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Re:Ketamine's effect on depression may hinge on hope by scotty79 on Friday October 20, 2023 @05:03AM (#37953834)
> but rather the actual transcendent experience of the trip

As a materialist I think it's absurd. But I think that trip is sure sign that the substance actually does something to neurons. And in case of some substances like drugs if you reduce dosage or adjust protocol so that trip doesn't happen means that you also got rid of any significant effect it might have on the brain.

In my opinion saying that experience of the trip healed me is a bit like saying that my experiencing of reduced immobility of walking in a cast made by bones fuse together and heal, mind is so powerful.

Re:Ketamine's effect on depression may hinge on hope by omginternets on Friday October 20, 2023 @03:24PM (#37960376)
>And in case of some substances like drugs if you reduce dosage or adjust protocol so that trip doesn't happen means that you also got rid of any significant effect it might have on the brain.

We agree. My point is that the evidence seems to be going in the direction of:

1. removing transcendence removes part of the benefit; and,

2. to complicate matters, many protocols fail to properly control for transcendent experience because a lot of control groups are placed in a quiet room, free of distraction, and invited to ponder life.

We're both materialists. Mine is a materialist position.

Re:Ketamine's effect on depression may hinge on hope by scotty79 on Friday October 20, 2023 @05:04PM (#37961499)
> We're both materialists. Mine is a materialist position.

I'm not quite sure about you because you are using words like transcendence. ;-) In my view the deep experience of the trip, what you call transcendence, is just another hallucination, just hallucination of meaning and understanding instead of simple images, sounds or sensations.

Re:Ketamine's effect on depression may hinge on hope by omginternets on Saturday October 21, 2023 @12:25PM (#37968178)
Transcendence is a qualia of experience; it says nothing about whether an immaterial substance is required to experience it.
Re:Ketamine's effect on depression may hinge on hope by anon84873628 on Friday October 20, 2023 @03:50PM (#37960708)
Yeah. Seems likely that the subjective experience of the trip is simply what you feel when firing/rewiring the networks that cause the healing. There's no incompatibly between "it's the experience" and "it's the neurology" because they are one in the same.

But there are a lot of different ways to do the healing (e.g. consistent meditation as others mentioned) which will of course be coupled to different feelings/experiences. The "large psychedelic dose" method is just one end of the "works fast + feels strongly" spectrum. Of course as the science/technology develops we will find other points on the spectrum that balance the properties differently -- maybe even through placebo effect alone as suggested here.