Pubdate: Mon, 20 Nov 2006 Source: Mcgill Daily, The (CN QU Edu) Copyright: 2006 The Mcgill Daily Contact: http://www.mcgilldaily.com/ Details: http://www.mapinc.org/media/2638 Author: Rose Aiello, Science and Technology Writer TRIPPING OUT ON CLINICAL TRIALS Erika Dyck Illuminates the History of LSD Research in Canada and Why It's Making a Come-Back Once upon a time in the early 1950's, before the youth counter-culture of the 60's, before the world knew Timothy Leary, and before the CIA funded experiments here in Montreal, there was a small Canadian prairie town that remained unaware of the excitement and scientific intrigue that awaited it. Somewhere else in the world, psychiatrists were searching for a way to understand the mentally ill and the nascent field of psychoparmacology seemed to offer them a new perspective. This is how the then innocent drug lysergic acid diethylamide (LSD), found its way into the unsuspecting town of Weyburn, Saskatchewan. Last Wednesday, professors, students, and community members sat around Dr. Erika Dyck, expert in psychedelic psychiatry and associate professor in history of medicine at the University of Alberta, as she told us the story of LSD's clinical trials, in particular, about those in Weyburn, Saskatchewan, and the biology, psychology, and controversy that surrounded them. Shortly after World War II, English psychiatrist Humphrey Osmond began studying the potential use of psychedelic drugs in psychiatry. He found that these drugs antagonized adrenaline receptors, inducing a temporary psychosis, perhaps even a model psychosis. According to Dyck, Osmond was amazed at the drugs' ability to "suspend his sense of logic and comfort" by altering his perception of reality. If we accept schizophrenia as a distortion of perception, then experiencing drug-induced psychosis could allow psychiatrists great insight into mental illness. "A doctor often wishes he could enter the illness and see with the madman's eyes, hear with his ears, and feel with his skin," explained Osmond at the time. "This may seem an unlikely privilege but it is available to anyone who is prepared to take a minute amount of lysergic acid." Meanwhile, on another continent, a psychiatrist in Saskatchewan, Abram Hoffer, was examining LSD's biochemical effects. He discovered that the LSD molecule contains nicotinic acid. "[Nicotinic acid] blocks the metabolism of certain enzymes appearing to cause changes in perception, changes in effect, and changes in thinking," Hoffer explained at the time. By controlling the levels of this blocking agent, Hoffer controlled these psychosis-like symptoms. These studies eventually lead him to propose treating schizophrenic patients with nicotinic acid, commonly known as niacin or vitamin B3. In 1951, Osmond moved to Weyburn where he united with Hoffer. Osmond, Hoffer, and other researchers performed many home trials, experimenting with LSD, carefully recording their personal experiences and those of their close friends and spouses. These trials allowed the researchers to examine the effects of different doses of LSD. Osmond and Hoffer then extended the trials to the surrounding Weyburn community and found an "overwhelming number of willing participants," said Dyck. The research transcripts and first-hand participant reports showed some consistent effects from LSD: unjustifiable laughter, visual distortions, loss of social control, fear, and paranoia. The researchers then compared these reports with autobiographical accounts from institutionalized schizophrenics and simultaneously extended the LSD trials to "recovered" schizophrenic patients. According to Dyck, Osmond and Hoffer concluded that the experiences of induced schizophrenia and actual schizophrenia were more or less interchangeable. Several recovered schizophrenic subjects reported that the LSD experiments allowed them to reflect objectively on their past psychosis and had a therapeutic effect. Based on this evidence, Hoffer and Osmond had high hopes for the future of psychedelic psychiatry. When the researchers sought support from their colleages, however, the pair eventually realized the professional isolation of Weyburn. Ultimately, the conservatism in the medical community prevented their success. Similar trials by other researchers failed to duplicate their results, casting doubt on their conclusions. "Concern for the recreational use of LSD overwhelmed its potential medical application," said Dyck, adding that the criminalization of LSD terminated further research. Nonetheless, the Weyburn experiments sparked the interest of researchers around the globe and left a lasting mark on the field of psychopharmacology. These experiments provided invaluable information that is still cited in research today. Dyck also mentioned a resurgent interest in psychedelic psychiatry. At least four research units are currently studying the medical applications of LSD. Few seats were empty at Dyck's lecture: at least we know that, despite the years past, the clinical trials of LSD hold a firm grasp on Dyck's curiosity, and ours. - --- MAP posted-by: Elaine