Sunday, October 08, 2006

LSD treatment for alcoholism

University of Alberta Logo - Edmonton, Alberta, Canada
LSD treatment for alcoholism gets new look, Some participants still have not had a drink 40 years after the trials For the past five years, Dr. Erika Dyck has been unearthing some intriguing facts related to a group of pioneering psychiatrists who worked in Saskatchewan, Canada in the '50s and '60s.

Among other things, the University of Alberta history of medicine professor has found records of the psychiatrists' research that indicate a single dose of the hallucinogenic drug LSD, provided in a clinical, nurturing environment, can be an effective treatment for alcoholism.

Her findings are published this month in the journal Social History of Medicine.

After perceiving similarities in the experiences of people on LSD and people going through delirium tremens, the psychiatrists undertook a series of experiments. They noted that delirium tremens, also know as DTs, often marked a "rock bottom" or turning point in the behavior of alcoholics, and they felt LSD may be able to trigger such a turnaround without engendering the painful physical effects associated with DTs.

As it turns out, they were largely correct.

"The LSD somehow gave these people experiences that psychologically took them outside of themselves and allowed them to see their own unhealthy behavior more objectively, and then determine to change it," said Dyck, who read the researchers' published and private papers and recently interviewed some of the patients involved in the original studies--many of whom had not had a sip of alcohol since their single LSD experience 40 years earlier.

According to one study conducted in 1962, 65 per cent of the alcoholics in the experiment stopped drinking for at least a year-and-a-half (the duration of the study) after taking one dose of LSD. The controlled trial also concluded that less than 25 per cent of alcoholics quit drinking for the same period after receiving group therapy, and less than 12 per cent quit in response to traditional psychotherapy techniques commonly used at that time.

Published in the Quarterly Journal for Studies on Alcohol, the 1962 study was received with much skepticism. One research group in Toronto tried to replicate the results of the study, but wanted to observe the effect of LSD on the patients in isolation, so they blindfolded or tied up the patients before giving them the drug. Under such circumstances, the Toronto researchers determined LSD was not effective in treating alcoholism.

The Saskatchewan group argued that the drug needed to be provided in a nurturing environment to be effective. However, the Toronto researchers held more credibility than the Saskatchewan researchers--who were led by a controversial, British psychiatrist, Dr. Humphry Osmond--and the Saskatchewan group's research was essentially buried.

But Dyck believes there is value in the Saskatchewan group's experiments.

"The LSD experience appeared to allow the patients to go through a spiritual journey that ultimately empowered them to heal themselves, and that's really quite an amazing therapy regimen," Dyck said. "Even interviewing the patients 40 years after their experience, I was surprised at how loyal they were to the doctors who treated them, and how powerful they said the experience was for them--some even felt the experience saved their lives."

In spite of the promise LSD showed as psychotherapy tool, its subsequent popularity as a street drug, and the perception of it as a threat to public safety, triggered a worldwide ban in the late 1960s--including its use in medical experiments. However, the ban on its use in medical experiments appears to be lifting, Dyck noted. A few groups of researchers in the U.S., including a team at Harvard, have recently been granted permission to conduct experiments with LSD.

"We accept all sorts of drugs, but I think LSD's 'street' popularity ultimately led to its demise," Dyck said. "And that's too bad, because I think the researchers in Saskatchewan, among others, showed the drug is unique and has some intriguing properties that need to be explored further." ###

Dr. Dyck can be reached at 780-492-2572 or erika.dyck@ualberta.ca. Contact: Ryan Smith ryan.smith@ualberta.ca 780-492-0436 University of Alberta

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manufacturers acting in the interests of profits rather than safety

Logo, London School of Hygiene & Tropical MedicineCar manufacturers acting in the interests of profits rather than safety in poor countries say scientists. (Logo, London School of Hygiene & Tropical Medicine)
A study published today in the BMJ journal Injury Prevention calls for greater vigilance in ensuring that car manufacturers are fully committed to promoting road safety interventions that are based on sound evidence of effectiveness.

Every day, worldwide, around 30,000 people are seriously injured in road traffic crashes. Most of these are in low- and middle-income countries, and most are pedestrians and cyclists.

The World Bank believes that a partnership between business, non-governmental organisations and governments in these countries can deliver road safety improvements, and has established the Global Road Safety Partnership (GRSP) for this purpose. The partnership includes the car manufacturers General Motors, Ford, Daimler Chrysler and Volvo, and the drinks multinationals Bacardi-Martini and United Distillers.

After the establishment of the GRSP, however, serious concerns were raised that car markers would be unlikely to promote safety initiatives (for example, better public transport or pedestrian only streets in cities) that were in conflict with their commercial interests. The researchers sought to determine whether this was happening by conducting word frequency analyses of road safety documents from the GRSP and the World Health Organisation (WHO).

They compared the summary report of the World report on road traffic injury prevention, prepared by WHO and the World Bank, with the combined annual reports (2003-2005) or the GRSP, and looked at the prevalence and nature of road safety terms within them using a technique called 'word frequency analysis'. The GRSP documents were found to be substantially less likely than the WHO World report to use the words speed, speed limits, pedestrian, public transport, walk, walking, cycling and cyclist, but substantially more likely to use the words school, campaign, driver, training and billboard.

In addition, whereas the WHO/World Bank document emphasises the importance of speed reduction, particularly to promote the safety of pedestrians, a recommendation that is based on strong evidence, the GRSP documents talk about driver training and safety education campaigns, both of which the available research evidence show to be ineffective in reducing road injuries.

'We do not doubt the depth of road safety expertise within the partnership. The concern we sough to address is whether the GRSP would be able to persuade its commercial partners, many of which are major manufacturers, to fund road safety initiatives that might be seen to conflict with their commercial interests', explains Professor Ian Roberts, of the Department of Epidemiology & Population Health at the London School of Hygiene & Tropical Medicine, and lead author of the study. 'Unfortunately, the findings reveal that this is not always the case. Although we welcome the contribution of the car makers in tackling the global road safety epidemic, we believe that vigilance is needed to ensure that the interventions that the industry supports are based on sound evidence of effectiveness.'Ends.

To interview Professor Ian Roberts please contact the London School of Hygiene & Tropical Medicine Pres s Office on 020 7927 2073.

Car manufacturers and global road safety: a word frequency analysis of road safety documents. I Roberts, R Wentz, P Edwards. Injury Prevention 2006; 12:320-322. doi: 10.1136/ip.2006.012849, Friday 6 October.

Contact: Lindsay Wright lindsay.wright@lshtm.ac.uk 20-792-72073 London School of Hygiene & Tropical Medicine

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