I firmly believe a lot of current mental health issues are worsened by living under capitalism, as do others. Some of the most obvious examples to me are:

  • Anxiety about being able to afford food and housing, having a stable job, not having emergency medical events, etc.
  • Depression from not having free time due to being overworked, or from not being able to afford entertainment and distraction, etc.

One potential remedy to mental health issues has been developing in the form of psychedelic therapy. Besides the issues related to restricting access by making the treatment prohibitively expensive (both the drug and the administering physician) that are seemingly unavoidable in profit-driven healthcare systems, I think there’s a massive danger in using psychedelics to effectively pacify people.

Psychedelics can be used maliciously, in that they can be used to help people accept their life as it is–this sounds fine, until you realize that it can be used to make people accept being exploited and being effectively destitute. I think the problem here is that the medical institutions (and probably most patients) are going to have the goal of: being less depressed, less anxious, etc. If psychedelics were actually used to “wake people up to their reality”, they’d probably become more depressed, more anxious, etc–counter to the stated goals. I think one of the first steps towards wanting to change the existing system is seeing the flaws in the existing system and how one is negatively affected by it.

Then, if psychedelics are (going to be) used to pacify people suffering under capitalism, is their widespread adoption not a bad thing? If people are willfully blinding themselves to their suffering, is any hint of revolutionary spirit being extinguished?


I don’t think these issues are unique to psychedelics, either. If existing depression treatments numb you to all emotion, good and bad, they can make existing while being exploited more bearable.

  • citsuah@lemmygrad.ml
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    2 years ago

    I think its no different from any other medicine. Overwhelmingly, the burden of disease in modern society is attributable to social determinants of health which all stem from societal inequality and exploitation under capitalism. Type 2 diabetes is also a disease of capitalist overproduction of calorie dense foods at the expense of healthier complex carbohydrates. Is it anti-revolutionary for someone to take metformin to treat their diabetes?

    On mental health specifically, of course social and societal factors under capitalism are significant preconditions for people developing mental health disorders - however they are not the only factor. I think its a mischaracterisation to say these treatments are aimed at “pacifying” the population. They are aimed primarily at alleviating suffering, otherwise people wouldn’t take them. People don’t want to be pacified, they just want to feel better. As an aside I can tell you no depressed person is going to be doing much revolutionary organising. On the contrary someone with their depression treated is much more likely to be getting revolutionary shit done. There’s no grand conspiracy to keep the populace medicated and in line, its just the grand conspiracy to profit off a medicine that people want to buy because it soothes their psychic angst.

    • 133arc585OP
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      2 years ago

      I see what you’re saying, and agree with the broad points. I still consider mental health treatment different than “physical” health issues, but I am struggling to clearly articulate the meaningful difference in this context.

      They are aimed primarily at alleviating suffering, otherwise people wouldn’t take them. People don’t want to be pacified, they just want to feel better.

      I agree completely. However, I think that given that–barring actually changing the underlying system–the only way to feel better is to obliviate yourself to the underlying issue or to do “palliative” treatment (eg, spending more time in nature, or getting more exercise). While I agree that someone deep in depression is unlikely to have much revolutionary drive, I also don’t think someone who is generally satisfied emotionally will have much revolutionary drive.

      I don’t think its a conspiracy; that is, I don’t think drug companies are pushing for psychedelic therapy because it diminishes revolutionary drive, or anything like that. I do believe that positive patient outcomes are probably the primary driver here (with profit-motive probably not far behind). I don’t think that means that there’s can’t be incidentals though, which could include what I’ve suggested could happen.

      • Ratboy
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        2 years ago

        I’m curious, why do you think mental and physical health treatment are different? Regardless of the context, I’d like to engage about it.

        While I agree that someone deep in depression is unlikely to have much revolutionary drive, I also don’t think someone who is generally satisfied emotionally will have much revolutionary drive.

        So first of all, psychedelics and mental health treatment do not magically cure your mental illness, they make it easier to manage. I take bipolar medication and I still get very depressed, but I don’t sink so low that I can’t get out of bed for days at a time or have suicidal ideation.

        Second, just because someone is in a good place emotionally doesn’t mean that they suddenly lose their capacity to empathize. Seeing the suffering of others propels people to action, revolutionary drive isn’t selfish, it’s for the good of society, right?

        Also, there are certain mental health disorders that, even if we suddenly lived in a social utopia with all needs met, will not go away. Schizophrenia, for example, has been a condition for hundreds of years at least, it just was not known by that name. I’m sure other disorders have existed, they are just exacerbated by capitalism. So in a lot of cases, overthrowing the system would ameliorate a lot of these mental health issues, but not all and people would likely need support still.

        • 133arc585OP
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          2 years ago

          I’m curious, why do you think mental and physical health treatment are different? Regardless of the context, I’d like to engage about it.

          I have struggled to put it into words succinctly, but I think it’s that treating a physical issue doesn’t change your thought processes, whereas treating a mental health issue does. Treating diabetes doesn’t have any chance of making you forget what caused it or accept what caused it; treating a mental health condition could.

          So first of all, psychedelics and mental health treatment do not magically cure your mental illness, they make it easier to manage.

          Right, that was part of my point. Since they aren’t treating or fixing the underlying issue, that’s where I was thinking the “acceptance of the status quo” would come from.

          Second, just because someone is in a good place emotionally doesn’t mean that they suddenly lose their capacity to empathize. Seeing the suffering of others propels people to action, revolutionary drive isn’t selfish, it’s for the good of society, right?

