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2.
Soc Hist Med ; 36(1): 62-79, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37398847

RESUMO

Psychedelic-assisted therapy has attracted considerable clinical attention in the past decade for its ability to bring therapeutic benefits to patients in treatment-resistant categories. In contradistinction from other psychopharmaco-therapies, contemporary psychedelic therapists, like their predecessors, paid close attention to the 'set and setting', and argued that the mind-set of the subject and the conditions or environment of the session was as influential as the pharmacological reaction itself. In this paper, we examine how religious sounds and music were both incorporated into and strategically avoided in the early psychedelic therapeutic sessions in an effort to achieve spiritual epiphanies at peak experiences. Prominent contemporary practices, we conclude, recapitulate many of the practices of the past, relying, we argue, on aesthetic premises that could hinder the therapy's broader applicability.

3.
JMIR Res Protoc ; 12: e46643, 2023 06 06.
Artigo em Inglês | MEDLINE | ID: mdl-37279056

RESUMO

BACKGROUND: In the Canadian province of Saskatchewan, the global COVID-19 pandemic appeared amidst existing social health challenges in food insecurity, housing precarity and homelessness, poor mental health, and substance misuse. These chronic features intersected with the pandemic, producing a moment in time when the urgency of COVID-19 brought attention to underlying shortcomings in public health services. OBJECTIVE: The objectives of the program of research are (1) to identify and measure relationships between the pandemic and wider health and social impacts, namely, food insecurity, housing precarity and homelessness, and mental health and substance use in Saskatchewan, and (2) to create an oral history of the pandemic in Saskatchewan in an accessible digital public archive. METHODS: We are using a mixed methods approach to identify the impacts of the pandemic on specific equity-seeking groups and areas of social health concern by developing cross-sectional population-based surveys and producing results based on statistical analysis. We augmented the quantitative analysis by conducting qualitative interviews and oral histories to generate more granular details of people's experiences of the pandemic. We are focusing on frontline workers, other service providers, and individuals within equity-seeking groups. We are capturing digital evidence and social media posts; we are collecting and organizing key threads using a free open-source research tool, Zotero, to trace the digital evidence of the pandemic in Saskatchewan. This study is approved by the Research Ethics Board at the University of Saskatchewan (Beh-1945). RESULTS: Funding for this program of research was received in March and April 2022. Survey data were collected between July and November 2022. The collection of oral histories began in June 2022 and concluded in March 2023. In total, 30 oral histories have been collected at the time of this writing. Qualitative interviews began in April 2022 and will continue until March 2024. Survey analysis began in January 2023, and results are expected to be published in mid-2023. All data and stories collected in this work are archived for preservation and freely accessible on the Remember Rebuild Saskatchewan project's website. We will share results in academic journals and conferences, town halls and community gatherings, social and digital media reports, and through collaborative exhibitions with public library systems. CONCLUSIONS: The pandemic's ephemeral nature poses a risk of us "forgetting" this moment and the attendant social inequities. These challenges inspired a novel fusion among health researchers, historians, librarians, and service providers in the creation of the Remember Rebuild Saskatchewan project, which focuses on preserving the legacy of the pandemic and capturing data to support an equitable recovery in Saskatchewan. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/46643.

5.
Front Psychiatry ; 12: 680064, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34408677

RESUMO

The revival of psychedelic research coincided and more recently conjoined with psychopharmacological research on how drugs affect moral judgments and behaviors. This article makes the case for a moral psychopharmacology of psychedelics that examines whether psychedelics serve as non-specific amplifiers that enable subjects to (re-)connect with their values, or whether they promote specific moral-political orientations such as liberal and anti-authoritarian views, as recent psychopharmacological studies suggest. This question gains urgency from the fact that the return of psychedelics from counterculture and underground laboratories to mainstream science and society has been accompanied by a diversification of their users and uses. We propose bringing the pharmacological and neuroscientific literature into a conversation with historical and anthropological scholarship documenting the full spectrum of moral and political views associated with the uses of psychedelics. This paper sheds new light on the cultural plasticity of drug action and has implications for the design of psychedelic pharmacopsychotherapies. It also raises the question of whether other classes of psychoactive drugs have an equally rich moral and political life.

6.
J Hist Behav Sci ; 57(1): 75-86, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33200841

RESUMO

For many of us academics, doing community-engaged research means coming to terms with the significant gaps in experience, privilege, and power, and overall access to knowledge. We are trained to learn through texts, not through direct experience. In some ways, we are even conditioned to tune out experience, or anecdote, to dilute personal subjectivities in favor of a critical analysis informed by a combination of methods and sources, and a reliance on text-based forms of evidence. Whereas for most community members, evidence is experiential. This dynamic also underscores the tremendous power and responsibility we have as historians to shape identities and legacies through the stories we tell. In the end, I believe the risks are worth the rewards.

7.
Can Bull Med Hist ; 37(1): 1, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32354282
8.
Med Humanit ; 46(3): 184-191, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31235651

RESUMO

This article places a spotlight on lysergic acid diethylamide (LSD) and American mental health in the 1970s, an era in which psychedelic science was far from settled and researchers continued to push the limits of regulation, resist change and attempt to revolutionise the mental health market-place. The following pages reveal some of the connections between mental health, LSD and the wider setting, avoiding both ascension and declension narratives. We offer a renewed approach to a substance, LSD, which bridged the gap between biomedical understandings of 'health' and 'cure' and the subjective needs of the individual. Garnering much attention, much like today, LSD created a cross-over point that brought together the humanities and arts, social sciences, health policy, medical education, patient experience and the public at large. It also divided opinion. This study draws on archival materials, medical literature and popular culture to understand the dynamics of psychedelic crossings as a means of engendering a fresh approach to cultural and countercultural-based healthcare during the 1970s.


