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