Matthew Johnson: Psychedelics
全文文稿 · 按对话顺序保留完整内容，深入理解上下文。
本篇目录25 章节
§01Transcript · 00:00–09:40§02Transcript · 09:42–18:55§03Transcript · 19:00–28:14§04Transcript · 28:15–37:43§05Transcript · 37:44–46:52§06Transcript · 46:53–55:56§07Transcript · 55:58–1:05:16§08Transcript · 1:05:18–1:14:07§09Transcript · 1:14:09–1:22:12§10Transcript · 1:22:15–1:30:37§11Transcript · 1:30:39–1:39:04§12Transcript · 1:39:06–1:47:30§13Transcript · 1:47:32–1:56:00§14Transcript · 1:56:01–2:04:14§15Transcript · 2:04:17–2:12:56§16Transcript · 2:12:58–2:21:40§17Transcript · 2:21:42–2:30:39§18Transcript · 2:30:42–2:39:50§19Transcript · 2:39:53–2:48:24§20Transcript · 2:48:25–2:57:59§21Transcript · 2:58:02–3:07:09§22Transcript · 3:07:12–3:16:39§23Transcript · 3:16:42–3:25:46§24Transcript · 3:25:47–3:34:28§25Transcript · 3:34:32–3:34:51§01Transcript · 00:00–09:40
The following is a conversation with Matthew Johnson,
a professor of psychiatry and behavioral science
at Johns Hopkins, and is one of the top scientists
in the world conducting seminal research on psychedelics.
This was one of the most eye-opening
and fascinating conversations I've ever had on this podcast.
I'm sure I'll talk with Matt many more times.
Quick match interview sponsor,
followed by some thoughts related to the episode.
Thank you to a new sponsor, Brave,
a fast browser that feels like Chrome,
but has more privacy-preserving features.
Neuro, the maker of functional sugar-free gum and mints
that I use to give my brain a quick caffeine boost.
Four Sigmatic, the maker of delicious mushroom coffee.
I'm just now realizing how ironic the set of sponsors are.
And Cash App, the app I use to send money to friends.
Please check out these sponsors in the description
to get a discount and to support this podcast.
As a side note, let me say that psychedelics
is an area of study that is fascinating to me,
in that it gives hints that much of the magic
of our experience arises from just a few
chemical interactions in the brain,
and that the nature of that experience can be expanded
through the tools of biology, chemistry, physics,
neuroscience, and artificial intelligence.
The fact that a world-class scientist and researcher
like Matt can apply rigor to our study
of this mysterious and fascinating topic
is exciting to me beyond words,
as is the case with any of my colleagues
who dare to venture out into the darkness
of all that is unknown about the human mind,
with both an openness of first-principle thinking
and the rigor of the scientific method.
If you enjoy this thing, subscribe on YouTube,
review it with Five Stars on Apple Podcasts,
follow on Spotify, support on Patreon,
or connect with me on Twitter @LexFriedman.
And now, here's my conversation with Matthew Johnson.
Can you give an introduction to psychedelics,
like a whirlwind overview?
Maybe what are psychedelics,
and what are the kinds of psychedelics out there,
and in whatever way you find meaningful to categorize.
- Yeah, you can categorize them
by their chemical structure.
So phenethylamines, tryptamines, ergalines.
That is less of a meaningful way to classify them.
I think that their pharmacological activity,
their receptor activity is the best way.
Well, let me start even broader than that,
because there I'm talking about the classic psychedelics.
So broadly speaking, when we say psychedelic,
that refers to, for most people,
a broad number of compounds
that work in different pharmacological ways.
So it includes the so-called classic psychedelics.
That includes psilocybin and psilocin,
which are in mushrooms, LSD, dimethyltryptamine, or DMT,
it's in ayahuasca, people can smoke it too,
mescaline, which is in peyote and San Pedro, cactus.
And those all work by hitting
a certain subtype of serotonin receptor,
the serotonin 2A receptor.
They act as agonists at that receptor.
Other compounds like PCP, ketamine, MDMA, ibogaine,
they all are, more broadly speaking, called psychedelics,
but they work by very different ways pharmacologically.
And they have some different effects,
including some subjective effects,
even though there's enough of an overlap
in the subjective effects
that people informally refer to them as psychedelic.
And I think what that overlap is,
compared to say caffeine and cocaine and Ambien, et cetera,
other psychoactive drugs,
is that they have strong effects
in altering one's sense of reality
and including the sense of self.
And I should throw in there that cannabis,
more historically, like in the '70s,
has been called a minor psychedelic.
And I think with that latter definition,
it does fit that definition,
particularly if one doesn't have a tolerance.
- So you mentioned serotonin,
so most of the effect comes from something around
like the chemistry around neurotransmitters and so on.
So it's chemical interactions in the brain,
or is there other kinds of interactions
that have this kind of perception
and self-awareness-altering effects?
- Well, as far as we know,
all of the psychedelics of all the different classes
we've talked about,
their major activity is caused by receptor-level events.
So either acting at the post-receptor side of the synapse,
so in other words, neurotransmission operates
by one neuron releasing neurotransmitter into a synapse,
a gap between the two neurons,
and then the other neuron receives.
It has receptors that receives,
and then there can be an activation caused by that.
So it's like a pitcher and a catcher.
So all of the major psychedelics
work by either mimicking a pitcher or a catcher.
So for example, the classic psychedelics,
they fit into the same catcher's mitt
on the post-synaptic receptor side as serotonin itself,
but they do a slightly different thing to the cell,
to the neuron, than serotonin does.
There's a different signaling pathway
after that initial activation.
Something like MDMA works at the presynaptic side,
the pitcher side, and basically it floods the synapse
or the gap between the cells with a bunch of serotonin,
the natural neurotransmitter.
So it's like the pitcher in a baseball game
all of a sudden just starts throwing balls every second.
- Everything we're talking about,
is it often more natural,
meaning found in the natural world?
You mentioned cacti, cactus,
or is it chemically manufactured,
like artificially in the lab?
- So the classic psychedelics, there's--
- What are the classics?
So using terminology that's not chemical terminology,
not like the terminology you see in titles of papers,
academic papers, but more sort of common parlance.
- Right, it would be good to kind of define their effects,
like how they're different.
And so it includes LSD, psilocybin,
which is in mushrooms, mescaline, DMT.
- Which one is mescaline?
- Mescaline is in the different cacti,
so the one most people will know is peyote,
but it also shows up in San Pedro or Peruvian torch.
And all of these classic psychedelics,
they have at the right dose,
and typically they have very strong effects
on one's sense of reality and one's sense of self.
Some of the things that makes them different
than other more broadly speaking psychedelics
like MDMA and others is that they're,
at least the major examples,
there are some exotic ones that differ,
but the ones I've talked about are extremely safe
at the physiological level.
Like there's LSD and psilocybin,
there's no known lethal overdose,
unless you have really severe heart disease,
'cause it modestly raises your blood pressure.
So same person that might be hurt shoveling snow
or going up the stairs, that could have a cardiac event
because they've taken one of these drugs.
But for most people, someone could take 1,000 times
what the effective dose is,
and it's not gonna cause any organ damage,
affect the brainstem, make them stop breathing.
So in that sense, they're freakishly safe at the,
I would never call any compounds safe
'cause there's always a risk.
They're freakishly safe at the physiological level.
I mean, you can hardly find anything over the counter,
like that, I mean, aspirin's not like that,
caffeine is not like that.
Most drugs, you take five, 10, 20, maybe it takes 100,
but you get to some times the effective dose,
and it's gonna kill you or cause some serious damage.
And so that's something that's remarkable
about most of these classic psychedelics.
- That's incredible, by the way,
that you can go on a hell of a journey in the mind,
like probably transformative,
potentially in a deeply transformative way,
and yet there's no dose that in most people
would have a lethal effect.
That's kind of fascinating.
There's this duality between the mind and the body.
It's like, it's the, okay,
sorry if I bring him up way too much,
but David Goggins is like,
you know, the kind of things you go on on the long run,
like the hell you might go through in your mind.
Your mind can take a lot,
and you can go through a lot with the mind,
and the body will just be its own thing.
You can go through hell, but after a good night's sleep,
be back to normal, and the body is always there.
- So bringing it back to Goggins,
it's like you can do that
without even destroying your knee or whatever.
- Right, well, yes.
- Or coming close and riding that line.
- That's true.
So the unfortunate thing about the running,
which he uses running to test the mind,
§02Transcript · 09:42–18:55
so the aspect of running that is negative,
in order to test the mind,
you really have to push the body,
like take the body through a journey.
I wish there was another way of doing that
in the physical exercise space.
I think there are exercises
that are easier on the body than others,
but running sure is a hell of an effective way to do it.
- And one of the ways that where it differs
is that you're, unlike exercise,
you're essentially, you know,
most exercise, to really get to those intense levels,
you really need to be persistent about it.
I mean, it'll be intense if you're really out of shape
just jogging for five minutes,
but to really get to those intense levels,
you need to have the dedication.
And so some of the other ways
of altering subjective effects
or states of consciousness take that type of dedication.
Psychedelics, though, I mean, someone takes the right dose,
they're strapped into the roller coaster,
and something interesting is gonna happen.
And I really like what you said
about that distinction between the mind,
or the contrast between the mind effects
and the bodily, the body effects,
because I think of this,
I do research with all the drugs,
you know, caffeine, alcohol, methamphetamine, cocaine,
alcohol, legal, illegal.
Most of these drugs,
thinking about, say, cocaine and methamphetamine,
you can't give to a regular user,
you can't safely give a dose
where the regular cocaine user is gonna say,
"Oh man, that's like,
that's the strongest coke I've ever had," you know?
Because, you know, you get it past the ethics committee
and you need approval,
and I wouldn't wanna give someone something that's dangerous.
So to go to those levels where they would say that,
you would have to give something
that's physiologically riskier.
- Yeah.
- Psilocybin or LSD,
you can give a dose at the physiological level
that is like, very good chance
it's gonna be the most intense psychological experience
of that person's life.
- Yeah, that's true. - And have zero chance
for most people, if you screen them, of killing them.
The big risk is behavioral toxicity,
which is a fancy way of saying doing something stupid.
I mean, you're really intoxicated,
like if you wander into traffic or you fall from a height,
just like plenty of people do on high doses of alcohol.
And the other kind of unique thing
about classic psychedelics is that they're not addictive,
which is pretty much unheard of
when it comes to so-called drugs of abuse
or drugs that people, at least at some frequency,
choose to take.
You know, most of what we think of as drugs,
you know, even caffeine, alcohol, cocaine, cannabis,
most of these you can get into alcohol,
you can get into a daily use pattern.
And that's just so unheard of with psychedelics.
Most people have taken these things on a daily basis.
It's more like they're building up the courage to do it,
and then they build up a tolerance.
Or they're in college and they do it on a dare,
can you take acid seven days in a row?
And that type of thing, rather than a self-control issue
where you have and say, oh God, I gotta stop taking this,
I gotta stop drinking every night,
I gotta cut down on the Coke, whatever.
- So that's the classic psychedelics.
What are the, what's a good term, modern psychedelics,
or more maybe psychedelics that are created in the lab?
What else is there?
- Right, so MDMA is the big one.
And I should say that with the classic psychedelics,
that LSD is sort of, you can call it a semi-synthetic,
because there's natural, you know,
from both ergot and in certain seeds,
morning glory seeds is one example,
there's a very close, there are some very close
chemical relatives of LSD,
so LSD is close to what occurs in nature, but not quite.
But then when we get into the other non-classic psychedelics,
probably the most prominent one is MDMA.
People call it ecstasy, people call it molly.
And it is, it differs from classic psychedelics
in a number of ways.
It can be addictive, but not so.
It's like, you can have cocaine on this end
of the continuum, and classic psychedelics here.
- Continuum of addiction?
- Continuum of addiction, you know.
So it's certainly no cocaine.
It's pretty rare for people to get into daily use patterns,
but it's possible.
And they can get into more like, you know,
using once a week pattern,
where they can find it hard to stop.
But it's somewhere in between,
mostly towards the classic psychedelic side,
in terms of like, relatively little addiction potential.
But it's also more physiologically dangerous.
I think that the, certainly the therapeutic use,
it's showing really promising effects for treating PTSD,
and the models that are used,
I think those are extremely acceptable
when it comes to the risk-benefit ratio
that you see all throughout medicine.
But nonetheless, we do know that at a certain dose
and a certain frequency that MDMA can cause long-term damage
to the serotonin system in the brain,
so it doesn't have that level of kind of freakish,
bodily safety that the classic psychedelics do.
And it has more of a heart load, a cardiovascular,
I don't mean kind of emotion, I mean, in this sense,
although it is very emotional,
and that's something unique about its subjective effects,
but it's more of a presser.
- And the terminology used instead of like,
freakish capacities,
allowing you from a researcher perspective,
but a personal perspective too,
of taking a journey with some of these psychedelics,
that is the heroic dose, as they say.
So like, these are tools that allow you
to take a serious mental journey, whatever that is.
That's what you mean.
And with MDMA, there's a little bit,
it starts entering this territory
where you gotta be careful about the risks
to the body, potentially.
- So yes, that, in the sense that you can't
kind of push the dose up as high as safely as one can,
if they're in the right setting, like in our research,
as they can with the classic psychedelics.
But probably more importantly,
just the nature of the effects with MDMA
aren't the full-on psychedelic.
It's not the full journey.
So it's sort of a psychedelic with rose-colored glasses on,
a psychedelic that's more of,
it's been called more of a heart trip than a head trip.
The nature of reality doesn't unravel
as frequently as it does with classic psychedelics.
- But you're able to more directly sense your environment.
So your perception system still works.
It's not completely detached from reality with MDMA.
- That's true, relatively speaking.
That said, at most doses of classic psychedelics,
you still have a tether to reality.
Changes a little bit when you're talking about smoking DMT
or smoking 5-methoxy DMT,
which are some interesting examples
we could talk more about.
But with MDMA, for example,
it's very rare to have what's called an ego loss experience
or a sense of transcendental unity,
where one really seemingly loses
the psychological construct of the self.
But MDMA, it's very common for people to have this,
they still are perceiving themselves as a self,
but it's common for them to have this warmth,
this empathy for humanity
and for their friends and loved ones.
So it's more of,
and you see those effects under the classic psychedelics,
but that's a subset of what the classic psychedelics do.
So I see MDMA in terms of its subjective effects,
is if you think about Venn diagrams,
it's sort of MDMA is all within the classic psychedelics.
So everything that you see on a particular MDMA session,
sometimes a psilocybin session looks just like that.
But then sometimes it's completely different
with psilocybin, it's a little more narrowed
in terms of the variability with MDMA.
- Is there something general to say
about what the psychedelics do to the human mind?
You mentioned kind of an ego loss experience
in the space of Venn diagrams,
if we're to like draw a big circle,
what can we say about that big circle?
- In terms of people's report of subjective experience,
probably one of the most general things we can say
is that it expands that range.
So many people come out of these sessions
saying that they didn't know it was possible
to have an experience like that.
- So there's an emphasis on the subjective experience
that is there words that people put to it
that capture that experience
or is it something that just has to be experienced?
§03Transcript · 19:00–28:14
- Yeah, people like--
- As a researcher, that's an interesting question
because you have to kind of measure the effects of this
and how do you convert that into numbers?
- Right.
- That's the ultimate challenge.
Is that possible to one, convert it into words
and the second, convert the words into numbers somehow?
- So we do a lot of that with questionnaires,
some of which are very psychometrically validated,
so lots of numbers have been crunched on them.
And there's always a limitation with questionnaires.
I mean, subjective effects are subjective effects.
Ultimately, it's what the person is reporting
and that doesn't necessarily point towards a ground truth.
So for example, if someone says that they felt like
they touched another dimension
or they felt like they sensed the reality of God
or if they, I mean, just you name it,
people's ontological views can sometimes shift.
I think that's more about where they're coming from
and I don't think it's the quintessential way
in which they work.
There's plenty of people that hold on
to a completely naturalistic viewpoint
and have profound and helpful experiences
with these compounds,
but the subjective effects can be so broad
that for some people, it shifts their philosophical viewpoint
more towards idealism, more towards thinking of
that the nature of reality might be more about consciousness
than about material.
That's a domain I'm very interested in.
Right now, we have essentially zero to say about that
in terms of validating those types of claims,
but it's even interesting just to see what people say
along those lines.
- So you're interested in saying like,
can we more rigorously study this process of expansion?
Like, what do we mean by this expansion of your sense
of what is possible in the experiences in this world?
- Right, as much as what we can say about that
through naturalistic psychology.
Especially as much as we can root it
to solid psychological constructs
and solid neuroscientific constructs.
- And I wonder what the impact is of the language
that you bring to the table.
So you mentioned about God or, speaking of God,
a lot of people are really interested
of theoretical physics these days at a very surface level,
and you can bring the language of physics, right?
You can talk about quantum mechanics.
You can talk about general relativity
and curvature of space-time,
and using just that language
without a deep technical understanding of it
to somehow start thinking like,
sort of visualizing atoms in your head
and somehow through that process,
because you have the language,
using that language to kinda dissolve the ego,
like realize that we're just all little bits
of physical objects that behave in mysterious ways.
And so that has to do with the language.
Like if you read a Sean Carroll book or something recently,
it seems like it has a huge influence
on the way you might experience,
might perceive the world and might experience
the alteration that psychedelics brings
to your perception system.
So I wonder, like, the language you bring to the table,
how that affects the journey you go on with the psychedelics.
- I think very much so.
And I think there's, I'm a little concerned
some of the science is going a little too far
in the direction of around the edges,
speaking about changing beliefs in this sense or that sense
about particular, in particular domains.
And I think what really what,
a lot of what's going on is what you just discussed.
It's the priors coming into it.
So if you've been reading a lot of physics,
then you might bring up like space-time
and interpret the experience in that sense.
I mean, it's not uncommon for people come out
talking about visions of the,
it's not the most typical thing,
but it's come up in sessions I've guided,
the Big Bang and the, you know,
this sort of nature of reality.
I think probably the best way to think
about these experiences is that,
and the best evidence,
even though we're in our infancy and understanding it,
they really tap into more general psychological mechanisms.
I think one of the best arguments is
they reduce the influence of our priors,
of what we bring into the,
all of the assumptions that we all,
that we're essentially, especially as adults,
we're riding on top of heuristic after heuristic
to get through life.
And you need to do that.
And that's a good thing.
And that's extremely efficient.
And evolution has shaped that,
but that comes at an expense.
And it seems that these experiences
will allow someone greater mental flexibility and openness.
And so one can be both less influenced
by their prior assumptions,
but still nonetheless,
the nature of the experience can be influenced
by what they've been exposed to in the world.
And sometimes they can get it in a deeper way.
Like maybe they've read,
I mean, I had a philosophy professor one time
as a participant in a high-dose psilocybin study.
And he's like, I remember him saying,
"My God, it's like Hegel's opposites defining each other.
"Like, I get it.
"I've taught this thing for years and years and years.
"Like, I get it now."
And so like that, you know,
and even at the psychological, emotional level,
like the cancer patients we worked with,
you know, they told themselves a million times
over the people trying to quit smoking,
"I need to quit smoking.
"Oh, I'm ruining my life with this cancer.
"I'm still healthy.
"I should be getting out.
"I'm letting this thing defeat me."
It's like, yeah, you told yourself that in your head,
but sometimes they had these experiences
and they kind of feel it in their heart.
Like they really get it.
- So in some sense that you bring some prize to the table,
but psychedelics allow you to acknowledge them
and then throw them away.
So like one popular terminology around this
in the engineering space is first principles thinking
that Elon Musk, for example, espouses a lot.
Let me ask a fun question
before we return to a more serious discussion.
With Elon Musk as an example,
but it could be just engineers in general.
Do you think there's a use for psychedelics
to take a journey of rigorous first principles thinking?
So like throwing away,
we're not talking about throwing away assumptions
about the nature of reality in terms of like our philosophy
of the way we live day-to-day life,
but we're talking about like how to build a better rocket
or how to build a better car
or how to build a better social network
or all those kinds of things, engineering questions.
- I absolutely think there's huge potential there.
