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  • Showing only topics with the tag "ptsd". Back to normal view
    1. "If the role of dysfunctional parenting in psychological disorders was ever fully recognized, the DSM would shrink to the size of a thin pamphlet"

      This statement by traumatologist John Briere is quoted in Pete Walker's FAQ on Complex PTSD, a proponent of the unified Trauma model of mental disorders. Dr. Gabor Mate has become popular in...

      This statement by traumatologist John Briere is quoted in Pete Walker's FAQ on Complex PTSD, a proponent of the unified Trauma model of mental disorders. Dr. Gabor Mate has become popular in recent years, who similarly claims that (e.g.) "Attention Deficit Disorder is a reversible impairment and a developmental delay, with origins in infancy. It is rooted in multigenerational family stress and in disturbed social conditions in a stressed society." Another famous champion of this theory was Alice Miller. Quote: "Experience has taught us that we have only one enduring weapon in our struggle against mental illness: the emotional discovery and emotional acceptance of the truth in the individual and unique history of our childhood." A more recent bestseller around this topic is Philippa Perry's "The Book You Wish Your Parents Had Read" (Guardian review).

      The various personality disorders from ICD-10 were replaced by a single personality disorder diagnosis in ICD-11, and they finally added Complex PTSD. The director of the largest psychiatric clinic in Germany is in favor of removing the category of "mental personality disorders" altogether (German article).

      Studies seem to confirm strong links between "adverse childhood experiences" and various forms of mental illnesses. To pick just one of the many I found: "Compared to children with no Adverse Childhood Experiences, the odds of an ADHD diagnosis were 1.39, 1.92, and 2.72 times higher among children with one, two and three or more ACEs. The ACE most strongly associated with the odds of ADHD was having lived with someone with mental illness closely followed by parent/guardian incarceration." (https://doi.org/10.1016/j.chiabu.2020.104884)

      I'm interested in hearing your takes, and potentially this thread can serve as a collection of quotes and links around this theory.

      38 votes
    2. I want to give psilocybin a try

      Insight once came to me after I was prepped for a surgical procedure. As my body's weight began to evaporate, a pain I had never recognized, but which must have always been sounding in the...

      Insight once came to me after I was prepped for a surgical procedure. As my body's weight began to evaporate, a pain I had never recognized, but which must have always been sounding in the background noise of my being, vanished. The superadhesive worry--which sometimes frightened others as much as myself, that in order to socialize, I had learned to sometimes twist into a temporary shape resembling charm--came unstuck and peeled away. Then followed a great thought, a mandate for how I should spend the remainder of my life. Also, I needed to poop. But more than that, I needed to get out of this semi-public hospital bed and to a private space immediately, so I could allow this cosmic insight a moment to fully bloom. Time was against me. Anesthetized, I knew I was slipping toward, maybe even over, the falls past which I would forget everything of this experience until a groggy post-procedure awakening brought dull daylight and its senseless aches back to me. I had to somehow save the thought. I searched, but the bathroom gave up no markers, no specimen cup labels to write on. I wondered about tearing toilet paper into little letters, hiding them above the cabinet. But would I remember to return to read the message? With an increasingly calm desperation, I dug my nails into the flesh of my hand and repeated again and again the life-saving insight delivered during communion with the world that lay beyond pain. Please remember, please remember this thought.

      When I regained consciousness, it was waiting for me like a friend who had lost patience, and now seemed much less attractive. What I had somehow stolen from the gods, secreted in my closed palm through a swim across the river Lethe, was this message: “Do Drugs.”

      I had realized that analysis, working on the problem of myself both mentally and verbally, had won me no appreciable gains. Insight, I had. But relief, happiness, an improved outlook? Nothing I had done had really helped me feel better. Anesthesia instantly had. These aren’t the words of an addict coming on-line. I was a reluctant user of any substance. However, in the years following I forced myself to again undertake drug trials with my psychiatrists. Methodically, I worked through every class, waltzed backward through the eras of drugs, danced off-label with each oddball wallflower, ingested every twisted molecule to ever win over the FDA with a promise of psychiatric benefit and maybe some that merely had intrigued one of my more historically-curious doctors. When Eddie Haskell, MD wanted to resurrect a drug of the bad old days just to see what it’d do to a person, I was the patient with his hand out.

