Why psychiatry must become pharmacologically informed shamanism
by Ballard Quass, the Drug War Philosopher
May 27, 2020
What follows is a short sketch showing how truly effective psychiatric treatment could take place once Americans have jettisoned the ignorant mindset of the Drug Warrior.
Okay, everyone take a seat. Glad to see you guys. Now, let me describe how we're going to help you with your alcohol withdrawal. You see, a hundred years ago, back in 2020, psychiatry finally began to realize that the hardest thing about withdrawal is the bad feelings. I know what you're thinking: why did it take them so long to realize it? Well, they had realized this before, but their superstitions about treatment made it impossible for them to see the obvious answer to this. If someone's feeling horrible, you make them feel good. Am I right, or am I right?
Well, a hundred years ago, the Protestant Ethic almost demanded that alcohol withdrawal be difficult, such that the Drug Warrior actually felt that it was wrong to make a patient feel good. You could talk to your patient until the cows came home in a half-baked effort to cheer them up and give them courage, but if you proposed using a godsend plant medicine from Mother Nature to help them feel good, you were considered a quack or, worse yet, a 'Doctor Feelgood,' which was the 'put-down' par excellence of the Drug Warriors back then. They never stopped to consider the crucial question: 'What is actually wrong with being a Doctor Feelgood?'
You might say that it would have been wrong because such a doctor would addict their patients, but that's no argument. First of all, the default psychiatric treatments back in 2020 were as addictive as they could possibly be. Many of them were harder to quit than heroin. Doctors actually told veteran patients not to bother trying to kick SNRIs like Effexor, since the NIH had demonstrated that they had a 95% recidivism rate. Secondly, a Doctor Feelgood can so vary his ministrations to his patients as to ensure that they never become addicted to any one specific substance. So even if we grant that addiction is wrong, a substance-savvy doctor need never addict his patients to anything. Of course, this is all assuming that there is no Drug War in place that will severely limit (at least as a practical matter) the pharmacopoeia to which this Doctor Feelgood of ours has access.
Fortunately, America has grown up over the last one hundred years and we now see that it's absurd and ungrateful to criminalize Mother Nature's plants and fungi (not to mention the fact that it's a violation of the natural law upon which America was founded, as everyone has a right to what John Locke called 'the earth and all that lies therein'). As a result, I as your humble doctor now have access to every psychoactive plant and fungi in the world. That means that I can now use this immense and varied pharmacopoeia strategically and with a view to keeping you strong in your renunciation of alcohol - while also providing you with plant-assisted insight into your relations with your fellow human being and the planet at large.
This program of weekly 'altered states,' if you will, will have two benefits for you: First the benefit of the insight and calm provided by each substance when it is used under the reverent and safe conditions that I will be putting into effect, with the help of my deep knowledge of the plants in question and the subtleties of their historically identified use.
But there is an important second benefit of the program, a kind of benefit that the psychiatry of the 2020s never even bothered to acknowledge: that is the value of the anticipation that these weekend sessions will generate. The reason for recidivism is not just that the withdrawal subject is feeling poorly, but rather that he or she is feeling poorly AND has no sense that these bad feelings will ever cease. That is the real hell of withdrawal, not the bad feelings themselves, but the lack of any believable prospect that things will ever get better.
You, however, will have the godsend blessing called anticipation, anticipation of an upcoming transcendent state. You will have the knowledge that you need only hold out until the weekend, at which point you will be allowed to escape from yourself. Not only that, but this escape will often help you find valuable insights about yourself and the world, which will, in turn, help you better cope with the problems that you encounter on the weekdays during the withdrawal process.
For you see, we're not going to meet here on the weekend 'to get high,' as the Drug Warrior would love to call it. We are going to meet here to transcend ourselves and see higher truth and relax... in such a way that we become open to self-criticism and insight about our place in the world. People who are feeling horrible have fogged minds and can get no insight. But we are not Protestant Drug Warriors who insist on you feeling poorly. We want to help you transcend your own limits for a few hours each week, and in a guided fashion that will conduce to greater understanding on your part about where you are at in the world - and where you need to go from here.