And there was some research in the late '60s, early '70s
that it was very early and not very rigorous
in terms of methodology,
but it was consistent with the,
I mean, there's just countless anecdotes of folks.
I mean, people have argued that just Silicon Valley
was largely influenced by psychedelic experience.
I remember the, I think the person that came up
with the concept of freeware or shareware,
it's like it kind of was generated out of
or influenced by psychedelic experience.
So to this, I think there's incredible potential there
and we know really next,
there's no rigorous research on that, but.
- Is there anecdotal stuff like with Steve Jobs?
I think there's stories, right?
In your exploration of that,
is there something a little bit more than just stories?
Is there like a little bit more of a solid data points,
even if they're just experiential like anecdotes,
is there something that you draw inspiration from
like in your intuition?
'Cause we'll talk about,
you're trying to construct studies
that are more rigorous around these questions,
but is there something you draw inspiration from,
from the past, from the '80s and the '90s
and Silicon Valley, that kind of space?
Or is it just like you have a sense
based on everything you've learned
and these kind of loose stories
that there's something worth digging at?
- I am influenced by the, gosh,
the just incredible number of anecdotes surrounding these.
I mean,
Carey Mullis, he invented PCR.
I mean, absolutely revolutionized biological sciences.
He says he wouldn't have won the Nobel Prize for him
and said he wouldn't have come up with that
had he not had psychedelic experiences.
Now he's an interesting character.
§04Transcript · 28:15–37:43
People should read his autobiography
'cause you could point to other things he was into.
But I think that speaks to the casting your nets wide
and this mental flex,
more of these general mechanisms
where sometimes if you cast your nets really wide
and it's gonna depend on the person and their influences,
but sometimes you come up with false positives.
You connect the dots
where maybe you shouldn't have connected those dots.
But I think that can be constrained
and so much of our,
not only our personal psychological suffering,
but our limitations academically
and in terms of technology
are because of the self-imposed limitations and heuristics,
these entrenched ways of thinking.
Like those examples throughout the history of science
where someone has come up with a rat,
the paradigm, Kuhn's paradigm shifts.
It's like, here's something completely different.
This doesn't make sense by any of the previous models
and we need more of those.
And then you need the right balance between that
because so many of the novel, crazy ideas are just bunk.
That's what science is about,
separating them from the valid paradigm shifting ideas.
But we need more paradigm shifting ideas in a big way.
And I think you could argue that we've,
because of the structure of academia and science
in modern times, it heavily biases against those.
- Right, there's all kinds of mechanisms in our human nature
that resist paradigm shift quite sort of obviously.
So, and psychedelics, there could be a lot of other tools,
but it seems like psychedelics could be one set of tools
that encourage paradigm shifting thinking.
So like the first principles kind of thinking.
So as a kind of, you're at the forefront of research here.
There's just kind of anecdotal stories.
There's early studies.
There's a sense that we don't understand very much,
but there's a lot of depth here.
How do we get from there to where Elon and I can regularly,
like I wake up every morning, I have deep work sessions
where it's well understood, like what dose to take.
Like if I want to explore something where it's all legal,
where it's all understood and safe, all that kind of stuff.
How do we get from where we are today to there?
Not speaking in terms of legality in the sense like
policymaking, all that like laws and stuff.
Meaning like, how do we scientifically understand this stuff
well enough to get to a place where I can just take it
safely in order to expand my thinking,
like this kind of first principles thinking,
which I'm in my personal life currently doing.
Like how do I revolutionize particular several things?
Like it seems like the only tools I have right now,
it's just, just, but my mind going,
doing the first principles, like, wait, wait, wait.
Okay, why has this been done this way?
Can we do completely differently?
It seems like I'm still tethered to the priors
that I bring to the table and I keep trying
to untether myself.
Maybe there's tools that can systematically
help me untether.
- Yeah, well, we need experiments, you know,
and that's tied to kind of the policy level stuff.
And I should be clear, I would never encourage anyone
to do anything illicitly, but yeah, you know,
in the future we could see these, you know,
compounds used for technical and scientific innovation.
What we need are studies that are digging into that.
Right now, most of what the funding,
which is largely from philanthropy,
not from the government, largely what it's for
is treatment of mental disorders like addiction
and depression, et cetera.
But we need studies.
You know, one of the early initial stabs
on this question decades ago was they took some architects
and engineers and said, what problems have you
been working on?
Where have you been stuck for months,
like working on this damn thing
and you're not getting anywhere?
You're like, your head's butting up against the wall.
It's like, come in here, take,
and I think it was 100 micrograms of LSD.
So not a big session.
And a little bit different model
where they were actually working.
It was a moderate enough dose where they could work
on the problem during the session.
I think probably, I'm an empiricist,
so I'd like to see all the studies done.
But the first thing I would do is a really high dose session
where you're not necessarily in front of your computer,
which you can't really do on a really high dose.
- And then the work has been talked about,
you take a really high dose, you take a journey,
and then the breakthroughs come from when you return
from the journey and like integrate, quote unquote,
that experience.
- I think that's where all the,
again, we're babies at this point,
but my gut tells me, yeah,
that it's the so-called integration, the aftermath.
We know that there's some different forms
of neuroplasticity that are unfolding
in the days following a psychedelic, at least in animals.
Probably going on humans,
we don't know if that's related to the therapeutic effects.
My gut tells me it is,
although it's only part of the story.
But we need big studies where we compare people,
like let's get a hundred people like that,
scientists that are working on a problem,
and then randomize them too.
And then I think you need a even more credible,
active controls or active placebo conditions
to kind of tease this out.
And then also in conjunction with that,
and you can do this in the same study,
you wanna combine that with more rigorous
sort of experimental models
where we actually get there are problem solving tasks
that we know, for example,
that you tend to do better on
after you've gotten a good night's sleep versus not.
And my sense is there's a relationship there.
The people go back to first principles,
questioning those first principles they're operating under
and getting away from their priors
in terms of creative problem solving.
And so you, I think, wrap those things
and you could speak a little more rigorously about those.
'Cause ultimately, if everyone's bringing their own problem,
that's more on the face valid side,
but you can't dig in as much
and get as much experimental power
and speak to the mechanisms as you can
with having everyone do the same sort of canned
problem solving task.
- So we've been speaking about psychedelics generally.
Is there one you find from the scientific perspective
or maybe even philosophical perspective
that's the most fascinating to study?
- Therapeutically, I'm most interested in psilocybin and LSD
and I think we need to do a lot more with LSD
because it's mainly been psilocybin in the modern era.
I've recently gotten a grant
from the Hefter Research Institute to do an LSD study.
So I haven't started it yet,
but I'm going through the paperwork and everything.
- Therapeutic meaning there's some issue
and you're trying to treat that issue.
- Right, right.
In terms of just like what's the most fascinating,
understanding the nature of these experiences
if you really wanna like wrap your head
around what's going on when someone has
a completely altered sense of reality and sense of self.
There I think you're talking about the high dose,
either smoked, vaporized or intravenous injection,
which all kind of, they're very similar pharmacologically
of DMT and 5-methoxy DMT.
This is like when people, this is what,
I don't know if you're familiar with Terrence McKinney,
he would talk a lot about smoking DMT.
Joe Rogan has talked a lot about that.
People will say that,
and there's a close relative called 5-methoxy DMT.
Most people who know the terrain will say
that's an order of magnitude or orders of magnitude beyond,
I mean, anything one could get
from even a high dose of psilocybin or LSD.
I think it's a question about whether,
you know, how therapeutic.
I think there is a therapeutic potential there,
but it's probably not as sure of a bet
because one goes so far out,
it's almost like they're not contemplating their relationship
and their direction in life.
They are like reality is ripping apart at the seams
and the very nature of the self and of the sense of reality.
And the amazing thing about these compounds,
and same to a lesser degree with oral psilocybin and LSD
is that unlike some other drugs
that really throw you far out there,
you know, anesthetics and even alcohol,
like as reality starts to become different
at higher and higher doses, there's this numbing.
There's this sort of,
there's this ability for the sense of being the center,
having a conscious experience that's memorable
that is maintained
throughout these classic psychedelic experiences.
Like one can go as far, so far out
while still
§05Transcript · 37:44–46:52
being aware of the experience
and remembering the experience.
- Interesting, so being able to carry something back.
- Right.
- Can you dig in a little deeper?
Like what is DMT?
How long is the trip usually?
Like how much do we understand about it?
Is there something interesting to say
about just the nature of the experience
and what we understand about it?
- One of the common methods for people to use it
is to smoke it or vaporize it.
And it usually takes,
this is a pretty good kind of description
of what it might feel like on the ground.
The caveat is it's a completely insufficient description
and someone's gonna be listening.
Who has done this, it's like nothing you could say
is gonna come close.
But it'll take about three big hits, inhalations
in order to have what people call a breakthrough dose.
And there's no great definition of that,
but basically meaning moving away from,
not just having the typical psilocybin or LSD experience
where like things are radically different,
but you're still basically a person in this reality
to go in somewhere else.
And so that'll typically take like three hits.
And this stuff comes on like a freight train.
So one takes a hit and around the time
of the first exhalation,
so we're talking about a few seconds in,
or maybe just sometime between the first and the second hit,
it'll start to come on.
And they're already up to, let's say,
what they might get from a 30 milligram
or 300 microgram LSD trip, a big trip.
They're already there at the second hit,
but they're going, their consciousness is geared,
this is like acceleration, not speed,
to speak of physics, okay?
It's like those receptors are getting filled like that
and they're going from zero to 60 in like Tesla time.
And at the second hit, again,
they're at maybe the strongest psychedelic experience
they've ever had.
And then if they can take that third hit,
and some people can't,
they're propelled into this other reality.
And the nature of that other reality will differ
depending on who you ask,
but folks will often talk about,
and we've done some survey research on this,
entities of different types, elves tend to pop up.
The caveat is that I strongly presume
all of this is culturally influenced,
but thinking more about the psychology and the neuroscience,
there is probably something fundamental,
like for someone that might be colored as elves,
others that might be colored as,
Terrence McKenna called them self-dribbling basketballs,
for someone else, it might be little animals,
or someone else, it might be aliens.
I think that probably is dependent on who they are
and what they've been exposed to,
but just the fact that one has this sense
that they're surrounded by autonomous entities.
- Right, intelligent, autonomous entities.
- Right, and people come back with stories
that are just astonishing.
There's communication between these entities,
and often they're telling them things
that the person says are self-validating,
but it seems like it's impossible.
It really seems like, and again,
this is what people say oftentimes,
that it really is like downloading some intelligence
from a higher dimension,
or whatever metaphor you wanna use.
Sometimes these things come up in dreams,
where it's like someone is exposed to something that,
I've had this in a dream,
where it seems like what they are being exposed to
is physically impossible,
but yet at the same time, self-validating.
It seems true,
like that they really are figuring something out.
Of course, the challenge is to say something
in concrete terms after the experience
that where you could verify that in any way,
and I'm not familiar of any examples of that.
- Well, there's a sense in which,
I suppose the experience is like,
you're a limited cognitive creature
that knows very little about the world,
and here's a chance to communicate with much wiser entities
that in a way that you can't possibly understand
are trying to give you hints of deeper truths.
And so there's that kind of sense
that you can take something back,
but you can't,
where our cognition is not capable
to fully grasp the truth,
we'll just get a kind of sense of it,
and somehow that process is mind-expanding,
that there's a greater truth out there.
- Right.
- That seems like what,
from the people I've heard talk about,
that seems to be what it is,
and that's so fascinating that there's,
there's fundamentally to this whole thing
is a communication between an entity
that is other than yourself, entities.
So it's not just like a visual experience,
like you're floating through the world,
is there's other beings there,
which is kind of,
I don't know,
I don't know what to sort of,
from a person who likes Freud and Carl Jung,
I don't know what to think about that.
That being, of course,
from one perspective is just you looking in the mirror,
but it could also be from another perspective,
like actually talking to other beings.
- Yeah, and you mentioned Jung,
and I think that's,
he's particularly interesting,
and it kind of points to something I was
thinking about saying is that,
I think what might be going on natural,
from a naturalistic perspective,
so regardless, whether or not there are,
it doesn't depend on autonomous entities out there,
what might be happening is that just
the associative net,
the level of learning,
the comprehension might be so
beyond what someone is used to
that the only way for the nervous system,
for the aware sense of self to orient towards it
is all by metaphor.
And so I do think,
when we get into these realms,
as a strong empiricist,
I think we always gotta be careful
and be as grounded as possible,
but I'm also willing to speculate
and sort of cast the nets wide with caveat,
but I think of things like archetypes,
and it's plausible that there are certain stories,
there are certain,
we've gone through millions of years of evolution,
it may be that we have certain
characters and stories that are sort of,
that our central nervous system is sort of wired to tend to--
- Yeah, those stories, we carry those stories in us.
- Right. - And this unlocks them
in a certain kind of way.
- And we think about stories,
like our sense of self is basically,
narrative self is a story,
and we think about the world of stories.
This is why metaphors are always more powerful than,
sort of laying out all the details all the time,
speaking in parables,
it's like if you really get some,
this is why, as much as I hate it,
if you're presenting to Congress or something,
and you have all the best data in the world,
it's not as powerful as that one anecdote
as the mom dying of cancer
that had the psilocybin session
and it transformed her life.
That's a story, that's meaningful.
And so when this kind of unimaginable kind of change
and experience happens with DMT ingestion,
these stories of entities, they might be that,
stories that are constructed that is the closest,
which is not to say the stories aren't real.
I mean, I think we're getting to layers where--
- What is real, man? - It doesn't really, right.
Yeah, yeah. - Yeah.
But it's the closest we can come to making sense out of it
because what we do know about these psychedelics,
one of the levels beyond the receptor
is that the brain is communicating it with itself
in a massively different way.
There's massive communication with areas
that don't normally communicate.
And so I think that comes with both,
it's casting the nets wide.
I think that comes with the insights
and helpful novel ways of thinking.
I do think it comes with false positives.
That could be some of the delusion.
And so when you're so far out there,
like with DMT experience,
§06Transcript · 46:53–55:56
like maybe alien is the best way
that the mind can wrap some arms around that.
- So I don't know how much you're familiar with Joe Rogan,
but he does bring up DMT quite a bit.
It's almost a meme.
It is a meme.
Have you ever, what is it?
Have you ever tried DMT?
(laughs)
- I mean, I think he talks about this experience
of having met other entities
and they were mocking him, I think,
if I remember the experience correctly,
like laughing at him and saying F-you, F-you,
or something like that.
I may be misremembering this,
but there was a general mockery.
And what he learned from that experience
is that he shouldn't take himself too seriously.
So it's the dissolution of the ego and so on.
Like, what do you think about that experience?
And maybe if you have more general things
about Joe's infatuation with DMT
and if DMT has that important role to play
in popular culture in general.
- I'm definitely familiar with it.
I remember telling you offline
that the first time I learned who Joe Rogan was,
it was probably 15 years ago.
And I came upon a clip and I realized
there's another person in the world
who's into both DMT and Brazilian jiu-jitsu.
And I think both those worlds have grown dramatically since,
and it's probably not such a special club these days.
So he definitely got onto my radar screen quickly.
- You were into both before it was cool.
- Right, I mean, this is all relative
'cause there's people that were before the late '90s
and early 2000s that were into it
that say you're a Johnny-come-lately.
But yeah, compared to where we're at now.
But yet one of the things I always found fascinating
by Joe's telling of his experiences, I think,
is that they resemble very much
Terrence McKenna's experiences with DMT.
And Joe has talked very much about Terrence McKenna
and his experiences.
If I had to guess, I would guess
that probably just having heard Terrence McKenna
talk about his experiences,
that that influenced the coloring of Joe's experience.
- It's funny how that works.
'Cause I mean, that's why McKenna hasn't...
I mean, poets and great orators give us the words
to then start to describe our experiences
'cause our words are limited, our language is limited.
And it's always nice to get some kind of nice poetry
into the mix to allow us to put words to it.
- Right.
But I also see some elements
that seem to relate to Joe's psychology,
just from what I've seen of him,
from hours of watching him on his podcast,
is that he's a self-critical guy.
And I think with all his positive...
Ben, I'm always struck being a behavioral pharmacologist
and no one else really says it about cannabis.
I'll get back to the DMT thing about,
he likes the kind of the paranoid side of things.
He's like, that's you radically examining yourself.
It's like, that's not just a bad thing.
That's you need to look hard at yourself
and something's making you uncomfortable, dig into that.
And it's sort of along the lines of Goggins with exercise.
And it's like, yeah, learning experiences
aren't supposed to be easy.
Take advantage of these uncomfortable experiences.
It's why we call in our research in a safe context,
with psychedelics, they're not bad trips,
they're challenging experiences.
- Nice, yes.
Yeah, it's fascinating, just as a tiny tangent.
It's always cool for me to hear him talk about marijuana,
like weed, as the paranoia, the anxiety,
or whatever that you experience
as actually the fuel for the experience.
Like I think he talks about smoking weed when he's writing.
That's inspiring to me
because then you can't possibly have a bad experience.
I'm a huge fan of that.
Like every experience is good.
- Right, which is very Goggins.
- Yeah, yeah, is it bad?
Okay, all right, great.
- Well, see, Goggins is one side of that.
He wants it bad.
Like he wants the experience to be challenging always.
But I mean, like both are good.
Like the few times I've taken mushrooms,
the experience was like, everything was beautiful.
There's zero challenging aspect to it.
It was just like, the world is beautiful.
And it gave me this deep appreciation of the world,
I would say.
So like that's amazing.
But also ones that challenge you are also amazing,
like all the times I drink vodka.
(both laughing)
But that's another, let's not.
So back to DMT.
- Yeah, Joe's treating cannabis as a psychedelic,
which is something that I'd say,
like a lot of people treat it more like Xanax,
or like beer, or vodka.
But he's really trying to delve into those,
it's been called a minor psychedelic.
So with DMT, as you brought up,
it's like the entity's mocking him.
And it's like, you're not, I mean,
this reminds me of him describing his,
writing his, or just his entire method of comedy.
It's like, watch the tape of yourself.
Don't just ignore it.
Like, that's where I screwed up.
That's where I need to do better.
This like sort of radical self-examination,
which I think our society is kind of getting away from,
'cause like, all the children win trophies type of thing.
You know, it's like, no, no, don't go overboard,
but like recognize when you've messed up.
And so like, that's a big part of the psychedelic experience.
Like people come out sometimes saying,
my God, I need to say sorry to my mom.
- Yeah.
- You know, like, it's so obvious.
Like, or whatever, you know, interpersonal issue,
or like, my God, I don't, I'm not pulling enough weight
around the house and helping my wife.
And you know, these things that are just obvious to them,
the self-criticism that can be a very positive thing
if you act on it.
- You've mentioned addiction.
Maybe we could take a little bit detour
and into a darker aspect of things,
or not even darker, it's just an important aspect of things.
What's the nature of addiction?
You've mentioned some things within the big umbrella
of psychedelics, maybe usually not addictive,
but maybe MDMA, I think you said,
might have some addictive properties.
But the point is stuff outside of the psychedelics umbrella
can often be highly addictive.
So you've studied addiction from several angles,
one of which is behavioral economics.
What have you understood about addiction?
What is addiction from the biological,
physiological level to the psychological,
to whatever is the interesting way to talk about addiction?
- Yeah, and the lenses that I view addiction through
very much are behavioral economic,
but I also think they converge on,
I think it's beautiful, at the other end of the spectrum,
sort of just a completely humanistic psychology perspective.
And it converges on what people come out of,
you know, 12-step meetings talking about.
- Can you say what is behavioral economics
and what is humanistic psychology?
What do you mean by that?
And more importantly, behavioral economics lens.
What is that?
- So behavioral economics, my definition of it
is the application of economic principles,
mostly microeconomic principles.
So understanding the behavior of individual agents
surrounding commodities in the marketplace,
applying microeconomic types of analyses
to non-economic behavior.
So basically at one point, like psychologists figured out
that there's this whole other discipline
that's been studying behavior,
it just happened to be all focused on monetary behavior,
spending and saving money, et cetera.
But it comes with all of these principles
that can be wildly and fruitfully applied
to understanding behavior.
So for example, I've studied things like
demand curve analysis of drug consumption.
So I look at, for example,
the tobacco, cigarettes, and nicotine products
through the lens of demand curves.
