How to Change Your Mind: What the New Science of Psychedelics Teaches Us About Consciousness, Dying, Addiction, Depression, and Transcendence

by Michael Pollan

“Mysticism,” he likes to say, “is the antidote to fundamentalism.”

“The Johns Hopkins experiment shows—proves—that under controlled, experimental conditions, psilocybin can occasion genuine mystical experiences. It uses science, which modernity trusts, to undermine modernity’s secularism. In doing so, it offers hope of nothing less than a re-sacralization of the natural and social world, a spiritual revival that is our best defense against not only soullessness, but against religious fanaticism. And it does so in the very teeth of the unscientific prejudices built into our current drug laws.”

“Psychedelic drugs cause panic and temporary insanity in people who have not taken them.”

The pharmacological toolbox for treating depression—which afflicts nearly a tenth of all Americans and, worldwide, is the leading cause of disability—has little in it today, with antidepressants losing their effectiveness* and the pipeline for new psychiatric drugs drying up. Pharmaceutical companies are no longer investing in the development of so-called CNS drugs—medicines targeted at the central nervous system. The mental health system reaches only a fraction of the people suffering from mental disorders, most of whom are discouraged from seeking treatment by its cost, social stigma, or ineffectiveness. There are almost forty-three thousand suicides every year in America (more than the number of deaths from either breast cancer or auto accidents), yet only about half of the people who take their lives have ever received mental health treatment. “Broken” does not seem too harsh a characterization of such a system.

Existential distress is what psychologists call the complex of depression, anxiety, and fear common in people confronting a terminal diagnosis.

“Addiction is a story we get stuck in, a story that gets reinforced every time we try and fail to quit: ‘I’m a smoker and I’m powerless to stop.’ The journey allows them to get some distance and see the bigger picture and to see the short-term pleasures of smoking in the larger, longer-term context of their lives.”

Matt Johnson believes that psychedelics can be used to change all sorts of behaviors, not just addiction. The key, in his view, is their power to occasion a sufficiently dramatic experience to “dope-slap people out of their story. It’s literally a reboot of the system—a biological control-alt-delete. Psychedelics open a window of mental flexibility in which people can let go of the mental models we use to organize reality.” In his view, the most important such model is the self, or ego, which a high-dose psychedelic experience temporarily dissolves. He speaks of “our addiction to a pattern of thinking with the self at the center of it.” This underlying addiction to a pattern of thinking, or cognitive style, links the addict to the depressive and to the cancer patient obsessed with death or recurrence. “So much of human suffering stems from having this self that needs to be psychologically defended at all costs. We’re trapped in a story that sees ourselves as independent, isolated agents acting in the world. But that self is an illusion. It can be a useful illusion, when you’re swinging through the trees or escaping from a cheetah or trying to do your taxes. But at the systems level, there is no truth to it. You can take any number of more accurate perspectives: that we’re a swarm of genes, vehicles for passing on DNA; that we’re social creatures through and through, unable to survive alone; that we’re organisms in an ecosystem, linked together on this planet floating in th...

in university studies and in various underground settings.* In a 2015 pilot study conducted at the University of New Mexico ten alcoholics received psilocybin, combined with “motivational enhancement therapy,” a type of cognitive behavioral therapy designed expressly to treat addiction.

RESEARCH

As in the case of many drugs, the SSRI antidepressants introduced in the 1980s were much more effective when they were new, probably owing to the placebo effect. Today, they perform only slightly better than a placebo.

“A human being is a part of the whole called by us ‘Universe,’ a part limited in time and space. He experiences himself, his thoughts and feeling as something separated from the rest—a kind of optical delusion of his consciousness. This delusion is a kind of prison for us, restricting us to our personal desires and to affection for a few persons nearest to us. Our task must be to free ourselves from this prison by widening our circle of compassion to embrace all living creatures and the whole of nature in its beauty.” (Walter Sullivan, “The Einstein Papers: A Man of Many Parts,” The New York Times, March 29, 1972.)