Question

What if widespread dwindling mental health has less to do with what’s going on inside individuals and more to do with what’s going on outside? And instead of varying levels of sickness, we’re witnessing varying levels of sensitivity/reaction? Is the intention to heal individuals a lost cause (albeit critical) if we do not acknowledge larger issues concerning the way we live/consume/develop as a whole?

Question

Is studying philosophy a sham? Is studying ethics morally permissible? Is the ability to study philosophy or act in and of itself problematic and/or intrinsically valuable? Is it limiting or expanding to read philosophies of those who were able to record theirs? Could it be purely for pleasure?

Question

Will off-label psychedelic prescription use be the new recreational or will it mostly be sought for self-directed therapy or therapy with the help of alternative facilitators? Will people—with or without diagnosable mental conditions—prefer off-label use so they can direct/choose the therapeutic style?*

In response to this recent article in Scientific American. 

Question

How could clinical psychedelic practice accommodate the fact that some people experience the most insights/healing from the most uncomfortable trips? Is there a ‘right way’ to experience a psychedelic trip? How will new psychedelic therapists be trained to deal with patients who receive the message: You kinda suck. Your past behavior—awful. And it’s time to start over. Should legislation allow all people to seek psychedelic experiences in non-clinical settings for personal or ontological inquiry?

Question

Is it ‘bad’ if more Americans* aspire to be pharmaceutical-free? What—if anything—might this imply about changing attitudes towards pharmaceutical companies and current healthcare options? How might this shape the future of drug use? And what might this say about people who need a daily Rx to survive? Are there observable rifts (in privilege, power, well-being, whatever) between the medicated (prescribed by a doctor) and the self-medicated (exploring alternatives—be them off-label Rx use, unregulated supplements, or psychedelics)?

*~46% of Americans have used one or more prescription drug in the last 30 days (as of May 2019). 

Question

Why is nonconsensual, compulsory treatment widely accepted in mental healthcare? Why are many in the medical and bioethics community so certain that the “insane” are undoubtedly unfit to choose for themselves? Who is to say? Who is to decide what is the most whole/beautiful/meaningful/ “right” existence of another?

 

* Thinking specifically about nonconsensual electroconvulsive therapy (ECT) in schizophrenic patients, some who deny their diagnosis and treatment. See the case PBU & NJE v Mental Health Tribunal from 2018 in Victoria. Essentially, the patients won and were freed from forced treatment. For those on the side of patient advocacy and autonomy, this was good news. However, this ruling upset some psychiatrists and bioethicists.

Question

Can the mentally ill, as certain medical systems see them, make rational, autonomous decisions for themselves? Do certain emotions halt capability to reason? Can anyone make autonomous decisions for themselves? Or are we all embedded in and influenced by altered/unaltered choice/default design?