And in other words, at different prices,
if there's different work requirements
for being able to smoke cigarettes,
sort of modeling price.
- Within that price data,
there is some indication of addiction,
how much you, the habits that you form
around these particular drugs.
- It's one important dimension.
So I think a particularly important one there
§07Transcript · 55:58–1:05:16
is elasticity or inelasticity,
two ends of the spectrum.
So that's the price sensitivity.
So for example, you could have something
that's pretty price inelastic, like gasoline.
So the price of gas at times can keep going up
and Americans are just gonna pretty much
buy the same amount of gas,
or maybe the price of gas doubles,
but their consumption only decreases by 10%.
So it's a sub-proportional reduction.
So that's an inelastic.
And that changes, like you push the price up high enough.
I mean, if it was $100 a gallon,
it would eventually turn, the curve would turn
and go downward more drastically and it would be elastic.
But you can apply that to someone,
someone who, a regular cigarette smoker,
who is working for cigarette puffs,
who's gone six hours without smoking.
And you're asking questions like,
yeah, how many times are they willing to pull this knob
in the lab during this three hour session?
I do a lot of work like this in order to earn a cigarette.
How does the content of nicotine in that affect it?
How's the availability of nicotine replacement products
like nicotine gum or e-cigarettes affect those decisions?
So you can, it's a certain lens of,
it's sort of a way to take the kind of the classic
behavioral psychology definition of reinforcement,
which is just basically reward.
How much is this a good thing?
And it kind of breaks that apart
into a multi-dimensional space.
So it's not just the ideas reward or reinforcement
is not unit dimensional.
So for example, you can unpack that with demand curves.
At a cheap price, you might prefer one good to another.
So the classic example is luxury versus necessity.
So diamonds versus toilet paper.
So at those cheap prices,
you can look at something called intensity of demand.
If it was basically as cheap as possible,
or essentially zero, how much would you buy of this good?
But then you keep jacking up the price and you'll see,
so diamonds will look like the better reward
at that low price or intensity of demand side of things.
But as you keep jacking up the price,
you gotta have some toilet paper.
And again, we can get into the whole like bidet thing,
but forget that.
You know, like I know Joe's been pushing that too.
You're gonna hang on and keep buying the toilet paper
to a greater degree than you will the diamonds.
So you'll see a crossing of demand curves.
So what's the better reinforcer?
What's the better reward?
Depends on your price.
And so that's an example of one way to,
and that of look at addiction.
So specifically drug consumption,
which isn't all of addiction,
but it's like in order for something to be addictive,
it has to be a reward.
And it has to compete with other rewards in your life.
And one of the two main aspects of addiction in my view,
and this doesn't map onto how the DSM,
the psychiatry Bible defines addiction,
which I think is largely bunk,
but there's some value to have some common description,
but it's, you know,
how rewarding is it from this multi-dimensional lens?
And specifically, how does that rewarding value compete
with other rewards, other consequences in your life?
So it's not a problem if the use of that substance
is rewarding, you know, okay, yeah,
you like to have a couple of beers every once in a while,
it's like not a problem.
But then you have the alcoholic who is drinking so much
that it tanks their career, it ruins their marriage.
It's in competition with these pro-social aspects
to their life.
- It's all about comparing to the other choices
you're making, the other activities in your life.
And if you evaluate it as a much higher reward
than anything else, that becomes an addiction.
- Right, right.
And so it's not just the rewarding value,
but it's the relative rewarding value.
And the other major aspect, again,
from behavioral economics,
the thing that makes addiction
is something called delayed discounting.
So in economics, sometimes it's called time preference.
It's what compound interest rates are based upon.
It's the idea that delaying a good,
access to a good or a reward
comes with a certain decrement to its value.
So we'd all rather have things now than later.
And we can study this at the individual level of,
you know, would you rather have $9 today or $10 tomorrow?
And when you do that, you get huge differences
between addicted populations and non-addicted.
Not just heroin and cocaine, but like just cigarette smokers
like normal everyday cigarette smokers.
And even when you look at something like,
you know, monetary rewards.
And so you can go into the rabbit hole
with this delayed discounting model.
So it's not only those huge differences
that seem to have a face valid aspect to it.
Like the cigarette smoker is choosing this thing
that's rewarding today,
but I know it comes with increased risk
of having these horrible consequences down the line.
So it's this competition between what's good for me now
and what's good for me later.
And the other aspect about delayed discounting is that
if you quantitatively map out
that discounting curve over time.
So you don't just do the, you know,
how much, you know, that $10 tomorrow,
how much is it worth to you today?
So you can say, what about nine?
What about eight?
What about $7?
And you can titrate it to find that indifference point.
And so we can say, aha, $6.
You know, $10 tomorrow is worth $6 to you today.
So it's by the one day it's decreased by 40%.
We can do that also at one week and one month
and one year and 10 years and map out that curve,
get a shape of that curve.
And one of the fascinating things about this
is that whether you're talking about pigeons,
making these types of choices
between a little bit of food now
or a little bit of food a minute from now,
or rats or every like dozens of species of animals tested,
including humans.
The tendency is pretty consistently
that we discount hyperbolically rather than exponentially.
What exponentially means is that every unit of time
is associated with the same proportional reduction.
Every unit of delay is associated with the same,
causes the same proportional reduction in value.
And that's the way the compound interest rate,
you know, works, you know,
every day, you know, you get this sort of,
whatever values in there at the beginning of that day,
you get this, you know,
we'll give you this amount of extra money
to compensate you for that delay.
But then the way that all animals tend to function
is of this very different way where the reductions,
the initial, that initial delay,
so like one day's worth of delay,
you see a much stronger discounting rate
or reduction in value than you do over those.
So you see the super proportional,
then it changes to these lesser rates.
And so the implication of that,
I know I've gone like really into the weeds quantitatively,
but what that means is that
there's these preference reversals.
When you have curves of that nature,
the decay that's hyperbolic,
it maps onto this phenomenon we see
both in terms of how people deal with future rewards,
but also how perception works.
When two things are far away,
whether it's physical distance
or whether in terms of perception
or whether it's in terms of time,
when you're really far away,
the value, the subjective value for that further,
that delayed reward is larger.
So for example, like let's say we're talking about 360,
364 days from now, you can get $9
or 365 days a year.
Now you get $10 and you're like,
"Dude, it's a year, no difference.
I'll take, why not get one more dollar?"
You bring that same exact set of choices closer,
nothing's changed other than the time to both rewards.
And it's like, would you rather have $9 today
or $10 tomorrow?
And plenty of people would say,
"Eh, about the same, I'll just go ahead and take it today."
So you see this preference reversal.
And so that's a model of addiction
in the sense that consistently with true addiction,
I would argue, you see this competition
between molar and molecular utility.
It's like interpersonal,
like within the person competing agents.
Someone sometimes has control of the bus
that wants to do what's good for you in the short term
and someone at other times
is in control of driving the bus
§08Transcript · 1:05:18–1:14:07
and they wanna do what's good for you in the long term.
So you tell the, you're trying to quit
and you see a doctor, you see your 12-step therapist
and say, "God, I know this stuff is killing me.
I'm really, I'm on the path, I'm done."
And that's when you're kind of in their office
or wherever it's not around you.
And then later on that day, your buddy says,
"Hey man, I just scored.
I've got it right here, do you want it?"
And that reward is right in front of you.
That's like bringing those two choices
right in front of you and it's like,
"Hell yeah, I wanna use."
And then you can go through that cycle
for like years of the person telling themselves,
"I wanna quit."
But then other times that same person is saying,
"I don't wanna."
Functionally, they're saying, "I don't want to,"
because they're saying, "Yeah, give me some."
- So in the moment, it's very difficult to quit.
- And this isn't just something,
this is something that has huge clinical ramifications
with addiction, but it's like all humans do it.
Anyone who's hit the snooze alarm in the morning,
like the night before they realize,
"Oh, I gotta get up extra early tomorrow.
That's what's ultimately better for me.
So I'm gonna set the alarm for 5 a.m."
And it goes off at 5 a.m.
And then, so now those two consequences have come sooner
and it's like, "What the hell?"
And they hit the snooze alarm.
And sometimes not just once, but then five minutes later
and five minutes later.
And so, and it's why it's easier to exercise self-control
at the grocery store compared to in your fridge.
Like if that snack is like 30 seconds away in your fridge,
you're gonna more likely yield to temptation
than if it is further away.
- So then, to take a step back to something
you brought up earlier, the inelasticity of pricing.
Is it from a perspective of the dealers,
whether we're talking about cigarettes
or maybe venturing slightly into the illegal realm
of people who sell drugs illegally,
they also have an economics to them
that they set prices and all those kinds of things.
Does addiction allow you to mess
with the nature of pricing?
Like, so I kind of assume that you meant
that there's a correlation between things you're addicted to
and the inelasticity of the price.
So you can jack up the price.
Is there something interesting to be said
both for legal drugs and illegal drugs
about the kind of price games you can play
because the consumers of the product are addicted?
- Right, I mean, I think you just described it.
Yeah, you can jack up the price
and some people are gonna drop off,
but the people, and it's not dichotomous
'cause you could just consume less,
but some people are gonna consume less
and the people that are most addicted are gonna keep,
I mean, you see this, they're gonna keep purchasing.
So you see this with cigarettes.
And so it's interesting when you interface this with policy.
Like in one respect, heavily taxing cigarettes
is a good thing.
I know it keeps, adolescents are particularly
price sensitive, so you definitely,
people smoke less and especially kids smoke less
when you keep cigarette prices high
and you tax the hell out of them.
But one of the downsides, you've got to balance
and keep in mind is that you disproportionately
have working class, poor people,
and then you get into a point where someone's spending
a quarter of their paycheck on cigarettes.
- So they're gonna smoke no matter what.
And basically because they're addicted,
they're gonna smoke no matter what
and you're just, yeah, you're taxing their existence.
- Right, so you're making it worse for them.
If they don't, if they are completely inelastic,
you're actually making that person's life worse
because we know that by interfering
with the amount of money they have,
you're interfering with the other pro-social,
the potential competitors to smoking.
And we know that when someone's in more impoverished
environments and they have less sort of non-drug
alternatives, the more likely they're gonna stay addicted.
So, you know.
- Is there a data, this is interesting,
from a scientific perspective of those same kind of games
in illegal drugs?
Sort of, because that's where most drug,
I mean, I don't know, maybe you can correct me,
but it seems like most drugs are currently illegal.
And so, but there's still an economics to them, obviously.
- Right. - That's the drug war
and so on.
Is there data on the setting of prices
or like how good are the business people running
the selling of drugs that are illegal?
Are they all the same kind of rules apply
from a behavioral economics perspective?
- I think so.
I mean, they're basically,
whether they're crunching the numbers or not,
they're basically sensitive to that demand curve
and they're doing the same thing that businesses do
in a legal market.
And you wanna sell as much of a product
to get as much money,
you're looking more at the total income.
So if you jack the price a little bit,
you're gonna get some reduction in consumption,
but it may be that the total amount of money
that you rake in is gonna be more than,
it's gonna overcompensate for that.
So you're willing to take,
okay, I'm gonna lose 10% of my customers,
but I'm getting more than enough to compensate from that,
from the extra money from the people who still are buying.
- So I think they're more,
and especially when we get to the lower,
I wouldn't be surprised if people are crunching those numbers
and looking at demand curves,
maybe at the really high levels of the,
up the chain with the cartels and whatnot, I don't know.
That wouldn't surprise me at all.
But I think it's probably more implicit
at the lower levels where,
something you brought up, drug policy,
I will say that for years now,
it's been this kind of unquestioned goal by, for example,
the drug czars office in the US
to make the price of illegal drugs as high as possible
without this kind of nuanced approach that,
yeah, if you make, for some people,
if you make the price so high,
you're actually making things worse.
I mean, I'm all about reducing the problems
associated with drugs and drug addictions.
And part of that is that,
are more direct consequences of those drugs themselves.
But a whole lot is what you get from indirectly
and sort of the,
both for the individual and for society.
So like making a poor person
who doesn't have enough money for their kids,
making them even poorer.
So now you've made their children's future worse
because they're growing up in deeper poverty
because you've essentially levied a tax
onto this person who's heavily addicted.
But then at the societal level,
so everything we know about the drug war
in terms of the heavy criminalization
and filling up prisons
and reducing employment and educational opportunities,
which in the big picture,
we know are the things that in a free market
compete against some of the worst problems of addiction
is actually having educational
and employment opportunities.
But when you give someone a felony, for example,
you're pretty much guaranteeing
they're never gonna go very high on the economic ladder.
And so you're making drugs a better reward
for that person's future.
- And so this is a quick step into the policy realm.
And I think for both you and I,
I'm not sure you can correct me,
but I'm more comfortable into studying
the effects of drugs on the human behavior
and human psychology versus like policy.
It seems like a whole giant mess,
but there's some libertarian candidates for president
and just libertarian thinkers
that had a nice thought experiment
of possibly legalizing,
or spoken about possibly legalizing basically all drugs.
In your intuition,
do you think a world where all drugs are legal
is a safer world or a less safe world
for the users of those drugs?
- It really depends on what we mean by legalization.
So this is one of my beefs with this,
how these things are talked about.
I mean, we have very few completely laissez-faire
legal drugs.
So even caffeine is one of the few examples.
So for example, caffeine and tea and coffee is in that realm.
Like there's no limits, no one's testing,
there's no laws, regulation at any level
§09Transcript · 1:14:09–1:22:12
of how much caffeine you're allowed to buy
or how much you're not allowed to buy.
But even like with this Starbucks, like Nitro,
there are rules with soda and with canned products,
you can only put so much.
- In there, yeah.
- Yeah, so this is FDA regulated.
And it's kind of weird because there's a limit to sodas
that's not there for energy drinks and other things.
But so even caffeine,
it depends on what product we're talking about.
Like if you're like no-dose
and other caffeine products over the counter,
like you can't just put 800 milligrams in there.
The pills are like one or 200 milligrams.
And so it's FDA regulated as no-re-counter drug.
Some of the most dangerous drugs in society,
I would say arguably one of the most dangerous
classes of drugs are the volatile anesthetics, huffing.
People huffing gasoline and airplane glue,
toluene, whatnot, severely damaging to the nervous system.
Pretty much legal, but there's some regulation
in the sense that there's a warning label,
like it's illegal to do it for,
not that it's necessary, they're busting people for this.
But it's against federal law to use this in a way
other than intended type of,
basically saying, yeah, don't huff this.
Your paint thinner or whatnot.
At least keeps people from selling it for that.
'Cause they're gonna go after that person.
They're not gonna be able to find
the 12-year-old who's huffing.
So anyway, just as some extreme examples at the end.
And then even the so-called illegal,
like schedule one drugs, psilocybin,
we do plenty in terms of schedule two,
which is ironically less restrictive than psilocybin,
but methamphetamine and cocaine,
I've done human research with.
My research has been legal.
So they're scheduled compounds,
but they're not completely illegal.
You can do research with them
with the appropriate licenses and approval.
So there really is no such thing.
And like alcohol, well, it's illegal if you're 12 years old
or 18 years old or 20 years old.
And for anyone, it's illegal to be drinking it
while you're driving.
So there's always a nuance.
- There's rules, right? - It's not dichotomy.
- And I actually should admit,
it's been on my to-do list for a while
to buy in Massachusetts some edible,
or just buy weed legally.
Yeah, haven't done that in Massachusetts,
but this way.
(Bridget laughs)
And I wonder what that experience is like,
'cause I think it's fully legal in Massachusetts.
And so I wonder what legal drugs look like to me.
I grew up with even weed being like,
it's like this forbidden thing.
Not forbidden, but it's illegal.
Most people, of course, I never partook,
but most people I knew would attain it illegally.
And so that big switch that's been happening
across the country,
there's like federal stuff going on
to make marijuana legal federally.
I'm half paying attention.
- There's some movement there.
I mean, the House passed a bill
that's not gonna be passed by the Senate,
but yeah, it's progress.
- There's clearly a change.
- Right, it's moving in a trend.
- So that's the example of a drug
that used to be illegal
and is now becoming more and more and more legal.
So I wonder what cocaine being legal looks like.
What a society with cocaine being legal looks like,
the rules around it,
the processes in which you can consume it in a safer way
and be more educated about its consequences,
be able to control dose and purity much better,
be able to get help for overdose.
I don't know, all those kinds of things.
It does, in a utopian sense,
feel like legalizing drugs
at least should be talked about and considered
versus keeping them in the dark.
- I agree.
- But yeah, so in your sense,
it's possible that in 50 years we legalize all drugs
and it makes for a better world.
- The way I like to talk about it is that,
I would say that it's possible
and it would probably be a good thing
if we regulate all drugs.
- How would you regulate cocaine, for example?
Is there ideas there?
- So yeah, and you were already going,
where I was going with that,
kind of first I described how there's always a nuance
and even like the cannabis in Massachusetts,
federally illegal.
So for example, if I was like,
and I have colleagues that do cannabis research
where they get people high in the lab,
like you're a federal funded researcher with NIH funds,
you can't get that stuff from the dispensary
'cause you're breaking a federal law,
even though the feds don't have the resources to go after,
they don't want the controversy at this point
to go after the individual users
or even the sellers in those legal states.
So there's always this nuance,
but it's about the right regulation.
So I think we already know enough that,
for example, like I think safe injection sites
for hard drugs makes a lot of sense.
Like I wouldn't want heroin and cocaine
at the convenience stores.
And I don't think,
maybe there's some extreme libertarians that want that.
I think even the folks that identify as libertarians,
probably most of them don't, well, I don't know.
Like not all of them want that.
I think that as a form of regulation,
like look, if you're using these hard drugs
on a regular basis,
you're putting yourself at risk for lethal overdose.
You're putting yourself at risk for catching HIV
and hepatitis.
If you're gonna do it, if you're doing it anyway,
come to this place where at least you're not like,
like pulling the water out of like the puddle
on the side of the street.
- Yeah, so it's done by professionals
and those professionals are able to educate you also.
So like a 7-Eleven clerk may not be both capable
of helping you to inject the drug properly,
but also won't be equipped to educate you
at the negative consequences, all those kinds of things.
- That's a huge part of it, the education.
But then I think with the opioids,
like the big part of it is just like with naloxone,
which is an antagonist, it goes into the receptor.
It's called Narcan.
That's the trade name, but it's what they revive people
on an opioid overdose.
That's almost completely effective.
Like if there's a medical professional there
and someone's ODing on an opioid,
they're virtually guaranteed to live.
Like that's remarkable that if 100% at the opioid crisis,
if all of those people right now that are dying,
we're doing that in the presence of a medical professional,
like even like a nurse with Narcan,
there'd be basically almost no deaths.
There's always some exceptions,
but almost no deaths.
Like that's staggering to me.
So the idea that people are doing this,
that we could have that level of positive effect
without encouraging the drug.
And this is where you get into this terrain
of like sending the wrong message.
And it's like, no, you can do that.
You can say like, we're not encouraging this.
In fact, probably one of the greatest advertisements
for not getting hooked on heroin
is like visiting a methadone clinic,
visiting a safe injection site.
Like this is not like an advertisement
for getting hooked on this drug,
but knowing that we can save people.
Now you have a landscape here,
'cause a lot of times it's just like supervised injection,
but you bring your own stuff.
You bring your own heroin,
which could still be dirty
and filled with fentanyl and fentanyl derivatives,
which because of the incredible potency
and the more difficulty measuring it,
and some differences at the receptor,
like you may be more likely,
you are more likely on average to lethally overdose on it.
So you could, the level that's been more explored
in Switzerland is in some places
is you actually provide the drug itself
and you supervise the injection.
So I don't see-- - Do you like that idea?
- Yeah, the public health data
are completely on the side of,
there's really no credible evidence to this.
If we allow that, we're sending the wrong message
and everyone's gonna, I mean, I'm not showing up.
§10Transcript · 1:22:15–1:30:37
Like, and it's different by drug.
Like, yeah, you legalize, you set up cannabis shops
and some people are gonna say,
"It's illegal, I'm gonna go there."
I don't think a whole lot of people
are gonna go to one of these places
and say, "I'm gonna shoot up heroin for the first time."
