244 Matching Annotations
  1. Dec 2022
    1. Indeed, the very desire to drink fluids is itself a prediction error arising from appropriate expectations of one’s bodily volume of water via osmolality.

      I don't understand this.

    2. Focusing on minimizing prediction errors (entropy in the long-term) is computationally much less expensive than processing a complex temporally layered gamut of interoceptive and exteroceptive input in every instance.

      The metaphor of eyes as biolgical camera, ears as microphone, etc is energetically impossible. To capture and depict the entire field of raw sensory data anew in each moment would require so much energy it life wouldn't be possible if it worked that way.

      Thus, the only sensory data that gets interpretted and processed is that which the generative model has gotten wrong, which are called prediction errors.

    3. But how can the organism and its brain, which has no direct access to the outside world—only to the often ambiguous and noisy sensory signals it receives via the senses—improve its predictions?

      So this is a key idea. We tend to think of our eyes, ears and other sense organs as biological equivalents to cameras, microphones and other organic versions of data capture devices which is then projected into consciousness in our "minds eye".

      But it is even hard to imagine what ambiguous and noisy sensory signals even means when I can clearly see the shape, size, position, color of my hand and can confirm this appearance through the sense of feel. What is potentially noisy or ambiguous about such sensory data? What could the representative data possibly look like if not my hand as it is?

    1. But what will I do when I have a serious issue, no time or ability to interpret evidence (or no evidence to interpret), and my catch-all interventions fail? Do I just trust a surgeon? Do I go to a spiritual healer? Do I just ignore things like black liquid sipping out of multiple orifices? I don’t know, my system has edge-cases which I’m sure will make it broken for people that aren’t lucky enough to be in their 20s. This is why my principal focus is still on trying anything and everything I can to monitor and delay aging.

      Longevity as a tool to avoid the healthcare system

    2. Regardless, I started with the problem of why well-educated people seem to ignore this evidence and chose to use, pay for, subsidize, pay others to, and lobby for subsidization of healthcare services. Surely if there was evidence pointing towards more deaths, longer travel times, and increased costs of going by plane instead of train on most or all routes in Europe or the US, most of these people would start using trains almost exclusively. Why is the same argument not clicking here?

      We should pay people NOT to go to the doctor

  2. Nov 2022
    1. Despite Albee’s acknowledgement that mandatory data collection, including collecting deidentified data, was impossible without passing a new law, the OHA found what it appears to believe is a workaround. Instead of forcing facilitators to disclose client information to OHSU, the agency will force clients to agree to share their information with third parties as a condition of participating in the psilocybin program.

      where is this demonstrated?

    2. Shortly after meeting privately with Korthuis and the Healing Advocacy Fund in August to discuss data collection, Albee and the OHA published September draft rules for the psilocybin program. Despite having followed many, if not most, of the Advisory Board’s recommendations, the OHA omitted client data rights, the facilitator duty of confidentiality, and the Statement on Data Collection. Moreover, in its statement to the public regarding its rules, the OHA highlighted several aspects of the rules but made no mention of the rejected data protections.

      uh oh

    1. In the University of Zurich study, 38 experienced adult meditators were randomly assigned to either a psilocybin or placebo control group. They then participated in a five-day, silent group meditation retreat. On day four, each received either a dose of psilocybin or a placebo (lactose).  Before and after the retreat, members of both groups completed questionnaires about their experiences and perceptions, and underwent an fMRI brain scan. During the scan they were asked to perform three different types of meditation with their eyes closed–resting state, focused attention and open awareness. Each type of meditation was practiced for seven minutes. Four months later they filled out a survey about changes in their attitudes, moods, behavior, and social experiences.

      [[Descending the Mountain]] film

    1. ASD individuals have impaired mitochondrial energy production due to the presence of abnormal mitochondrial markers in their plasma, such as elevated levels of lactic acid and pyruvate (37). Weissman et al. showed that ASD patients had mitochondrial electron transport chain dysfunction, including complex I and complex III deficiencies (38).

      [[Mitochondria]]

    2. The pro-inflammatory condition at baseline was associated with an effective KD treatment, which was demonstrated by a reduction in eosinophils (20).

      inflammation makes everything worse, therefore if inflammation is removed the genes responsible for ASD traits may be "turned off"

    1. The Oregon Health Authority may be no intelligence agency, but in collaboration with New Approach and OHSU, it could set the bar for clandestine psychedelic political operations. Unless light is shed on their plans for client surveillance, psilocybin clients in Oregon and Colorado could become unwitting participants in psychological experiments while researchers and corporations watch through figurative one-way mirrors.

      This sounds so intense

    2. The initiative requires the Department of Regulatory Agencies (DORA) to gather sensitive information about clients’ psychedelic experiences at healing centers, which would be a gold mine of psychological data unavailable elsewhere, and a tantalizing prize for advertisers and pharmaceutical companies.

      How to make it amenable to researchers without the risk of coersion?

    1. the technology he and Sanguinetti are developing is intended to help people overcome obstacles to meditation and move more quickly along the path to awakening. 

      The [[Curse of Consciousness]] states that Contemplative Neurotech will get repurposed for anxiety/depression for reimbursement.

    1. Despite this growing corpus,LIFU’s mechanism(s) of action are not fully understood and thedevelopment of a reliable, parameter-dependent handbook forinducing excitatory and suppressive neuronal effects is still in itsinfancy.

      tonfication and reduction methods are still in development

    1. Higher levels of left frontal activity are correlated with more approach motivation (Phillips et al., 2008) and positive mood (Fitzgerald et al., 2008), whereas higher levels of right frontal activity are associated with more withdrawal motivation, negative mood (Hauptman et al., 2008), and increased risk for anxiety and depression (Rempel-Clower, 2007).

      Tonify the left, reduce the right?

  3. Oct 2022
    1. Psylo is focused on  psychedelic-assisted therapy using psilocybin, the active molecule in ‘magic mushrooms’, is increasingly being evaluated as a potential treatment for severe mental illness. The biotech startup hopes to initially develop a shorter-acting version of psilocybin, which normally takes effect for 6-8 hours in duration.

      What is the preclinical hallmark of a shorter-acting version of psilocybin?

    1. “I think you’re going to open up now other possibilities where there’ll be new types of small molecule starting to be discovered, which can only be done by the kind of scale and search space that an AI algorithm can do, compared to a traditional sort of brute force screening method.”

      Again, what is the difference? Is it simply a matter of scale? Digital vs in vivo?

    2. For instance, Exscientia is working with companies such as Dainippon Sumitomo on finding bispecific molecules, which can bind to more than one target.

      Single molecule, multiple targets, with precision

    3. In January 2021, the companies announced a new drug target for chronic kidney disease. BenevolentAI’s computers predicted the target, and AstraZeneca’s experiments validated it.

      How the Startup+Pharma partnership works

    1. As part of its genetic engineering platform, the company has licensed CRISPR/Cas9 technology from ERS Genomics for genetic engineering applications related to its therapeutic pipeline.

      Buzzword

    2. “By applying our genetic engineering platform to make precise modifications to the genomes of fungi and plants, we can change the amount and kind of neuroactive small molecules they produce, with the goal of developing safe and effective treatments for difficult-to-treat diseases of the CNS.”

      So instead of using yeast they're engineering the plants/fungi to produce specific molecules in larger quantities?

      Does this mean manufacturing/production would require cultivation of these engineered species?

    1. But though I will offer some sincere tips here, I would never offer a writing class. Why? Because I am not trying to develop writing skills. I am trying to develop thinking skills. The two are the same thing in beginner stage, but differ in the advanced stage, even though the medium remains the same for both (words). So the first advanced writing skill is to recognize your natural talents and choose to either go with or against your grain. Do you want to be a writer or a thinker? One lifetime normally isn't enough to be both.

      [[Venkatesh Rao]] [[Quora]]

    1. In writing, this means that you are at the point where you can focus on a specific emotion, thought, urge, or memory. It’s best to focus on only one of these at a time, otherwise, it may be unclear or conflicting on which Part you write about.