      I overslept and didn’t sleep. I gained and lost a third of my body weight. My head felt like a styrofoam block, then like the slate of a blackboard being scraped with tableware. I was more or less charged, sweaty, sensitive to light, and shaky. Some drugs make you feel like Benjamin Braddock in his birthday diving suit. Others make you feel like an amnesiac idiot in Benjamin Braddock’s birthday diving suit. A common theme emerges. These substances could help me feel slower, distant from the world, claustrophobic, clammy, sensorily distorted. Sometimes, they dulled my anxiety, or dried my hair-trigger tear ducts, but they accomplished this through impairment, and very clumsily. I have never been drunk, but I think it’s like a drunk traffic cop: success in psych meds comes about by the stopping of certain avenues, slowing up of traffic, blocking lawful turns. And it’s sometimes noted in the overall impact that fewer crashes have occurred. To me this is not success. Impairment so far hasn't been healing for me. I want my turn at quoting the line, "I feel like myself again."

      And so, my heart sinks at every day's new headline about psychedelics. If you follow health news at all, you know they are a hot topic, showing a ridiculous amount of promise. Despite fitting the diagnostic profile, my former home was far from anywhere with signups for studies. I reached out to several "clinics" offering psychedelic-assisted therapy. They struck me as resembling many legal weed shops--loads of young bros polishing their presentation and sanitizing an extortionate drug deal in hopes of financing a Tesla. With fees starting at 8x the plane ticket to administer and contextualize a drug that costs less than $20 a dose, I wouldn't credit their soft patter as containing much idealism.

      And here I am--for other reasons besides. Yes, a part of me thought living here would put legal psychedelics within my reach, but I'm not seeing any opportunities. Now I'm kicking myself for never having tried to cultivate mushroom spores, never having ventured to ask acquaintances for a hand. I'm marooned here and psilocybin is about blow up in the States.

      20 votes
    3. Reflections on recognizing and resisting abusive practices in psychedelic organizations

      I have been noticing a disturbing trend in psychedelic groups lately, in which powerful mind-altering substance are being used for emotional and sexual manipulation -- especially among young and...

      I have been noticing a disturbing trend in psychedelic groups lately, in which powerful mind-altering substance are being used for emotional and sexual manipulation -- especially among young and vulnerable demographics. In order to combat the collective trauma resulting from these practices, I am attempting to spread harm reduction information far and wide as it pertains to the subject.

      This is one of my more recent articles. It is licensed under CC BY-SA 4.0, in case anyone would like to build off of it. If anyone has constructive criticism or experience, any feedback would be immensely appreciated. Thank you :)

      Psychedelics facilitate increased intimacy

      There is a tenuous association between psychedelics and cliquey, tribal, or cult-like group behavior. This should be taken seriously, especially in large group whose members bond through regular psychedelic sessions. Psychedelics have a number of potential effects that can make individuals more suggestible, and may occasion rapidly-escalating intimacy:

      • facilitate deep feelings of connection to others
      • induce dissociation, depersonalization and ego loss
      • increase suggestibility, making it easier to impress new beliefs or ideas upon the user
      • re-expose the user to potentially traumatic memories
      • evoke emotional re-association and object transference, including trust and sexual interest that may not otherwise be present
      • invoke religious or metaphysical experiences, that instill a sense of meaning and personal significance
      • create a sense of paranoia or suspicion, in part as a result of being involved in a potentially illicit activities
      • evoke symptoms of mental illness in vulnerable users, making one reliant on external social and economic support

      Not all of these effects guarantee problems, but rather indicate how psychedelics can open users up to remarkably strong bonding. The ability of hallucinogens to connect individuals into family-like organizations is notable, as psychedelic have been foundational to many rituals, communities, and cults through history. In part due to these effects, many psychedelic groups exhibit some degree of organizational eccentricity, marked intimacy, or social drama.

      Identifying safe group dynamics

      If you need help identifying whether or not an organization exercises exploitative practices, consult the following guidelines on cult behavior and gaslighting. Troublesome psychedelic groups are usually large in size and have organized leadership structure, exhibiting the following qualities (as adapted from the Cult Education Institute’s webpage):

      • possessing an egotistical leader of social or creative influence, who may have a record of abusing power or individuals
      • a rigidly directed ideology, and excluding or punishing members who do not conform to it
      • provoking members who are under the influence of psychedelics, or attempting to selfishly influence the psychedelic integration process of another member
      • maintaining a culture of misinformation or fear or threats, in which members are easily excluded or blacklisted
      • illicit dealings and in-group abuse that is concealed by a culture of secrecy, including: promoting or selling increasingly risky drugs, sexual or romantic grooming, or the use of psychedelics as “tools of seduction”

      Perhaps the best takeaway from the association between psychedelics and cult activity is this: psychedelics have the ability to destabilize and rearrange one’s sense of self, which makes them more susceptible to peer pressure and the influence of others. For users who already are mentally liable or require a secure mindset and setting, it is essential to make sure that they feel in control of their drug use, and have the personal autonomy to ensure their trips are safe and serve personal growth.

