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'''Pivotal mental states (PiMS) are states of mind created by profound psychological events which shift modes of general thought patterns. PiMS are an evolved feature of human brains, they aid psychological transformation when actual or perceived environmental pressures demand this'''<ref>Brouwer A, Carhart-Harris RL. Pivotal mental states. ''Journal of Psychopharmacology''. 2021;35(4):319-352. doi:10.1177/0269881120959637</ref>'''.''' | '''Pivotal mental states (PiMS) are states of mind created by profound psychological events which shift modes of general thought patterns. PiMS are an evolved feature of human brains, they aid psychological transformation when actual or perceived environmental pressures demand this'''<ref>Brouwer A, Carhart-Harris RL. Pivotal mental states. ''Journal of Psychopharmacology''. 2021;35(4):319-352. doi:10.1177/0269881120959637</ref>'''.''' | ||
PiMS | PiMS achieve this by inducing [[Neuroplasticity|neuroplastic]] states which given the correct [[priming]], [[setting]] and integration allows the user to eliminate out of date thought patterns and the strengthen healthier, more adapted thought patterns. | ||
== Chemically induced PiMS == | == Chemically induced PiMS == | ||
[[File:Pivotal mental states induced by psychedelics.png|alt=Pivotal mental states induced by psychedelics|thumb|'''Figure 1'''. Pivotal mental states induced by psychedelics<ref>Kolp, E., Friedman, H. L., Krupitsky, E., Jansen, K., Sylvester, M., Young, M. S., & Kolp, A. (2014). Ketamine psychedelic psychotherapy: Focus on its pharmacology, phenomenology, and clinical applications. ''International Journal of Transpersonal Studies, 33''(2), 84–140.</ref>.]] | [[File:Pivotal mental states induced by psychedelics.png|alt=Pivotal mental states induced by psychedelics|thumb|'''Figure 1'''. Pivotal mental states induced by psychedelics<ref>Kolp, E., Friedman, H. L., Krupitsky, E., Jansen, K., Sylvester, M., Young, M. S., & Kolp, A. (2014). Ketamine psychedelic psychotherapy: Focus on its pharmacology, phenomenology, and clinical applications. ''International Journal of Transpersonal Studies, 33''(2), 84–140.</ref>.]] | ||
The quickest way to induce a PiMs is by the use of certain | The quickest way to induce a PiMs is by the use of certain medicines. | ||
=== Psychedelics === | === Psychedelics === | ||
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=== Oneirogens === | === Oneirogens === | ||
Whilst not considered a classical psychedelic, [[oneirogens]], are chemicals which | Whilst not considered a classical psychedelic, [[oneirogens]], are chemicals which might induce PiMs by enhancing dream states. They are unlike psychedelics as they seem to be less potent and work unconsciously. | ||
== Non chemically induced PiMs == | == Non chemically induced PiMs == | ||
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===Electroconvulsive Therapy=== | ===Electroconvulsive Therapy=== | ||
When people think of ECT they often think of the film ''One Flew Over the Cuckoo's Nest'' | When people think of ECT they often think of the process depicted in the film ''One Flew Over the Cuckoo's Nest. A lone patient with electrode attached to their head convulsing in pain. T''his was an over dramatisation, the modern process is far from what was depicted. Since its introduction in the 1930's, various changes to pulse width, dosing and duration, electrode placement and anesthesia have made the treatment almost unrecognisable<ref>'''Electroconvulsive therapy: a selected review'''. ''Am J Geriatr Psychiatry''. Greenberg RM, Kellner CH. 2005;13(4):268–81.</ref>. Research has shown that 64% to 87% of patients with severe MDD respond to ECT, with response rates as high as 95% for patients with MDD with psychotic features<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193538/</ref>. Furthermore, in otherwise healthy patients with intellectual disability, a retrospective chart review performed at Cambridge university has shown that 79% showed a positive outcome following ECT<ref>https://www.cambridge.org/core/journals/the-psychiatrist/article/use-of-ect-in-patients-with-an-intellectual-disability-review/B2CD9151E5A2B9462BD80175E63A9CB0</ref>. There is some evidence to suggest that ECT causes similar long and short term effects to psychedelics in some in vivo case studies<ref>Psychotic symptoms as a complication of electroconvulsive therapy – a case report Anna Antosik-Wójcińska, Magdalena Chojnacka, Łukasz Święcicki Affective Disorders Unit, Second Department of Psychiatry, Institute of Psychiatry and Neurology in Warsaw</ref><ref>'''ECT associated musical hallucinations in an elderly patient''': a case report. ''Ann Gen Psychiatry'' 5, 10 (2006). Janakiraman, R., Wildgoose, K. & Seelam, K. <nowiki>https://doi.org/10.1186/1744-859X-5-10</nowiki></ref><ref>'''LSD-Like Flashbacks Associated with ECT'''. Convuls Ther. Russ MJ, Gold JM. . 1987;3(4):296-301. PMID: 11940932. Accessed on 4th July 2022 via: https://pubmed.ncbi.nlm.nih.gov/11940932/</ref>. | ||
=== Blue Marble Effect === | === Blue Marble Effect === | ||
Astronauts looking down on Earth from above for the first time see that only a fine blue line of atmosphere shelters our planet from the hostile vacuum of space — and often, they suddenly get an overwhelming responsibility to protect it. National borders disappear; the scene evokes a feeling of cosmic connection. This so-called “''overview effect''” has been turning astronauts into environmental advocates ever since the first person in space. | |||
Yuri Gagarin, upon his return as the first human in space, marveled at the planet from orbit in 1961. “''People of the world, let us safeguard and enhance this beauty — not destroy it'',” . A half-century later, ex-NASA astronaut José Hernández said that the view aboard the Space Shuttle Discovery in 2009 turned him into “''an instant treehugger''.” On Christmas Eve 1968, the NASA astronauts Frank Borman, Jim Lovell and William Anders were aboard Apollo 8, the first manned mission to orbit the Moon. They had spent most of the day photographing the Moon’s surface, when Borman turned the spaceship around, and Earth came into view. ‘Oh my God, look at that picture over there. Here’s the Earth coming up,’ shouted Anders. Like the astronauts themselves, the world was awestruck by the first images of the whole Earth from space, which are today widely credited with triggering the birth of the modern environmental movement. | |||
===Spiritual experiences=== | ===Spiritual experiences=== | ||
Whilst unproven scientifically, (it would be very difficult due to the subjective nature) spiritual experiences in some cases have been able to shift modes of general thought patterns. Pharmacologically the human brain has been found to produce psychedelic compounds, the thought is that certain techniques may be helpful in unleashing its endogenous effect: | Whilst unproven scientifically, (it would be very difficult due to the subjective nature) spiritual experiences in some cases have been able to shift modes of general thought patterns. Pharmacologically the human brain has been found to produce psychedelic compounds, the thought is that certain techniques may be helpful in unleashing its endogenous effect: |