      [[IFS Journaling]]

    1. Overall, my life has been trans-formed, and many things have startedhappening on their own even withoutmy efforts while I was trying to be inself-abidance. Both materialistic anddivine help came with his grace. Inmy own experience when the senseof doership is gone with completesurrender life unfolds in the best pos-sible way with least effort.

      Can I have faith in this?

  4. Sep 2022
    1. In the stable periods of history, meaning was supplied in the context of a coherent communities and traditionally prescribed patterns of culture. Today you can't count on any such heritage. You have to build meaning into your life, and you build it through your commitments -- whether to your religion, to an ethical order as you conceive it, to your life's work, to loved ones, to your fellow humans. Young people run around searching for identity, but it isn't handed out free any more -- not in this transient, rootless, pluralistic society. Your identity is what you've committed yourself to.

      I committ myself to my family and the process of awakening.

    1. A paradox presents us with a problem beyond our intellectual and imaginative resources, and the solution requires a radically new framing of reality itself. 

      This is the path of insight, no?

    1. The Five Lightbulbs® framework reveals an invisible structure within marketing. The Lightbulbs themselves represent categories of messaging. These are things you must say if you want turn on the lightbulb in their customer's mind. It works because the Lightbulbs map to the human experience of making a decision.

      This makes sense.

    1. Assiduous practice, touching in with the body, noticing how urges and actions affect your life, your relationships, your sense of power and autonomy--this is a critical sense to build up. Think of the beginning of this process as similar to your eyes re-adjusting to a new environment after being in darkness for so long. This sense is your birthright, it's natural, it's available--but you need to put in patient effort to let it return, and to allow yourself to make sense of what you're seeing.

      Great analogy

    2. Learning to check in with the body while living urgently, learning the subtle pangs and pings that tell you "yes," "no," "not quite," or "not yet"--this is something no other person can teach you, you have to learn the language of your own soma.

      [[Focusing]]

    3. You can begin quite simply: spend the next week or so alert and open to any urges that come up, any wants or desires. Don't block, suppress, or dismiss any of them, no matter how absurd, how normal, how incredible, how nondescript, how anything they are. Just notice. Keep noticing. Write them down, if you can.

      [[Meditation Journal]]

    4. Even if reincarnation factors in, this is the only life I have. Parts of me may move on to a new incarnation, but that will be a new person, a new ego, a new set of circumstances and drives and obstacles. This is the only life that River Kenna gets to accomplish what River Kenna is here to do.That's what drives the urgency part of this--a healthy awareness that whatever path I take, whatever destinies and destinations I'm heading towards, time is a factor. More important, however, is the root of urgently. To live urgently is to live by what urges us.

      The use of urgently as a descriptor to respond to that which urges us, rather than merely being about timeliness...

    1. The most effective way that I have found to let go of our somatic grip on ourselves is byaccessing the subtle core of the body. The subtle core of the body is conceived as a slendervertical channel that runs from the center of the bottom of the torso (and below) to the center ofthe top of the head (and above). It is called the central channel or the "wisdom channel" inTibetan Buddhism and sushumna in the Indian Yoga system. From this slender core ofourselves, we are disentangled from all of the content of our experience.

      Du/Ren? Chong?

    2. Also, the memories,childhood mentality, and emotional charge that are bound in our somatic holding patternscontinue to exert their influence on our present day awareness

      This is happening for me

  5. Aug 2022
    1. There are a multitude of reasons why someone would seek out a Psychedelic Integration Specialist for aftercare. A very common reason is a “reactivation,” which is the sense of being back in the experience partially or fully. It can manifest in a multitude of ways, but most typically it’s loss of sleep, general anxiety, panic, loss of appetite, listlessness and a fear that they may potentially be “stuck” with these intense sensations. These individuals are commonly not getting the aftercare that they need from their facilitator, and may have the feeling of being alone, and clueless about how to move on and heal from the experience itself.

      [[Somatic Integration]]

    1. He doesn’t use the phrase, but Letheby’s book emphasizes the importance of ‘philosophical integration’. We need to subject ‘apparent epiphanies’ to ‘sober scrutiny’ in the ‘post-session integration period’, he writes.Integration is important because in the days and weeks after a trip, we sift through the material to decide what is gold (worth keeping) and what is sand (worth discarding).

      What role does somatic intelligence/the wisdom of the body play in such a process?

    2. Others on the retreat came to all sorts of powerful new beliefs — that it was their destiny to be an artist, or to work with kampo frog healing, that they had been sexually abused as children, that they had visited the Akashic Records, that they had encountered their ancestors, that they had discovered the cosmic meaning of personal tragedies. One participant even decided that his depression was connected to ‘the suffering of the Mongolian people’ (he was from Iowa).

      A feature of Acpuncture and Somatic Integration is that it doesn't deal in the new beliefs, but in the felt sense, the feeling of being alive and embodied.

    1. I have been a psychedelic explorer for more than ten years, and I've sat for over a hundred sessions. I'm also a nanny and a childbirth doula, both of which draw many of their foundational axioms from the same principles.

      Acupuncture and psychedelic sitting draw many of their foundational axioms from the same principles.

    1. The demonstration of robust clinical effects remains a major hurdle in neurofeedback research. The results of randomized controlled trials in attention deficit and hyperactivity disorder and stroke rehabilitation have been mixed, and have been affected by differences in study design, difficulty of identifying responders and the scarcity of homogenous patient populations

      The challenge of studying subjective conditions.

    1. Because this evolving science provides a more complete understanding of the origins of—and potentially effective treatment modes for—neurological impairment and illness, we believe that it shall evolve into a foundation science for neurological and psychiatric medicine.

      [[Applied Neuroplasticity]]

    1. The legislation on Thursday passed in the Assembly Appropriations Committee, a gatekeeper panel that sifts through hundreds of bills and decides whether legislation with a fiscal cost to the state will advance to the full Assembly, but was amended to become only a study of the decriminalization proposal. The amendment was not debated or discussed, and it took Wiener a day to find out how his bill was changed.

      Again - who performs this surgery? Who makes up the appropriations committee?

      What kind of study? A public health study? A literature review? A clinical trial? etc?

    2. Legislation to decriminalize certain psychedelic drugs such as “magic mushrooms,” MDMA and LSD was gutted by the California Legislature on Thursday, though the lawmaker who sponsored the bill vowed to reintroduce the measure next year.

      Gutted, means that opponents or other law makers wanted to change things, remove things and in order for it to pass, it would have passed in a substantially different format than what was originally introduced.

      What exactly was gutted?

    1. One SF mushroom merchant, who wished to be referred to as “A Responsible Citizen,” said he experienced the market saturation that occurred within the cannabis industry after it was decriminalized, and he predicts the same happening for mushrooms.  “They’re going to monetize love,” A Responsible Citizen said. “It’s going to be corrupted by corporations. I already see the arc.” 

      Was there a decriminalization effort in the early days of cannabis?

  6. Jul 2022
    1. The project aims to expand legal access to psilocybin medicine for patients in Canada suffering from conditions such as end-of-life distress, Major Depressive Disorder and other serious conditions, which have failed to respond to traditional treatment options. It also aims to develop a substantial body of evidence, using a real-world data registry, to document clinical effectiveness, safety and clinician and patient reported outcomes in patients who have received psilocybin-assisted psychotherapy through Canada’s Special Access Program (the SAP), or, under exemptions authorizing possession of psilocybin.

      But what is the mechanism, pathway or indication of one from an official that this is viable and will expand?

    1. Further legislation to widen access to psychedelics is soon to be tabled, including one bill focused on research and pilot programs within the U.S. Department of Veterans Affairs. The bill would seek to help veterans receive psychedelic therapies within the United States, as many cannot afford to go abroad. 