          Exactly, and I think that’s where most of the issue with my original thought process was. I was assuming that people would lose their revolutionary drive, but ignoring the fact that that doesn’t only come from one’s own experience, but from being cognizant of others’ experiences as well.

  • Pili@lemmygrad.ml
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    2 years ago

    That’s a very interesting thought.

    The USA tried using psychedelics maliciously in the MKUltra project as a means to manipulate people, but that failed miserably. On the other hand, LSD was a pillar of the counterculture of the '60s and pushed many young people to stand against the USA and its war with Vietnam, to the point that Reagan felt forced to start a violent crackdown on psychedelics.

    It’s my understanding, from what I read and my own experience, that psychedelics show people a different perspective of the world and of their lives and encourage them to make positive changes. However, trying to nudge one’s experience in your desired direction to make them do something that would go against their interests hasn’t been successful so far.

    This goes for classic psychedelics, of course. Many novel ones are currently being developed and tried by various capitalist companies, so we may want to be wary of those. But for the moment, I’m very positive about that class of drugs, and now that they are being democratized again, I’m more worried about a new crackdown if they make people wake up to their terrible life conditions under capitalism, as it did in the '60s.

    • 133arc585OP
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      2 years ago

      psychedelics show people a different perspective of the world and of their lives and encourage them to make positive changes

      Yes, I just worry that people are going to be nudged towards what, for a lack of better term, I’m calling “palliative” treatment of mental health issues: exercise, time in nature, etc. These are positive changes that will cause improvement in people’s lives, but without doing anything to address the underlying cause. The end result, then, is that people are just more complacent in the system that was/is causing them the suffering in the first place.

      But you do make a good point about the 60s counterculture movement, and so I can remain hopeful that maybe it will cause positive change.

  • Ratboy
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    2 years ago

    Okay, so, I hate this argument that drugs of any type are anti-revolutionary. There was a thread on the leftist infighting community that I came across a while ago that I found particularly interesting. If I did this correctly, the thread should start here. I personally believe that the person who is arguing against drug use has no actual knowledge of real world drug use and how it affects people of different classes.

    First of all, the demonization and illegalization of drugs is racist and capitalist. Henry Anslinger was the first head of the DEA, and after prohibition ended, he knew that the DEA would crumble, and so created the war on drugs

    Second of all, there are many indigenous cultures that have used psychoactive substances for generations. Coca has been used in Chile for thousands of years. Peyote has been used by indigenous people on the american comtinent, and psylocibin mushrooms are used by Mazatec people. Don’t forget our dependence on coffee, energy drinks, and tea as well.

    Drugs are not the problem, generally speaking. Capitalism and the conditions that we live in are the problem. People can and do live “productive” lives while also using mind altering substances, rich or poor. But it becomes addiction when people do not have connection to meaning; to a purpose, to other people. This is often due to our circumstances, past trauma, etc. Criminalization also contributes to this; if most drugs were available by prescription that would alleviate a lot of the dependence that we see now.

    Using psychedelics and other drugs (ketamine, mdma) can be wonderfully therapeutic but the fact that they are now being capitalized on and will only be available to a small subset of people in a medical/therapeutic setting is troublesome.

    I have and do use drugs; psychedelic and otherwise. I drink, probably too much. But that doesn’t stop me from trying to unionize my workplace, from trying to learn more about theory, from trying to find fulfillment in my life. In fact, it’s the opposite. What hinders me is the obligation that I have to a job that grinds me down and having to be subjected to the ills of the world. The mass shootings, the police murdering with impunity, the regulatioms and safeties for the natural world being stripped away. that’s what makes me demoralized and complacent. If it weren’t for those things, I’d be capable of much more, even with my substance use.

    Edit to add: In my experience with psylocibin in particular, I often feel more optimistic and hopeful about my future. I generally don’t feel fear, and I think it could actually be useful to propel people towards impetus to create community and strive for liberation. I don’t know that someone could be “brainwashed” while taking psychedelics with a practitioner to become more complacent. In fact I think that regardless of what the messaging was, it builds way more empathy and drive to engage in empathy and action

    • 133arc585OP
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      2 years ago

      Thank you for that thread, it actually covered a lot of ground and, along with the comments here, has mostly changed my opinion on the matter.

      • Ratboy
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        2 years ago

        I’m glad that my rant was valuable to you! Lol. I have just seen a pattern of talk about the evils of drug use in marxist spaces, and I think thats misguided as the drugs are just a salve for a wound when used in excess.

        I haven’t microdosed, myself, and so maybe there is something to what the author has said and I should try it out. Either way, though, as another comrade said, a depressed comrade isn’t getting out of bed to do much, so if that depression can be lifted in the slightest, that means they can devote themselves to what they are passionate about.

  • WithoutFurtherDelay@lemmygrad.ml
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    2 years ago

    The “acceptance” issue is the same across all individualistic healthcare. I think it’s a result of our alienated, ruggedly individualistic mindset, we can’t comprehend that people are just sad for reasons outside their direct control

  • Josiane@lemmygrad.ml
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    2 years ago

    People who suffer from mental health issues are very ‘limited’ in how much they can do. When you’re healthier, which is the point of psychedelic therapy, you’re much more capable, more clear-minded… This type of therapy is not to pacify people but to help them heal. So I wouldn’t worry about that, I don’t think it’s a concern. Health is always a good thing. But true that anger can be a good motivator to take action, but being disabled by mental illness is not. It makes you incapable of doing much, you’re just constantly trying to cope with the symptoms you’re dealing with. I think if someone realizes that they’ve been robbed of their life because of mental illness and that the mental illness was caused by the system they live in, there would still be plenty of anger and motivation left to take action. If anything you’d just be much more capable to do so.