My aim in this paper is to consider the suggestion, made in an unpublished paper by Peter Hobson, a psychoanalytic colleague, that psychoanalysis is a form of life. Hobson is impressed by the peculiarity of psychoanalytic thinking, by its specialness, by the fact that its concepts are embedded in a system of practices and beliefs such that an outsider to all this may be unable to understand what the analyst says, whether to his patient or to another analyst. Hobson uses (...) Wittgenstein's notion of a form of life to refer to this system of practices and beliefs, but he does not criticize or examine the notion itself. (shrink)

Can the use of psychedelic drugs induce lasting changes in metaphysical beliefs? While it is popularly believed that they can, this question has never been formally tested. Here we exploited a large sample derived from prospective online surveying to determine whether and how beliefs concerning the nature of reality, consciousness, and free‑will, change after psychedelic use. Results revealed significant shifts away from ‘physicalist’ or ‘materialist’ views, and towards panpsychism and fatalism, post use. With the exception of fatalism, these changes endured (...) for at least 6 months, and were positively correlated with the extent of past psychedelic‑use and improved mental‑health outcomes. Path modelling suggested that the belief‑shifts were moderated by impressionability at baseline and mediated by perceived emotional synchrony with others during the psychedelic experience. The observed belief‑shifts post‑psychedelic‑use were consolidated by data from an independent controlled clinical trial. Together, these findings imply that psychedelic‑use may causally influence metaphysical beliefs—shifting them away from ‘hard materialism’. We discuss whether these apparent effects are contextually independent. (shrink)

Despite the fact that psychedelics were proscribed from medical research half a century ago, recent, early-phase trials on psychedelics have suggested that they bring novel benefits to patients in the treatment of several mental and substance use disorders. When beneficial, the psychedelic experience is characterized by features unlike those of other psychiatric and medical treatments. These include senses of losing self-importance, ineffable knowledge, feelings of unity and connection with others and encountering ‘deep’ reality or God. In addition to symptom relief, (...) psychedelic experiences often lead to significant changes in a patient’s personality and worldview. Focusing on the case of psilocybin, we argue that the peculiar features of psychedelics pose certain novel risks, which warrant an enhanced informed consent process–one that is more comprehensive than what may be typical for other psychiatric medications. We highlight key issues that should be focused on during the consent process and suggest discussion prompts for enhanced consent in psychedelic psychiatry. Finally, we respond to potential objections before concluding with a discussion of ethical considerations that will arise as psychedelics proceed from highly controlled research environments into mainstream clinical psychiatry. (shrink)

The moral enhancement (or bioenhancement) debate seems stuck in a dilemma. On the one hand, the more radical proposals, while certainly novel and interesting, seem unlikely to be feasible in practice, or if technically feasible then most likely imprudent. But on the other hand, the more sensible proposals – sensible in the sense of being both practically achievable and more plausibly ethically justifiable – can be rather hard to distinguish from both traditional forms of moral enhancement, such as non-drug-mediated social (...) or moral education, and non-moral forms of bioenhancement, such as smart-drug style cognitive enhancement. In this essay, I argue that bioethicists have paid insufficient attention to an alternative form of moral bioenhancement – or at least a likely candidate – that falls somewhere between these two extremes, namely the (appropriately qualified) use of certain psychedelic drugs. (shrink)

This comment on Eduardo Viveiros de Castro's article, “Zeno and the Art of Anthropology,” considers his definition of what it means to “take seriously” the world of the other, which he regards as the quintessential anthropological move. It means leaving the other's world in a state of suspended possibility, avoiding either belief or disbelief, assent or dissent. Candea's piece draws out the logic of the complementary and inverse move that grounds Viveiros de Castro's stance: “not taking seriously” the world of (...) the “same,” in this case, that of Western intellectuals such as Richard Rorty or Gilles Deleuze. Here “not taking seriously” involves (somewhat counterintuitively) argument, agreement and disagreement, rejection or adoption, of different visions. Candea identifies this controlled asymmetry between treatments of “us” and “them” as the major distinction between Viveiros de Castro's position and an older relativism, a difference that shields the former from the classic “self-refutation charge.” But this controlled asymmetry in turn raises the question of how we are to identify which visions we as anthropologists ought to take seriously and which we ought not to: where, in other words, do we draw the line, procedurally, between “us” and “them”? Candea argues that keeping this problematic and perhaps irresolvable question in view is the specific role of an “endo-anthropology” (the impossible figure of an “anthropology at home”), which is the necessary counterpart of Viveiros de Castro's “exo-anthropology.”. (shrink)