      Forthcoming Legislation for veterans

    1. The Right to Try Act also has provisions that limit how the Secretary of Health and Human Services (through theFDA) can use data regarding clinical outcomes of patients who get these drugs through this pathway; require adrug’s sponsor or manufacturer to report annually to FDA on use of the pathway; and require FDA to post certainannual summaries.

      This is super interesting, there are provisions that protect data/outcomes from RTT from affecting regulatory decisions, this could be a bargaining tool, heavily surveiled processes, which is basically letting the federal govt know who is dealing in scheduled substances and they will be scrutinized.

    2. It defines an eligible investigational drug as an investigational drug (1) for which a Phase 1 clinical trial has beencompleted, (2) that FDA has not approved or licensed for sale in the United States for any use, (3) that is thesubject of an NDA or BLA pending FDA decision or is the subject of an active investigational new drugapplication and is being studied in a clinical trial that is intended to support the drug’s effectiveness, and (4) forwhich the manufacturer has not discontinued active development or production and for which the FDA has notplaced on clinical hold.

      DOES THE NDA HOLDER HAVE TO BE THE SUPPLIER?

    3. The Right to Try Act offers eligible individuals and their physicians a pathway other than FDA’s expanded accessprocedures to obtain investigational drugs. It defines an eligible patient as one who (1) has been diagnosed with alife-threatening disease or condition, (2) has exhausted approved treatment options and is unable to participate ina clinical trial involving the eligible investigational drug (as certified by a physician who meets specified criteria),and (3) has given written informed consent regarding the drug to the treating physician.

      We're about to see the definition of "life-threatening" expanded, given the attention the mental health crisis is getting, deaths of despair, suicide and overdoses, this is entirely reasonable.

    1. Even though the PSA passed, psilocybin will remain illegal under federal law, unless rescheduled. Until that occurs, it is possible that a form of “cooperative federalism” could arise with regard to psilocybin use in Oregon.[16] This is a policy where the federal government refrains from taking prosecutorial action if state law permits use. The shelter provided by this approach depends on the policy of the U.S. Department of Justice, which can change as the political winds or office holder changes—as was the case with cannabis.[17]

      [[Cooperative Feudalism]] [[Lexicon]]/[[Glossary]]

    1. The bill, introduced in February 2021 and enacted without the signature of Governor Greg Abbott in June 2021, mandates that the Department of State Health Services—in collaboration with the Baylor College of Medicine (BCM) and hospitals for military veterans—“shall conduct a study to evaluate the therapeutic efficacy of alternative therapies, including the use of 3,4-methylenedioxymethamphetamine

      Is this a trial or the generation of a research brief?

  7. Jun 2022
    1. This allows the estimation of the relationship between270plasma concentration and 5-HT2AR occupancy following repeat-dose administration, and is271considered to be obligatory data in determining dosing for Phase II and Phase III studies in272modern CNS drug development (see72 for an example)

      Wait what! obligitory data in phase II and III?

    2. Recent technical234innovations in MRI technology such as accelerated scanning with ‘multiband’ sequences63 ,235increased signal-to-noise with multi-echo sequences 64 and standardised processing236pipelines 65 provide additional capabilities for this technique.

      fMRI has gotten better recently. Global brain?

    3. The use of neuroimaging as a tightly-integrated part of189the methodology in key clinical trials has facilitated this, not only by providing important190scientific results and informing theories of psychedelic effects, but also by producing visually-191arresting results (e.g. 20 ) that have been reproduced extensively in the mainstream media.

      This is a great idea - the ability to show a visual difference as in the famous connectome image that shows the normal networking compared to it on psilocybin has been a huge deal

    4. The 5-HT2AR agonist PET ligand [11C]Cimbi-36 is relatively new29 , has higher sensitivity to121serotonin receptor agonists and has so far been used at only two PET imaging site

      There is a new ligand that binds to the 5-HT2A receptor

    Annotators

    1. We just need to identify the partners who want to use neuroimaging as a core part of their product delivery or research and development.

      With a more accessible way of measuring brain activity, what products and services would this be useful for? - therapy, personal development (meditation), athletes, what else?

    1. As humans, we do not generally like to sit with discomfort. Wehave developed many tricks to not have to be present in ourbody.

      This is the "soft" side of [[Ataraxia]] framework - being with what is, experiencing unpleasant emotions, feelings and sensations with compassion

    2. The first and most powerful mindset you will want to take on, is therealization and acknowledgement that emotions and feelings are NOTrational, but they are predictable.

      Emotions are not rational, but they are predictable

    Annotators

    1. “There are a lot of people in Colorado who have been harmed by the health care system and they’re not going to be the ones who can get access through healing centers. They want to sit with a wisdom keeper or a sitter in their home. Then we also have a regulated model for those who do want the guardrails,”

      Referendum on Industrial Medicine

    1. With respect to the psilocybin services program, the bill lays out basic regulations, including licensing requirements. There would be four license types—product manufacturers, service center operators, testing laboratories and service facilitators—in addition to psilocybin workers permits. The state Department of Health (DOH) would be responsible for overseeing the program and licensing.

      Same as Oregon?

    2. “It is the intent of the Legislature to facilitate the establishment of safe, legal, and affordable psilocybin service centers to provide residents of New Jersey who are 21 years of age or older with opportunities for supported psilocybin experiences to alleviate distress, provide preventative behavioral health care, and foster wellness and personal growth,”

      Grow, Gather, Gift + Oregon 109

    3. The beginning of the bill discusses the “high prevalence” of behavioral health conditions that afflict New Jersey adults and the growing body of research

      States to FDA/DEA: We can't wait!

    1. Executive attention involves monitoring andresolving conflicts among thoughts, feelings, and actions, and thus is heavily involved in subservingcrucial executive functions and self-control. Self-control is the ability to regulate one’s cognition,emotion, and voluntary behavior in accordance with internal goals [1,2]. Conceptually, exercisingself-control often requires the involvement of executive attention. Indeed, both executive attentionand self-control have overlapping brain circuits, including the ACC/adjacent medial prefrontalcortex (PFC) (Brodmann areas 24, 25, 32, 11) and lateral PFC (Brodmann areas 45, 46, 9, 10),further indicating the closely intertwined relationship of these two constructs [6,11]

      [[EF/SR]]

    1. Overly broad and evergreen patents in the pharmaceutical space have led to high drug prices and monopolies, a pattern that advocates worry about repeating in the psychedelic medicine industry.

      But isn't the Compass patent extremely narrow?

    1. Michael Goldhaber’s frame, attention as currency, holds one form of truth, but it isn’t my language. When I passed his metaphor through my own metaphor-making brain, I came up with one that feels more precise and more poignant to me—attention as inner ecology—and then, I could see ways that a holistic system was imperiled.

      Attention as inner ecosystem. [[The Primacy of Attention]]

    1. Policies could include pilot programs that creatively democratize access to medical supervision for decriminalized psychedelic use

      So this is confusing. Are they advocating for decriminalization?

    2. Such training efforts are vital given that communities, families, and the public will need education to better understand and support loved ones who may seek out psychedelic treatments.

      education of not only patients but family and friends, how to understand/help someone who is undergoing psychedelic therapy. Is this because of the profound changes that may follow in the wake of such experiences? (you dont understand...")

    3. First, as with cannabis, few monitors are trained to skillfully manage psychedelics clinically, highlighting the need for expanded educational opportunities for interested monitors and students.

      Beckley Academy

    4. Scientific inquiry around therapeutic uses of cannabis was stifled by federal drug policy,4 so qualifying conditions were strongly influenced by patient advocacy, rather than comprehensive scientific data.

      Good point

    1. Because of recent research and regulatory developments, the risk/reward ratio is changing for pharma companiesconsidering entry in the psychedelic marketplace. Here are five development milestones that, when reached, couldchange how big pharma thinks about psychedelics:

      This caught my eye for two reasons, KPMG is a household business name, when KPMG is issuing report on psychedelics it is telling. Second, the emphasis of the issuance is about any potential future interest that big pharma might have. Other than getting bruised with Spravato and a few partnerships, the big pharma players haven't taken a hit yet. This is a helpful insight from a large Life Science professional services group with better insight into the thought process of big pharma.

