Alcohol Use Disorder (AUD)SchizophreniaSubstance Use Disorders (SUD)LSD

Treatment of alcoholism using psychedelic drugs: a review of the program of research

This review (1998) looks at the history of LSD as a possible treatment for alcoholism (AUD). It highlights the research that had been done and how psychedelics were subsequently relabelled as drugs of abuse.

Authors

  • Mangini, M.

Published

Journal of Psychoactive Drugs
meta Study

Abstract

Following Albert Hofmann's discovery of LSD's psychoactive properties in 1943, and previous to their scheduling as controlled substances, the psychedelic drugs were widely studied - six international conferences and hundreds of papers discussed their potential therapeutic usefulness. The observation that the frightening experience of delirium tremens sometimes led alcoholics to moderate their alcohol intake suggested to early psychedelic researchers that the psychotomimetic experience thought to be produced by LSD could be used to treat alcoholism. A number of hypothesis-generating studies employing a variety of research designs to examine this premise were completed, but relatively few controlled trials attempted hypothesis testing. After twenty-five years of study, a combination of flawed methodology, uneven results and social reprehension led to the abandonment of research on the therapeutic use of psychedelic drugs, leaving many avenues of inquiry unexplored and many questions unanswered. Today, after a thirty-year hiatus, this research is gradually being resumed, and there is renewed interest in the findings of previous studies. This article explores the history of one branch of psychedelic research, the therapeutic use of LSD in the treatment of alcoholism, and of the events that led to the relabeling of the hallucinogens as drugs of abuse.

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Research Summary of 'Treatment of alcoholism using psychedelic drugs: a review of the program of research'

Introduction

Since Albert Hofmann discovered LSD's psychoactive properties in 1943, clinicians and researchers explored its therapeutic potential, producing more than 1,000 reports over the next quarter century. Early investigators proposed that LSD and related compounds might model psychosis, facilitate psychotherapy, or provoke powerful conversion-like experiences that could help people with refractory psychiatric problems, including alcoholism. By the mid-1960s, however, methodological weaknesses in many studies, inconsistent results, growing unsupervised recreational use, adverse-event reports and sensational media coverage combined with changing regulation to halt much clinical research. Mangini sets out to review the historical program of research that examined LSD (and related psychedelics) as a treatment for alcoholism. The paper traces early theoretical frameworks and therapeutic styles, summarises major uncontrolled and controlled clinical studies and adverse-event surveillance, recounts the regulatory and social responses that curtailed research, and identifies unresolved scientific questions and recommendations for future investigation.

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Study Details

References (4)

Papers cited by this study that are also in Blossom

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Strassman, R. J. · Journal of Nervous and Mental Disease (1984)

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