And even if like, you know,
it's a country of 300 million people.
Like even if someone does that,
you have to compare this to the everyday
people are dying from opioid overdoses.
Like people's kids, people's uncles,
people's like, these are real lives
that are being shattered.
So you just look at that.
And then the other thing,
I know this from having done residential,
even like non-treatment research
where we just have a cocaine user or something
stay on our inpatient ward for a month
and you really get to know them.
And sometimes you see, like, oftentimes
that's the first time this person has had a discussion
with a medical professional, any type of professional
in their entire life around their drug use.
Even if they're not looking to quit.
And it's like, you know, you could imagine that
in the safe injection settings where it's like,
it might be a year into treatment.
And they're like, you know, doc,
I know you're not the cops.
Like, you really care for me.
Like, I think I'm ready to try that methadone thing.
I think I'm really, I think I want to be done.
- Just having a conversation about it, yeah.
- Yeah, they get to trust the people
and realize that they're there
'cause they truly like, they have a compassion,
a love for this community, like as human beings.
And they don't want people to die.
And you get real human connections.
And that, and again, like those are the conditions
where people are gonna ultimately seek treatment.
And not everyone always will, but you're gonna get that.
And then you're gonna get people
like looking into treatment options sometimes,
you know, maybe years into the treatment.
So it's like, there's just all of these indirect benefits
that I think at that level,
I don't know if you'd call that legalizing.
You know, I think again, at least well-regulated.
- Right, whatever that word is.
Yeah, well-regulated, but out in the open.
- Right, minimizing as many harms as we can
while not encouraging.
I mean, we don't encourage people to drink all the,
I mean, people die every year from caffeine overdose.
Like, you know, and there's different ways to like,
you know, just by allowing something
doesn't mean we're sending the message that,
you know, by saying we're not gonna give you a felony,
which is actually often the penalty for psychedelics.
I just actually testified for the Judiciary Committee,
the Senate, the Assembly in New Jersey.
And just to move psilocybin from a felony to misdemeanor,
they use different language in New Jersey, it's weird,
but like the equivalent of felony misdemeanor.
And that was like, two people didn't vote for that
on this committee because it was,
one of them said it might be sending the wrong message.
And it's like, a felony, I mean, there's real harms.
Like that's the scarlet letter the rest of your life.
You're stuck at the lower ends of the employment ladder.
You're not gonna get, you know, loans for education,
all of this, maybe 'cause of a stupid mistake
you made once as a 19 year old.
Doing something that like, you know,
a presidential candidate could have done and admitted to
and had no problem, you know?
- Yeah.
What drug is the most addictive,
the most dangerous in your view?
Not maybe, like not technically,
like specifically which drug,
but more like in our society today,
what is a highly problematic drug?
We talked about psychedelics not being that addictive.
On the other flip side of that, you mentioned cocaine.
Is that the top one?
Is there something else that's a concern to you?
- It depends, and you've already alluded to this nuance.
It depends on how you define it.
If we're talking about on the ground today,
in, you know, modern society, I'd say nicotine, tobacco.
- Oh, interesting.
- I mean, in terms of mortality,
it kills far more than any other drug known to humankind.
Four times more than alcohol,
like a half million deaths in the US every year,
and about five to six million worldwide due to tobacco.
That's four times more in the US than alcohol.
And if you graph all of the drugs, legal and illegal,
like, you know, put all of the illegal drugs
in like one category on that figure,
and you put alcohol and tobacco on that figure,
all the illegal drugs combined,
barely, they're a barely visible blip to this incredible,
like, there's no, even all of the opioid epidemic rolled up
along with cocaine and everything else,
meth, barely shows up compared to tobacco.
- That's one of those uncomfortable truths
that I don't know what to do with.
It's like where everybody's freaking out
about coronavirus, right?
And nobody's freaking-- - The relative.
- It's all relative.
If you look at the relative thing,
it's like, well, why aren't we freaking out
about cigarettes, which we are, increasingly so,
over the, historically speaking, right?
- Right.
It's like terrorism versus swimming pools.
I remember that being back in the,
after the war on terror started.
It's like, yeah, there's not even comparison.
- Okay, so, you know, that's a little sobering truth there.
'Cause I was thinking like cocaine,
I was thinking about all of these hard drugs,
but the reality is relatively nicotine is the big one.
- And he didn't ask about mortality or deaths.
He asked about addiction.
But that really is hard to evaluate.
It gets into those nuances I spoke of before
about there's not a unidimensional way
to measure reinforcement.
It kind of depends on the situation
and what measure we're looking at.
But, you know, more people have access to tobacco.
And I'm not advocating that we make it an illegal drug.
I think that would be a horrible mistake.
Although there is a very credible push
to mandate the reduction of nicotine in cigarettes,
which I have, most scientists that study it are for it.
I think there's some real dangers there
'cause I see that in the broader history of drug use.
It's like, when has drug prohibition worked,
broadly speaking?
And it's, to me, that path would only make sense
in very good conjunction with e-cigarettes,
which, once they're fully regulated, can be a safer,
not safe, but much safer alternative.
And if we tax the hell out of e-cigarettes
and ban every attractive feature,
like flavors and everything,
then that's gonna push people to a black market
if they can't get the real thing from real cigarettes.
Like, some people will just quit straight out.
But I think with the regulators
and with a lot of scientists that study tobacco,
like myself, it's a big part still of what I study,
they're not used to thinking about tobacco really
as a drug, largely speaking,
in terms of, for example, the history of prohibition.
And I think of, we already know there's an illicit market,
a black market for tobacco to get around taxes.
I mean, and for selling even loose cigarettes.
That's what initially caused in Staten Island
the police to approach, was it Eric Garland
who was selling loose cigarettes and he got choked out?
I mean, the thing that caused that police contact
was he was selling, well, I think reported
to sell individual cigarettes for like,
you can sell them for quarter, happens in Baltimore.
And it's like, that's technically illegal.
But are you not gonna have massive boats
of supplies coming over from China and elsewhere
of real deal cigarettes if you ban the sale of nicotine?
Like, it's obviously gonna happen.
And you have to weigh that against,
you're gonna create a black market
to one size or another.
- And your intuition, that really hasn't worked
throughout the history when we've tried it.
- Right, but I see a potential path forward,
but only if it's well, if it's done
in conjunction with e-cigarettes.
- If there's a clear alternative
that's a positive alternative
that it kind of stares the population
towards an alternative, yeah.
- The difference here, the unique thing
that could be taken advantage of here
is nicotine is by and large not what causes the harm.
It's the aromatic hydrocarbons,
it's the carcinogens in tobacco,
it's burning tobacco smoke, it's not the nicotine.
So it's not like alcohol prohibition
where you couldn't create the oduls,
the near beer is not gonna have the alcohol.
§11Transcript · 1:30:39–1:39:04
And so people aren't, like,
here you do have the possibility of giving another medium,
the ability to deliver the drug,
which still aren't, to a lot of people,
isn't preferred to the tobacco.
But nonetheless, again, if you over-regulate those
and make them less attractive,
like if you aren't thoughtful about the nicotine limits
and thoughtful about whether you're allowing flavors
and everything, and if you over-tax them,
you're actually decreasing the ability
to compete with the more dangerous products.
So I feel like there is a potential path forward,
but I don't have a lot of confidence
that that's gonna be done in a thoughtful, analytical way.
And I'm afraid that it could decrease the,
increase the black market, cause all of the harms.
Like every other drug, we're moving away
from the prohibition model slowly,
but the big barge ship is making a very slow turn.
And like, okay, we really had to step back
and question if we went with nicotine, tobacco,
are we moving into that direction?
Like, big picture.
- It doesn't quite make sense.
You've done a study on cocaine and sexual decision-making.
Can you explain? (laughs)
Can you explain the findings?
I mean, in a broad sense,
how do you do a study that involves cocaine?
And the other, how do you do a study
involving sexual decision-making?
And then how do you do a study that combines both?
- Yeah, sex and drugs too.
I'm just missing the rock and roll.
It's like the two controversial,
rock and roll isn't very controversial anymore.
Yeah, so the cocaine, lots of hoops to jump through.
You gotta have a lot of medical support.
You gotta be at a, basically at an institution,
a research unit like I'm at that has a long history
and the ability to do that.
And you get ethics approval, get FDA approval,
but it's possible.
And whenever you're dealing with something like cocaine,
you would never wanna give that to a not,
someone who hasn't already used cocaine.
And you wanna make sure you're not giving it
to someone who's an active user who wants to quit.
So the idea is like, okay,
if you're using this type of drug anyway,
and you're really sure you're not looking to quit,
hey, use a couple of times in the lab with us
so we can at least learn something.
And part of what we learn is maybe to help people not use
and it'll reduce the harms of cocaine.
So there's hoops to jump through.
With the sexual decision-making,
I looked at the main thing I looked at was this model of,
I applied delayed discounting to what we talked about
earlier, the now versus later,
that kind of decision-making that goes along with addiction.
I applied that to condom use decisions.
And I've done, probably published about 20 or so papers
with this and different drugs.
- So the primary metric is whether you do
or don't use a condom?
- Right, so this is using hypothetical decision-making,
but I've published some studies looking at,
showing a tight correspondence to self-reported
in correlational studies to self-reported behavior.
- So this is like, so,
like how do you, did you do a questionnaire kind of thing?
- Right, so it's not quite a questionnaire,
but it's a behavioral task requiring them to respond to.
So you show pictures of a bunch of individuals
and it's kind of like one of these fun behavioral,
like in a lot of them you get like numbers are boring,
but it's like, okay, hot or not,
like which of these 60 people
would you have a one night stand with?
Men, women, so pick whatever you like,
a little bit of this, a little bit of that,
whatever you're into, it's all variety there.
Out of that group, you pick some subsets of people.
Who do you think is the,
the one you most wanna have sex with the least?
Who do you think's most likely to have an STI
or least likely a sexually transmitted disease by STI?
And then you could do certain decision making questions.
So what I've done is asked,
say this person, you read a vignette,
this person wants to have sex with you,
now you've met them, you get along.
Casual sex scenario, like a one night stand.
With a condom's available,
just rate your likelihood from one to 100
on this kind of scale, would you use it?
- Would you use a condom?
- But then you can change your scenario to say,
okay, now imagine you have to wait five minutes
to use a condom.
So the choice is now, instead of using condom versus not,
in terms of your likelihood scale,
now it ranges from have sex now without a condom,
versus on the other end of the scale is wait five minutes
to have sex with a condom.
So you rate your likelihood
of where your behavior would be along that continuum.
And then you could say, okay, well, what about an hour?
What about three hours?
What about, you know, what about 24 hours?
- Misunderstanding.
Now without a condom or five minutes later with a condom?
- Right.
- So what's supposed to be the preference for the person?
There's a lot of factors coming into play, right?
There's like pleasure, personal preference,
and then there's also the safety.
Those are two, like, are those competing objectives?
- Right, and so we do get at that
through some individual measures.
And this task is more of a face valid task
where there's a lot underneath the hood.
So for most people,
sex with the condom is the better reward.
But underneath the hood of that is,
just at the purely physical level,
they'd rather have sex without the condom.
It's gonna feel better.
- What do you mean by reward?
Like when they calculate their trajectory through life
and try to optimize it,
then sex with a condom is a good idea?
- Well, it's really based on, I mean, yeah, yeah.
Presumably that's the case,
that there's, but it's measured by like,
what would you, really that first question
where there is no delay,
most people say they would be at the higher end scale.
A lot of times, 100%,
they said they would definitely use a condom.
Not everybody, and we know that's the case.
See, it's like that some people don't like condoms.
Some people say, yeah, I wanna use a condom,
but a quarter of the time ended up not
because I guess getting lost in the passion of the moment.
So for the people, I mean, the only reason that people,
so behaviorally speaking,
at least for a large number of people in many circumstances,
condom use is a reinforcer just because people do it.
Like, you know, why are they doing it?
They're not because it makes the sex feel better,
but because it makes that,
it allows for at least the same general reward,
even if actually, even if it feels a little bit,
not as good, you know, with the condom,
nonetheless, they get most of the benefit
without the concurrent, oh my gosh,
there's this risk of either unwanted pregnancy
or getting HIV or way more likely than HIV,
you know, herpes, you know, in general rewards, et cetera,
all the lovely ones.
And we've actually done research saying like,
where we gauge the probability of these individual,
different STIs, and it's like, what's the heavy hitter
in terms of what people are using to judge,
you know, to evaluate whether they're gonna use a condom.
- So that's why the condom use is the delayed thing,
five minutes or more. - Right.
- And then, yeah, because that's the--
- Which would normally be the larger later reward,
like the $10 versus the nine, it's like the $10,
which is counterintuitive if you just think
about the physical pleasure.
- So that's a good thing to measure.
So condom use is a really good concrete quantifiable thing
that you can use in a study,
and then you can add a lot of different elements,
like the presence of cocaine and so on.
- Yeah, you can get people loaded on like any number
of drugs like cocaine, alcohol, and methamphetamine
are the three that I've done and published on.
And it's interesting that--
- These are fun studies, man.
- Right, I love to get people loaded in a safe context,
and like, but to really, it started,
like there was some early research with alcohol.
I mean, the psychedelics are the most interesting,
but it's like all of these drugs are fascinating.
The fact that all of these are keys that unlock
a certain psychological experience in the head.
And so there was this work with alcohol that showed
that it didn't affect those monetary
delay discounting decisions,
$9 now versus $10 later.
And I'm like getting people drunk.
And I thought to myself, are you telling me
that getting someone, that people being drunk
does not cause people, at least sometimes,
§12Transcript · 1:39:06–1:47:30
to choose what's good for them in the short term
at the expense of what's good for them in the long term.
It's like, bullshit.
But in what context does that happen?
So that's something that inspired me
to go in this direction of like, aha,
risky sexual decisions is something they do
when they're drunk.
They don't necessarily go home,
and even though some people have gambling problems
and alcohol interacts with that,
the most typical thing is not for people to go home,
log on and change their allocation
in their retirement account or something like that.
- But they're more likely, risky sexual decisions,
they're more likely to not wait the five minutes
for the condom and instead go no condom now.
- Right, that's a big effect, and we see that.
And interestingly, we do not see,
with those different drugs, we don't see an effect
if we just look at that zero delay condition.
In other words, the condom's right there waiting to be used.
Would you, how likely are you to use it?
You don't see it.
I mean, people are by and large gonna use the condom.
So, and that's the way most of this research
outside of behavioral economics
that just looked at condom use decisions,
very little of which has ever actually administered
the drugs, which is another unique aspect.
But they usually just look at assuming the condom is there.
But this is more using behavioral economics to delve in
and model something that,
and I've done survey research on this,
modeling what actually happens.
Like, you meet someone at a laundromat,
like you weren't planning on, you know,
one thing leads to another, they live around the corner,
these things, you know, and like we did one survey
with men who have sex with men
and found that 25% of them, 24%,
about a quarter, reported in the last six months
that they had unprotected anal intercourse,
which is the most risky in terms of sexually transmitted
infection in the last six months in a situation
where they would have used a condom,
but they simply didn't use one just 'cause they didn't have
one on them.
So this, to me, it's like, if unless we delve into this
and understand this, these suboptimal conditions,
we're not gonna fully address the problem.
There's plenty of people that say, yep,
condom use is good, I use it a lot of the time.
You know, it's like, where is that failing?
And it's under these suboptimal conditions,
which in frank, if you think about it,
it's like most of the case.
Action is unfolding, things are getting hot and heavy,
someone's like, do you got a condom?
Eh, no.
It's like, do they break the action and take 10 minutes
to go to the convenience store or whatever?
Maybe everything's closed,
maybe they gotta wait till tomorrow.
- And there's something to be studied there on the,
it just seems like an unfortunate set of circumstances.
Like, what's the solution to that?
I mean, what's the psychology that needs to be
like taken apart there?
Because it just seems like that's the way of life.
We don't expect the things to happen.
Are we supposed to expect them better,
to be self-aware enough about our calculations?
Or you see the 10 minute detour to a convenience store
as a kind of thing that we need to understand
how we humans evaluate the cost of that.
- I think in terms of like how we use this to help people,
it's mostly on the environment side rather than on the--
- Individual side, cool.
- Yeah, although those interact.
So it's like, in one sense, if you're,
especially if you're gonna be drinking
or using another substance that is associated
with a stimulant, alcohol and stimulants
go along with risky sex.
Good to be aware that you might make decisions
just to tell yourself you might make a decision
that you wouldn't have made in your sober state.
And so, hey, throwing a condom in the purse,
in the pocket might be a good idea.
I think at the environmental level, just more condom,
I mean, it highlights what we know
about just making condoms widely available.
- Something that I'd like to do is like
reinforcing condom use.
So just getting people used to carrying a condom
everywhere they go, 'cause it's such a,
once it's in someone's habit,
if they are say like a young single person
and they occasionally have unprotected sex,
like training those people,
like what if you got a text message once every few days
saying, "Ah, if you show me a,
"send back a photo of a condom,
"within a minute you get a reward of $5."
You could shape that up like,
it's a process called contingency management,
it's basically just straight up operant reinforcement.
You could shape that up with no problem.
I mean, those procedures of contingency management,
giving people systematic rewards is like,
for example, the most powerful way
to reduce cocaine use in addicted people.
- Is what?
- By saying, "If you show me a negative urine for cocaine,
"I'm gonna give you a monetary reward."
And like that has huge effects
in terms of decreasing cocaine use.
If that can be that powerful
for something like stopping cocaine use,
how powerful could that be
for shaping up just carrying a condom?
'Cause the primary, unlike cocaine use,
here we're not saying you can't have the main reward,
like you could still have sex,
and you can even have sex in the way
that you tell yourself you'd rather do it
if a condom is available.
You know, so, you know, like, you're not, you know,
it's, relatively speaking, it's way easier
than like not using cocaine if you like using cocaine.
It's just basically getting in the habit
of carrying a condom.
So that's just one idea of like--
- There could be also the capitalistic solutions
of like there could be a business opportunity
for like a DoorDash for condoms.
- Oh yeah.
- Like delivery.
- I thought about this with--
- Within five minute delivery of a condom
at any location, like Uber for condoms.
- I've thought about it, not with condoms,
but a very similar line of thinking,
a line that you're going into in terms of Uber
and people getting drunk when they intend,
they enter the bar planning to have one or two,
they ended up having five or six,
and it's like, okay, yeah, you can take the cab home,
the Uber home, but you've left your car there,
it might get towed, you might like,
there's also the hassle of just, you know,
you wanna wake up tomorrow with your hangover
and forget about it and move on.
And I think a lot of people in their situation,
they're like, screw it, I'm gonna take the risk,
just get it, you know.
What if you had an Uber service where two,
you know, you have a car come out with two drivers,
and one of them, two sober drivers, obviously,
and the person, the one driver drops off the other
that then drives you home in their car, in your car.
So that you can, I mean, I think a lot of people
would pay 50 bucks, it's gonna be more than a regular Uber,
but it's like, it's gonna be done, I got the money,
I already spent 60 bucks at the bar tonight,
like, just get the damn thing done,
tomorrow I'm done with it, I wake up,
my car's in front of my house.
I think that would be, I think someone could,
I'm not gonna open that business,
so if anyone hears this and wants to take off with that,
like, I think it could help a lot of people.
- Yeah, definitely, and Uber itself, I would say,
helped a huge amount of people,
just making it easy to make the decision of going home,
not driving yourself.
- I read about in Austin, where they,
I don't know where it's at now,
where they outlawed Uber for a while,
you know, because of the whole taxicab union type thing,
and how just, yeah, there were like hordes of drunk people
that were used to Uber
that now didn't have a cheap alternative.
- So, just, we didn't exactly mention,
you've done a lot of studies in sexual decision making
with different drugs.
Is there some interesting insights or findings
on the difference between the different drugs?
So, I think you said meth as well, so cocaine.
Is there some interesting characteristics
about decision making that these drugs alter
versus like alcohol, all those kinds of things?
- I think, and there's much more to study with this,
but I think the biggie there is that the stimulants,
they create risky sex by really increasing
the rewarding value of sex.