    Annotators

    1. Enosis' patent pending neuro-psychological treatment mechanism works by utilizing multisensory VR stimulation to anchor elusive psychedelic insights and peak emotions in order to reinvoke them later during the integration proces

      What is meant by 'anchoring'?

    1. a final report by December 31, 2025

      All of this is to be done in 3.5 years and culminate in a report that includes trial results, current status of federal laws, analysis of other state programs, and recommendations for further action.

    2. Achieving the optimal public health benefit ofpsilocybin requires the Commonwealth to invest in andfacilitate research using naturally grown psilocybinmushrooms, which would be infeasible if conducted throughprivate funding

      Natural product approach... Future revenue/industry?

    3. Additional research is required to determine theefficacy of psilocybin and how to maximize its public healthbenefits at the lowest cost with the goal of making thetreatment broadly available if clinical studies provesuccessful.

      This is the bargain: it appears to be safe, effective but still early. Let us do research to further the field while creating an option for those without any.

    1. In particular, statistical models such as quantitative structure–activity relationships (QSAR)—often as its 3D QSAR variant—are commonly used in the development and optimization of a leading compound. We describe how these drug discovery methods can be taught and learned by means of free and open-source web applications, specifically the online platform www.3d-qsar.com. This new suite of web applications has been integrated into a drug design teaching course, one that provides both theoretical and practical perspectives.

      Step 1. Search "Computational Drug Discovery" Found [[Teaching and Learning Computational Drug Design: Student Investigations of 3D Quantitative Structure–Activity Relationships through Web Applications]] which revealed 3d-qsar.com in the abstract. Make sure to come back to this.

    1. "One of the most interesting things we've learned about the classic psychedelics is that they have a dramatic effect on the way brain systems synchronize, or move and groove together," said Matthew Johnson, a professor in psychedelics and consciousness at Johns Hopkins Medicine."When someone's on psilocybin, we see an overall increase in connectivity between areas of the brain that don't normally communicate well," Johnson said. "You also see the opposite of that -- local networks in the brain that normally interact with each other quite a bit suddenly communicate less."

      The metaphors we live by

  8. May 2022
    1. This partnership will utilise Empatica’s medical-grade EmbracePlus wearable and software, to identify and measure passive behavioural and physiological signals in the upcoming Phase 2 studies evaluating the use of 5-MeO-DMT in combination with psychotherapy in the treatment of treatment resistant depression (TRD).

      At somepoint in the summer of 2020 it occurred to me that psychedelic clinical trials were ramping up just as 1. the Covid pandemic was applying intense evolutionary pressure on all aspects of the economy and especially healthcare and health science and 2. digital technology was making its way into clinical practice, treatment and clinical research in meaningful ways. And these trends were accelerating each other.

      The techniques that struck me as most applicable and fascinating in the context of Behavioral/Mental Health research are Remote Patient Monitoring and Digital Phentyping.

    2. Beckley Psytech Limited, a private company dedicated to addressing neurological and psychiatric disorders through the novel application of psychedelic medicines, and Empatica, Inc., a medical wearables and digital biomarker company offering continuous, passive, and unobtrusive monitoring for patients with neurological conditions, today announced that the companies have entered into a partnership to support the collection and analysis of behavioural and physiological data in Beckley Psytech’s future clinical trials.

      The list of vendors a company uses to conduct business is not newsworthy 99% of the time. It doesn't matter what internet provider, HR Software or pencils companies use. But occasionally companies at the frontier partner with each other in novel and interesting ways that are worthy of highlighting.

      On such partnership was announced this week.

    1. “In many ways we are still living in the shadow of the 1970s [and the] ‘War on Drugs,’ which painted all drugs, and especially psychedelics, with the same broad brush,” says Drew Gomez, head of brand and product marketing at Mindbloom, a company that provides ketamine-assisted therapy. “This sensationalized reputation has often overshadowed the scientific research of the last 50 years, which has shown, time and time again, how safe and effective some of these psychedelic medicines can be to manage and address mental health disorders.”

      The irony

  9. Apr 2022
    1. The decision to let patients see unlicensed psychedelic therapists, even those who are acting in pairs, means there’s less accountability than for patients treated with standard, non-psychedelic mental health therapy.

      Why?

    1. Semantic impairment, acoustic abnormality, and syntactic impairment were all factors enabling the accurate identification of Alzheimer’s, based on patients’ short descriptions of a picture.

      Incredible

    1. In particular, experts increasingly see the chemical as a potentially effective, low-risk tool to help patients break their dependencies on other substances. Given that more than 100,000 people died after overdosing on opioids and other drugs in the U.S. last year, it’s an understatement to say it’s urgent to find new, effective treatments for substance use disorder.

      lately the field has become aware of challenges of administrering psychedelics, challenges studying them and, as I posited several weeks ago, has become more introspective and thoughtful about communicating the findings and potential. This is a good reminder, for me at least, of the urgency needed to respond to the "stack" of crisis, including the mental health crisis. One can both acknowledge the role of social, economic and environmental factors on mental health and see psychedelics as promising and potentiall paradigm shifting therapeutic agents.

    1. But collapse is not a theoretical construct. Human history has seen both natural and man-made disasters many times before: the historical record offers us examples of deadly plagues, trade collapse, total war, and the dropping of atomic bombs. And contrary to popular expectation, the record of such disasters suggests that the legal and economic systems that we live under have, in fact, displayed amazing durability.  It is very difficult to identify natural disasters or wars that lead to the sudden end of civilization as it existed before—or even to a full collapse of everyday life. 

      This recognition goes well with the idea of [[The Pattern of Disruption]]

    1. It’s much sexier to write a newspaper article on using psychedelics to treat depression, than another writing that the identified study switched outcomes and had issues of multiple testing and external validity and blinding, and so the question remains open if these drugs actually work.

      I hope I don't do this

    1. Previous research on resting-state activity in depression has found heightened network modularity correlating with symptom severity17,38. Additional work implies heightened within-DMN FC and elevated FC between limbic regions such as the amygdala, and high-level cortical regions correlates with ruminative symptoms in depression12,39. Taken together, a model emerges of abnormally modular spontaneous brain function in depression that is effectively remediated by psilocybin therapy.

      depressed peoplehave brains that are more compartamentalized in that the various regions are less connected to each other than non depressed brains.

    2. Here we hypothesize that the well-replicated finding of brain network disintegration and desegregation under psychedelics30,31 will be apparent subacutely, in post-treatment resting-state fMRI data. We also hypothesize that this effect, consistent with a flatter energy landscape, will relate to improved depression outcomes and will not be observed after a course of the SSRI, escitalopram.

      Called it.

    3. The therapeutic action of psilocybin and related psychedelics is incompletely understood; however, one model proposes that psychedelics cause a 5-HT2A receptor-induced dysregulation of spontaneous population-level neuronal activity, linked to a temporary ‘disintegration’ of intrinsic functional brain networks27 and a hypothesized decrease in the precision-weighting of predictive models encoded (at least in part) by the integrity of functional modules28. One important corollary of modular ‘disintegration’ seems to be the broadening of the brain’s functional repertoire of states, commensurate with a broader or flatter global energy landscape29.

      Translation: We kinda know how psychedelics work on depression. The active agent binds to a cellular receptor that 'relaxes' many of the patterns of brain activity that are associated with/responsible for perception, cognition, emotion and behavior. This relaxing of these brain functions creates the "trip experience" which can be described as mystical, otherwordly, but also past memories, emotions can arise which are often reported as challenging. In other words reality can seem distorted because the normal neural processes of receiving and processing information are distorted. ...work on this

    4. Patients with a diagnosis of depression often exhibit a negative cognitive bias, characterized by pessimism, poor cognitive flexibility, rigid thought patterns and negative fixations regarding ‘self’ and the future9,10. A number of authors have directly or indirectly taken inspiration from dynamical systems theory to describe depressive episodes as ‘attractor states’ (stereotyped cognitive states with ‘gravitational pull’11).

