What is the practical application of your research? Just curious
Hi epath13, Thanks for asking. At this early stage, the research is exploratory. Data have shown that MDMA commonly promotes prosocial feelings, aspects of empathy, openness, and increased self-insight in NT individuals. That got me wondering how adults on the spectrum might experience its effects. I looked into the literature and discovered that research with children on the severe end of the spectrum was conducted with LSD and psilocybin from 1959 until the early 1970s. Despite some encouraging outcomes, I saw some big ethical problems with using such substances in minors who could not speak about their experiences. From 2006 - 2010, I worked on a clinical trial at Harbor-UCLA Medical Center working with participants who had anxiety reactive to advanced-stage cancer. We provided psilocybin (the compound that makes shrooms "magic") in a therapeutic setting with positive results. (The findings paper was published in the
Archives of General Psychiatry in Jan., 2011) About five months after I started working on the study, I got a breast cancer diagnosis. When I survived, everyone expected me to write my dissertation on hallucinogen treatment for cancer anxiety. Frankly, I was so tired of cancer by that point that I wanted to investigate an entirely new area. I got to thinking about the early autism studies and wondered about the potential of MDMA for adults who have challenges with interpersonal skills and communication. I found a few annecdotal accounts of Aspie Ecstasy use that inspired me to dive in for my dissertation.
The most important points I want to make about my research are:
- I do not think that it is appropriate to consider working with children in clinical trials. We don't know enough about potential risks in children yet.
- I am not promoting MDMA as a potential "cure" for anything.
- I believe that using Ecstasy sold on the streets is dangerous. (Pure MDMA does not equal Ecstasy.)
- I want to gather data from individuals on the spectrum who are sharing their experiences in their own words. I'll conduct a thematic content analysis to see which common themes emerge.
That's the long answer.
The shorter answer is: I want to take preliminary steps to see if there is a case for clinical trials for MDMA-assisted therapy for individuals on the spectrum who present with co-occurring issues such as anxiety, depression, underemployment, empathy challenges, and difficuly maintaining relationships. Recently published data has shown MDMA-assisted psychotherapy can be an affective supplement to treatment for refractory PTSD. MDMA also results in a big spike in oxytocin in the brain that might be worth exploring as a possible mechanism for positive change. Again, I'm not trying to cure anything. I'm curious if MDMA, used safely and responsibly as an adjunct to other support, might be help some adults on the spectrum navigate the world more comfortably (e.g., have more vocational success, lower incarceration rates, improved interpersonal relationships).
I hope I have answered your question to your satisfaction. If not, let's keep the dialog going.
Cheers!