Sunday, October 18, 2015

Psychedelics, Meditation, and Death

Actually, the risk of clinical death with psychedelic use is extremely low.

Any clinical deaths are due to recreational use in an unprepared individual, likely with tendencies toward psychosis.  The therapeutic index of psilocybin is 641. This is the ratio between the LD50 (lethal dose in 50% of subjects) and the ED50 (effective or therapeutic dose in 50% of subjects), meaning that the LD50 is 641 times higher than the ED50.  This number is 199 for aspirin, and 21 for nicotine (lower numbers indicate greater toxicity).  (How heretical!)

There have been no deaths from psychedelics used in the clinical or research setting. 

On the other hand, the EXPERIENCE of death may be the CENTRAL event in the healing that occurs with the clinical use of psychedelic medicine. 

The healing that occurs with meditation likely is also mediated through the “experience of death. “

(Photo of Artemio Rodriguez's, Mickey Muerto, 2005)

Ego death. 

Perhaps, recognizing how this sense of self is formed. 

Then transcending this current ego. 

Identifying with something beyond, and bigger, more complex, and maybe also simpler, than this small self (yes, paradox again!). 

The centrality of confronting our own mortality is central to the psychotherapy developed by Dr. Irvin Yalom. 

Interestingly, often the fear of death is sublimated, transformed, repressed, or displaced, and then manifested as another fear, or anxiety and/or depression. 

Dr. Yalom lists several inner changes he has observed in patients with cancer confronted with death:

-       A rearrangement of life’s priorities: a trivializing of the trivial.
-       A sense of liberation: being able to choose not to do those things that they do not wish to do.
-       An enhanced sense of living in the immediate present, rather than postponing life until retirement or some other point in the future. 
-       Deeper communication with loved ones than before the crisis. 

Other quotes:
If you die before you die, then you won't die when you die - St Paul's Monastery on Mount Athos

To philosophize is to prepare for death. – Cicero. 

No man enjoys the true taste of life but he who is willing to quit it. – Seneca. 

It is only in the face of death that man’s self is born. – St Augustine. 

Why do you fear your last day?  It contributes no more to your death than each of the others. – Montaigne. 

The after effects of a near death experience for some individuals have great parallels with guided psychedelic experiences and long-term meditation. 

So how do you practice dying right now?

There are many methods.  Take up a meditation practice. 

One of my favorite mediations is Wes Nisker’s death reflection.  You can download this and listen:

You could try psychedelics, but they are illegal in all of the United States, except within research studies.  And, perhaps, they are best used with guidance. 

In our own, legal, research work, death or its equivalent, occurs commonly. 

We note that this death, this ego death, is central to the healing we have observed. 

See this amazing commentary from one of our volunteers: 

Further, for those diagnosed with cancer, who cannot get past their anxiety or depression, guided psychedelic experiences have been central to their psychological healing. 

For stories and videos see here:

So, why is alcohol and nicotine legal, while psychedelics are not? 

A very good question…   

Perhaps, we can do something about this travesty… 

Namaste







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