      The topography of Karma

    1. The discovery points toward a general mechanism through which psychedelics may be acting therapeutically on the brain to alleviate depression and possibly other psychiatric conditions that are marked by fixed patterns of thinking.

      What is new in this paper that wasn't previously known? Is it empirically validated here?

    1. The quantified self idea is that biometric sensors harvest data from bodily functions -- heart rate, blood pressure, body temperature, skin surface temperature, blood oxygen, respiratory rate, sleep patterns and potentially hundreds of others -- and that data is analyzed by software to provide useful information.The IoT idea is that objects other than computers have wireless radios, IP addresses and microprocessors and can communicate with each other without conscious human involvement. One simple example: Your home security camera uploads a screen capture of your face to an application in the cloud, which recognizes your face, sending a command to a smart door lock to unlock the door. The unlocking of the door sends a command that tells your living room lights to turn on. The "Internet of Self" idea is the combination of the two. Data harvested from your body sends commands to the IoT objects in your life.

      [[The Internet of Self]]

    1. Think about how a format idea might serve your communication goal and differentiate your brand;

      Topical events are instructive about the past and the future of this field. Understanding and appreciating the complexity-the breadth and depth- of the field will help entreprenuers, researchers, philanthropists, regulators make informed decisions. If I can help others make informed decisions in some way that supports the safe and mindful experiences then I succeed.

    2. Perhaps it’s easiest to think about it like this. Format sits at the center of media type, narrative concept and content packaging.

      Media Type: Email Narrative Concept: 1 deep dive (email Subject line; 800-1200 words) 1-2 short points (200-500 wrods) 4-8 headlines and one sentence original lede.

    3. Successful formats define the media brand and offer a mental shortcut for the audience. They are repeatable, providing an efficient template for creators. When they are defining, they become insanely valuable. 

      Format

    4. In print, there are good format examples at a brand level, like how a tight, dispassionate edit defines the WSJ or how the Economist is defined by “objectivity” and reporting rigor, reinforced by a policy of author anonymity. These are foundational concepts that define the product and make them unique. You might say these are just editorial principles. I would agree.

      What are my editorial principles?

    5. Formats are most closely associated with TV, referring to the general shape and structure of the program, like game shows, reality concepts, etc. Video is a media type, “Who Wants to be a Millionaire“ is a format. Vice innovated the news format. Twitter is arguably a media type and format. Twitter Threads are formats.

      What is The Trip Report? MoneyStuff is a format Stratechery is a format Both are delivered through the media type known as email

    1. “At least through the criminal justice system, someone had a pathway to recovery, as flawed as that was, and as stigmatising as that was,” he continued. “There’s a whole bunch of people who are no longer given a pathway to recovery if they choose it.”

      Nevere heard this argument before

    1. However, I haven’t lowered my expectations of how long until existentially dangerous AI as a result of this. The reason is that I believe an additional “revolution” is needed beyond deep learning to get to existentially dangerous AI in the next few decades. I suspect this revolution will come from neuroscience and in particular understanding how cortical columns work.

      Beyond advertising, are the unintended consequences of AI/ML applied to behavioral data setting the stage for our demise via existential threat?

    1. When Teo and his colleagues surveyed 487 Japanese students in 2019, they found a strong correlation between excessive internet use and the risk of becoming hikikomori. Researchers working in Poland, Hong Kong, Korea, and Canada have likewise reported a connection between the black-hole allure of techno-realms and crippling social isolation.

      Information dependent dopamine addiction?

  10. Mar 2022
    1. RESTORE is a revolutionary advancement in psychedelic medicine that seeks to unlock the full potential of ketamine by making it more rapidly acting, almost twice as effective, and six times longer lasting than regular ketamine infusions. It's also the most affordable and convenient ketamine-based therapy available.

      Too good to be true!

    1. while marketing must still attempt to distill and simplify ideas as much as possible to get through to distant fresh minds as quickly and efficiently as possible, lore is often perversely inaccessible, and the illegibility is often considered a feature rather than a bug.

      The idea that you want to have some friction in order to allow people to self select into it... I feel that my tweet strategy (questions not procolomations and weird stuff) is along these lines

    1. The second clinical candidate, GM2505, is a novel rapid short-acting 5HT2A agonist and 5HT releaser that is expected to have a rapid therapeutic effect in a wide spectrum of psychiatric disorders that includes properties of both the classic psychedelic DMT and the empathogen MDMA. GM2505's optimized pharmacokinetic profile allows for convenient and cost-effective treatment.

      Is this a combination product? Yes, it is a 5HT2A agonist, like a classic psychedelic and contains a SSRA

    2. The first clinical candidate, GM1020, is an orally bioavailable non-competitive N-Methyl-D-aspartate receptor antagonist with the potential for rapid and sustained antidepressant activity.  GM1020 is expected to have a favorable side effect profile allowing for potential at-home use.

      Ketamine analog NMDA

    1. I wager these ketamine clinics will spawn the next wave of addiction in America. Today we’re calling it a wonder drug—in five years we’ll be calling it the next OxyContin.

      Shots fired

    2. Still, the net worth of some of these companies is staggering, especially considering that they are marketing drugs that are still in the research stages and have not even passed clinical trials.

      How does this compare to the market cap of non-psychedelic biotech companies at similar stages?

    3. And throughout the industry, executives who used to steer the direction of mineral extraction and other mining companies are now in high positions with some of the leading names in psychedelics.

      Are they?

    4. Psychedelics have long had the ability to be all things to all people: therapeutic tools, creative lubricants, weapons of warfare. As psychedelic therapy pioneer Stan Grof put it, they are “non-specific amplifiers.”

      Great line

    5. By treating depression with a completely new mechanism of action, psilocybin-assisted therapy has changed the playing field—and thus will be sped through regulatory hurdles for further study and eventual approval.

      This remains to be seen and implies a misunderstanding "Breakthrough status"

    6. But the dream that LSD could revolutionize psychiatry fell apart in the 1960s with the counterculture explosion and its attendant backlash. Scientists, therapists, politicians, and parents were all alarmed.

      What about the practical challenges of psychedelic science?

    7. Now dozens of start-ups want to standardize, commercialize, alter, patent, and market these ancient compounds—and they stand to make a fortune doing so.

      They also stand to go out of business,

    8. But marketing one, even though they all remain illegal and none have passed all the clinical trials required for approval? That can make you a millionaire.

      This is a reach. The majority of capital is invested in biotech. To the extent that they are marketing they are looking for capital, talent and maintaining a stock price. They are not marketing drugs for consumption.

    1. This allowed the researchers to view the drugs through the lens of the receptors and “really be able to distill what sets of receptors are closely linked to which sets of conscious awareness changes,” he says.

      What receptors, circuits and regions are closely linked which states?

    2. “Imagine you have two huge Excel spreadsheets,” Bzdok says, “On the first, you count the occurrence of 14,000 different words, which are all from the testimonies themselves, we did not pick anything about these words.” These words included things like “happy” “color” and moving.” This helped them develop “archetypes” of drug-induced consciousness shifts.

      [[Archetypes of Subjective States]]

    3. “Constellations” of neurotransmitter pathways may contribute to the hallucinogenic experiences induced by drugs like psilocybin and LSD, a new study finds.

      This is how she started the article

      It feels hard to read, doesn't make a clear image or have a point."

    1. Our pattern-learning strategy has dissected phenomenologically rich anecdotes into a ranking of constituent brain-behavior factors: each characterized by a unique neurotransmitter fingerprint of action and a unique experiential context.

      We took the language people used to describe their experiences, based on the drugs they took, we connected the subjective experience to the brain region based on the unqie neurotransmitter fingerprint.

