American Medical Association Promotes Psychedelics Research, Opposes Kratom Criminalization And Affirms Support For Marijuana Drug Testing

The American Medical Association (AMA) has adopted a series of new drug policy positions, including advocating for psychedelics research, opposing the criminalization of kratom, calling for an end to the sentencing disparity between crack and powder cocaine and supporting the continued inclusion of marijuana metabolites in employment-based drug tests.

The organization’s House of Delegates, which met last month to consider numerous resolutions, also declined to approve an additional measure to revise its stance on marijuana in a way that would have maintained its opposition to legalization while implicitly recognizing the benefits of regulating cannabis products—instead opting to continuing its advocacy for prohibition without the newly proposed regulatory language.

This comes about a year after AMA delegates voted to amend its policy position to support the expungement of past marijuana convictions in states that have legalized the plant.

At the most recent meeting, the body tackled several different areas of drug policy.

The American Kratom Association (AKA) cheered the adoption of a new resolution that says people “who are using kratom only for personal use should not face criminal consequences”—though the measure also says that the substance should be “evaluated by the relevant regulatory entities for its appropriateness for sale and potential oversight via the Controlled Substances Act, before it can be marketed, purchased, or prescribed.”

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VA And Defense Department Oppose Medical Marijuana For PTSD, But Take Neutral Position On Psychedelics As Research Continues

The U.S. Department of Veterans Affairs (VA) and Department of Defense (DOD) are strongly against the use of marijuana for the treatment of post-traumatic stress disorder (PTSD)—but they’re taking a neutral position on psychedelics like psilocybin and LSD, simply saying that more research should be done.

In an update to their joint clinical practice guidelines, the departments provided recommendations on a variety of therapeutics used to treat PTSD and acute stress disorder that commonly afflict military veterans. And while many veterans use marijuana, often to treat symptoms of the conditions, the VA/DOD Management of Posttraumatic Stress Disorder and Acute Stress Disorder Work Group said it is fully against the alternative treatment option.

“The Work Group recommends against the use of cannabis or cannabis derivatives in treating patients with PTSD because of the lack of well-designed [randomized control trials] evaluating the efficacy of cannabis derivatives in large samples of individuals with PTSD and the serious side effects associated with their use,” it says.

“Evidence from the 2017 VA/DoD PTSD [clinical practice guidelines] indicates significant harm associated with cannabis use,” it said, arguing that research suggests that marijuana is linked to issues with attention, memory, IQ and driving.

While medical marijuana came with a “strong against” recommendation from the departments, they said that the work group’s confidence in the existing evidence is “very low” due to a “lack of randomized, controlled, methodologically sound clinical trials; small sample sizes, and selection bias.”

“The benefits of cannabis were outweighed by the potential serious adverse effects,” the document, published last month, says. “Patient values and preferences varied largely because some patients seek new, novel treatments although others might be unwilling to use cannabis or cannabis derivatives. Thus, the Work Group made the following recommendation: We recommend against cannabis or cannabis derivatives for the treatment of PTSD.”

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Traumas of the War on Drugs: Bring Back the Pyschedelics

I am a survivor of domestic abuse. 

I haven’t written about this before. It’s not in my memoir Good Cop Bad War. But it occurs to me that I now have a duty to be publicly honest about this because it is becoming clearer that as a society we could deal with the causes and harms of domestic violence better. As a police officer, I knew so many—way too many—survivors who deserve the very best help that science can provide.

My relationship with my wife had its difficult moments right from the start. Sam, as I named her in my memoir, had a difficult childhood. This played out with a powerful temper with an attention-grabbing sense of drama. Later in our relationship, this turned into psychological abuse. 

Her father was someone who used alcohol very problematically. His descent into mental illness was plain to see. On a holiday with her whole family, he became abusive to everyone and this manifested itself in really dark ways. And he tried to start a fight with me, swaying, fists raised, calling me names. 

Growing up with addiction in the family can cause trauma in childhood. This is widely understood. As I got to know Sam and heard tales of her childhood, and teenage years, I instinctively understood the trauma. And as such I later understood the origins of her abuse towards me. 

Sam rarely physically assaulted me. And when she did it actually was a relief because I knew then that her temper would immediately subside and she would become apologetic and tearful; and I can take a few punches. The behavior that was my nightmare was when she deliberately stopped me sleeping. This became such an issue that my fear of it happening when I was working long hours at times dominated my thoughts. It was horrible. If I complained when she did it, she  would descend into the worst petty abuse. “Man up, Neil”. I was pathetic, worthless. 

I forgave her, of course I did. I loved her. But most importantly I understood where it was coming from. So, I empathized and treated her as gently as I could. Until I couldn’t anymore. 

As my years of undercover work went by, I was increasingly finding myself seeing  work as an escape from home. It was a relief for me but also being away seemed to take the pressure away from our relationship. Less time together seemed to translate to less abuse. 

