Certain drugs can affect the subjective qualities of perception, thought or emotion, resulting in altered interpretations of sensory input, alternate states of consciousness, or hallucinations. This general group of pharmacological agents can be divided into three broad categories: psychedelics, dissociatives and deliriants. All of these agents act as neurotransmitter mimics, often as agonists or antagonists at neurotransmitter receptors. Their primary effects are markedly different from those of other psychoactives such as cocaine, amphetamines, heroin or alcohol.
The term hallucinogen is often broadly applied, especially in current scientific literature, to some or all of these substances. The term is attracting increasing criticism, however, for being ethnocentric, dependent upon too broad a definition of hallucination, and implying that certain symptoms that are actually only associated with some substances are applicable to all of them. In all but a tiny minority of psychedelics, dissociatives, and deliriants, hallucinations of various kinds are only one of many effects produced. The nature of the hallucinations produced is dependent on the specific compound. Broadly speaking, psychedelics reduce the filters in the brain causing sensory overload which is often manifested in visual and audial distortion, dissociatives cause a separation between cognition and sensory awareness (possibly including hallucination or dreamlike experiences), and deliriants are a class of drug that often produce a terrifying fragmented dissociated state of quasi-consciousness akin to sleepwalking where dreams and reality intertwine to produce potentially dangerous hallucinations indistinguishable from reality.
These substances have a millennial history of traditional use in medicine and religion, where they have been prized for their perceived ability to enhance certain abilities and promote physical and mental healing. Together with other plant agents, like tobacco, they are thought to be the primary tools of shamans and other hierophants. Native American practitioners using peyote have reported success in treating alcoholism, and Mazatec practitioners routinely use psilocybin mushrooms for healing and divination.
Classic psychedelics include LSD (acid), psychedelic mushrooms (psilocybin), mescaline (peyote), LSA (morning glory seeds) and also Ayahuasca (yage). Some of the synthetic "club drugs" such as MDMA (ecstasy), 2C-B (nexus), DOM (STP) and 5-MeO-DIPT (Foxy Methoxy) which have much more specific action to particular aspects of the psyche are also classed as psychedelics, as well as cannabis (marijuana).
Some psychedelics (namely LSD, psilocybin and cannabis) are extremely non-toxic, making it nearly impossible to physically overdose.
The primary dissociatives are similar in action to PCP (angel dust) and include Ketamine (an anaesthetic), and DXM (an active ingredient in many cough syrups, dextromethorphan). Also included are nitrous oxide, salvia divinorum, and muscimol from the amanita muscaria (fly agaric) mushroom.
Many dissociatives also have CNS depressant effects, thereby carrying similar risks as opioids to slowing breathing or heart rate to levels resulting in death (when using very high doses). This does not appear to be true in other cases, toxic effects do not appear to exist in the case of salvia divinorum, and the principal risk of nitrous oxide seems to be due to oxygen deprivation. Long term use of dissociative anesthetics such as PCP and Ketamine (and possibly DXM) have been suspected to cause Olney's lesions, though these lesions have never been demonstrated in primates to date.
Included in this group are such plants as deadly nightshade, mandrake, henbane and datura, as well as a number of pharmaceutical drugs when taken in very high doses such as the antihistamine diphenhydramine (Benadryl) and the antiemetic dimenhydrinate (Dramamine or Gravol).
In addition to the danger of being far more "out of it" than with other drugs, and retaining a truly fragmented dissociation from regular consciousness without being immobilized, the anticholinergics are toxic, can cause death due to overdose, and also include a number of uncomfortable side effects. These side effects include dehydration and mydriasis.
Of all the terms created, "hallucinogen", meaning roughly "generating delusions and false notions" (particularly in the form of sensory distortions), probably enjoys the most widespread and accepted usage. "Psychedelic", meaning "mind manifesting" and emphasizing the introspective potential of the drugs, and "entheogen", meaning "becoming divine within", are also widely used, particularly among those with positive attitudes towards their usage. In some cases, authors who otherwise use these terms have felt themselves pressured to use "hallucinogen" or "psychotomimetic" (or sometimes "psychomimetic", in either case meaning "mimicking psychosis") in scientific publications. The terms "empathogen" and "entactogen" (see empathogen-entactogen) are also applied to certain drugs (notably those similar to MDMA) that are also sometimes classed as hallucinogens.
