用。文中提供了这些机制的详细信息以及进一步研究的建议。