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Mescaline-induced psychopathological, neuropsychological, and neurometabolic effects in normal subjects: experimental psychosis as a tool for psychiatric research.

L. Hermle, M. Fünfgeld, G. Oepen, Hanno Botsch, D. Borchardt, E. Gouzoulis, R. Fehrenbach, M. Spitzer

Biological Psychiatry December 1, 1992 DOI: 10.1016/0006-3223(92)90059-9 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 12
Population Normal men who were volunteers
Intervention Mescaline
Topics Mescaline
Citations 185
Key findings Mescaline produced an acute psychotic state with a hyperfrontal brain pattern emphasizing the right hemisphere, questioning hypofrontality as an explanation for schizophrenic symptomatology.

Abstract

The psychological, neuropsychological, and neurometabolic effects of the hallucinogenic agent mescaline were investigated in 12 normal men who were volunteers. Mescaline produced an acute psychotic state 3 1/2-4 hr after drug intake, as measured by the Brief Psychiatric Rating Scale (BPRS) and Paranoid Depression Scale (PDS). The Assessment of Altered States of Consciousness (APZ) questionnaire revealed specific effects of mescaline in the visual system. Neuropsychological effects were studied with a face/nonface decision task with known right-hemisphere advantage, in which mescaline induced a decrease of functioning of the right hemisphere. In functional brain imaging using single photon emission computed tomography (SPECT), mescaline produced a "hyperfrontal" pattern with an emphasis on the right hemisphere, which was correlated with mescaline-induced psychotic psychopathology. Our findings question the validity of the concept of hypofrontality as an explanation for schizophrenic symptomatology. The study of psychoactive substances under controlled laboratory conditions has the methodological advantage of intraindividual control, and hence, minimal variability of data.