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法国迷幻药使用史。

History of the administration of psychedelics in France.

作者信息

Dubus Zoe, Grandgeorge Elise, Verroust Vincent

机构信息

Laboratoire TELEMMe, Faculté des Arts, Lettres, Langues, Sciences Humaines, Aix-Marseille Université, Marseille, France.

Centre Hospitalier Universitaire Vaudois (CHUV), Institut des Humanités en Médecine, Lausanne, Switzerland.

出版信息

Front Psychol. 2023 Sep 1;14:1131565. doi: 10.3389/fpsyg.2023.1131565. eCollection 2023.

Abstract

This article reviews the historical protocols for the administration of "classic" psychedelics in France, from the 1920s to the 1960s. Taking a chronological approach, it investigates the way mescaline, LSD, and psilocybin were administered, the subjects involved, the route of administration, the dosage, and the epistemological context of the research. From the 1930s, the Sainte-Anne school dominated French experimentation with psychedelics, inserting these studies on "hallucinogens" into a biological conception of therapeutics, where the notion of "shock" dominated. The sessions show particularly anxious experiences, sometimes described as "torture" by the patients who underwent them. With just a few rare cases of recovery reported, these substances were not considered as medicines, but rather as tools for exploration in the context of experimental research; thought of not as ("mind manifesters") but as ("mind disruptors"). While these tools could be useful for the diagnosis of sick patients, French physicians did not manage to demonstrate clear therapeutic benefits in the use of psychedelics, perhaps because of their reluctance, in most cases, to determine an optimum dose, and also very often to appreciate the context of administration and the relationship with the patient. This article allows us to understand the reasons for the therapeutic failures reported by these early French psychedelic researchers, but also to help explain the current reluctance of French health professionals who in the face of the "psychedelic renaissance" remain strongly influenced by the very negative early representations of these substances.

摘要

本文回顾了20世纪20年代至60年代法国使用“经典”迷幻剂的历史方案。采用按时间顺序的方法,研究了三甲氧苯乙胺、麦角酸二乙酰胺(LSD)和裸盖菇素的使用方式、涉及的受试者、给药途径、剂量以及研究的认识论背景。从20世纪30年代开始,圣安妮学派主导了法国对迷幻剂的实验,将这些关于“致幻剂”的研究纳入以“休克”概念为主导的治疗生物学概念中。这些治疗过程显示出特别焦虑的体验,有时接受治疗的患者将其描述为“折磨”。由于仅有少数罕见的康复案例报道,这些物质不被视为药物,而是实验研究背景下的探索工具;它们不是被视为“心灵显化剂”,而是被视为“心灵干扰剂”。虽然这些工具可能对患病患者的诊断有用,但法国医生未能证明使用迷幻剂有明显的治疗益处,这可能是因为在大多数情况下,他们不愿确定最佳剂量,而且也常常不重视给药背景以及与患者的关系。本文使我们能够理解这些早期法国迷幻剂研究人员所报告的治疗失败的原因,同时也有助于解释当前法国卫生专业人员面对“迷幻剂复兴”时的不情愿态度,他们仍然深受这些物质早期负面形象的强烈影响。

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