Assuntos
Alucinógenos/história , Ciências Humanas/história , Dietilamida do Ácido Lisérgico/história , Saúde Mental/história , História do Século XX , Humanos , Estados Unidos
11.
J Psychoactive Drugs ; 51(2): 102-107, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30821651

RESUMO

This article examines the historical relationship between psychedelics and palliative care. Historians have contributed to a growing field of studies about how psychedelics have been used in the past, but much of that scholarship focused on interrogating questions of legitimacy or proving that psychedelics had therapeutic potential. Palliative care had not yet developed as medical sub-specialty, more often leaving dying care on the margins of modern, pharmaceutical-based treatments. As psychedelic researchers in the 1950s began exploring different applications for psychoactive substances such as LSD and mescaline, however, dying care came into clearer focus as a potential avenue for psychedelics. Before that application gained momentum in clinical or philosophical discussions, psychedelics were criminalized and some of those early discussions were lost. This article looks back at historical discussions about LSD's potential for easing the anxiety associated with dying, and considers how those early conversations might offer insights into today's more articulated discussions about psychedelics in palliative care.


Assuntos
Alucinógenos/história , Dietilamida do Ácido Lisérgico/história , Cuidados Paliativos/história , Ansiedade/tratamento farmacológico , Ansiedade/etiologia , Alucinógenos/uso terapêutico , História do Século XX , História do Século XXI , Humanos , Dietilamida do Ácido Lisérgico/uso terapêutico , Cuidados Paliativos/métodos , Assistência Terminal/história , Assistência Terminal/métodos
12.
Hist Psychol ; 21(3): 240-253, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30138029

RESUMO

The decade of the 1950s is well known among historians of psychiatry for the unprecedented shift toward psychopharmacological solutions to mental health problems. More psychiatric medications were introduced than ever before or since (Healy, 2002). While psychiatric researchers later credited these drugs, in part, for controlling psychotic, depressive, and anxious symptoms-and subsequently for emptying decaying psychiatric institutions throughout the Western world-psychiatrists also produced a number of other theories that relied on a more delicate and nuanced blending of psychotherapy and psychopharmacology. Canadian-based researchers were at the forefront of experiments combining mescaline, LSD, and psychoactive substances later described as "psychedelics." From a relatively isolated setting on the Canadian prairies, in one of the most notorious mental hospitals in North America, this blending of traditions generated a unique approach. A close look at the correspondence between the psychiatrist Humphry Osmond and his friend, the writer Aldous Huxley, who shared interests in psychoactive substances and their effects on perception, and the stimulation of empathy, gives us an opportunity to explore how they developed their psychedelic approach to therapy in the 1950s. The combination of working in an isolated hospital, far from the main research powers in North America, produced a sense of regional incubation and required Osmond to look for collaborators well beyond his own field of psychiatry. (PsycINFO Database Record


Assuntos
Alucinógenos/uso terapêutico , Psiquiatria/história , Psicoterapia/história , História do Século XX , Humanos , Saskatchewan
13.
Health Econ Policy Law ; 13(3-4): 263-279, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29361999

RESUMO

Medicare shifted the emphasis for mental health care into outpatient psychiatric wings connected to general hospitals and away from large custodial facilities that had been at the centre of the mental health system for decades. The shift to care in the community expanded the patient population, and arguably improved mental health care for many individuals who could now seek a variety of outpatient services rather than succumb to long-stay institutionalization. However, this shift also introduced new challenges as patients were increasingly expected to take responsibility for their own health care plans, whether that involved doctors' appointments, drug regimens, or the need to find sheltered employment, safe housing and a social support network. Analysing first-hand experiences suggests that despite the need for clinical care at times, the major challenges to independence are political and economic. In this paper, I examine some of these tradeoffs and consider some of the historical lessons for continued discussions on public policy in the mental health care arena.


Assuntos
Instituições de Assistência Ambulatorial/organização & administração , Desinstitucionalização , Política de Saúde , Serviços de Saúde Mental/organização & administração , Programas Nacionais de Saúde , Canadá , Humanos , Apoio Social
14.
Can Bull Med Hist ; 34(2): 295-296, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28920734
15.
Can Bull Med Hist ; 33(1): 1-2, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28155494
17.
CMAJ ; 2015 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-26243813
18.
Can Bull Med Hist ; 31(1): 165-87, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24909023

RESUMO

The history of eugenic sterilization connotes draconian images of coerced and involuntary procedures robbing men and women of their reproductive health. While eugenics programs often fit this characterization, there is another, smaller, and less obvious legacy of eugenics that arguably contributed to a more empowering image of reproductive health. Sexual sterilization surgeries as a form of contraception began to gather momentum alongside eugenics programs in the middle of the 20th century and experiences among prairie women serve as an illustrative example. Alberta maintained its eugenics program from 1929 to 1972 and engaged in thousands of eugenic sterilizations, but by the 1940s middle-class married women pressured their Albertan physicians to provide them with sterilization surgeries to control fertility, as a matter of choice. The multiple meanings and motivations behind this surgery introduced a moral quandary for physicians, which encourages medical historians to revisit the history of eugenics and its relationship to the contemporaneous birth control movement.


Assuntos
Anticoncepção/história , Eugenia (Ciência)/história , Esterilização Reprodutiva/história , Alberta , Eugenia (Ciência)/legislação & jurisprudência , Feminino , História do Século XX , Humanos , Casamento , Classe Social , Esterilização Involuntária/história , Esterilização Involuntária/legislação & jurisprudência , Esterilização Reprodutiva/legislação & jurisprudência , Mulheres
19.
Can Bull Med Hist ; 31(1): 7-16, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-28155499
20.
Histoire Soc ; 44(88): 181-96, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22512049
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