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BMJ

ISSN 0959-8138; 1756-1833;

40 papers in the library · 992 citations · publishing 1951-2026

Papers

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When I use a word . . . Terminology of hallucinogenic agents

BMJ March 27, 2026 J K Aronson

Many terms have been invented to describe different types of hallucinogenic drugs, sometimes based on an analogy with the symptoms of schizophrenia, such as “psychotomimetic” and “phrenotropic.” “Psychedelics” refers to drugs that act as agonists at serotonin 5-HT2A receptors in the brain; they include psilocybin, 5-methoxydimethyltryptamine, and N,N-dimethyltryptamine (tryptamine derivatives),...

When I use a word . . . The psychedelic mind’s eye

BMJ March 20, 2026 Jeffrey K Aronson 1 citation

Psychedelic drugs produce effects on the mind that manifest as an apparent expansion of consciousness often accompanied by hallucinations. Psychedelics, which act as agonists at serotonin 5-HT2A receptors in the brain, include psilocybin, 5-methoxydimethyltryptamine, and N,N-dimethyltryptamine (tryptamine derivatives), mescaline (a phenethylamine derivative), and lysergic acid diethylamide...

Psychedelic medicine: mechanisms, evidence, and translation to practice

BMJ February 23, 2026 Edward Jacobs, Zarmeen Zahid, Jared T. Hinkle et al. 5 citations

Over the past 15 years, psychedelic treatments have garnered substantial clinical interest, with psilocybin and 3,4-methylenedioxymethamphetamine (MDMA) advancing to phase 3 trials for various psychiatric conditions. This state-of-the-art review examines the evidence for these treatments and their proposed mechanisms of action, and identifies key challenges in clinical translation. Psychedelic...

Management of obsessive-compulsive disorder in adults

BMJ February 16, 2026 Jonathan S Abramowitz, Amitai Abramovitch, Dean Mckay et al. 1 citation

Obsessive-compulsive disorder (OCD) is a chronic, often debilitating psychiatric condition characterized by intrusive thoughts and behavioral or mental rituals. Although exposure and response prevention (ERP) remains the first line treatment, many individuals do not experience full remission, highlighting the need for innovation. This review provides a comprehensive and up-to-date synthesis of...

Comparative oral monotherapy of psilocybin, lysergic acid diethylamide, 3,4-methylenedioxymethamphetamine, ayahuasca, and escitalopram for depressive symptoms: systematic review and Bayesian network meta-analysis

BMJ August 21, 2024 Trevor Thompson, Ping-Tao Tseng, Chih-Wei Hsu et al. 24 citations

Abstract Objective To evaluate the comparative effectiveness and acceptability of oral monotherapy using psychedelics and escitalopram in patients with depressive symptoms, considering the potential for overestimated effectiveness due to unsuccessful blinding. Design Systematic review and Bayesian network meta-analysis. Data sources Medline, Cochrane Central Register of Controlled Trials,...

EXPRESSION OF CONCERN: Efficacy of psilocybin for treating symptoms of depression: systematic review and meta-analysis

BMJ May 4, 2024 2 citations

The journal and the authors are investigating the problem.The study analysed data from randomised trials of psilocybin for the treatment of depression in adults.A methodological concern has been raised about an error in the calculation of standardised mean differences.This is likely to have overestimated the benefits of psilocybin.The authors are reviewing and responding to the error and its...

Efficacy of psilocybin for treating symptoms of depression: systematic review and meta-analysis

BMJ May 1, 2024 Athina-Marina Metaxa, Mike Clarke 78 citations

Abstract Objective To determine the efficacy of psilocybin as an antidepressant compared with placebo or non-psychoactive drugs. Design Systematic review and meta-analysis. Data sources Five electronic databases of published literature (Cochrane Central Register of Controlled Trials, Medline, Embase, Science Citation Index and Conference Proceedings Citation Index, and PsycInfo) and four...

Roland Griffiths: innovative psychedelics researcher

BMJ November 16, 2023 Joanne Silberner

at the age of 77, was an American psychopharmacologist widely credited with reviving the study of psychedelic drugs."He was almost the opposite of what I imagined a psychedelic researcher would be like," said Nassim Assefi, who curated a talk Griffiths gave in 2015."He was serious, gentle, and had a straight laced appearance, with a deeply calm, spiritual sense about him."When Griffiths learnt...

