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为什么早期的迷幻药物治疗研究被放弃了?

Why was early therapeutic research on psychedelic drugs abandoned?

机构信息

National Centre for Youth Substance Use Research and Queensland Alliance for Environmental Health Sciences, The University of Queensland, St Lucia, Australia.

出版信息

Psychol Med. 2022 Jan;52(1):26-31. doi: 10.1017/S0033291721004207. Epub 2021 Oct 21.

Abstract

BACKGROUND

Advocates of the therapeutic use of psychedelic drugs have argued that a promising approach to treatment was prematurely abandoned in the 1960s primarily because of Richard Nixon's 'War on Drugs'.This paper (1) briefly describes research in the 1950s and 1960s in North America on the use of LSD to treat alcohol dependence, anxiety in terminal illness, and anxiety and depression; and (2) discusses the factors that led to its abandonment.

METHOD

An analysis of historical scholarship on psychedelic research in the 1950s, 1960s and 1970s in North America.

RESULTS

Research on psychedelic drugs in psychiatry was abandoned for a number of reasons that acted in concert. A major factor was that clinical research on psychedelic drugs was caught up in the tighter regulation of pharmaceutical research after the Thalidomide disaster in 1963. Psychedelic drugs also presented special challenges for randomised, placebo-controlled clinical trials in the 1970s that were not as positive as the claims made by their advocates in the 1950s and 1960s. Clinical research became more difficult after 1965 when Sandoz ceased providing psychedelic drugs for research and their nonmedical use was prohibited in 1970.

CONCLUSIONS

The demise of psychedelic drug research was not solely due to the 'War on Drugs'. It was hastened by tighter regulation of pharmaceutical research, the failure of controlled clinical trials to live up to the claims of psychedelic advocates, and the pharmaceutical industry's lack of interest in funding clinical trials.

摘要

背景

迷幻药物治疗的倡导者认为,一种有前途的治疗方法在 20 世纪 60 年代过早地被放弃了,主要是因为理查德·尼克松的“毒品战争”。本文(1)简要描述了 20 世纪 50 年代和 60 年代在北美的关于使用 LSD 治疗酒精依赖、绝症焦虑和焦虑抑郁的研究;(2)讨论了导致其被放弃的因素。

方法

对北美 20 世纪 50 年代、60 年代和 70 年代迷幻药物研究的历史文献进行分析。

结果

精神病学中对迷幻药物的研究因多种因素的共同作用而被放弃。一个主要因素是,在 1963 年反应停灾难后,对迷幻药物的临床研究受到了更严格的药物研究监管的限制。迷幻药物在 20 世纪 70 年代也给随机、安慰剂对照临床试验带来了特殊挑战,这些临床试验并不像其倡导者在 20 世纪 50 年代和 60 年代所宣称的那样积极。1965 年,山道士停止提供迷幻药物进行研究后,临床研究变得更加困难,1970 年,迷幻药物的非医疗用途被禁止。

结论

迷幻药物研究的消亡不仅仅是因为“毒品战争”。更严格的药物研究监管、对照临床试验未能达到迷幻药物倡导者的要求以及制药行业缺乏资助临床试验的兴趣,都加速了这一消亡过程。

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