There you have it, the kind of therapy that would suggest itself to thoughtful doctors immediately, were they not living under the spell of the Drug War, which urges us to self-censor our therapeutic hopes at every turn, dismissing all options that attempt to leverage the incredible latent power of Mother Nature's entheogenic plant medicines - for we 'know' that drugs (i.e. plant medicines) are somehow bad while Big Pharma 'medicines' are officially good. Only when we renounce that Drug Warrior dogma (and the anti-patient drug laws that it claims to justify) can we let psychotherapy become the pharmacologically savvy shamanism that it needs to become if we are to place the interests of the patient above those of the money-driven status quo.
Author's Follow-up: January 3, 2024
I delivered this harangue four long years ago, when I was still basically a kid (couldn't have been more than 61 years old at most!) Although I still 'sign off on it' today, I would add that synthesized drugs can also help us escape our counterproductive and dead-end thoughts. The work of Alexander Shulgin tells us as much. And we'd be profiting from those meds right now, except that America (and alas the world now) has a 'prior commitment' to the drug-hating ideology of Christian Science.
Pharmacologically Savvy Empaths
In an ideal world, we would replace psychiatrists with what I call pharmacologically savvy empaths, compassionate healers with a vast knowledge of psychoactive substances from around the world and the creativity to suggest a wide variety of protocols for their safe use as based on psychological common sense. By so doing, we would get rid of the whole concept of 'patients' and 'treat' everybody for the same thing: namely, a desire to improve one's mind and mood. But the first step toward this change will be to renounce the idea that materialist scientists are the experts when it comes to mind and mood medicine in the first place. This is a category error. The experts on mind and mood are real people with real emotion, not physical doctors whose materialist bona fides dogmatically require them to ignore all the benefits of drugs under the belief that efficacy is to be determined by looking under a microscope.
This materialism blinds such doctors to common sense, so much so that it leads them to prefer the suicide of their patient to the use of feel-good medicines that could cheer that patient up in a trice. For the fact that a patient is happy means nothing to the materialist doctor: they want the patient to 'really' be happy -- which is just there way of saying that they want a "cure" that will work according to the behaviorist principles to which they are dedicated as modern-day materialists. Anybody could prescribe a drug that works, after all: only a big important doctor can prescribe something that works according to theory. Sure, the prescription has a worse track record then the real thing, but the doctor's primary job is to vindicate materialism, not to worry about the welfare of their patient. And so they place their hands to their ears as the voice of common sense cries out loudly and clearly: "You could cheer that patient up in a jiffy with a wide variety of medicines that you have chosen to demonize rather than to use in creative and safe ways for the benefit of humankind!" I am not saying that doctors are consciously aware of this evil --merely that they are complicit in it thanks to their blind allegiance to the inhumane doctrine of behaviorism.
This is the sick reality of our current approach. And yet everybody holds this mad belief, this idea that medical doctors should treat mind and mood conditions.
How do I know this?
Consider the many organizations that are out to prevent suicide. If they understood the evil consequences of having medical doctors handle our mind and mood problems, they would immediately call for the re-legalization of drugs and for psychiatrists to morph into empathizing, drug-savvy shamans. Why? Because the existing paradigm causes totally unnecessary suicides: it makes doctors evil by dogmatically requiring them to withhold substances that would obviously cheer one up and even inspire one (see the uplifting and non-addictive meds created by Alexander Shulgin, for instance). The anti-suicide movement should be all about the sane use of drugs that elate. The fact that it is not speaks volumes about America's addiction to the hateful materialist mindset of behaviorism.
More proof? What about the many groups that protest brain-damaging shock therapy? Good for them, right? but... why is shock therapy even necessary? Because we have outlawed all godsend medicines that could cheer up almost anybody "in a trice." And why do we do so? Because we actually prefer to damage the brain of the depressed rather than to have them use drugs. We prefer it! Is this not the most hateful of all possible fanaticisms: a belief about drugs that causes us to prefer suicide and brain damage to drug use? Is it really only myself who sees the madness here? Is there not one other philosopher on the planet who sees through the fog of drug war propaganda to the true evil that it causes?