    2. the cortical mappings of factor expression often turned out to be spatially contiguous with smooth transitions of expression strength between neighboring brain regions. Clusters of adjacent brain regions with a particular expression strength also respected well-known anatomical and functional divisions.

      Functionally and anatomically distinct brain regions, when activated, were responsible for specific subjective experiences.

    3. Each subjective drug experience was modeled as a specific combination of the brain-behavior factors. In this way, we have carefully deconstructed the changes of conscious awareness triggered by hallucinogenic drugs into its component parts.

      Different psychedelics create different experiences. The experience, when described across thousands of instances reveals patterns that show up in the language people use to describe these experiences. By using the lanuage people use to describe their experiences of certain drugs and the known receptor binding affinity for each of these drugs the researchers can map the unique subjective experiences to the brain regions/receptors responsible for their creation.

    4. We aimed to illuminate key principles that mediate hallucinogenic states of consciousness.

      Goal is to understand the key principles and common denominators that mediate psychedelic experiencers.

    5. In this study, we have linked detailed text reports to hallucinogenic drug affinity for neurotransmitter receptor subclasses. Our study goes beyond previous hallucinogenic research in at least three ways: (i) We have extracted knowledge by mining 6850 post hoc reports of real-world experiences, in which participants freely describe the subjective hallucinogenic experiences that they have had. In contrast, laboratory studies or randomized clinical trials on hallucinogens have been restricted to testing drug effects in a handful of participants. (ii) Our data-driven approach allowed rigorous testing for the existence of receptor-experience mappings across a diverse array of hallucinogenic drugs. This is a prerequisite for exploring overarching principles that may encapsulate how specific sets of receptor bindings are linked to specific drug-induced alterations of subjective awareness. (iii) We have aimed to deconstruct the hallucinogenic perturbations of subjective awareness by cutting across a spectrum of molecular receptor subtypes. In an ecologically faithful approach, we describe an anatomic grounding for the subjective experience of altered states of consciousness.

      [[Receptor-Experience Mapping]] [[Drug-Receptor-Experience Mapping]]

    6. uch drugs interact minimally, indirectly, or not at all with 5-HT2A receptors in the brain (15–17). This fact hints at a richer spectrum of neurobiological mechanisms underlying hallucinogenic action.

      Key point. The trip is beyond the 5HT2A actitivty

    7. In support of this latter notion, similar alterations in subjective awareness by hallucinogenic drugs that are biochemically and pharmacologically distinct from the classical psychedelics have been reported.

      That compounds that do not agonize at the 5HT2A receptor site also create shifts in consciousness/subjective states implies that the the state change comes from broader actions than simply the 5HT2a action

    8. 5-HT2A

      I should know how the nomenclature here works - ie is this telling us about the region, the action, - what are the differences in receptors and how is the nomenclature derived?

    1. When a participant cor-rectly believes they have received the treatment, they may show greater treat-ment response due to expectancy effects and, conversely, the disappoint-ment of those who know they have received a placebo may decrease the placebo response.

      Oh wow- this is huge

    Annotators

    1. unhealthy lifestyle choices can cross over into pathology, with substance abuse being a major contributor to premature death

      -smoking, food choices, physical activity, stress management, interpersonal patterns (lying, hiding, etc.) Breathing patterns, Movement patterns

    1. To maximize these benefits, we believe this work should include behavior as a treatment target with measurable treatment metrics to establish best practices and guidelines.

      setting up the case for digital phenotyping

    1. In the future, hardware like sensors in the bloodstream, infrared scanners, and Neuralinks will be able to measure what’s happening in our bodies in real-time, physically and even emotionally. We’ll all have our genomes sequenced and actually know how to use the information. We’ll be able to tell the AI our goals – more energy, lose weight, avoid cancer – and it will be able to do things like order “the perfect meal for that moment for me: for my mood, for my genome, for my blood contents” via drone, automatically. Most humans see a scenario in which computers know more than we do and tell us what to do as dystopian. He thinks they’re wrong. He thinks it sounds incredible: If we all had this, we would not look back and be like, “I wish I was making awful choices every day like I was in the past.” I think we’ll all be so much healthier. When we look back today, one of the things that’s going to look so primitive is the one-size-fits-all thing, like reading advice about keto. Each genome is going to have very specific, unique advice coming from AI.  

      [[Tim Urban]] [[AI]]

    1. During the COVID-19 public health emergency, the DEA has used its public emergency authority to waive the prior in person requirement. This has enabled providers to safely prescribe controlled substances remotely using telemedicine, increasing access to clinically appropriate medications, including for mental health and substance use disorder treatment.

      including ketamine

    1. Participant 06 responded, “I think I felt incredibly safe, you know, especially as I was cannulated and people were taking blood from me and I knew I was under constant observation. I think I felt remarkably comfortable and at ease.”

      Do procedural tasks impact the treatment? Relevant for Eleusis' IV administration

    2. Two sub-studies in different populations of healthy participants were carried out as follows: part 1 was an open-label dose-escalation study in psychedelic non-naïve participants, and part 2 was a double-blind, placebo-controlled, randomized study in psychedelic naïve participants.

      naive and non-naive subjects - non-naive to see how people would respond to mid-trip procedures like blood draws. - naive subjects to include a subjects closer to the future patient populations.

    3. These practices, articulated by Johnson et al. (2008), typically involve intensive preparation prior to drug administration, oversight of two attendants or “guides” during the acute period of drug action, and multiple follow-up psychotherapy “integration” sessions in the days or weeks following drug administration.

      [[Unbundling Psychedelic Assisted Therapy]]

    1. The technological era was defined by the creation of the technical building blocks and protocols that undergird the Internet; there were few economic incentives beyond building products that people might want to buy, in part because few thought there was any money to be made on the Internet

      Could it be the opposite in psychedelics? Namely, that so many think that there is money to be made, when in fact there is not?

    1. Results: From 1991 to 2018, total prescriptions of SSRI and SNRI drugs rose by 3001%. Total Medicaid spending on SSRIs and SNRIs increased from USD 64.5 million to USD 2 billion in 2004, then decreased steadily until it reached USD 755 million in 2018. The SSRIs average utilization market share was 87% compared to 13% of the SNRIs utilization market share. About 72% of total Medicaid spending on the two groups goes to SSRIs, while the remaining 28% goes to SNRIs. Brand SSRIs and SNRIs prices increased over time. On the contrary, generic drugs prices steadily decreased over time.

      [[SSRI]] [[Mental Health Statistics]]

  11. Feb 2022
    1. an anecdotal experience of using LSD to treat a milk allergy that shows up in a book is prior art. (And, in fact, casts doubt on an already-granted patent around LSD and allergies.)

      Does this really cast doubt?

    1. Since neuropsychiatric disorders are so heterogenous, the approach of trying to treat single biological targets will not sufficiently treat the diversity of patients in need of effective therapies. This is why many companies and researchers are now seeking to apply machine learning (ML) and artificial intelligence (AI) to identify clusters of biological and phenotypic features that personalize effective treatments. 

      "clusters of biological and phenotypic features that personalize effective treatments..." What does this mean?

    2. PsyProtix, Inc, was established with Duke University spinout Chymia, LLC. PsyProtix takes an alternative route to treating brain disorders based on principles of precision medicine.

      Covered Psyprotix last year I think the CEO is different now

    1. “We need to be taking more alternative approaches to healing because our existing toolbox of medications or therapies clearly aren’t cutting it,” Bartlett said.

      The Trend: -loss of institutional trust -decentralization of information -Illnesses of modernity So many people are, and have been, but perhaps we are at an inflection point for this trend/vibe are looking to the past, looking to nature for solutions.

    2. In addition to nutraceuticals and nutritional products, The Healing Company should also look at psychedelics, Chopra said, adding that ketamine, MDMA and psilocybin (the hallucinogenic compound found in magic mushrooms) could all have a role to play in treating mental health problems.