Like, if you talk to people that are real,
especially that are hooked on stimulants,
one of the biggies is like,
§13Transcript · 1:47:32–1:56:00
sex on coke or meth is like so much better
than sex without, and that's a big part of what,
why they have trouble quitting,
'cause it's so tied to their sex life.
- So, it's not that your decision making is broken,
it's just that you, well, you allocate--
- It's a different aspect of their decision,
yeah, on the reward side.
I think on the alcohol, it works more through disinhibition.
It's like, alcohol is really good at reducing the ability
of a delayed punisher to have an effect on current behavior.
In other words, there's this bad thing
that's gonna happen tomorrow, or a week from now,
or 20 years from now.
Being drunk is a really good way,
and you see this in like rats making decisions.
You know, a high dose of alcohol makes someone
less sensitive to those consequences.
So, I think that's the lever that's being hit with alcohol,
and it's more just increasing the rewarding value of sex
by the psychostimulants on that side.
We actually found that it, and it was amazing,
'cause like hundreds of millions of dollars
have been spent by NIH to study the connection
between cocaine and HIV.
Like, we ran the first study on my grant
that like actually just gave people cocaine
under double blind conditions, and showed that like,
yeah, when people are on coke,
like their ratings of sexual desire,
even though they're not in a sexual situation,
yeah, you show them some pictures,
but you're just saying they're horny.
Like, you get subjective ratings
about like how much sexual desire you're feeling right now.
People get horny when they're on stimulants.
And a lot of people say, duh,
if they really know these drugs.
- But that's a rigorous study that's in the lab
that shows like, there's a plot.
- Right, the dose effects of that, the time course of that.
- Yeah, it's not just--
- Can you please tell me there's a paper with a plot
that shows dose versus evaluation of like horniness?
- Yeah, we didn't say horniness,
we said sexual arousal.
- Sexual? - Yeah, basically, yeah.
- There's a plot?
I'm gonna find this plot.
- Right, well, I'll send it to you.
There was one headline from some publicity on the work
that said, "Horny cocaine users don't use condoms,"
or something like that.
(laughing)
- You gotta love journalism.
- I wouldn't have put it that way,
but like, yeah, that's right on.
- I guess that's what it finds.
So you've published a bunch of studies on psychedelics.
Is there some especially favorite,
insightful findings from some of these
that you could talk about?
Maybe favorite studies or just something that pops to mind
in terms of both the goals and like the major insights gained
and maybe the side little curiosities
that you discovered along the way?
- Yeah, I think of the work with using psilocybin
to help people quit smoking.
I mean, we've talked about smoking
being such a serious addiction.
And so what inspired me to get into that
was just kind of having behavioral psychologies
my primary lens,
sort of this sort of radical, empirical basis of,
I'm really interested in the mystical experience
and all of these reports, very interested.
And, but at the same time, I'm like, okay,
let's get down to some behavior change
and something that we can record,
like quantitatively verify biologically.
- So find all kinds of negative behaviors
that people practice and see if we can turn those
into positive or change the behavior.
- Right, like really change it, not just people saying,
which again is interesting, I'm not dismissing it,
but folks that say my life has turned around,
I feel this has completely changed me.
It's like, yep, that's good.
All right, let's see if we can harness that
and test that into something that's real behavior change.
You know what I mean?
It's quantifiable.
It's like, okay, you've been smoking for 30 years.
You know, like that's a real thing.
And you've tried a dozen times, like seriously to quit
and you haven't been able to long-term, like, okay.
And if you quit, like we'll ask you and I'll believe you,
but I don't trust everyone reading the paper to believe you.
So we're gonna have you pee in a cup and we'll test that.
We'll have you blow into this little machine
that measures carbon monoxide and we'll test that.
So multiple levels of biological verification.
- Nice.
- Like now we're getting like,
to me that's where the rubber meets the road
in terms of like therapeutics.
It's like, can we really shift behavior?
And since, and so much as we've talked about
my other scientific work outside of psychedelics
is about understanding addiction and drug use.
So it's like, you know, looking at addiction,
it's a no brainer and smoking is just a great example.
And so back to your question,
like we've had really high success rates.
I mean, it really, it rivals anything
that's been published in the scientific literature.
The caveat is that, you know,
that's based on our initial trial of only 15 people,
but extremely high long-term success rates,
80% at six months per smoke-free.
- So can we discuss the details?
So first of all, which psychedelic are we talking about?
And maybe can you talk about the 15 people
and how the study ran and what you found?
- Yeah, yeah, so the drug we're using is psilocybin
and we're using moderately high
and high doses of psilocybin.
And I should say this about most of our work.
These are not kind of museum level doses.
In other words, nothing,
even big fans of psychedelics wanna take
and go to a concert or go to the museum.
If someone's at Burning Man on this type of dose,
like they're probably gonna wanna find their way
back to their tent and zip up and hunker down for,
you know, not be around strangers.
Yeah. - And by the way,
the delivery method, so psilocybin is mushrooms, I guess.
What's the usual, is it edible?
Is there some other way?
Like how is people supposed to think about
the correct dosing of these things?
'Cause I've heard that it's hard to dose correctly.
- That's right.
So in our studies, we use the pure compound psilocybin.
So it's a single molecule, you know, a bunch of molecules.
And we give them a capsule with that in it.
And so it's just, you know, a little capsule they swallow.
What people, when psilocybin is used outside of research,
it's always in the context of mushrooms.
'Cause they're so easy to grow.
There's no market for synthetic psilocybin.
There's no reason for that to pop up.
The high dose that we use in research is 30 milligrams,
body weight adjusted.
So if you're a heavier person,
it might be like 40 or even 50 milligrams.
We have some data that, based on that data,
we're actually moving into like getting away
from the body weight adjusting of the dose
and just giving an absolute dose.
It seems like there's no justification
for the body weight based dosing, but I digress.
Generally 30, 40 milligrams, it's a high dose.
And based on average, even though, as you alluded to,
there's variability, which gets people into some trouble
in terms of mushrooms, like psilocybin cubensis,
which is the most common species
in the illicit market in the US.
This is about equivalent to five dried grams,
which is right at about where,
right where McKenna and others, they call it a heroic dose.
This is not hanging out with your friends,
going to the concert again.
So this is a real deal dose, even to people that really,
just even to psychonauts.
And we've even had a number of studies.
- Psychonauts?
- Yeah, people that, yeah, like astronaut or cosmonaut.
- Psychonauts, great terms. - For psychedelics.
Yeah, going as far out as possible.
- But even for them, even for those
who've flown to space before.
- Right, right, they're like, "Holy shit,
"I didn't know the orbit would be that far out."
Or, "I escaped the orbit,
"I was in interplanetary space there."
(laughs)
- So these folks, the 15 folks in the study,
there's not a question of dose being too low
to truly have an impact.
- Right, right, very, out of hundreds of volunteers
over the years, we've only seen a couple of people
where there was a mild effect of the 30 milligrams.
And who knows, that person's their serotonin,
they might have lesser density of serotonin 2A receptors
or something, we don't know.
But it's extremely rare.
For most people, this is like something interesting
is gonna happen, put it that way.
§14Transcript · 1:56:01–2:04:14
- Speaking of Joe Rogan, I think that Jamie,
his producer, is immune to psychedelics.
So maybe he's a good recruit for the study to test.
- So that's interesting.
Now, I'm not, the caveat is I'm not encouraging
anything illicit, but just theoretically,
my first question as a behavioral pharmacologist
is increase the dose.
(laughs)
Like really?
- Nobody's immune.
- I'm not telling Jamie to do that, but okay.
You're taking the same amount that friends might be taking.
- But he was also referring to the psychedelic effects
of edible marijuana, which is,
is there rules on dosage for marijuana?
Is there limits?
Like places where it's, this all goes,
it probably is state by state, right?
- It is, but most, they've gone that direction
in states that didn't initially have these rules
have now have them.
So it's like, you'll get, I think, five, 10,
I think five or 10 milligrams of THC being a common,
and this is an important thing,
like where they've moved from not being allowed to say,
like have a whole candy bar and have each of the eight
or 10 squares in the candy bar being 10 milligrams,
but it's like, no, the whole thing,
because like, someone gets a candy bar,
they're eating the freaking candy bar.
And it's like, unless you're a daily cannabis user,
if you take 100 milligrams, it's like,
that's what could lead to a bad trip for someone.
And it's like, a lot of these people, it's like,
oh, I used to smoke a little weed in college,
they might say, they're visiting Denver for a business trip,
and they're like, why not?
Let's give it a shot, you know?
And they're like, oh, I don't wanna smoke something
'cause it's gonna, so I'm gonna be safer with this edible.
And they like consume this massive, you know,
but there's huge tolerance.
So a regular, like for someone who's smoking weed every day,
they might take five milligrams
and kind of hardly feel anything.
And they may really need something like 30, 40, 50
milligrams to have a strong effect.
But yeah, so they've evolved in terms of the rules
about like, okay, what constitutes a dose, you know,
which is why you see less big candy bars and more,
or if it is a whole candy bar,
you're only getting a smaller dose, like 10 milligrams or,
yeah, 'cause that is where people get in trouble
more often with edibles.
- Yeah, except Joey Diaz, which I've heard.
That's definitely somebody I wanna talk to.
Out of the crazy comedians I wanna talk to as well.
Anyway, so yeah, the study of the 15
and the dose not being a question.
So like, what was the recruitment based on?
What was the, like, how did the study get conducted?
- Yeah, so the recruitment, I really liked this fact.
It wasn't people that, you know, largely were,
you know, we were honest about what we were studying,
but for most people, it was, they were in the category
of like, you know, not particularly interested
in psychedelics, but more of like,
they wanna quit smoking, they've tried everything,
but the kitchen sink.
And this sounds like the kitchen sink.
(laughing)
You know, it's like, well, it's Hopkins,
so, you know, thinking of that,
sounds like it's safe enough.
So like, what the hell, let's give it a shot.
Like, most of them were in that category,
which I really, you know, I appreciate,
'cause it's more of a test, you know,
of, yeah, just like a better model of what,
if these are approved as medicines,
like what you're gonna have the average participant,
you know, be like.
And so the therapy involves a good amount
of non-psilocybin sessions, so preparatory sessions,
like eight hours of getting to know the person,
like the two people who are gonna be their guides
or the person in the room with them during the experience,
having these discussions with them
where you're both kind of rapport building,
just kind of discussing their life, getting to know them,
but then also telling them, preparing them
about the psilocybin experience,
oh, it could be scary in this sense,
but here's how to handle it, trust, let go, be open.
And also during that preparation time,
preparing them to quit smoking,
using really standard bread and butter techniques
that can all fall under the label,
typically of the cognitive behavioral therapy,
just stuff like before you quit,
we assign a target quit date ahead of time,
you're not just quitting on the fly,
and that happens to be the target quit date
in our study was the day
where they got the first psilocybin dose,
but doing things like keeping a smoking diary,
like, okay, during the three weeks until you quit,
every time you smoke a cigarette,
just like jot down what you're doing,
what you're feeling, what situation, that type of thing,
and then having some discussion around that,
and then going over the pluses and minuses in their life
that smoking kind of comes with,
and being honest about the, this is what it does for me,
this is why I like it, this is why I don't like it,
preparing for like, what if you do slip, how to handle it,
like, don't dwell on guilt,
'cause that leads to more full on relapse,
you know, just kind of treat it as a learning experience,
that type of thing.
Then you have the session day where they come in,
they, five minutes of questionnaires,
but pretty much they jump into the,
we touch base with them, and we give them the capsule,
it's a serious setting, but you know, a comfortable one,
they're in a room that looks more like a living room
than like a research lab,
we measure their blood pressure, they didn't experience,
but kind of minimal, kind of medical vibe to it,
and they lay down on a couch,
and it's a purposefully an introspective experience,
so they're laying on a couch during most of the
five to six hour experience, and they're wearing eye shades,
which has a better connotation as a name than blindfold,
like, so they're wearing eye shades, but that's,
and they're wearing headphones
through which music is played, mostly classical,
although we've done some variation of that,
I have a paper that was recently accepted,
kind of comparing it to more like gongs,
and harmonic bowls, and that type of thing,
kind of like sound, you know, kind of.
- Yeah, you've also added this to the science,
and have a paper on the musical accompaniment
to the psychedelic experience, that's fascinating.
- Right, and we found basically that the,
about the same effect, even by a trend, not significant,
but a little bit better of an effect,
both in terms of subjective experience and long-term,
whether it helped people quit smoking,
just a little tiny non-significant trend,
even favoring the novel playlist
with the Tibetan singing bowls, and the gongs,
and didgeridoo, and all of that,
and so anyway, just saying, okay,
we can deviate a little bit from this,
like what goes back to the 1950s,
of this method of using classical music
as part of this psychedelic therapy,
but they're listening to the music,
and they're not playing DJ in real time,
you know, it's like, you know, they're just,
be the baby, you're not the decision maker for today,
go inward, trust, let go, be open,
and pretty much the only interaction,
like that we're there for,
is to deal with any anxiety that comes up,
so guide is kind of a misnomer in a sense,
it's more of a safety net,
and so like, tell us if you feel some butterflies,
that we can provide reassurance,
a hold of their hand can be very powerful,
I've had people tell me that that was like the thing
that really just grounded them.
- Can you break apart trust, let go, be open?
What, so, in a sense,
how would you describe the experience,
the intellectual and the emotional approach
that people are supposed to take
to really let go into the experience?
- Yeah, so, trust is,
trust the context, you know, trust the guides,
trust the overall institutional context,
I see it as layers of like, safety,
even though it's everything I told you about,
the relative bodily safety of psilocybin,
nonetheless, we're still getting blood pressure
throughout the session, just in case,
we have a physician on hand who can respond,
just in case, we're literally across the street
from the emergency department,
just in case, you know, all of that, you know.
- Privacy is another thing you've talked about,
just trusting that you're,
and whatever happens is just between you
and the people in the study.
- Right, and hopefully they've really gotten that,
by that point, deep into the study,
that like, they realize we take that seriously
§15Transcript · 2:04:17–2:12:56
and everything else, you know,
and so it's really kind of like a very special role
you're playing as a researcher or a guide,
and hopefully they have your trust.
And so, you know, and trust that they can be as emotional,
everything from laughter to tears,
like that's gonna be welcomed, we're not judging them.
It's like, it's a therapeutic relationship where,
you know, this is a safe container, it's a safe space.
- Safe space. - That has a lot
of baggage to that term, but it truly is,
it's a safe space for that, for this type of experience,
and to let go, so trust, let's see, let go,
so that relates to the emotional,
like you feel like crying, cry,
you feel like laughing your ass off, laugh your ass off,
you know, it's like, all the things,
actually that sometimes it's more challenging
with a, someone has a large recreational use,
sometimes it's harder for them,
because people in that context, and understandably so,
it's more about holding your shit.
Someone's had a bunch of mushrooms at a party,
maybe they don't wanna go into the back room
and start crying about these thoughts
about the relationship with their mother,
and they don't wanna be the drama queen or king
that bring their friends down,
'cause their friends are having an experience too,
and so they wanna compose, you know?
- And also just the appearance in social settings
versus the, so prioritizing how you appear to others
versus the prioritizing the depth of the experience,
and here in the study, you can prioritize the experience.
- Right, and it's all about, like you're the astronaut,
and we're, there's only one astronaut,
we're ground control, and I use this often with,
I have a photo of the space shuttle on a plaque
in my office, and I kind of often use that as an example,
and it's like, we're here for you.
Like, we're a team, but we have different roles.
It's just like, you don't have to compose yourself,
like you don't have to be concerned about our safety,
like we're playing these roles today,
and like, yeah, your job is to go as deep as possible,
or as far out, whatever your analogy is, as possible,
and we're keeping you safe, and so,
yeah, and you, the emotional side is a hard one,
you know, because you really want people to,
like if they go into realms of, subjectively,
of despair and sorrow, like, yeah, like cry,
you know, like, it's okay, you know,
and especially if someone's, you know, more macho,
and you know, you want this to be the place
where they can let go, and again,
something that they wouldn't or shouldn't do
if someone were to theoretically use it
in a social setting, and like, and also,
these other things, like even that you get
in those social settings of like, yeah,
you don't have to, like, worry about your wallet,
or being taken advantage, or especially for a woman,
sexually assaulted by some creep at a concert or something,
'cause they're, you know, they're laying down,
being far out in the section. - There's like a million
sources of anxiety that are external versus internal,
so you can just focus on your own, like,
- Right. - the beautiful thing
that's going on in your mind.
- And even the cops at that layer,
even though it's extremely unlikely,
for most people, that cops would come in
and bust 'em right when, like, even at that theoretical,
like, that one in a billion chance,
like, that might be a real thing psychologically.
In this context, we even got that covered.
This is, we've got DEA approval.
- Yeah. - Like, you are,
this is okay by every level of society that counts,
you know, that has the authority.
So it's, so go deep, trust the, you know,
trust the setting, trust yourself, you know, let go,
and be open, so in the experience,
and this is all subjective and by analogy,
but like, if there's a door, open it, go into it.
If there's a stairwell, go down it,
or a stairway, go up it.
If there's a monster in the mind's eye, you know,
don't run, approach it, look in the eye,
and say, you know, let's talk.
- Greet it. (laughs)
- Yeah, what's up, what are you doing here?
Let's talk turkey, you know?
- Dave Goggins entered the chat, okay.
- Right, it really is that, that really is a heart of it,
this radical courage, like it--
- Courage.
- People are often struck by that coming out,
like this is heavy lifting, this is hard work.
People come out of this exhausted,
and it can be extremely, some people say
it's the most difficult thing they've done in their life,
like choosing to let go on a moment,
a microsecond by microsecond basis.
Everything in their inclination is to say stop,
sometimes, stop this, I don't like this,
I didn't know it was gonna be like this, this is too much,
and Terrence McKenna put it this way,
it's like comparing to meditation and other techniques,
it's like spending years trying to press the accelerator
to make something happen.
High-dose psychedelics is like you're speeding down
the mountain in a fully loaded semi-truck,
and you're charged with not slamming the brake.
(laughs)
It's like, you know, let it happen, you know,
so it's very difficult, and to engage,
always, you know, go further into it,
and take that radical courage throughout.
- What do they say in self-report,
if you can put general words to it,
what is their experience like?
What do they say it's like?
'Cause these are many people, like you said,
that haven't probably read much about psychedelics,
or they don't have, like with Joe Rogan,
like language or stories to put on it,
so this is very raw self-report of experiences.
What do they say the experience is like?
- Yeah, and some more so than others,
'cause everyone has been exposed at some level or another,
but some it is pretty superficial, as you're saying.
One of the hallmarks of psychedelics
is just their variability, so I'm more,
it's like not the mean, but the standard deviation,
it's so wide that it's like,
it could be like hellish experiences,
and, you know, just absolutely beautiful
and loving experiences, everything in between,
and both of those, like those could be
two minutes apart from each other,
and sometimes kind of at the same time concurrently.
So let's see, there's different ways to,
there were some Jungian psychologists back in the '60s,
masters in Houston that wrote a really good book,
The Varieties of Psychedelic Experience,
kind of which is a play on
varieties of religious experience by William James,
that they described this, a perceptual level,
so most people have that, you know,
when, whether they're looking at the room
without the eyeshades on or inside their mind's eye
with the eyeshades on, colors, you know,
sounds like this, it's a much richer sensorium,
which can be very interesting.
And then at another level,
masters in Houston called it the psychodynamic level,
and I think you could think about it more broadly than,
that's kind of Jungian,
but just the personal psychological levels,
how I think of it, like, this is about your life,
there's a whole life review,
oftentimes people have thoughts about their childhood,
about their relationships, their spouse or partner,
their children, their parents, their family of origin,
their current family, like, you know,
that stuff comes up a lot, including every,
like the love, just people just like pouring with tears
about like, how much, like it hits them so hard,
how much they love people.
Like in a way that, you know,
for people that like, they'd love their family,
but like, it just hits them so hard that like,
how important this is and like the magnitude of that love
and like what that means in their life.
So those are some of the most moving experiences
to be present for is where people like it hits home,
like what really matters in their life.
And then you have this sort of what masters in Houston
called the archetypal realm,
which again is sort of viewing with the focus on archetypes,
which is interesting, but I think of that more generally
as like symbolic level.