      The Cult Education Institute’s signs of a safe group/leader are also adapted below:

      • can be asked questions without judgement
      • discloses ample information such as structural organization/finances
      • may have disgruntled former followers, but will not vilify, excommunicate, or forbid others from associating with them
      • will not have a record of overwhelmingly negative articles and statements about them
      • encourages family communication, community interaction, and existing friendships
      • encourages critical thinking, individual autonomy, self-esteem, and personal growth
      • leaders admit failings and mistakes, accepts criticism, and follow through on implementing constructive changes
      • operates democratically and encourages accountability and oversight
      • leader is not be the only source of knowledge excluding everyone else; group values dialogues and the free exchange of ideas
      • members and leaders recognize clear emotional, physical, and emotional boundaries when dealing with others

      Gaslighting & manipulation tactics

      Many of the tactics that both individuals and groups use to manipulate people are examples of gaslighting, or attempts at convincing members that they are somehow mentally compromised in order to control them. This is often done by withholding information from them, invalidating the victim’s experiences, verbal abuse (including jokes), social isolation, trivializing the victim’s worth, and otherwise undermining their thought process. When combined with the suggestion-enhancing properties of psychedelic drugs, these kinds of behavior can be traumatizing to individual victims, while remaining relatively undetected or overlooked by onlookers.

      In order to help identify gaslighting by a group, consider if you relate to its effects, as described by Robin Stern in her book The Gaslight Effect:

      • constantly second-guessing yourself, feeling confused, or as if something is wrong
      • asking yourself “Am I too sensitive?” throughout the day
      • frequently apologizing to people who hold power over you, feeling as if you can’t do anything right, or running over things you may have done wrong
      • frequently wondering if you are “good enough”
      • frequently withholding information from your friends or family so you don’t have to explain the group or make excuses for it
      • you lie to group members, to avoid being put down or gaslighted
      • paranoia about bringing up innocent conversation topics
      • speaking to group leaders through another member, so you don’t have be worry about the leaders becoming upset with you
      • making excuses for group members’ behavior to your friends and family
      • friends or family try to protect you from the group
      • becoming furious with people you used to get along with

      If you suspect you have been involved in a psychedelic cult or gaslighted, you may be experiencing regular instability, dissociation, or feelings of uncertainty. Although it can be difficult at first, finding a new group that demonstrates a high degree of member safety and accountability may help rebuild one’s sense of safety and trust. If you shared psychedelic experiences with group members while being taken advantage of, it may be beneficial to seek out a professional psychedelic integration therapist to help emotionally contextualize these memories. Victims may also benefit from adjunct trauma therapies, such as Dialectical Behavioral Therapy (DBT) and Radically-Open DBT, somatic bodywork and movement therapies, therapeutic massage, and other complementary therapy practices.

      Sources

      Douglas, James. (2017). Inside the bizarre 1960s cult, The Family: LSD, yoga and UFOs. The Guardian. Retrieved from https://www.theguardian.com/film/2017/feb/13/the-family-great-white-brotherhood-australia-melbourne-cult-anne-hamilton-byrne

      Evans, P. (1996). The verbally abusive relationship: how to recognize it and how to respond. Expanded 2nd ed. Holbrook, Mass.: Adams Media Corporation.

      Mayorga, O. and Smith, P. (2019, May 19). Forgiving psychedelic abusers should never be at the expense of their victims. Psymposia. Retrieved from https://www.psymposia.com/magazine/forgiving-psychedelic-abusers/.

      Neiswender, Mary. (1971). Manson Girl’s Acid Trips Detailed. CieldoDrive.com. Retrieved from http://www.cielodrive.com/archive/manson-girls-acid-trips-detailed/.

      Ross, Rick. (2014). Warning signs. Cult Education Institute. Retrieved from https://www.culteducation.com/warningsigns.html.

      Stern, R. (2007). The gaslight effect: how to spot and survive the hidden manipulations other people use to control your life. New York: Morgan Road Books.

      Windolf, Jim. (2007). Sex, drugs, and soybeans. Vanity Fair. Retrieved from https://www.vanityfair.com/news/2007/05/thefarm200705.

      8 votes