The World Health Organization effectively endorses the "psychotomimetic" point of view, defining a hallucinogen as "a chemical agent that induces alterations in perception, thinking, and feeling which resemble those of the functional psychoses without producing the gross impairment of memory and orientation characteristic of the organic syndromes." *
The rise of the Abrahamic religions (Judaism, Christianity and Islam) caused a decline of entheogen use in their area. Witness the destruction of the Eleusinian Mysteries, or the Great Witch Hunt of the Early Modern Age, in which practitioners of entheogenic rites in Western Europe were accused of associating with the Devil. Nevertheless, some (mainly tribal) cultures have survived this (ongoing) assault and still practise entheogen use. In others, non-religious hallucinogen use, while not exactly encouraged, is tolerated and not seen as uncommon. Present-day, historical and mythological aspects of entheogens are discussed in the entry entheogen.
At the beginning of the 1950s, the existence of hallucinogenic drugs was virtually unknown among the general public of the West. However this soon changed as several influential figures were introduced to the hallucinogenic experience. Aldous Huxley's 1953 essay The Doors of Perception, describing his experiences with mescaline, and R. Gordon Wasson's 1957 Life magazine article (Seeking the Magic Mushroom) brought the topic into the public limelight. In the early 1960s countercultural icons such as Timothy Leary, Allen Ginsberg and Ken Kesey advocated the drugs for their psychedelic effects, and a large subculture of psychedelic drug users was spawned. Many people argue that psychedelic drugs played a major role in catalyzing the vast social changes initiated in the 1960s. As a result of the growing popularity of LSD, and, some contend, establishment disdain for the hippies with whom it was heavily associated, LSD was banned in the United States in 1967.
Since the latter part of the twentieth century, this attitude has spread throughout Europe; many European countries no longer actively pursue anti-drug policies, and rarely enforce extant legal penalties for personal-use quantities of hallucinogenic drugs. This is especially true with mild hallucinogens such as cannabis, which is rapidly gaining acceptance in western Europe as a harmless and socially acceptable intoxicant, much as alcohol is considered throughout the West. Despite being scheduled as a controlled substance in the mid 1980s, ecstasy's popularity has been growing since that time in western Europe and in the United States.
Attitudes towards hallucinogens other than cannabis have been slower to change. Several attempts to change the law on the grounds of freedom of religion have been made. Some of these have been successful, for example the Native American Church in the United States, and Santo Daime in Brazil. Some people argue that a religious setting should not be necessary for the legitimacy of hallucinogenic drug use, and for this reason also criticize the euphemistic use of the term "entheogen". Non-religious reasons for the use of hallucinogens including spiritual, introspective, psychotherapeutic, recreational and even hedonistic motives, each subject to some degree of social disapproval, have all been defended as the legitimate exercising of civil liberties, including freedom of thought and freedom of self-harm.
Many connect the idea of being "high" or going through a psychedelic state, as having brain damage, or going crazy. This is due to the effect of the drug which, in some cases, can be overwhelming. No connection has been made between psychedelic drugs and brain damage; however, high doses over time of some dissociatives and deliriants have been shown to cause Olney's lesions in animals, and have been suspected to occur in humans.
Almost all hallucinogens contain nitrogen and are classified as alkaloids. THC and Salvinorin A are exceptions. Many hallucinogens often have chemical structures similar to those of human neurotransmitters, such as serotonin, and temporarily interfere with the action of neurotransmitters and/or receptor sites.
A classical classification is that of Lewin (Phantastica, 1928):
Class I Phantastica roughly correspond to the psychedelics, which is a more modern term usually used as synonym to "hallucinogen" by people with positive attitudes towards them. Here the term is used a bit differently to discriminate one particular class of hallucinogens which it seems to describe best. They typically have no sedative effects (sometimes the opposite) and there is usually a clearcut memory to their effects.
Class II Phantastica correspond to the other classes in this scheme. They tend to sedate in addition to their hallucinogenic properties and there often is an impaired memory trace after the effects wear off.
Psychedelics, dissociatives and deliriants
Hallusinogeen | Halluzinogen | Alucinógeno | Hallucinogène | Halucinigiva drogo | Ofskynjunarlyf | Allucinogeno | הלוצינוגן | Halusinogen | Hallucinogeen | 幻覚剤 | Substancje psychozomimetyczne | Hallusinogeeni
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