This is totally unrecognized madness -- and it cries out for a complete change in America's attitude, not just toward drugs but toward our whole approach to mind and mood. We need to start learning from the compassionate holism of the shamanic world as manifested today in the cosmovision of the Andes. We need to start considering the human being as an unique individual and not as an interchangeable widget amenable to the one-size-fits-all cures of reductionism. The best way to fast-track such change is to implement the life-saving protocol of placing the above-mentioned pharmacologically savvy empaths in charge of mind and mood and putting the materialist scientists back where they belong: in jobs related to rocket chemistry and hadron colliders. We need to tell the Dr. Spocks of psychology that: "Thanks, but no thanks. We don't need your help when it comes to subjective matters, thank you very much indeed. Take your all-too-logical mind back to the physics lab where it belongs."
If Americans want less government, they should get rid of the Drug War Industrial Complex, rather than abandoning democracies around the world and leaving a vacuum for Russia and China to fill.
Almost all talk about the supposed intractability of things like addiction are exercises in make-believe. The pundits pretend that godsend medicines do not exist, thus normalizing prohibition by implying that it does not limit progress. It's a tacit form of collaboration.
This is the problem with trusting science to tell us about drugs. Science means reductive materialism, whereas psychoactive drug use is all about mind and the human being as a whole. We need pharmacologically savvy shaman to guide us, not scientists.
Most psychoactive substance use can be judged as recreational OR medicinal OR both. The judgements are not just determined by the circumstances of use, either, but also by the biases of those doing the judging.
If we encourage folks to use antidepressants daily, there is nothing wrong with them using heroin daily. A founder of Johns Hopkins used morphine daily and he not only survived, but he thrived.
I have dissed MindMed's new LSD "breakthrough drug" for philosophical reasons. But we can at least hope that the approval of such a "de-fanged" LSD will prove to be a step in the slow, zigzag path toward re-legalization.
Science knows nothing of the human spirit and of the hopes and dreams of humankind. Science cannot tell us whether a given drug risk is worthwhile given the human need for creativity and passion in their life. Science has no expertise in making such philosophical judgements.
"When two men who have been in an aggressive mood toward each other take part in the ritual, one is able to say to the other, 'Come, let us drink, for there is something between us.' " re: the Mayan use of the balche drink in Encyc of Psych Plants, by Ratsch & Hofmann
I hope that scientists will eventually find the prohibition gene so that we can eradicate this superstitious way of thinking from humankind. "Ug! Drugs bad! Drugs not good for anyone, anywhere, at any dose, for any reason, ever! Ug!"
That's why we damage the brains of the depressed with shock therapy rather than let them use coca or opium. That's why many regions allow folks to kill themselves but not to take drugs that would make them want to live. The Drug War is a perversion of social priorities.
Buy the Drug War Comic Book by the Drug War Philosopher Brian Quass, featuring 150 hilarious op-ed pics about America's disgraceful war on Americans
You have been reading an article entitled, In Praise of Doctor Feelgood: Why psychiatry must become pharmacologically informed shamanism, published on May 27, 2020 on AbolishTheDEA.com. For more information about America's disgraceful drug war, which is anti-patient, anti-minority, anti-scientific, anti-mother nature, imperialistic, the establishment of the Christian Science religion, a violation of the natural law upon which America was founded, and a childish and counterproductive way of looking at the world, one which causes all of the problems that it purports to solve, and then some, visit the drug war philosopher, at abolishTheDEA.com. (philosopher's bio; go to top of this page)
You have been reading an article entitled, In Praise of Doctor Feelgood: Why psychiatry must become pharmacologically informed shamanism, published on May 27, 2020 on AbolishTheDEA.com. For more information about America's disgraceful drug war, which is anti-patient, anti-minority, anti-scientific, anti-mother nature, imperialistic, the establishment of the Christian Science religion, a violation of the natural law upon which America was founded, and a childish and counterproductive way of looking at the world, one which causes all of the problems that it purports to solve, and then some, visit the drug war philosopher, at abolishTheDEA.com. (philosopher's bio; go to top of this page)