So just really deep experiences where you have,
you do have experiences that seem symbolic of,
you know, very much in like, you know,
what we know about dreaming
and what most people think about dreaming,
like there's this randomness of things,
but sometimes it's pretty clear in retrospect,
oh, like this came up because this thing has been on my mind,
you know, recently.
So it seems to be, there seems to be this symbolic level.
And then they have this,
the last level that they describe
is the mystical integral level,
which this is where there's lots of terms for it,
but transcendental experiences, experiences of unity,
mystical type effects we often measure.
Europeans use a scale that will refer
§16Transcript · 2:12:58–2:21:40
to oceanic boundlessness.
This is all pretty much the same thing.
This is like, at some sense,
the deepest level of the very sense of self
seems to be dissolved,
minimize or expand it such that the boundaries of the self
go into, and here, I think some of this is just semantics,
but whether the self is expanding
such that there's no boundary between the self
and the rest of the universe,
or whether there's no sense of self,
again, might be just semantics,
but this radical shift or sense of loss
of sense of self or self boundaries.
And that's like the most,
typically, when people have that experience,
they'll often report that as being the most remarkable thing.
And this is what you don't typically get with MDMA,
these deepest levels of the nature of reality itself,
the subjectivity and objectivity,
just like the seer and the seen become one,
and it's a process.
And yeah.
- And they're able to bring that experience back
and be able to describe it?
- Yeah, but one of the, to a degree,
but one of the hallmarks, going back to William James,
of describing a mystical experience is the ineffability.
And so even though it's ineffable,
people try as far as they can to describe it,
but when you get the real deal, they'll say,
and even though they say a lot of helpful things
to help you describe the landscape,
they'll say, "No matter what I say,
"I'm still not even coming anywhere close to what this was.
"Like the language is completely failing."
And I like to joke that even though it's ineffable,
and we're researchers, so we try to F it up
by asking them to describe the experience.
- F it up.
I love it.
- Yeah. - It's a good one.
But to bring it back a little bit,
so for that particular study on tobacco,
what was the results?
What was the conclusions in terms of the impact
of psilocybin on their addiction?
- So in that pilot study, it was a very small
and it wasn't a randomized study, so it was limited.
The only question we could really answer was,
is this worthy enough of follow-up?
- Yes.
- And the answer to that was abso-freaking-lutely,
'cause the success rates were so high,
80% biologically confirmed successful at six months.
That held up to 60% biologically confirmed abstinent
at an average of two and a half years, a very long fall.
- Yeah, and so, I mean, the best that's been reported
in the literature for smoking cessation
is in the upper 50%, and that's with not one,
but two medications for a couple of months,
followed by regular cognitive behavioral therapy
where you're coming in once a week or once every few weeks
for an entire year.
And so--
- But this is what-- - It's very heavy.
- This is just like a few uses of psilocybin?
- So this was three doses of psilocybin
over a total course including preparation, everything,
a 15-week period where there's mainly,
for the most part, one meeting a week,
and then the three sessions are within that.
And so it's, and we scaled that back in the more,
the study we're doing right now, which I can tell you about,
which is a randomized controlled trial.
But it's the, yeah, the original pilot study
was these 15 people.
So given the positive signal from the first study
telling us that it was a worthy pursuit,
we hustled up some money to actually be able
to afford a larger trial.
So it's randomizing 80 people
to get either one psilocybin session,
we've narrowed, we've scaled that down from three to one,
mainly 'cause we're doing fMRI neuroimaging before and after
and it made it more experimentally complex
to have multiple sessions.
But one psilocybin session versus the nicotine patch
using the FDA approved label,
like standard use of the nicotine patch.
So it's randomized, 40 people get randomized to psilocybin,
one session, 40 people get nicotine patch.
And they all get the same cognitive behavioral therapy
through the standard talk therapy.
And we've scaled it down somewhat
so there's less weekly meetings,
but it's within the same ballpark.
And right now we're still,
the study's still ongoing,
and in fact, we just recently started recruiting again,
we paused for COVID,
now we're starting back up with some protections
like masks and whatnot.
But right now for the 44 people
who have gotten through the one year follow up,
and so that includes 22 from each of the two groups,
the success rates are extremely high.
For the psilocybin group,
it's 59% have been biologically confirmed as smoke-free
at one year after their quit date.
And that compares to 27% for the nicotine patch,
which by the way is extremely good for the nicotine patch
compared to previous research.
So the results could change because it's ongoing,
but we're mostly done
and it's still looking extremely positive.
So if anyone's interested,
they have to be sort of be in commuting distance
to the Baltimore area, but you know--
- To participate.
- Right, right, to participate.
- This is a good moment to bring up something.
I think a lot of what you talked about is super interesting.
And I think a lot of people listening to this,
so now it's anywhere from 300 to 600,000 people
for just a regular podcast.
I know a lot of them will be very interested
in what you're saying, and they're going to look you up.
They're going to find your email
and they're going to write you a long email
about some of the interesting things they've found
in any of your papers.
How should people contact you?
What is the best way for that?
Would you recommend?
You're a super busy guy.
You have a million things going on.
How should people communicate with you?
- Thanks for bringing this up.
I'm glad to get the opportunity to address this.
If someone's interested in participating in a study,
the best thing to do is go to the website.
- Of the study or of, like, yeah, which website?
- So we have all of our psilocybin studies.
So everything we have is up on one website
and then we link to the different study websites,
but hopkinspsychedelic.org.
So everything we do, or if you don't remember that,
just go to your favorite search engine
and look up Johns Hopkins Psychedelic
and you're going to find one of the first hits
is going to be our, is this website.
And there's going to be links to the smoking study
and all of our other studies.
If there's no link to it there,
we don't have a study on it now.
And if you're interested in psychedelic research
more broadly, you can look up, you know,
like at another university that might be closer to you.
And there's a handful of them now across the country.
And there's some in Europe that have studies going on,
but you can, at least in the US,
you can look at clinicaltrials.gov
and look up the term psilocybin.
And in fact, optionally, people even in Europe
can register their trial on there.
So that's a good way to find studies.
But for our research, rather than emailing me,
like a more efficient way is to go straight
and you can do that first, the first phase of screening,
there's some questions online
and then someone will get back in touch with you.
But I do already, you know, and I, you know,
I expect it's like going to increase,
but I'm already at the level where my simple,
limited mind and limited capacity is already,
I sometimes fail to get back to emails.
I mean, I'm trying to respond to my colleagues, my mentees.
All these things, my responsibilities,
and as many of the people just inquiring about,
I wanna go to graduate school, I'm interested in this,
I had this, I have a daughter that took a psychedelic
and she's having trouble, and it's like,
I try to respond to those,
but sometimes I just simply can't get to all of them already.
- To be honest, like from my perspective,
it's been quite heartbreaking
'cause I basically don't respond to any emails anymore.
And especially as you mentioned mentees and so on,
like outside of that circle, it's heartbreaking to me
how many brilliant people that are thoughtful people,
like loving people, and they write long emails
that are really, by the way, I do read them very often.
It's just that I don't, the response
is then you're starting a conversation.
And there's, the heartbreaking aspect is
you only have so many hours in the day
to have deep, meaningful conversations
with human beings on this earth.
And so you have to select who they are,
§17Transcript · 2:21:42–2:30:39
and usually it's your family,
it's people like you're directly working with.
And even, I guarantee you with this conversation,
people will write you long, really thoughtful emails,
like there'll be brilliant people,
faculty from all over, PhD students from all over.
And it's heartbreaking
because you can't really get back to them.
But you're saying like many of them, if you do respond,
it's more like, here, go to this website.
If you're, when you're interested into the study,
it's just, it makes sense to directly go to the site
if there's applications open, just apply for the study.
- Right, right, right.
You know, as either a volunteer
or if we're looking for somebody,
you know, we're gonna be posting,
including on the Hopkins University website,
we're gonna be posting if we're looking for a position.
I am right now actually looking through,
and it's mainly been through email and contacts,
but should I say it?
Because I think I'd rather cast my nets wide,
but I'm looking for a postdoc right now.
- Oh, great.
- So I've mentored postdocs for, I don't know,
like a dozen years or so,
and more and more of their time is being spent on psychedelics
so someone's free to contact me.
That's more of a, that's sort of so close to home,
that's a personal, you know, that like emailing me
about that, but I come to appreciate more the advice
that folks like Tim Ferriss have of like,
I think it's him, like five cents emails, you know,
like, you know, a subject that gets to the point
that tells you what it's about
so that like you break through the signal to the noise.
But I really appreciate what you're saying
because part of the equation for me is like,
I have a three-year-old and like my time on the ground,
on the floor, playing blocks or cars with him
is part of that equation.
And even if the day is ending
and I know some of those emails are slipping by
and I'll never get back to them,
and I'm struggling with it already,
and I get what you're saying,
is I haven't seen anything yet
if with the type of exposure that like your podcast gets.
- This will bring an exposure,
and then I think in terms of post-docs,
this is a really good podcast in the sense
that there's a lot of brilliant PhD students out there
that are looking for posts from all over,
from MIT, probably from Hopkins,
this is just all over the place.
So this is, and I, we have different preferences,
but my preference would also be to have like a form
that they could fill out for posts
because it's very difficult through email
to tell who's a really going to be a strong collaborator
for you, like a strong post-doc, strong student,
because you want a bunch of details,
but at the same time,
you don't want a million pages worth of email.
So you want a little bit of application process.
So I usually set up a form
that helps me indicate how passionate the person is,
how willing they are to do hard work.
Like I often ask a question,
people, of what do you think is more important
to work hard or to work smart?
And I use that, those types of questions
to indicate who I would like to work with,
because it's counterintuitive.
But anyway, I'll leave that question unanswered
for people to figure out themselves.
But maybe if you know my love for David Goggins,
you will understand.
So anyway.
- Those are good thoughts about the forms and everything.
- It's difficult.
And that's something that evolves.
Email is such a messy thing.
There's, speaking of Baltimore,
Cal Newport, if you know who that is,
he wrote a book called "Deep Work."
He's a computer science professor
and he's currently working on a book about email,
about all the ways that email's broken.
So this is gonna be a fascinating read.
This is a little bit of a general question,
but almost a bigger picture question
that we touched on a little bit,
but let's just touch it in a full way,
which is what have all the psychedelic studies
you've conducted taught you about the human mind,
about the human brain and the human mind?
Is there something, if you look at the human scientists
you were before this work and the scientists you are now,
how has your understanding of the human mind changed?
- I'm thinking of that in two categories.
One kind of more scientific.
I mean, they're both scientific,
but one more about the brain and behavior
in the mind, so to speak.
And as a behaviorist, I always see sort of the mind
as a metaphor for behavior.
But anyway, that gets philosophical.
It's really increasing the,
so the one category is increasing the appreciation
for the magnitude of depth.
I mean, so these are all metaphors of human experience.
That might be a good way to,
'cause you use certain words like consciousness
and whatnot, and it's like we're using constructs
that aren't well-defined unless we kind of dig in,
but into human experience,
like that the experiences on these compounds
can be so far out there or so deep.
And that, like, and they're doing that by tinkering
with the same machinery that's going on up there.
I mean, my assumption, and I think it's a good assumption,
is that all experiences,
there's a biological side to all phenomenal experience.
So there is not, the divide between biology
and experience or psychology is,
it's not one or the other.
These are just two sides of the same coin.
- I mean, you're avoiding the use
of the word consciousness, for example,
but the experience is referring to the subjective experience.
So it's the actual technical use of the word consciousness
of, yeah, subjective experience.
- And even that word, there's certain ways that,
like sort of like if we're talking about access consciousness
or narrative self-awareness, which is an aspect of,
like you can wrap a definition around that
and we can talk meaningfully about it,
but so often around psychedelics,
it's used in this much more,
in terms of ultimately explaining
phenomenal consciousness itself,
the so-called hard problem,
relating to that question.
And psychedelics really haven't spoken to that.
And that's why it's hard,
because like it's hard to imagine anything.
But I think what I was getting is that
psychedelics have done this by,
the reason I was getting into the biology versus mind,
psychology divide, is that,
that just to kind of set up the fact that
I think all of our experience is related
to these biological events.
So whether they be naturally occurring neurotransmitters,
like serotonin and dopamine and norepinephrine, et cetera,
and a whole other sort of biological activity
and kind of another layer up
that we could talk about as network activity,
communication amongst brain areas,
like this is always going on,
even if I just prompt you to think about a loved one,
like there's something happening biologically.
Okay, so that's always another side of the coin.
So, and another way to put that
is all of our subjective experience, outside of drugs,
it's all a controlled hallucination in a sense.
Like this is completely constructed.
Our experience of reality is completely a simulation.
So I think we're on solid ground to say
that that's our best guess
and that's a pretty reasonable thing to say scientifically.
- Take all the rich complexity of the world
emerges from just some biology and some chemicals.
- So in that definition implied a causation,
it comes from, and so that's,
we know at least there's a solid correlation there.
And so then we delve deep into the philosophy
of like idealism or materialism and things like this,
which I'm not an expert in,
but I know we're getting into that territory.
You don't even necessarily have to go there.
Like you at least go to the level of like,
okay, we know there's,
there seems to be this one-on-one correspondence
and that seems pretty solid.
Like you can't prove a negative and you can't prove,
you know, it's in that category of like,
you could come up with an experience
that maybe doesn't have a biological correlate,
but then you're talking about,
there's also the limits of the science.
Is it a false negative?
But I think our best guess and a very decent assumption
is that every psychological event
has a biological correlate.
So with that said, you know,
the idea that you can throw, alter that biology
in a pretty trivial manner.
§18Transcript · 2:30:42–2:39:50
I mean, you could take like a relatively small number
of these molecules, throw them into the nervous system
and then have a 60 year old person who has,
you name it, I mean, that has hiked to the top of Everest
and that speaks five languages and that has been married
and has kids and grandkids and has, you name it,
you know, like been at the top and say,
this fundamentally changed who I am as a person
and what I think life is about.
Like that's the thing about psychedelics
that just floors me and it never fails.
I mean, sometimes you get bogged down by the paperwork
and running studies and all the, I don't know,
all of the BS that can come with being in academia
and everything and then you,
and sometimes you get some dud sessions
where it's not the full, all the magic isn't happening
and it's, you know, more or less it's,
or it's either a dud or somewhere in the,
and I don't mean to dismiss them, but you know,
it's not like these magnificent sort of reports,
but sometimes you get the full Monty report
from one of these people and you're like,
oh yeah, that's why we're doing this.
Whether it's like therapeutically
or just to understand the mind.
And you're like, you're still floored.
Like how is that possible?
How did we slightly alter serotonergic neurotransmission
and say, and this person is now saying
that they're making fundamental differences
in the priorities of their life after 60 years.
- It also just fills you with awe
of the possibility of experiences
we're yet to have uncovered.
If just a few chemicals can change so much,
it's like, man, what if this could be up?
I mean, like, 'cause we're just like took a little,
it's like lighting a match or something in the darkness
and you could see there's a lot more there,
but you don't know how much more.
And that's- - Right.
And then like, where's that gonna go with like,
I mean, I'm always like aware of the fact
that like we always as humans and as scientists
think that we figured out 99%
and we're working on that first 1%
and we got to keep reminding ourselves it's hard to do.
Like we figured out like not even 1%,
like we know nothing.
And so like, I can speculate and I might sound like a fool,
but like what are drugs, even the concept of drugs,
like 10 years, 50 years, 100 years,
a thousand years if we're surviving.
Like, you know, molecules that go to a specific area
of the brain in combination with technology,
in combination with the magnetic stimulation,
in combination with the, you know,
like targeted pharmacology of like,
oh, like this subset of serotonin 2A receptors
in the clostrum, you know, at this time
in this particular sequence,
in combination with this other thing,
like this baseball cap you wear that like has, you know,
has one of the, is doing some of these things
that we can only do with these like giant,
like pieces of equipment now,
like where it's gonna go is gonna be endless.
And it becomes easy to, you know,
combined within virtual reality
where the virtual reality is gonna move
from being something out here to being more in there.
And then we're getting, like we talked about before,
we're already in a virtual reality
in terms of human perception and cognition models
of the universe being all representations
and, you know, sort of, you know, color not existing
and just, you know, representations of EM,
wavelengths, et cetera, you know,
sound being vibrations and all of this.
And so as the external VR and the internal VR
come closer to each other,
like this is what I think about
in terms of the future of drugs,
like all of this stuff sort of combines.
And like where that goes is just, it's unthinkable.
Like we're probably gonna, you know,
again, I might sound like a fool
and this may not happen, but I think it's possible,
you know, to go completely offline,
like where most of people's experiences
may be going into these internal worlds.
And I mean, maybe you through some,
through a combination of these techniques,
you create experiences where someone could live
a thousand years in terms of,
maybe they're living a regular lifespan,
but in over the next two seconds,
you're living a thousand years worth of experience.
- Inside your mind.
- Yeah, through this manipulation of the,
like, is that possible?
Like just based on like first principles.
- Yeah, first principles, yes.
- I think so.
Like give us another 50, 100, 500, like who knows,
but like how could it not go there?
- And a small tangent, what are your thoughts
in this broader definition of drugs,
of psychedelics, of mind altering things?
What are your thoughts about Neuralink
and brain computer interfaces,
sort of being able to electrically stimulate
and read neuronal activity in the brain,
and then connect that to the computer,
which is another way from a computational perspective
for me is kind of appealing,
but it's another way of altering subtly
the behavior of the brain that's kind of,
if you zoom out, reminiscent of the way
psychedelics do as well.
So what do you have, like what are your thoughts
about Neuralink, what are your hopes
as a researcher of mind altering devices,
systems, chemicals?
- I guess broadly speaking, I'm all for it.
I mean, for the same reason I am with psychedelics,
but it comes with all the caveats.
You're going into a brave new world
where it's like all of a sudden,
there's gonna be a dark side,
there's gonna be serious ethical considerations,
but that should not stop us from moving there.
I mean, particularly the stuff from an unknown expert,
but on the short list, in the short term,
it's like, yeah, can we help these serious
neurological disorders?
Like, hell yeah.
And I'm also sensitive to something,
being someone that has lots of neuroscience
colleagues with some of this stuff,
and I can't talk about particulars, I'm not recalling,
but in terms of stuff getting out there
and then kind of a mocking of,
oh gosh, they're saying this is unique,
we know this, or sort of like this belittling of like,
oh, this sounds like it's just a, I don't know,
a commercialization or like an oversimplified,
I forget what the example was, but something like,
something that came off to some of my
neuroscientific colleagues as an oversimplification
or at least the way they said it.
- Oh, from a New York perspective?
- Right, oh, we've known that for years,
but I'm very sympathetic to like,
maybe it's because of my very limited,
but relatively speaking, the amount of exposure
the psychedelic work has had to my limited experience
of being out there, and then you think about someone
like Mike Musk, who's like really, really out there,
and you just get all these arrows that like,
and it's hard to be like when you're plowing new ground,
like you're gonna get, you're gonna get criticized,
like every little word that you,
this balance between speaking to like people
to make it meaningful, something scientists
aren't very good at, having people understand
what you're saying, and then being belittled
by oversimplifying something in terms of the public message.
So I'm extremely sympathetic, and I'm a big fan
of like what that, you know, what Elon Musk does,
like tunnels through the ground, and SpaceX,
and all this, it's like hell yeah,
like this guy has some great ideas.
- And there's something to be said,
it's not just the communication to the public.
I think his first principles thinking,
it's like, 'cause I get this
in the artificial intelligence world,
it's probably similar to neuroscience world,
where Elon will say something like,
or I worked at MIT, I worked on autonomous vehicles,
and he's sort of, I could sense how much he pisses off
like every roboticist at MIT, and everybody who works
on like the human factor side of safety,
of autonomous vehicles, in saying like,
"Nah, we don't need to consider human beings in the car,
"like a car will drive itself, it's obvious
"that neural networks is all you need,
"like it's obvious that we should be able to,
"systems that should be able to learn constantly."
And they don't really need LIDAR,
they just need cameras, because we humans just use our eyes,
and that's the same as cameras, so like it doesn't,
why would we need anything else?
