Schizophrenia & Control
James KentChapter 19: Psychedelic Information Theory When
discussing the cognitive effects of psychedelics, there is no getting around
the fact that many psychedelic states very closely resemble schizophrenia.
While schizophrenia is a term that covers a wide range of perceptual,
cognitive, and emotional disorders, schizophrenia is generally characterized by: a cognitive break from reality;
illogical and irrational ideation; delusional beliefs; hallucinations; and a
variety of uncontrolled, unpredictable, or inappropriate emotional outbursts or
reactions to stimuli. Pharmacologically, schizophrenia is often caused by
either a dopamine imbalance (as in the dopamine model of psychosis) or by
improper functioning of the frontal lobe, either due to neural damage and
degeneration, inherited genetic traits, or acquired conditioning. Since some of
the most "profound" psychedelics states can be linked to enhanced dopamine
supply and a corollary interruption of function in the frontal lobes, the link
between psychedelics and schizophrenia seems quite obvious.
However, while some
psychedelic states are essentially indistinguishable from schizophrenia, others
are not schizophrenic at all, and this causes some legitimate confusion in both
medical professionals and recreational psychedelic users alike. How can we tell
the difference between a genuine psychedelic epiphany, a life-changing mystical
experience, and a schizophrenic break from reality? Some might argue that there
is no difference at all, and that "epiphanies" or "mystical experiences" are
just a specific kind of schizophrenia that are beneficial and generally welcome
to the user, while paranoia or inappropriate emotional responses are types of
schizophrenia that are unwelcome and horrific to the user. But there is a
distinct element which separates true mystical epiphanies from delusional
schizophrenia, and this is the element of control. Control comes into
play in various aspects of the psychedelic trip, and it can be a very tricky
issue to sort out, but on the most basic level control refers to how comfortable
the user is with what they are experiencing. For instance, control comes into
play when trying to decide if the psychedelic is making you calmer and more at
peace, or if it is giving you anxiety and panic. If you become anxious, are you
able to calm yourself down again, or are you overwhelmed to the point of
constant distraction? If you are loosing control, do you have grounding
elements to help regain control, or are you left to spiral out into the void
without a life-line?
Schizophrenia is, by
definition, a condition where the brain is operating beyond the control of the
user. Generally, it is the lack of control that causes anxiety and paranoia in
the user, and it is common for schizophrenics (and users of psychedelics) to
credit this lack of control to an external force, such as spirits, aliens, the
secret government, etc. In all of these elaborate schemes, the alien force has
somehow infiltrated the mind (implants, psychic control, brainwashing, etc.)
and is now using it for their own purposes. While this type of paranoid
ideation may be easy to "shake off" in a low-dose psychedelic trip, the
inability to control the anxiety spiral of paranoid delusions is one of the
major traps of high-dose psychedelic experimentation. This lack of control, and
the delusional paranoid anxiety spiral, are the two key element which separate
the schizophrenic bummers from the trips which are remembered as mystical and
mind-expanding.
To get at the root of these
paranoid anxiety spirals, it is important to understand how the amygdala
operates, and how it exerts influence on the brain at large. In both The
Emotional Brain and The Synaptic Self, Joseph LeDoux illustrates the
delicate interplay between the amygdala (the primary organ for stimulating fear
and lust responses), and the pre-frontal cortex (which is the seat of reason
and rational thought). Between the amygdala and the pre-frontal cortex there
are a series of redundant feedback networks that control emotional response to
stimulus. If the amygdala is confronted with emotionally salient data (anything
which might stimulate the primal fight/flight or mating responses), it readies
itself to start the process of alerting the rest of the brain and body to cope
with the given threat or opportunity. However, the amygdala lays off if it
hears back from the PFC that the threat or opportunity is false. So in essence,
even though the amygdala is upstream from the PFC, the PFC has a downstream
feedback override over the amygdala's response to stimulus, which means that in
most situations, rationality wins out over purely emotional response. However,
if the threat/opportunity is real (or if the rational brain can be convinced
the threat/opportunity is real) then the PFC confirms the threat and the
amygdala goes into high gear alerting the body's panic response.
When we look at this feedback
regulation between amygdala and PFC, it becomes clear that if the PFC is not
functioning correctly, the amygdala is in control, and emotional response wins
out over rational response. In The Dream Drugstore, J. Allen Hobson
argues that this very same diminishing of rationality occurs while dreaming, when
the PFC is essentially off-line, which is why dreams are so emotionally
salient, logically paradoxical, yet total accepted as true. The same can be
said of schizophrenics, and the extent of the schizophrenia can often be
attributed to the loss of rational functioning in the PFC. One of the reasons
schizophrenics have emotionally inappropriate responses to stimuli is because
the override mechanisms in their PFC are no longer functioning properly, or the
feedback links between the PFC and the amygdala have degenerated or been
dissociated in some way. And by matching the schizophrenic response to stimulus
to the high-dose psychedelic response to stimulus, it becomes fairly easy to
guess what is happening in the high-dose state: a schizophrenic overdose.
Now some fans of the
high-dose psychedelic experience may be offended by the term overdose, but if
you are a fan of the high-dose psychedelic experience you have already
demonstrated that you are perfectly comfortable with schizophrenia, and very
likely enjoy psychotic delusions as long as they are temporary. But the temporary
part is the key here. Even if you are perfectly willing to take high doses
and "kill your ego" and "submit control" to the experience, just knowing that
the drug will eventually wear off is a kind of control over the
experience, something you can seek solace in when everything else seems lost.
However, when you forget the fact that you are on a drug, or start to believe
that you will be stuck in the psychedelic space forever, then you have crossed
the boundaries of mind-expansions and are now stepping into the land of the
schizophrenic. This, of course, is very different from a mystical experience or
a valid epiphany about your life, this is crazy territory.
The Psychedelic Rules I laid
out earlier were essentially very basic guidelines for how the user can keep control
over the psychedelic experience, and not spiral out into the land of paranoid
schizophrenia. And though it may take a while to get the hang of control issues
in the psychedelic space (When do I relinquish control? How do I regain
control?), it basically comes down to learning how to measure your dose, how to
manage your ingestion context, and how to mediate freak-outs when they happen.
High-dose experimentation in an uncontrolled environment is almost a recipe for
paranoid schizophrenia, while low-to-medium dose experimentation in
tightly-controlled rituals is the basis of most (if not all) psychedelic
spiritual practice. This, of course, begs the question: Is there any benefit to
high-dose experimentation at all? And the answer, of course, is not always as
easy as you would expect. I will talk a little bit more about therapeutically
induced schizophrenia and psychedelic catharsis in a later section on
psychedelics and medicine, but for now we can assume that nobody would
willingly choose to make themselves schizophrenic, so if this sounds a lot like
your trips, you may want to adjust your dose accordingly.
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Tags : psychedelic Rating : Teen - Drugs Posted on: 2005-08-30 00:00:00
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