      And there it is

    1. changes in risk-adoption for hospitals have motivated some hospitals to adopt different forms of remote patient monitoring technology. The 2010 Affordable Care Act instituted the Hospital Readmissions Reduction Program (HRRP), which now applies to most acute care hospitals in the U.S. Under the program, hospitals with more than the national average of patient readmissions within 30 days (after adjustments for patient characteristics) are penalized with a reduction in Medicare payments. This incentivizes hospitals to pay closer attention to patients following discharge; as a result, some have adopted remote patient monitoring to provide patients with an additional layer of at-home monitoring.

      Could payers leverage post treatment surveillence of PAT and could this drive integration?

    1. Possible reasons for the lower success rate include thechallenge in characterizing the active pharmaceutical ingre-dients (APIs), which are often mixtures of several botanicalingredients

      This answers the previous question - a clear API is uncommon in botanical INDs

    2. Botanicals are naturally heterogeneous mixtures and oftenlack distinct active constituent(s), so more than oneconstituent may contribute to the overall therapeutic effect.

      Does the pronounced effects of psilocybin change this?

    Annotators

    1. Modern psychiatry was strongly influenced by the emergence of so-called Biological Psychiatry and the Decade of the Brain (1990's). The belief at the time was that we were on the threshold of a new psychiatry, where we could reduce mental illness to defined perturbations of neuroreceptors, trusting that our novel antidepressants and antipsychotics would provide definitive treatment.

      Reductionism is an everpresent threat

    1. “Fluence is proud to provide high-quality professional education about psychedelic therapy for research and community-based clinical practice,” says Elizabeth Nielson, Ph.D., co-founder of Fluence.

      Are there practical differences between research and real world scenarios?

    1. a clinical pilot investigating the efficacy of group ketamine-assisted psychotherapy for frontline healthcare workers (“Frontline KAP”). With the final cohort of participants expected to begin treatment in March 2022, data analysis is currently underway and will be published following completion of the clinical pilot.

      Is this a study?

    1. They provide clear proof that ceremony can be safely conducted without the need for paid facilitators who abstain from fully participating in the ceremony. Accordingly, religious communities who operate under M109 should have the option to provide their own peer-support assistance through community members that have been certified by their community as being qualified and capable to provide that assistance. 

      Free labor

    1. CYB004 has demonstrated potential efficacy at lower doses while also increasing the duration of drug effect providing a therapeutic profile that may alleviate the common negative experiences associated with classical DMT.

      Increased duration is understandable but what evidence is there that it may alleviate common negative experiences and what are these negative experiences?

    2. the U.S. Patent and Trademark Office (“USPTO”) has granted U.S. patent 11,242,318 to the Company’s investigational deuterated dimethyltryptamine (“DMT”) compound CYB004. The allowed claims include a range of deuterated forms of DMT and 5-MeO-DMT. The patent, which is expected to expire in 2041

      Does this impact Beckley PsyTech?

    1. While venture-backed startups can deliver quality tooling, there are many important areas in biological software that don’t have large commercial markets to offset costs for academic users and to incentivize capital investment. This is because scientific software development is genuinely a domain of research, requiring close interaction with scientists and new measurement technologies long before there is a clearly identifiable market for the tools being built.

      Is this where there is potential overlap with the psychedelic space? In the challenge of fitting the PAT model into a VC based deal structure?

    2. The computational biologist Adam Siepel summarizes this saying: “Institutions have not been forced to pay professional programmers competitive salaries; grant agencies have not been compelled to set aside appropriate funds for a software infrastructure; and the line items for professional software engineering have not made it into budget models. Thus, genomics has become accustomed to, even addicted to, abundant free software. In a sense, in our idealistic, anti-establishment zeal, we free software warriors have locked computational genomics into an unsustainable financial model.”

      Does this ring true in psychedelics?

    1. Overall, we remain bullish and excited about the potential of this new asset class.

      I struggle with calling it an asset class vs building a psychedelic ecosystem. This is something that I want to understand - asset class vs building the ecosystem (something else) - trading vs investing - short term gains vs longterm/patient capital

    2. To address this issue, we have advised many of our portfolio companies to become private again and to buy out their short-term shareholders with new long-term capital

      How does this work?

    1. “there’s no procedure available under the Right to Try Act, because the Right to Try Act does not provide the agency any authority to waive the requirements of the Controlled Substances Act.”

      You'll have to speak with my manager

    2. “In short,” the opinion says, “AIMS’s issue is not with the DEA’s letter, but with the CSA’s criminalization of psilocybin use, subject to narrow exemptions. An advice letter recognizing that Congress has not yet made an exception to the CSA to allow for the legal use of psilocybin for therapeutic purposes is not an agency decision.”

      DEA: "I'll have to transfer you..."

    1. And at the time of the build, one of the key objectives, I recall, was actually being able to develop a dataset that could be used to address specific research questions through a set of custom projects between Flatiron and Janssen, that was focused on MCL patients specifically. And so, we started to build the dataset by actually leveraging existing data models and abstraction approaches that had previously been developed and used at Flatiron for relevant tumor types.

      So what do the terms "dataset" "data models" and "abstraction approaches" mean?

  12. Jan 2022
    1. The hypothesis set out here is that this most basic urge to connect is dependent on circuits based in three main components: the midbrain superior colliculi (SC), the midbrain periaqueductal gray (PAG), and the mesolimbic and mesocortical dopamine systems originating in the midbrain ventral tegmental area.

      [[Connection Circuits]] - the identification of circuitry which correspond with/responsible for something as important, yet vague, as a connection can be a blessing and a curse. A curse in the assumption that an isolated biomedial approach will suffice and a blessing when recognized as part of combination therapy. [[Psychedelic Combination Therapy]]

    1. announces that the first cohort of psychotherapists have begun training in advance of the expected Phase 2 clinical trial examining 5-MeO-DMT-assisted psychotherapy in treatment resistant depression (TRD). The training is being conducted in collaboration with Fluence, an expertise-driven educational platform that provides professional training in psychedelic therapy for psychiatrists, psychotherapists, social workers, and other healthcare practitioners.

      I would like to talk to Cosmo about how he sees the drug development + Therapy Delivery components playing out. They are training therapists for the trial, but what does the relationship between the drug developer and the prescriber/administrator look like?

      • Do providers need to get training (and pay for it) before adminsitering BPT 5meo?
      • Does this present a conflict of interest?
      • Is there a scenario in which BPT provides the drug and the therapist? That is the therapist is a serivce provider working for beckley psytech?
    1. We question epistemic authority based on the double-blind design, the molecularization discourse, and contextual issues about safety. We propose a new approach to foster epistemically fair research, outlining how to enforce indigenous rights, considering the Brazilian, Peruvian, and Colombian cases.

      Is this a new scientific approach? ie anthromedical, narrative, qualitative, etc?

    1. Feilding adored her father and scrambled everywhere after him. “He never went by what an authority said. He always went with his own thoughts,” she says. “In a way he was quite a big guru to me. He was my main intellectual influence.”

      influence of her anti-authority father

    1. These days, the research and debate surrounding ketamine are less concerned with whether it can treat depression than with how it works, which delivery method makes it most effective, and how drug companies and health-care providers might best profit off a substance whose patent expired in the nineteen-eighties.

      the profit scapegoat, the profit lament

    2. Researchers began studying it as a treatment for depression, and, in 2006, the National Institute of Mental Health concluded that a single intravenous dose of ketamine had rapid antidepressant effects. Around three hundred clinical trials have since been held; the broad consensus is that ketamine relieves symptoms of depression for a period that can last days or weeks, during which time talk therapy often proves more effective than normal.

      How is this statement validated?

    1. Acceptance, for me, has involved a private joke of a self-image that is a mix of Camus’ Sisyphus and the Max Fischer character in Rushmore, coupled with a model of the ‘Idea Guy’ mental style as a chronic medical condition. I don’t know if you’ll find the medical metaphor in this piece funny, but you might find it useful. This is not a piece about becoming an idea person. That is not something you choose. It is a condition you have to manage, like diabetes, once you recognize  it.

