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Ecstasy Therapy: Bad trip

2024/8/8
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Today, Explained

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A
Amy Emerson
H
Halima Shah
S
Sarah McNamee
S
Sean Rameswaram
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Halima Shah:本期节目探讨了MDMA辅助疗法临床试验中出现的矛盾现象。一方面,临床试验显示MDMA在治疗PTSD方面具有显著疗效;另一方面,一些参与者报告了负面体验,甚至在试验结束后出现自杀倾向。试验设计和治疗师的应对方式均受到质疑,包括高剂量MDMA的使用、对参与者边界和意愿的忽视以及对积极结果的压力。 Sean Rameswaram:对MDMA辅助疗法临床试验的有效性和安全性提出了质疑。 Sarah McNamee:作为一名参与者,Sarah分享了她参与MDMA辅助疗法临床试验的亲身经历。她描述了在试验中经历的强烈焦虑、创伤回忆以及身体上的痛苦。她指出,治疗师在试验中没有充分尊重她的意愿和边界,导致她在试验结束后精神状态恶化,甚至出现自杀倾向。尽管如此,她仍然认为MDMA本身具有疗愈潜力,并在试验结束后通过自行控制剂量和环境进行自我疗愈。 Amy Emerson:Lycos公司CEO Amy Emerson回应了参与者提出的担忧。她强调公司对参与者的自杀风险进行了跟踪和报告,并使用了经过验证的评估方法。她承认长期随访研究并非强制性的,因此数据可能无法反映全部情况。她还表示,如果FDA批准MDMA辅助疗法,公司将增加监管措施,并与外部专家合作进行治疗培训。 Halima Shah: 本节目探讨了MDMA辅助疗法临床试验中出现的一些问题,包括参与者在试验后出现精神健康问题的现象,以及试验设计和实施中可能存在的缺陷。试验结果显示出积极的疗效,但同时也暴露出一些伦理和安全方面的隐患,需要进一步研究和改进。

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Sarah McNamee, a trauma researcher, enrolled in a phase three clinical trial for MDMA-assisted therapy for PTSD. While the trial reported positive outcomes for participants, Sarah's experience was different, leading to more trauma and raising concerns about the trial's design and care for participants after the trial.
  • Sarah McNamee, a trauma researcher with PTSD, participated in a phase three clinical trial for MDMA-assisted therapy.
  • The trial reported positive outcomes, but Sarah experienced increased trauma after the trial.
  • Sarah raises concerns about the trial's design and the lack of care for participants after the trial concludes.

Shownotes Transcript

A clinical trial for MDMA-assisted therapy showed promising results. But participants who say they suffered afterward allege their experiences aren’t reflected in the data.

This episode was reported and produced by Haleema Shah, engineered by Andrea Kristinsdottir and Rob Byers, and hosted by Sean Rameswaram. It was edited by Lissa Soep and Matt Collette, who also fact-checked. It’s the final episode in a series supported with a grant from the Ferriss–UC Berkeley Psychedelic Journalism Fellowship.

Transcript at vox.com/today-explained-podcast)

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