You just have to make a system that learns faster
and faster and faster, and neural networks can do that,
and so that's pissing off every single community,
it's pissing off human factors community,
saying you don't need to consider the human driver
§19Transcript · 2:39:53–2:48:24
in the picture, you can just focus on the robotics problem,
it's pissing off every robotics person
for saying LIDAR can be just ignored,
it can be camera, every robotics person knows
that camera is really noisy,
that it's really difficult to deal with,
but he's, and then every AI person who says,
who hears neural networks and says like,
"Neural networks can learn everything,"
like almost presuming that it's kind of going
to achieve general intelligence.
The problem with all those haters in the three communities
is that they're looking one year ahead, five years ahead,
the hilarious thing about the quote unquote ridiculous
things that Elon Musk is saying is they have
a pretty good shot at being true in 20 years,
and so like, when you just look at the, you know,
when you look at the progression
of these kinds of predictions,
and sometimes first principles thinking can allow you
to do that is you see that it's kind of obvious
that things are going to progress this way,
and if you just remove the prejudice you hold
about the particular battles
of the current academic environment,
and just look at the big picture of the progression
of the technology, you can usually see the world
in the same kind of way, and so in that same way,
looking at psychedelics, you can see like,
there is so many exciting possibilities here
if we fully engage in the research.
Same thing with Neuralink, if we fully engage,
so we go from 1,000 channels of communication
to the brain to billions of channels
of communication to the brain,
and we figure out many of the details
of how to do that safely with neurosurgery and so on,
that the world would just change completely
in the same kind of way that Elon is,
it's so ridiculous to hear him talk
about symbiotic relationship between AI
and the human brain, but it's like, is it though?
(Lex laughing)
Is it?
Because I can see in 50 years,
there's going to be an obvious,
like everyone will have, like obviously you have,
like why are we typing stuff in the computer?
It doesn't make any sense, that's stupid.
People used to type on a keyboard with a mouse?
What is that?
- And it seems pretty clear, like we're gonna be there.
- Yeah.
- Like, and the only question is like, what's the timeframe?
Is that gonna be 20 or is it 50 or 100?
Like, how could we not?
- And the thing that I guess upsets
with Elon and others is the timeline he tends to do.
I think a lot of people tend to do that kind of thing.
I definitely do it, which is like, it'll be done this year,
versus like it'll be done in 10 years.
The timeline is a little bit too rushed,
but from our leadership perspective,
it inspires the engineers to do the best work of their life,
to really kind of believe,
because to do the impossible, you have to first believe it,
which is a really important aspect of innovation.
- And there's the delay discounting aspect
I talked about before.
It's like saying, oh, this is gonna be a thing
20, 50 years from now.
It's like, what motivates anybody?
And even if you're fudging it,
or you're like wishful thinking a little bit,
or let's just say erring on one side
of the probability distribution,
like there's value in saying like, yeah,
like there's a chance we could get this done in a year.
And you know what?
And if you set a goal for a year and you're not successful,
hey, you might get it done in three years.
Whereas if you had aimed at 20 years,
well, you either would have never done it at all,
or you would have aimed at 20 years
and then would have taken you 10.
So the other thing I think about this,
like in terms of his work,
and I guess we've seen with psychedelics,
it's like there's a lack of appreciation
for like sort of the variability
you need in natural selection,
sort of extrapolating from biological,
you know, from evolution, like,
hey, maybe he's wrong about focusing only on the cameras
and not these other things.
Be empirically driven.
It's like, yeah, you need to,
like when he's, you know,
when you need to get the regulation,
is it safe enough to get this thing on the road?
Those are real questions.
And be empirically driven.
And if he can meet the whatever standard is relevant,
that's the standard and be driven by that.
So don't let it affect your ethics.
But if he's on the wrong path, how wonderful.
Someone's exploring that wrong path.
He's gonna figure out it's a wrong path.
And like other people, he's,
damn it, he's doing something.
Like he's, you know, and,
and so appreciating that variability,
you know, that like, it's valuable,
even if he's not on,
I mean, this is all over the place in science.
It's like a good theory.
One standard definition is that
it generates testable hypotheses.
And like the ultimate model
is never gonna be the same as reality.
Some models are gonna work better than others.
Like, you know, Newtonian physics got us a long ways,
even if there was a better model, like waiting.
And some models weren't as good as, you know,
were never that successful,
but just even like putting them out there and testing.
We wouldn't know something is a bad model
until someone puts it out anyway, so.
- Yeah, diversity of ideas is essential for progress, yeah.
So we brought up consciousness a few times.
There's several things I wanna kinda disentangle there.
So one, you've recently wrote a paper titled
Consciousness, Religion, and Gurus,
Pitfalls of Psychedelic Medicine.
So that's one side of it.
You've kind of already mentioned that
these terms can be a little bit misused
or used in a variety of ways
that can be confusing.
But in a specific way,
as much as we can be specific about these things,
about the actual heart problem of consciousness
or understanding what is consciousness,
this weird thing that it feels like,
it feels like something to experience things,
have psychedelics given you some kind of insight
on what is consciousness?
You've mentioned that it feels like psychedelics
allows you to kind of dismantle your sense of self,
like step outside of yourself.
So that feels like somehow playing
with this mechanism of consciousness.
And if it is in fact playing with
the mechanism of consciousness using just a few chemicals,
it feels like we're very much in the neighborhood
of being able to maybe understand
the actual biological mechanisms
of how consciousness can emerge from the brain.
- So yeah, there's a bunch there.
I think my preface is that I certainly have opinions
that I can say, here are my best speculations
as just a person and an armchair philosopher,
and it's that philosophy is certainly not my training
and my expertise.
So I have thoughts there,
but that I recognize are completely
in the realm of speculation,
that are like things that I would love
to wrap empirical science around,
but that are, you know, there's no data
and getting to the heart problem,
like no conceivable way, even though I'm very open,
like I'm hoping that that problem can be cracked.
And I do, as an armchair philosopher,
I do think that is a problem.
I don't think it can be dismissed as some people argue,
it's not even really a problem.
It strikes me that explaining just the existence
of phenomenal consciousness is a problem.
So anyway, I very much keep that divide in mind
when I talk about these things,
what we can really say about what we've learned
through science, including by psychedelics,
versus like what I can speculate on
in terms of the nature of reality and consciousness.
But in terms of, by and large, skeptically,
I have to say, psychedelics have not really taught us
anything about the nature of consciousness.
I'm hopeful that they will.
They have been used around certain,
I don't even know if features is the right term,
but things that are called consciousness.
So consciousness can refer to not only
just phenomenal consciousness,
which is like, you know, the source of the heart problem
and what it is to be like Nagel's description,
but the sense of self, which can be sort of like
the experiential self moment to moment,
or it can be like the narrative self,
the stringing together of stories.
§20Transcript · 2:48:25–2:57:59
So those are things that I think can be,
and a little bit's been done with psychedelics
regarding that, but I think there's far more potential.
- So like one story that unfolded is that
psychedelics acutely have an effects
on the default mode network,
a certain pattern of activation
amongst a subset of brain areas
that is associated with self-referential processing.
It seems to be more active,
more communication between these areas,
like the posterior cingulate cortex
and the medial prefrontal cortex, for example,
being parts of this that are,
and others that are tied with sort of
thinking about yourself, remembering yourself in the past,
projecting yourself into the future.
And so an interesting story emerged
when it was found that when psilocybin is on board,
you know, in the person's system,
that there's less communication amongst these areas.
So with resting state fMRI imaging,
that there's less synchronization
or presumably communication between these areas.
And so I think it has been overstated
in terms of, ah, we see this is like,
this is the dissolving of the ego.
The story made a whole lot of sense,
but there's several,
I think that story is really being challenged.
Like one, we see increasing number of drugs
that decouple that network,
including ones like that aren't psychedelic.
So this may just be a property, frankly,
of being like, you know, screwed up, you know?
Like, you know, being out of your head,
being like, you know.
- Anytime you mess with the perception system,
maybe it screws up some,
just our ability to just function
in the holistically like we do in order,
yeah, for the brain to perceive stuff,
to be able to map it to memory,
to connect things together,
the whole recur mechanism,
that could just be messed with.
- Right, and it could, and I'm speculating,
it could be tied to more,
if you had to download a new language, everyday language,
like not feeling like yourself.
So whether that be like really drunk
or really hopped up on amphetamine,
or, you know, like we found it,
like decoupling of the default mode network
on salvinorin A, which is a smokable psychedelic,
which is a non-classic psychedelic,
but another one where, like DMT,
where people are often talking to entities
and that type of thing.
That was a really fun study to run.
But nonetheless, most people say
it's not a classic psychedelic
and doesn't have some of those phenomenal features
that people report from classic psychedelics
and not sort of the clear sort of ego loss type,
at least not in the way that people report it
with classic psychedelics.
So you get it with all these different drugs.
And then you also see just broad changes
in network activity with other networks.
And so I think that story took off a little too soon,
although, so I think,
and the story that the DMN, the default mode network,
relating to the self,
and I know some neuroscientists,
it drives them crazy if you say that it's the ego,
but self-referential processing, if you go that far,
like that was already known before psychedelics.
Psychedelics didn't really contribute to that,
the idea that this type of brain network activity
was related to a sense of self.
But it is absolutely striking that psychedelics
that people report with pretty high reliability,
these unity experiences that where people subjectively,
like they report losing or getting like the boundaries
of the, however you wanna say it,
like these unity experiences,
I think we can do a lot with that
in terms of figuring out the nature of the sense of self.
Now, I don't think that's the same as the hard problem
or the existence of phenomenal consciousness
'cause you can build an AI system,
and you correct me if I'm wrong,
that will pass a Turing test
in terms of demonstrating the qualities
of a sense of self.
It will talk as if there's a self,
and there's probably a certain algorithm or whatever,
computational, scaling up of computations that results
in somehow, and I think this is the argument with humans,
but some have speculated this,
why do we have this illusion of the self that's evolved?
And we might find this with AI that it works,
having a sense of self,
and that's stated incorrectly,
acting as if there is an agent at play
and behaviorally acting like there is a self,
that might kind of work.
And so you can program a computer or a robot
to basically demonstrate, have an algorithm like that
and demonstrate that type of behavior,
and I think that's completely silent
on whether there's an actual experience inside there.
- I've been struggling to find the right words
and how I feel about that whole thing,
but 'cause I've said it poorly before,
I've before said that there's no difference
between the appearance and the actual existence
of consciousness or intelligence or any of that.
What I really mean is,
the more the appearance starts to look like the thing,
the more there's this area where it's like,
I don't think,
our whole idea of what is real and what is just an illusion
is not the right way to think about it.
So the whole idea is like,
if you create a system that looks like it's having fun,
the more it's realistically able to portray itself
as having fun, there's a certain gray area
which the system is having fun.
And same with intelligence, same with consciousness.
And we humans wanna simplify,
like it feels like the way we simplify the existence
and the illusion of something
is missing the whole truth of the nature of reality,
which we're not yet able to understand.
Like it's the 1%, we only understand 1% currently,
so we don't have the right physics to talk about things,
we don't have the right science to talk about things.
But to me, like the faking it
and actually it being true is,
the difference is much smaller
than what humans would like to imagine.
That's my intuition, but philosophers hate that
because, and guess what?
It's philosophers, what have you actually built?
(Lex laughing)
So like to me, that's the difference
between philosophy and engineering.
It feels like if we push the creation, the engineering,
like fake it until you make it all the way,
which is like fake consciousness
until you realize, holy crap, this thing is conscious.
Fake intelligence until you realize, holy crap,
this is intelligence.
And from my curiosity with psychedelics
and just neurobiology, neuroscience,
is like it feels, I love the armchair.
I love sitting in that armchair
because it feels like at a certain point,
you're going to think about this problem
and there's going to be an aha moment.
Like that's what the armchair does.
Sometimes science prevents you from really thinking, wait.
Like it's really simple.
There's something really simple.
Like there's some, there could be some dance of chemicals
that we're totally unaware of.
Not from aspects of like which chemicals to combine
with which biological architectures,
but more like we were thinking of it completely wrong.
That, just out of the blue, like maybe the human mind
is just like a radio that tunes into some other medium
where consciousness actually exists.
Like those weird sort of hypothetical,
but maybe we're just thinking about the human mind
totally wrong.
Maybe there's no such thing as individual intelligence.
Maybe it is all collective intelligence between humans.
Like maybe the intelligence is possessed
in the communication of language between minds
and then in fact consciousness is a property
of that language versus a property of the individual minds.
And somehow the neurotransmitters will be able
to connect to that.
So then AI systems can join that common collective
intelligence, that common language.
You know, like just thinking completely outside of the box.
I just said a bunch of crazy things.
I don't know, but thinking outside the box
and there's something about subtle manipulation
of the chemicals of the brain which feels like the best
or one of the great chances of the scientific process
leading us to an actual understanding of the hard problem.
- So I am very hopeful that, and so I,
I mean, I'm a radical empiricist,
which I'm very strong with that.
Like that's what, you know, so science isn't about
ultimately being a materialist.
It's like, it's about being an empiricist in my view.
§21Transcript · 2:58:02–3:07:09
And so for example, I'm very fascinated
by the so-called psi phenomenon.
You know, like stuff that people just kind of reject
out of hand.
You know, I kind of orient towards that stuff
with an idea of, you know, hey, look, you know,
what we consider, like anything exists as natural.
And so, but the boundary of what we observe in nature,
like what we recognize as in nature moves,
like what we do today and what we know today
would only be described as magic 500 years ago
or even a hundred years ago, some of it.
So there will surely be things that,
like you explained these phenomenon
that just sound like completely,
they're supernatural now,
where there may be for some of it,
like some of it might turn out to be a complete bunk
and some of it might turn out to be,
it's just another layer of nature,
whether we're talking about multiple dimensions
that were invoked or something
where we don't even have the language to work.
And what you're saying about the moving together
of the model and the real thing of conscious,
like I'm very sympathetic to that.
So that's that part of like on the armchair side
where I wanna be clear, I can't say this as a scientist,
but just in terms of speculating,
I find myself attracted to these
more of the sort of the panpsychism ideas.
And that kind of makes sense to me.
I don't know if that's what you meant there,
but it seemed like related the sense that ultimately,
if you were completely modeling,
like it's like if you completely modeling,
unless you dismiss like the idea
that there is a phenomenal consciousness,
which I think is hard given that we all,
I seem like I have one, that's really all I know,
but that's so compelling, I can't just dismiss that.
Like if you take that as a given,
then the only way for the model and the real thing to merge
is if there is something baked into the nature of reality,
sort of like in the history of like there are certain
just like fundamental forces or fundamental,
like, and that's been useful for us.
And sometimes we find out
that that's pointing towards something else
or sometimes it's still, seems like it's a fundamental
and sometimes it's a placeholder for someone to figure out,
but there's something like, this is just a given,
this is just, and sometimes someone like gravity
seems like a very good placeholder
and then there's something better that comes to replace it.
So, I kind of think about like consciousness
and I didn't, I kind of had this inclination
before I knew there was a term for it,
Rossellian monism, the idea that,
which is a form of, again, I'm not,
I'm an armchair philosopher, not a very good one.
- Broadly panpsychism, by the way,
is the idea that sort of consciousness permeates all matter
and it's a fundamental part of physics
of the universe kind of thing.
So, and there's a lot of different flavors of it
as you're alluding to.
- And something that struck me as like consistent
with some just, you know, inclinations of mine,
just total speculation is this idea of
everything we know in science
and with most of the stuff we think of physics,
you know, really describes, it's all interactions.
It's not the thing itself.
Like there is something to the,
and this sounds very new agey,
which is why it's very difficult
and I have high bullshit like meter and everything,
but like an isness.
I mean, I think about like Huxley,
Aldous Huxley with his mescaline experience
in "Doors of Perception," like there's an isness there
and Alan Watson, like there is a nature of being,
again, very new agey sounding,
but maybe there is something to,
and when we say consciousness,
we think of like this human experience,
but maybe that's just, that's so processed
and so that's so far,
so derivative of this kind of basic thing
that we wouldn't even recognize the basic thing,
but the basic thing might just be,
this is not about the interaction between particles.
This is what it is like to exist as a particle
and maybe it's not even particles.
Maybe it's like space-time itself.
I mean, again, totally in the speculation area.
- And something out there in space-time.
So it's funny 'cause we don't have neither the science
nor the proper language to talk about it.
All we have is kind of little intuitions
about there might be something
in that direction of the darkness to pursue.
And in that sense, I find panpsychism interesting
in that it does feel like there's something
fundamental here, that consciousness is not just like,
okay, so the flip side,
consciousness could be just a very basic
and trivial symptom, like a little hack of nature
that's useful for survival of an organism.
It's not something fundamental.
It's just this very basic, boring chemical thing
that somehow has convinced us humans,
'cause we're very human-centric, we're very self-centric,
that this is somehow really important,
but it's actually pretty obvious.
But, or it could be something really fundamental
to the nature of the universe.
So both of those are, to me, pretty compelling
and I think eventually scientifically testable.
It is so frustrating that it's hard to design
a scientific experiment currently,
but I think that's how Nobel Prizes are won,
is nobody did it until they do it.
- The reason I lean towards, and again, armchair spec,
if I had to bet like $1,000
on which one of these ultimately would be proven,
I would lean towards, I'd put my bets
on something like panpsychism rather than the emergence
of phenomenal consciousness through complexity
or computational complexity.
Because, although certainly,
if there is some underlying fundamental consciousness,
it's clearly being processed in this way,
through computation, in terms of resulting
in our experience and the experience,
presumably, of other animals.
But the reason I would bet on panpsychism is, to me,
Occam's razor, it just, in terms of truly the hard problem,
like at some point you have an inside looking out.
And even looking refers to vision,
and it doesn't, that's just an,
but just there's an inside experiencing something.
At some point of complexity, all of a sudden,
you start from this objective universe,
and all we know about is interactions
between things, and things happen.
And at this certain level of complexity,
magically, there's an inside.
That, to me, doesn't pass Occam's razor as easily
as maybe there is a fundamental property of the universe.
There's both subjective and objective.
There's both interactions amongst things,
and there is the thing itself.
- Yes. - But, yeah.
- So, I'm of two minds.
I agree with you totally, half my mind.
And the other half is I've seen,
looking at cellular automata a lot,
which is, it sure does seem that we don't understand
anything about complexity.
Like the emergence, just the property.
In fact, that could be a fundamental property of reality,
is something within the emergence
from simple things interacting,
somehow miraculous things happen.
And like that, I don't understand that.
That could be fundamental, that like,
something about the layers of abstraction,
like layers of reality,
like really small things interacting,
and then on another layer emerges actual complicated behavior
even on the underlying thing is super simple.
Like that process, we don't really don't understand either.
And that could be bigger than any of the things
we're talking about.
That's the basic force behind everything
that's happening in the universe,
is from simple things, complex phenomena can happen.
- And the thing that gives me pause
is that I'm concerned about a threshold there.
Like, how is it likely that,
now there may be, and there may be some qualitative shift
that in the realm of like,
we don't even understand complexity yet,
like you're saying, like, so maybe there is,
but I do think like if it is a result of the complexity,
well, just having helium versus hydrogen
is a form of complexity.
Having the existence of stars versus clouds of gas
is a complexity.
The entire universe has been this increasing complexity.
And so that kind of brings me back to then the other
of like, okay, if it's about complexity,
then it exists at a certain level
in these simple systems like a star,
or a more complex atom.
- Panpsychism, that's right.
But we humans, the qualitative shift,
we might have evolved to appreciate
§22Transcript · 3:07:12–3:16:39
certain kinds of thresholds.
- Right. - Yeah.
- I do think it's likely that this idea that,
whether or not there's an inner experience,
which is phenomenal, it's the hard problem,
that acting like an agent, like having an algorithm
that basically like operates as if there is an agent,
that's clearly a thing that I think has worked.
And that there is a whole lot to figure out there
that, and I think psychedelics will be extremely helpful
in figuring more out about that,
because they do seem to a lot of times eliminate that,
or whatever, radically shift that sense of self.
- Let me ask the craziest question.
Indulge me for a second.
This is a joke.
- You're tired of what we've been talking about?
Like, okay, I gotta get my seatbelt on.
- All of this is a science,
all of that, despite the caveats about armchair,
I think is within the reach of science.