I was unaware, however, that my mental health was declining. The beginnings of what would later become CPTSD (complex post-traumatic stress disorder) was changing me. I became emotionally numb, even while I kept going back to the dangerous work I was involved in. Feeling lost, I anesthetized  myself with alcohol, I had affairs. At home I no longer was able to find that gentle understanding. The empathy. I must have appeared colder and more distant. And so, the abuse increased and got worse. My descent into mental illness accelerated and it was an extraordinarily difficult time hiding what was going on from our children. 

In our divorce papers, Sam denied ever physically assaulting me. But she did formally admit to the intentional sleep deprivation. Interesting that the physical assault was a taboo too far for her. But the emotional abuse was something easier to admit. (We learn as children.) 

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New Congressional Amendments Would End Marijuana Tests For Federal Job Applicants And Encourage Psychedelic Research

New marijuana and psychedelics amendments have been filed by bipartisan congressional lawmakers as part of large-scale spending bills—including proposals that would end the practice of drug testing job applicants at certain federal agencies for marijuana.

Rep. Robert Garcia (D-CA) introduced two versions of the same cannabis measure for separate appropriations bills, one covering Military Construction, Veterans Affairs and Related Agencies (MilCon/VA) and another on Agriculture, Rural Development, Food and Drug Administration and Related Agencies. It would prevent the use of funds to drug test most applicants for cannabis at the agencies covered by the legislation.

There’s also an amendment to the MilCon/VA bill from Reps. Jack Bergman (R-MI) and Lou Correa (D-CA) that’s meant to encourage the U.S. Department of Veterans Affairs (VA) to carry out “large-scale studies” into drugs like psilocybin and MDMA that have been designated as “breakthrough therapies” by the Food and Drug Administration (FDA). The sponsors are also the founding co-chairs of a congressional psychedelics caucus that promotes research into entheogenic substances.

The cannabis measures from Garcia would prevent THC drug testing for job applicants in the relevant federal agencies, except for “positions listed as Presumptive Testing Designated Positions by the Selection of Testing Designated Positions Guidance under Federal Drug-Free Workplace Program.”

The proposals also curiously only cover select states, including some such as Tennessee and Texas that have extremely limited low-THC medical cannabis programs while excluding others such as Ohio and Pennsylvania that have more comprehensive medical marijuana laws.

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GOP Congresswoman Pushes For Psychedelics And Marijuana Research For Veterans In Floor Speech

A GOP congresswoman is touting recently released Food and Drug Administration (FDA) guidance on psychedelics research and calling for additional work to study the therapeutic benefits of marijuana for military veterans.

In a speech on the House floor on Wednesday, Rep. Mariannette Miller-Meeks (R-IA) talked about the need to support “novel forms of research” to unlock the potential of psychedelics and cannabis for the treatment of conditions like post-traumatic stress disorder (PTSD) that commonly afflict veterans.

“As a doctor, former director of the Iowa Department of Public Health and 24-year U.S. Army veteran, the mental, emotional and physical health of my constituents and fellow veterans is one of my top priorities in Congress,” she said. “For too long, PTSD and other mental or physical ailments have had devastating effects and far too often go untreated.”

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MDMA: Australia begins world-first psychedelic therapy

Earlier this year, researchers raised eyebrows when Australia’s traditionally conservative medicines regulator approved the use of psychedelics to assist therapy sessions.

The decision will see psilocybin, found in magic mushrooms, used for treatment-resistant depression. It will also allow MDMA, known as ecstasy in tablet form, for post-traumatic stress disorder (PTSD).

The changes come into effect on Saturday, making Australia the first country to classify psychedelics as medicines at a national level.

While initial access to the drugs will be limited and costly, many experts and patients are hailing it as a landmark moment.

But major health organisations have also urged caution.

Marjane Beaugeois was diagnosed with severe depression in 2017. “Within two months, I lost my mother, grandmother, beloved pet dog and my romantic relationship,” she recalls.

She couldn’t eat, shower, or leave her house in Melbourne – but says prescription antidepressants left her “zombie-like, unable to cry, self-soothe or feel better”.

“I’d still go to bed praying not to wake up,” the 49-year-old says.

When her research for alternative therapies led her to a psilocybin clinic in Amsterdam, she was hesitant.

“I have no history of drug or alcohol use. As an addiction counsellor, I was always very against it,” she says.

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Pilgrims Are Flocking to This Psychedelic Temple

UPSTATE NEW YORK has been the birthplace of many Great Awakenings. In the 1820s, religious fervor so swept the region it became known as “the burned-over district.” In the 1960s, Timothy Leary’s commune in Millbrook became ground control for the East Coast psychedelic movement. “By the time we got to Woodstock,” sang Joni Mitchell, “we were half a million strong.”