      [[Idea Guy]]

    1. All the while, Bansal says, he was well aware that it was simply his mind creating these images, thoughts, and ideas. He knew he was in a safe room wearing eyeshades and headphones.And yet, he says, it felt true. "The images and feelings are so powerful that you cannot help but believe they are in some way a part of reality."

      How is this possible?

    2. For Bansal, a doctor and scientist accustomed to using hard facts rather than touchy-feely slogans to navigate the care of patients, it was an adjustment, to say the least

      Precisesly my point from above - surrender is a psychomotor skill that can be learned and trained, it has predominarntly come in touchy-feely/woo contexts and thus we should have other language/context to arrive at this skill.

      I first recognized this feature in acupuncture school when I said "just relax" to a patient in the student clinic... and she promptly said "just" as if it were simple, understandable and practice capacity like reading a sentence and if this wasn't a bootleg operation where a bunch of fucking beginners weren't learning to fucking stick needles into people... and you want me to just relax? Go fuck yourself."

      Hence the value of a mantra introduced with sufficient time to practice the invocation and hopefully make some progress on developing the psychomotor skill of surrender, let go, relax.

      I would be interested to hear from trainers at Fluence or Beckley Academy - does this resonate?

    3. The dose, 25 milligrams, had been carefully calibrated to induce a psychedelic experience sufficient for therapy. Much less than that, say 10 milligrams, isn't enough for most people to enter this state. A double dose, 50 milligrams, though not physically unsafe, may leave you too incoherent to have the useful insights key to therapeutic value.

      Where is the most up to date collection of dose -response literature? [[Erowid]] [[DMT Nexus]] - any rigorous agglomeration done?

    4. "Trust and let go," was a kind of mantra for the treatment repeated by his guide and other doctors.

      Question/concept for [[Homecoming]] - can technology help in training the psychomotor skill of surrender? It sounds like the way this is done in the clinical trial setting is invoking the mantra, and hermeneutic learning, but can technology (I am thinking neurofeedback) help with this?

  13. Dec 2021
  14. arxiv.org arxiv.org
    1. Since short and simple explanations of the past usually reflect somerepetitive regularity that helps to predict the future as well, every intelligent systeminterested in achieving future goals should be motivated to compress the history of rawsensory inputs in response to its actions, simply to improve its ability to plan ahead.

      "We are the history of raw sensory inputs in response to its actions and those around us"

    2. hough its predictive power is limited—for example, it doesnot explain quantum fluctuations of apple atoms—it still allows for greatly reducing thenumber of bits required to encode the data stream, by assigning short codes to eventsthat are predictable with high probability [28] under the assumption that the law holds.

      This is the basis of [[Predictive Processing]]. This is the language of computation but this is also the language of functional psychology or neuropsychology, in which a certain number of exposures to stimuli makes the response more and more encoded and thus more replicable...

    1. My work and learning arose from my own experiences of recovery from madness, and today I am passionate about new visions of mind and what it means to be human.

      What does it mean to say "recovery from madness"?

      What is maddness?

  15. Aug 2021
    1. Usually, the received view among the smart side of the internet is that the many problems of the world are not due to people being intrinsically evil, but ignorant and/or irrational. They aren’t able to see cooperative equilibriums, or get dragged along by emotional responses that end up leading to war, corruption, crime, and so on.

      Smart people think that poor outcomes come from irrationality and ignorance of actors.

  16. Jun 2021
    1. The gold standard is to measure clinical outcomes using randomized control trials (RCTs) with clinical endpoints. However, RCTs are expensive and logistically complex, so single-arm or retrospective research designs are often used instead. These look at the average clinical outcomes before and after completion of the program. The most common clinical outcome measures for mental health studies are the PHQ for depression and the GAD for anxiety.  

      How will this process change under the evolutionary weight of digital biomarkers, and continuous collection?

    1. Features sometimes ascribed to personality – impulsivity, conscientiousness, neuroticism, openness, or agreeableness – may be altered through neural interventions. DBS, for instance, may address debilitating symptoms of treatment-resistant depression, but leave individuals unsure about their own recognition of themselves (e.g., “I’ve begun to wonder what’s me and what’s the depression, and what’s the stimulator…it blurs to the point where I’m not sure, frankly, who I am.”) [24].

      How is this different from an SSRI?

    2. We define personal identity as the concept of self for an individual agent, whereas agency can be understood as the ability of this individual to make and communicate choices, often through action.

      How this differs from current conceptions of identity....

    1. This, incidentally, is why it’s easier to raise venture capital with an idea and a deck and maybe a prototype than it is once you have a product in customers’ hands and a little bit of revenue. It’s probably why the NBA Draft gets twice as many viewers as the average nationally televised game. People fucking love potential. 

      [[The Trip Report]] #insight - People Love Potential!

    1. We used NLP to derive topic models that quantitatively described each participant’s psychedelic experience narrative. We then used the vector descriptions of each participant’s psychedelic experience narrative as input into three different supervised machine learning algorithms to predict long-term drug reduction outcomes.Results: We found that the topic models derived through NLP led to quantitative descriptions of participant narratives that differed across participants when grouped by the drug class quit as well as the long-term quit/reduction outcomes.

      The narrative matters. The conceptualization matters. A person's understanding matters. The Metaphors we live by matter.

  17. May 2021
    1. Over many centuries, different approaches for deal-ing with the problem of duality have emerged invarious contemplative traditions.

      Is the task of our time to:

      1. Integrate the Major religions under a nondual framework
      2. Employ Psychedelics and Technology to further elucidate and make tangiable nonduality?

    Annotators

  18. Apr 2021
    1. Mental health clinicians typically assess progress of their depressed patients through unstructured interactions that yield unquantified judgments. Some clinicians ask only broad, global questions such as “How are you feeling?” or “How are you doing?” Many patients reply with global responses such as “Okay” or “Fine.” However, these responses often do not accurately reflect the patient’s clinical status. As a result, it is increasingly recognized that incorporating standardized scales into clinical practice to measure depression may help clinicians evaluate the patient’s current status more accurately.

      But how effective are standardized scales?

    1. But somewhere out there on the web there’s someone who cares about Benkler, maybe a student or fan of his, or maybe even Yochai himself, that cares enough to self-select into the creative effort of creating this public knowledge. At the exact moment when they feel the motivation to create this Wikipedia page, whether at night or on a weekend, they can do so with virtually no impediments, no contracts or bureaucracy to get in their way.

      this is what I am talking about!

  19. Dec 2020
    1. Second, experiment with rented data before you embark on a massive investment in owned data. Depending on the industry, there might be a variety of small data companies out there that might be interested in some cross promotion. You pull the data onto your site in a limited fashion and, in return, they get some credit.

      Does this exist?

    2. In media, there’s a specific DNA associated with the business. It’s very much a people business. Day in and day out, your journalists are talking to sources, reporting on what’s happening and filing stories. Each day is a new day and you have to build the product all over again. It also doesn’t really scale without additional inputs.

      This is a ball buster...

    1. Yet the motivated student, whose brain had not been affected by marijuana addiction, would have taken the MCAT and GRE to insure that he could go on with his education after a year off.

      you are a dumb fuck

    1. These basic safety tests are most often performed in rats and dogs. The studies are designed to permit the selection of a safe starting dose for humans, to gain an understanding of which organs may be the targets of toxicity, to estimate the margin of safety between a clinical and a toxic dose, and to predict pharmacokinetic and pharmacodynamic parameters.

      This must be able to be licesned?

    2. Existing regulations allow a great deal of flexibility in the amount of data that needs to be submitted with an IND application, depending on the goals of the proposed investigation, the specific human testing proposed, and the expected risks.

      Will FDA demand special Pre-IND or Phase I for annorexia?