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我们应该如何在保持和平与安全环境的同时扩大迷幻药的使用?

How Should We Expand Access to Psychedelics While Maintaining an Environment of Peace and Safety?

机构信息

Fourth-year medical student at Columbia Vagelos College of Physicians and Surgeons in New York City.

Assistant professor of psychiatry at Columbia University Irving Medical Center in New York City.

出版信息

AMA J Ethics. 2024 Nov 1;26(11):E868-874. doi: 10.1001/amajethics.2024.868.

Abstract

Psychedelics have long been used by individuals seeking peace and a sense of wellness. This article examines widespread adoption of ketamine as a proxy for psychedelics. For ketamine, there is a need to protect vulnerable persons from exploitation that should be balanced against risks of hypermedicalization. This article suggests strategies for striking such a balance, including by carefully differentiating between persons with psychiatric illnesses, such as treatment-resistant depression, who could benefit from psychedelics, and persons using psychedelics for peace and wellness under careful guidance.

摘要

迷幻剂长期以来一直被寻求平静和健康感的个人使用。本文探讨了广泛采用氯胺酮作为迷幻剂的替代物的现象。对于氯胺酮,需要保护弱势群体免受剥削,同时要平衡过度医疗化的风险。本文提出了一些策略来平衡这两者,包括仔细区分那些患有精神疾病(如抗抑郁治疗抵抗)的人和那些在谨慎指导下使用迷幻剂寻求平静和健康感的人。

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