Let me ask one that's kind of also within the reach
of science, but as Joe likes to say,
it's entirely possible, right?
Is it possible that with these DMT trips,
when you meet entities, is it possible that these entities
are extraterrestrial life forms?
Like, our understanding of little green men
with aliens that show up is totally off.
I often think about this, like,
what would actual extraterrestrial intelligence look like?
And my sense is it would look like very different
from anything we can even begin to comprehend.
- And how would it communicate?
- And how would it communicate?
- Yes, would it be necessarily spaceships
with the Ursula travel or?
- Could it be communicating through chemicals,
through, if there's the panpsychism situation,
if there's something, not if, I almost for sure know
we don't understand a lot about the function of our mind
in connection to the fabric of the physics in the universe.
A lot of people seem to think we have theoretical physics
pretty figured out.
I have my doubts, because I'm pretty sure
it always feels like we have everything figured out
until we don't.
- Right, I mean, there's no grand unifying theory yet,
right, that's been widely recognized.
- We could be missing out, like,
the concept of the universe just can be completely off.
Like, how many other universes are there,
all those kinds of things.
I mean, just the basic nature of information,
the time, all of those things.
- Yeah.
- Yeah, whether that's just like a thing
we assign value to, or whether it's fundamental or not,
that's a whole chunk.
I could talk to Shankara forever about whether time
is emergent or fundamental to the reality.
But is it possible that the entities we meet
are actual alien life forms?
Do you ever think about that?
- Yeah, yeah, yeah, yeah, I do.
And I've, to some degree, laid my cards out
by identifying as a radical empiricist.
So the answer, is it possible?
And I think, ultimately, if you're a good scientist,
you gotta say, now that's at the extremes, it's a yes.
And it might get more interesting when you had to,
you're asked to guess about the probability of that.
Is that a one in a million, one in a trillion,
one in a, one in more than the number of atoms
in the universe probability?
- And as an empiricist, it's like, what is a good testable?
Like, how would you know the answer to that question?
Or how would you be able to validate it?
- Well, can you get some information that's verifiable,
like information about some other planet,
or some aspect, some, and gosh,
it would be an interesting range,
but what range of discovery that we can anticipate
we're gonna know within, you know, whatever,
a few years, next five, 10, 20 years,
and seeing if you can get that information now,
and then over time, it might be verified.
You know, the type of thing like, you know,
part of Einstein's work was ultimately verified,
not until decades and decades later,
at least certain aspects through empirical observations.
- But it's also possible that the alien beings
have a very different value system
and perception of the world,
where all of this little capitalistic improvements
that we're all after, like predicting,
the concept of predicting the future too,
is like totally useless to other life forms
that have, that perhaps think in a much different way,
maybe a more transcendent way, I don't know, but.
- So they wouldn't even sign the consent form
to be a participant in our experiment.
- They would not, they would not.
And they wouldn't even understand
the nature of these experiments.
I mean, maybe it's purely in the realm of the consciousness
that we talked about.
So communicating in a way that is totally different
than the kinds of communication
that we think of as on Earth.
Like what's the purpose of communication for us?
For us humans, the purpose of communication
is sharing ideas, it feels like.
Like converging, like it's the Dawkins memes.
It's like we're sharing ideas in order to figure out
how to collaborate together to get food into our systems
and procreate and then murder everybody
in the neighboring tribe because they'll steal our food.
Like we are all about sharing ideas.
Maybe it's possible to have another alien life form
that's more about sharing experiences.
Like it's less about ideas, I don't know.
- And maybe that'll be us in a few years.
How could it not?
Like instead of explaining something laboriously to you,
like having people describe
the ineffable psychedelic experience,
like if we could record that
and then get the Neuralink of 50 years from now,
like oh, just plug this into your--
- Just transfer in the-- - Yeah, it's like,
oh, now you feel what it's like.
And like in one sense, like how could we not go there?
And then you get into the realm,
especially when you throw time into it,
are the aliens us in the future?
Or even like a transcendental temporal,
like the us beyond time?
Like I don't know, like you get into this realm
and there's a lot of possibilities.
Yeah, but I think there's one psychedelic researcher
who did high-dose DMT research in the '90s
who speculated that,
that, and there was a lot of alien encounter experiences,
like maybe these are like entities
from some other dimension or--
- Jared-- - He labeled it
as speculation, but you know.
- Do you remember the name?
- Oh, Rick Strassman.
- Oh, Rick Strassman. - Who did, yeah, yeah,
the DMT work.
He labeled it as speculation, but you know, I think that,
yeah, I think we'd be wise to kind of, you know,
it's always that balance between being empirically grounded
and skeptical, but also not being,
and I think in science, well, often we are too closed.
Which relates to like, you're talking about Elon,
like in academia, it's like often,
like I think you're punished for thinking
or even talking about 20 years from now
because it's just so far removed from your next grant
or for your next paper that you're, it's easy pickings.
And you know, that you're not allowed to speculate, so.
- I think I'm a huge fan of, I think the best way,
to me at least, to practice like science
or to practice good engineering is to like do two things
and just bounce off, like spend most of the time
doing the rigor of the day-to-day
of what can be accomplished now in the engineering space
or in the science, like what can actually,
what can you construct an experiment around,
do like that, the usual rigor of the scientific process,
but then every once in a while on a regular basis
to step outside and talk about aliens and consciousness
and we just walk along the line of things
that are outside the reach of science currently.
Free will, the illusion or the perception
of the experience of free will, of anything,
just the entirety of it, being able to travel in time
through warm holes, it's like it's really useful to do that,
especially as a scientist, like if that's all you do,
you go into a land where you're not actually able
to think rigorously.
There's something, at least to me,
that if you just hop back and forth,
you're able to, I think, do exactly the kind of injection
of out-of-the-box thinking to your regular day-to-day
science that will ultimately lead to breakthroughs.
But you have to be the good scientist most of the time.
- And that's consistent with what I think
the great scientists of history,
like in most of the history, the greats,
the Newtons and Einsteins, I mean, they were,
there was less of, and this changed, I think,
as time marched on, but less of a separation
between those realms.
It's like there's the inclination now
for it's like as a scientist,
and this is science, this is my work,
§23Transcript · 3:16:42–3:25:46
and then this, my inclination is to say,
oh, Lex, don't take me too seriously
'cause this is my armchair.
I'm not speaking as a scientist.
I'm bending over backwards to say, to divide that self,
and maybe there's been less of,
there's been that evolution,
and the greats didn't see that.
I mean, Newton, and you go back in time,
and it's like that obviously connects to then religion,
especially if that is the predominant world,
or Newton, like how much,
how much time did he spend trying to decode the Bible
and whatnot, and then maybe that was a dead end,
but it's like if you really believe in that,
in that particular religion, and you're this mastermind,
and you're trying to figure things out,
it's not like, oh, this is what my job description is,
and this is what the grant wants.
It's like, no, I've got this limited time on the planet.
I'm gonna figure out as much stuff as possible.
Nothing is off the table,
and you're just putting it all together,
so this is kind of this trajectory
is really related to the siloing in science,
like again, related to my, oh, I'm not a philosopher,
whether you consider that a science,
or not empirical science,
but going to these different disciplines,
like the greats didn't observe the,
boundaries didn't exist, and they didn't observe them.
- Yeah, so speaking of the finiteness of our existence
in this world, so on the front of psychedelics,
and teaching you lessons as a researcher, as a human being,
what have you learned about death, about mortality,
about the finiteness of our existence?
Are you yourself afraid of death,
and how has your view, do you ponder it,
and has your view of your mortality changed
with the research you've done?
- Yeah, yeah, so I do ponder it, and--
- Are you afraid of death?
- Probably on a daily basis I ponder it.
I'd have to pick it apart more and say,
yeah, I am afraid of dying, the process of dying.
I'm not afraid of being dead.
I mean, I'm not afraid of, I think it was Penn Jillette
that said, and he may have gotten it from someone else,
but I'm not afraid of the year 1862, before I existed.
I'm not afraid of the year 2262, after I'm gone.
It's gonna be fine, but yeah, dying,
I'd be lying if I said I wasn't afraid of dying.
And so there's both the process of dying,
like, yeah, it's usually not good.
It'd be nice if it was after many, many years,
and just sort of, I'd rather not fall, die in my sleep.
I'd rather kind of be conscious,
but sort of just fade out with old age maybe,
but just being in an accident and horrible diseases.
I've seen enough loved ones.
It's like, yeah, this is not good.
This is enough to be, I'd like to say that I'm peaceful
and sort of balanced enough that I'm not concerned at all,
but no, like, yeah, I'm afraid of dying.
But I'm also concerned about, I think about family.
I'm afraid or at least concerned about not being there,
like with a three-year-old, not being there,
not being there for him and my wife and my mom
the rest of her life.
I'm concerned about not, I'm concerned more about
the harm that it would cause if I left prematurely.
And then kind of even bigger along the lines
of some of the stuff that Ford,
I think we've been talking about,
I think maybe way too much about just like,
and I'll never know the answer.
So even if I lived to 120,
but I wanna know as much as I can,
but like, how is this gonna work out like as humans?
Are we, and a big one, I think is, are we gonna,
and I don't think, unfortunately, I'm gonna learn it
in my lifetime, even if I live to a ripe old age,
but I don't know.
Is this gonna work out?
Like, are we gonna escape the planet?
I think that's one of the biggies.
Like, are we gonna like, the survival of the,
like, I think the next, like the time we're in now,
it's like with the nuclear weapons, with pandemics
and with, I mean, we're gonna get to the point
where anyone can build a hydrogen bomb.
Like, you know, it's like, you just like the,
or engineer like the, you know,
something that's a million times worse than COVID
and then just spread it.
It's like, we're getting to this period of,
and then not to mention climate change, you know,
it's like, although I think that's not,
there's probably gonna be surviving humans
with that regard, you know, but it could be really bad.
But these existential threats,
I think the only real guarantee
that we're gonna get another, you name it,
thousand, million, whatever years is like diversity,
diversify our portfolio, get off the planet, you know,
don't leave this one, hopefully we keep, you know,
but like, and I, you know,
it's like either we're gonna get snuffed out
like really quickly, or we're gonna,
like if we reach that point
and it's gonna be over the next like 100, 200 years,
like we're probably gonna survive like until like,
I mean, you know, like our sun,
like, and even beyond that,
like we're probably gonna be talking about millions
and millions of years.
It's like, and we're, I don't know,
in terms of the planet, four billion years into this.
And depending on how you count our species, you know,
we're, you know, we're millions of years into this.
And it's like, it's just like the point of the relay race
where we can really screw up.
- So that would make you feel pretty good
when you're on your deathbed at 120 years old
and there's something hopeful about,
there's a colony starting up on Mars and it's like.
- Yeah, Titan, like whatever, you know, like, yeah,
like that we have these colonies out there
that would tell me like, yeah,
then at least we'd be good until like the, you know,
hopefully, probably until the sun goes red giant,
you know what I mean?
Rather than, oh, like 20 years from now
when there's some, someone with their finger
on the nuclear button that just, you know,
misperceives, you know, the radar, you know,
like the signal they think Russia's attacking,
they're really not or China.
And like, that's probably how a nuclear accident war
is gonna start rather than, you know,
or the, like I said, these other horrible things.
- Does it not make you sad that you won't be there
if we are successful at proliferating
throughout the observable universe,
that you won't be there to experience any of it?
- Yeah. - It's just the ego death,
right?
- Yeah, the death 'cause you're still gonna die
and it's still gonna be over.
- Right. - That's, you know,
Ernest Becker and those folks really emphasize
the terror of death that if we're honest,
we'll discover if we search within ourselves,
which is like, this thing is gonna be over.
Most of our existence is based on the illusion
that it's gonna go forever.
And when you sort of realize
it's actually gonna be over,
like today, like I might murder you
at the end of this conversation.
(laughing)
It might be over today or like you on going home,
this might be your last day on this earth.
And it's, I mean, like pondering that,
I suppose one thing to be,
if I were to push back, it's interesting,
is you actually, I think you seek comfort
in the sadness of how unfortunate it would be
for your family to not have you.
Because the really, even the deeper,
yes, but that's the simple fear.
Even the deeper terror is like,
like this thing doesn't last forever.
Like I think, I don't know,
like it's hard to put the right words to it,
but it feels like that's not truly acknowledged
by us, by each of us.
- Yeah, I think this is the,
getting back to the psychedelics
in terms of the people in our work with cancer patients
who we had psilocybin sessions to help them,
and it did substantially help them,
the vast majority, in terms of dealing
with these existential issues.
And I think, it's something we,
I could say that I really feel that I've come along
in that both being with folks who have died
that are close to me, and then also that work,
I think are the two biggies, and sort of like,
I think I've come along in that sort of acceptance
of this, like it's not gonna last.
Whether at the personal level
or even at the species level,
like at some point, all the stars are gonna fade out,
and it's gonna be the realm of,
which is gonna be the vast majority,
unless there's a big crunch,
which apparently doesn't seem likely.
Like most of the universe,
there's this blink of an eye that's happening right now
§24Transcript · 3:25:47–3:34:28
that life is even possible, like the era of stars.
So it's like, we're gonna fade out at some point.
And then we get at this level of consciousness,
and like, okay, maybe there is life after death,
maybe there's maybe times in illusion,
maybe we're gonna, like, that part I'm ready for.
Like, I'm like, you know, like,
that would be really great, and I'm looking,
I'm not afraid of that at all.
It's like, even if it's just strange,
like if I could push a button to enter that door,
I mean, I'm not gonna, you know, die,
you know, I'm not gonna kill myself,
but it's like, if I could take a peek
at what that reality is, or choose,
at the end of my life, if I could choose
of entering into a universe where there is an afterlife
of something completely unknown
versus one where there's none,
I think I'd say, well, let's see what's behind that.
- That's a true scientist way of thinking.
If there's a door, you're excited about opening it
and going in.
- Right, but I am attracted to this idea, like,
you know, and I recognize it's easier said than done
to say I'm okay with not existing.
- Yeah.
- It's like the real test is like,
okay, check me on my deathbed.
You know, it's like, it's, oh, I'll be all right,
it's a beautiful thing, and the humility of surrendering,
and I really hope, and I think I'd probably be more likely
to be in that realm right now than I would,
like, or check me when I get a terminal cancer diagnosis,
and I really hope I'm more in that realm,
but I know enough about human nature
to know that, like, I don't wanna,
I can't really speak to that,
'cause I haven't been in that situation.
And I think there can be a beauty to that,
and the transcendence of like, yeah,
and you know, it was beautiful,
not just despite all that, but because of that,
because ultimately there's gonna be nothing,
and because we came from nothing,
and we dealt with all this shit,
the fact that there was still beauty,
and truth, and connection, like,
that, you know, like, it just, it's a beautiful thing,
but I hope I'm in that, it's easy to say that now, like,
yeah.
- Do you think there's a meaning to this thing
we got going on, life, existence, on Earth,
to us individuals, from a psychedelics researcher perspective
or from just a human perspective?
- Those merge together for me,
because it's just hard,
I've been doing this research for almost 17 years,
and like, not just the cancer study,
but so many times people, like,
I remember a session in one of our studies,
someone who wasn't getting any treatment for anything,
but one of our healthy normal studies,
where he was contemplating the suicide of his son,
and just these, I mean,
just like the most intense human experiences
that you can have in the most vulnerable situations,
sometimes, like, people, like, you know,
and it's just like, you have to have a,
and you just feel lucky to be part of that process,
that people trust you to let their guards down like that.
Like, I don't know, the meaning,
I think the meaning of life is defined meaning,
and I think, actually, I think I just described it
a minute ago, it's like that transcendence of everything,
like, it's the beauty despite the absolute ugliness,
it's the, and as a species,
and I think more about this,
like, I think about this a lot,
it's the fact that we are, I mean, we're,
we come from filth, I mean, we're, you know, we're animals,
we come from, like, we're all descendant
from murderers and rapists, like, we,
despite that background, we are capable
of this self-sacrifice, and the connection,
and figuring things out, you know,
truth science and other forms of truth, you know, seeking,
and an artwork, just the beauty of music
and other forms of art, it's like,
the fact that that's possible is the meaning of life, I mean.
- And ultimately, that feels to be creating
more and richer experiences,
from a Russian perspective, both the dark,
you mentioned the cancer diagnosis,
or losing a child to suicide,
or all those dark things is still rich experiences,
and also the beautiful creations,
the art, the music, the science,
that's also rich experience,
so somehow we're figuring out,
from just like psychedelics expand our mind
to the possibility of experiences,
somehow we're able to figure out different ways
as a society to expand the realm of experiences,
and from that we gain meaning somehow.
- Right, and that's part of like this,
we're going across different levels here,
but like the idea that so-called bad trips
or challenging experiences are so common
in psychedelic experiences, it's like,
that's a part of that, like, yeah, it's tough,
and most of the important things in life
are really, really tough and scary,
and most of the things like the death of a loved one,
like the greatest learning experiences,
the things that make you who you are, are the horrors,
and it's like, yeah, we try to minimize them,
we try to avoid them, but, and I don't know,
I think we all need to get into the mode
of like giving ourselves a break,
both personally and societally.
I mean, I went through like the,
I think a lot of people do these days in my 20s,
like, oh, the humans are just,
they're kind of a disease on the planet,
and like, and then in terms of our country,
in terms of the United States, it's like,
oh, we have all these horrible sins in our past,
and it's like, I think about that,
like the, I think about it, like my three-year-old,
it's like, yeah, you can construct a story
where this is all just horrible,
you can look at that stuff and say, this is all just horror,
you know, we're, you are, like,
there's no logical answer to our, you know,
rational answer to say we're not a disease on the planet,
from one lens, we are, you know, you know,
and like, there's, you could just look at humanity as that,
like nothing but this horrible thing,
you can look at any, and you name the system,
you know, modern medicine, Western medicine,
you know, the university system,
and it's like, you could dismiss everything,
it's a, you know, big pharma,
like, hopefully these vaccines work,
and then like, okay, I'd like to, you know,
like, I'm kind of glad big pharma was a part of that,
like, you know, and it's like the United States,
you can like point to the horrors,
like any other country that's been around a long time
that has these legitimate horrors,
and kind of dismiss, like, these beautiful things,
like, yeah, we have this like modifiable
constitutional republic that just,
like, I still think is the best thing going, you know,
that as a model system of like how humans
have to figure out how to work together,
it's like it's, how, there's no better system
that I've come across.
- Yeah, there's, if we're willing to look for it,
there's a beautiful court to a lot of things we've created.
Yeah, this country is a great example of that,
but most of the human experience has a beauty to it,
even the suffering.
- Right, so the meaning is choosing to focus
on that positivity and not forget it.
- Beautifully put.
Speaking of experiences, this was one of my favorite
experiences on this podcast, talking to you today, Matthew.
I hope we get a chance to talk again.
I hope to see you on Joe Rogan.
It's a huge honor to talk to you.
Can't wait to read your papers.
Thanks for talking today.
- Likewise, I very much enjoyed it, thank you.
- Thanks for listening to this conversation
with Matthew Johnson, and thank you to our sponsors.
Brave, a fast browser that feels like Chrome,
but has more privacy-preserving features.
Neuro, the maker of functional sugar-free gum and mints
that I use to give my brain a quick caffeine boost.
Four Sigmatic, the maker of delicious mushroom coffee.
And Cash App, the app I use to send money to friends.
Please check out these sponsors in the description
to get a discount and to support this podcast.
If you enjoy this thing, subscribe on YouTube,
review it with Five Stars and Apple Podcasts,
follow on Spotify, support on Patreon,
or connect with me on Twitter @LexFriedman.
And now, let me leave you with some words
from Terrence McKenna.
"Nature loves courage.
"You make the commitment, and nature will respond
"to that commitment by removing impossible obstacles.
"Dream the impossible dream,
"and the world will not grind you under.
"It will lift you up.
"This is the trick.
"This is what all these teachers and philosophers
"who really counted, who really touched the alchemical gold,
§25Transcript · 3:34:32–3:34:51
"this is what they understood.
"This is the shamanic dance in the waterfall.
"This is how magic is done,
"by hurling yourself into the abyss
"and discovering it's a feather bed."
Thank you for listening, and hope to see you next time.
(upbeat music)
(upbeat music)