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Efficacy and Enlightenment: LSD Psychotherapy and the Drug Amendments of 1962

Matthew Oram

Journal of the History of Medicine and Allied Sciences August 16, 2012 DOI: 10.1093/jhmas/jrs050 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Historical analysis Peer reviewed
Topics LSD
Keywords Psychotherapist Clinical trial Demise Perspective graphical Enlightenment Drug trial Law Epistemology
Citations 100
Key points Argues that the requirement for controlled clinical trials after the 1962 Drug Amendments frustrated LSD psychotherapy research because its method clashed with controlled trial methodology, contributing to the therapy's demise alongside recreational use controversies.

Abstract

The decline in therapeutic research with lysergic acid diethylamide (LSD) in the United States over the course of the 1960s has commonly been attributed to the growing controversy surrounding its recreational use. However, research difficulties played an equal role in LSD psychotherapy's demise, as they frustrated researchers' efforts to clearly establish the efficacy of treatment. Once the Kefauver Harris Drug Amendments of 1962 introduced the requirement that proof of efficacy be established through controlled clinical trials before a drug could be approved to market, the value of clinical research became increasingly dependent on the scientific rigor of the trial's design. LSD psychotherapy's complex method of utilizing drug effects to catalyze a psychological treatment clashed with the controlled trial methodology on both theoretical and practical levels, making proof of efficacy difficult to obtain. Through a close examination of clinical trials performed after 1962, this article explores how the new emphasis on controlled clinical trials frustrated the progress of LSD psychotherapy research by focusing researchers' attention on trial design to the detriment of their therapeutic method. This analysis provides a new perspective on the death of LSD psychotherapy and explores the implications of the Drug Amendments of 1962.

Comparable studies

Other theoretical and historical papers on LSD, most cited first.

Study Year Design Participants
The Experimental Use of Psychedelic (LSD) Psychotherapy 1970 Historical analysis
LSD: My Problem Child 1981 Historical analysis
On the Use and Abuse of LSD 1968 Theoretical or philosophical paper
The Use of Music in Psychedelic (LSD) Psychotherapy 1972 Theoretical or philosophical paper
Flashbacks: Recurrent Intrusive Images After the Use of LSD 1969 Theoretical or philosophical paper

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