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Biomedical subjects

R Yensen

Publications and source records attributed to R Yensen.

6 recordsLinked to original sources

Energy deprivation in man--methodological problems and possibilities.

Various approaches to the study of physiological and behavioural effects of energy deprivation are presented and discussed. An experimental, total energy deprivation in 20 healthy human volunteers during an 11-day period, preceded and followed by 4-day control periods, is described. Potentially pathogenic reactions which occurred in spite of precautions are analysed. It is concluded that the present controlled real-life model with acute total energy deprivation serves the purpose of studying hypotheses concerning potentially pathogenic mechanisms occurring in deprivational situations under conditions of natural and man-made catastrophes.

Adult

MDA-assisted psychotherapy with neurotic outpatients: a pilot study.

Ten neurotic patients (five males and five females) were treated over a period of 2 to 6 months (mean, 4.1) as outpatients. The study allowed for a maximum of 75 hours of psychotherapy (mean, 51.55 hours). During the course of treatment, two to four (mean, 3.5) administrations of MDA (3,4-methylenedioxyamphetamine) were employed as adjunctive aids in an effort to enhance the psychotherapeutic process. The mean duration of the drug sessions was 8 hours (range, 6 to 14 hours). The first administration of MDA took place when, in the therapist's judgment, sufficient rapport had been established with the patient. All patients received an initial dose of 75 mg of MDA; subsequent dosage was allowed to range up to 200 mg. On these occasions, the drug appeared to be well tolerated with no serious side effects or complications observed. Psychometric assessments were obtained pre- and post-treatment, employing the Minnesota Multiphasic Personality Inventory (MMPI), Wittenborn Psychiatric Rating Scales (WPRS), and Brief Psychiatric Rating Scale (BPRS). In addition, follow-up evaluations were obtained 6 months after the termination of therapy by the use of the MMPI, WPRS, BPRS, and a Social History Questionnaire (SHQ) which had also been administered before treatment was initiated. Clinically, the impression was obtained that psychotherapy and the adjunctive use of MDA appeared to facilitate improvement in these patients. This impression was substantiated by significant reductions in scores on the psychometric assessments measuring depression, anxiety, and obsessive-compulsive traits. The meaures evaluating the sense of well-being and self-actualization also were encouraging. Although some of the patients were not as responsive as others, there were no observations to suggest that the condition of any of these patients had become worse.

Adjustment Disorders

LSD and psychotherapy.

A review of the historical trends in LSD research clearly indicates that LSD and similar drugs are too powerful and unique in their psychological effects to be mistaken for and studied as just another group of psychotropic compounds. The importance of the theoretical understanding and expectations of the researchers in determining the subjective effects and results of LSD treatment is undeniable. In addition, double-blind controlled studies have been demonstrated to be an inappropriate methodology for studying LSD, because it is not feasible to create an effective blind for LSD with either an active or inactive placebo. It must be realized that when attempting to scientifically study such ephemeral and easily influenced processes as those involving human consciousness, methods of study may influence the process and outcome of the research. In 1937 Werner Heisenberg demonstrated the uncertainty principle in relation to any attempt to measure with accuracy the minute processes of electrons in the atom. One must consider the possibility that current tools and methods for studying the effects of LSD are presently so crude as to demonstrate a similar uncertainty principle in LSD research: The methods of measuring actually influence the process under study to such a degree that the results that are garnered are primarily the effects of attempts at measurement. The continuing crisis in psychiatric and psychological treatment demands that the most powerful of the psychoactive drugs cannot simply be shelved and forgotten. The need is too strong to advance knowledge of the role and function of the human mind in health and disease. LSD and similar drugs hold a tremendous promise for humankind if only ways can be found to further understanding of how to use them responsibly and appropriately. Perhaps other societies that have integrated these substances into the very fabric of their social order may offer models. As Silberman (1970) has written: "No approach is more impractical than one which takes the present arrangements and practices as given, asking only 'How can we do what we are doing more effectively?' or 'How can we bring the worst institutions up to the level of the best?' These questions need to be asked to be sure; but one must also realize that best may not be good enough and may, in any case, already be changing."

Alcoholism