Richard Alpert (Ram Dass): Harvard psychologist who experimented with psychedelic drugs and became one of America’s most prominent and respected spiritual leaders

BMJ January 31, 2020 Rebecca Wallersteiner 1 citation

Credit: Dassima Kathleen Murphy Nothing in Richard Alpert’s early life could have predicted that he would come to embody the spirit of the psychedelic 1960s. He was born in Boston, Massachusetts, the youngest of three sons, to George and Gertrude (Levin) Alpert. His father, a prominent lawyer in Boston, was a founder of Brandeis University and went on to become president of the New York and New...

Novel psychoactive substances: types, mechanisms of action, and effects

BMJ January 25, 2017 Derek K. Tracy, David M Wood, David Baumeister 117 citations

Thank you for your interest in spreading the word about The BMJ.NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address. Username * Your Email * Send To * You are going to email the following Novel psychoactive substances: types, mechanisms of action, and...

Sixty seconds on . . . psilocybin

BMJ May 18, 2016 Nigel Hawkes 5 citations

Not so fast. There’s a long way to go. But a study in London has shown that the active ingredient in magic mushrooms, psilocybin, may be effective against treatment resistant depression. Its effects were quick—within a week—and more than 40% of the patients treated were still in remission three months later.1 Yes, as far as it goes. These were people whose depression had …

"Magic" mushrooms don't cause renal failure

BMJ October 17, 2012 Edward G. D. Tuddenham

“We have had recent experience with renal toxicity caused by deliberate ingestion of psilocybin mushrooms, which are eaten for their hallucinogenic effects. Acute renal failure secondary to the recreational use of mushrooms is rarely reported.”1 Each of these statements is problematic. The authors give no …

Doctor is suspended for prescribing a drug for pornography "addiction" without giving the risks

BMJ October 17, 2011 C. Dyer 2 citations

A doctor in private practice has been suspended for six months by the General Medical Council for giving the unlicensed hallucinogenic drug ibogaine to a man obsessed with internet pornography without fully explaining the drug’s risks. Peter Brackenridge, who saw private patients in London’s Harley Street, was medical director of Ibogaine Therapy UK, which advertised the treatment on a website....

Challenging the medical materialists

BMJ August 10, 2011 T. Dalrymple

The belief that the theory of evolution and the neurosciences have something important to tell us about the inescapable problems of human existence has once again become fashionable. In my view, this is false and facile; a reading of the first chapter of William James’s The Varieties of Religious Experience should explain why. James (1842–1910) was one of three distinguished siblings. His...

Continued cannabis use and risk of incidence and persistence of psychotic symptoms: 10 year follow-up cohort study

BMJ March 1, 2011 Rebecca Kuepper, Jim van Os, R. Lieb et al. 307 citations

OBJECTIVE: To determine whether use of cannabis in adolescence increases the risk for psychotic outcomes by affecting the incidence and persistence of subclinical expression of psychosis in the general population (that is, expression of psychosis below the level required for a clinical diagnosis). DESIGN: Analysis of data from a prospective population based cohort study in Germany (early...

The confusing case of NRG-1

BMJ July 6, 2010 Simon D. Brandt, Harry Sumnall, Fiona Measham et al. 57 citations

Since the recent ban on mephedrone,1 2several alternative products have been introduced on internet websites. One of the most prominently discussed second generation products is Energy 1 (NRG-1), also advertised as naphyrone (naphthylpyrovalerone, O-2482), which originated from a group of compounds previously described in the medicinal chemistry …

Classification of illegal and harmful drugs

BMJ August 3, 2006 Michael Gossop 8 citations

This week the House of Commons Select Committee on Science and Technology published the report of its inquiry on the classification of illegal drugs in the United Kingdom.1 The report high-lighted glaring anomalies in the classification of illegal drugs into classes A, B, and C and reflected a broad agreement that the current system is not fit for purpose. The committee also reported...

Symptoms of anxiety and depression in childhood and use of MDMA: prospective, population based study

BMJ February 24, 2006 Anja C. Huizink, Robert F Ferdinand, Jan Van der Ende et al. 77 citations

OBJECTIVE: To investigate whether using ecstasy (3,4-methylenedioxymethamphetamine, MDMA) is preceded by symptoms of behavioural and emotional problems in childhood and early adolescence. DESIGN: Prospective, longitudinal, population based study SETTING: The Dutch province of Zuid-Holland. PARTICIPANTS: A sample of 1580 individuals, followed up across a 14 year period, from childhood into...