More than five decades after Woodstock, in Wappinger Falls, Alex Grey and his wife, Allyson Grey, are trying to use art to get back to the garden. Under the full June moon earlier this month, the Greys opened the bronze, 700-pound doors of Entheon, a temple-museum hybrid dedicated to advancing visionary art, and a message of ecological unity. 

“Humanity’s materialistic worldview must transition to a sacred view of oneness with the environment and cosmos,” Alex tells me after the celebration where soap heir David Bronner, who funded part of the museum, billowed about in his purple robes like a psychedelic Medici. It is a message Americans heard before — in the indigenous language of animacy, and in the prose of Alan Watts, who wrote that the individual is not, contrary to our common perception, a separate “ego inside a bag of skin,” but more like a wave coming out of the ocean. 

As psychedelics return from the outlaw regions of the culture, arriving alongside the climate crisis, the gospel of interconnectedness is spreading again, this time through the mycelial tendrils of the internet. Alex Grey, demure and snowy-haired at age 69, is not entirely sure why he has become such a popular progenitor, but he nevertheless has: On Instagram, he is one of the most famous living visual artists in the country, with 1.4 million followers — more than Jeff Koons and Yayoi Kusama combined. 

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A Neurosurgeon Compares His Near-Death Experience With Smoking Psychedelic Toad Slime

Few neuroscientists can claim to have probed the outer limits of human consciousness to the same extent as Dr Eben Alexander. After contracting bacterial meningoencephalitis in 2008, the brain surgeon wrote a book describing his remarkable near-death experience (NDE) while in a coma. A decade later, he smoked the psychedelic venom of the Sonoran Desert toad, and has now provided a detailed comparison of the two life-changing events.

Introducing their interviewee, the authors of the new report explain that NDEs and psychedelic experiences often have “shared characteristics such as entering other worlds, meeting menacing or benevolent entities, experiencing synesthesia, perinatal regression, and lucid dreamlike properties.” However, they go on to say that no studies have ever compared the experience of dying with the effects of 5-MeO-DMT, the main psychoactive component in the secretions of certain hallucinogenic toads.

Finding a subject familiar with both experiences is no easy feat, and it’s unlikely there are many out there other than Alexander. Recording the neurosurgeon’s testimony, therefore, provided the researchers with a rare opportunity to analyze the “high level of comparability” between NDEs and smoking 5-MeO-DMT.

In particular, the authors say that both experiences are characterized by a sense of “ego dissolution” as well as “transcendence of time and space.” Regarding the former, Alexander explains that during his NDE, he found himself “in a position similar to that of someone with partial but beneficial amnesia. That is, a person who has forgotten some key aspect about him or herself, but who benefits from having forgotten it.”

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FDA creates path for psychedelic drug trials

Federal regulators are laying out guidance for psychedelic drug trials for the first time, in a move that could encourage the mainstreaming of substances like magic mushrooms and LSD as behavioral health treatments.

Why it matters: Psychedelics are turning into a multi-billion industry and gaining widespread acceptance after decades of concerns about recreational use of the products — and the high risk for misuse. But research to date has largely been backed by private sponsors.

Driving the news: The Food and Drug Administration on Friday released first-ever draft guidance outlining considerations — including trial conduct, data collection and subject safety — for researchers looking into psychedelic treatments for a variety of conditions, including PTSD, depression and anxiety.

  • The agency filed the 14-page document two days after a bipartisan coalition in Congress led by Rep. Dan Crenshaw (R-Texas) introduced legislation directing the issuance of clinical trial guidelines.
  • It also came as 10,000 attendees and hundreds of exhibitors converged on Denver for what was billed as the “largest psychedelic conference in history,” with guests ranging from New York Jets quarterback Aaron Rodgers to National Institute of Mental Health director Joshua Gordon.

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Ancient Egyptian followers of a deity called Bes may have used hallucinogens

An ancient Egyptian vase in the shape of the deity Bes showed traces of chemical plant compounds known to produce hallucinations, according to a recent preprint posted to Research Square. The authors suggest that members of the cult of Bes may have consumed a special cocktail containing the compounds to induce altered states of consciousness.

There is ample evidence that humans in many cultures throughout history used various hallucinogenic substances in religious ceremonies or shamanic rituals. That includes not just ancient Egypt but also ancient Greek, Vedic, Maya, Inca, and Aztec cultures. The Urarina people who live in the Peruvian Amazon Basin still use a psychoactive brew called ayahuasca in their rituals, and Westerners seeking their own brand of enlightenment have also been known to participate.

Lacing the beer served at their feasts with hallucinogens may have helped an ancient Peruvian people known as the Wari forge political alliances and expand their empire, according to a 2022 study. As previously reported, the use of hallucinogens, particularly a substance derived from the seeds of the vilca tree, was common in the region during the so-called Middle Horizon period, when the Wari empire thrived.

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