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self_made_human

amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi

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joined 2022 September 05 05:31:00 UTC

I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.

At any rate, I intend to live forever or die trying. See you at Heat Death!

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User ID: 454

self_made_human

amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi

15 followers   follows 0 users   joined 2022 September 05 05:31:00 UTC

					

I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.

At any rate, I intend to live forever or die trying. See you at Heat Death!

Friends:

A friend to everyone is a friend to no one.


					

User ID: 454

Perhaps. It's still more likely to just become a bit wooly, touchy feely and "spiritual but not religious". I would not identify with a version of me that sincerely believes in a deity for anything but incredibly strong empirical evidence. I'd think the old me was, in an important sense, partly dead. Not fully dead. That option beats true psychosis and definitely beats real death.

I am interested in trying ketamine, preferably I since it's more effective for depression.

The unfortunate side effect, for me, is that I spend a good deal of time on most ketamine trips thinking about how Nick Land was right about everything.

Perhaps it's unfortunate that I often think Nick Land is right when sober. To be precise, more directionally correct than any other contemporary philosopher or writer. I hate the man and his ideology, I don't want the future he imagines and dreams of to come to fruition. I want something human to survive into the far future.

Alas, I must still concede that it's a very real possibility that the techno-capital singularity consumes us whole. It won't surprise you to learn that I spent a good while on the trip worrying about the Singularity. I do that while sober too.

Huh. That's an interesting outcome, some anesthetics are known to have dissociative properties, but I don't think that's quite what I experienced. Which one was it, if I may ask (or if you happen to know, it's not usually disclosed specifically because most patients don't care)?

I wasn't fighting parts of my self, or my body, per se. Most of the time, the voice in my head was gone, or the volume was dialed down significantly. This has happened to me before on or after psychedelics, and is something I carefully noted during the experience. I always have an inner monologue, at least when I check for it. It might be damped down or absent when I'm extremely focused, but how would I know?

At the very peak, I don't think I was thinking in words, just visual metaphors. I used words to write (because I was able to do so live, albeit not with great grammar), and that stream of text was my stream of thought at a certain point. Very hard to explain unless you've been there. I was literally typing at the speed I was thinking (the latter definitely slower than usual) and exactly as I thought. Not quite the same as what I do when sober, where I'm usually at least planning ahead and have a general thesis in mind.

My body usually felt heavy and leaden. Then it got lighter as the peak came down slowly. No sense that parts of it were alien or in conflict with me, which you'd see with dissociation/depersonalization.

Are you trying to kill me or drive me insane?

I mean, you probably are, but you're usually more subtle about it. DMT is very low on the list of substances to try; I don't speak Machine Elvish, not even the LOTR kind. If they start talking shit about "universal love", I'm going to pull out a baseball bat.

Edit: I know it's unlikely to literally kill me. It's just not what I'm looking for, I don't want to lose contact with reality or risk truly mind altering or gnostic experience.

I agree with you. That's my understanding of my the mechanics, though note that there's also a general increase in neuroplasticity as well as evidence of some neurogenesis.

In predictive processing terms: psychedelics relax your priors, which helps unstick the stuck ones (like depression).

For what it's worth, I was always fascinated by psychedelics even as a teen, and wanted to try them recreationally. But I avoided them for a decade, because I was too afraid of the risk. Then my depression got really bad, and I felt the clinical trial was a good shout before I resorted to IV ketamine and ECT (very annoying to get in my parts of Scotland). It worked wonders, and gave me more confidence that I could push things.

Uh.. Turns out there's a limit to how far I wanted to push things. I might try LSD again, but never at this dose. I've had my fun. I like my sanity. If you do specifically want a treatment for depression, the evidence for psilocybin is much more robust. You've probably read my blog post, but if you haven't, it's in my posts.

Every time I see someone using the YouTube app instead of a modded client like Vanced (which I use and love), I die a little inside. It's probably better to use the browser at that point, even on mobile.

Uh.. I have multiple answers to depression. I know psilocybin worked the previous time. I could have gone for IV ketamine or ECT. I know for a fact that I do not need religion to be happy, and that becoming religious has a very real risk of making me unhappy as well as, in a very real sense, delusional and insane.

My ego exists for a reason. I am fond of being mostly myself. The parts of me I wish to keep are present when both when I'm happy and when I'm sad, and that's a fact that's clearly documented in my notes. If the only way to live is to trick myself into religious belief? You better hope to ask when I've got a literal gun to my head. I am not read to compromise my epistemics for happiness except for a very large value of the latter and a small amount of the former.

I'm sorry man. I genuinely am. Even during the experience (or very very shortly after the peak), I was grappling with multiple existential crises:

  • Was the very vivid and literal visual metaphor real? Was it actually a "choice" to reject endless meaning and hedonium, or just my mind play-acting a decision I'd made well in advance while coming up with an entertaining visualization of it? I genuinely do not know. The opposite felt like a very real possibility. It terrified me.
  • I understood the impermanence of qualia, the meaning of the self being a series of continuous snapshots. I vividly remember (and have live notes) of a version of me that was terrified of dying and being replaced by another me. He was practically screaming and begging to stay alive, or at least to be remembered. Then, a little later, a version of me that was more pragmatic but also meta to a degree that annoys even sober me: he had the self-awareness to find this all amusing while hoping he'd be gone soon. He got his wish.
  • I understood why the brain's sober state is conserved the way it is. It's the only way to be functional, even if there's some wiggle room. Breaking something and being stuck like that? I'd call depression a broken brain too, but I'm not willing to go that far.

I don't know if you ever had a choice in the matter. I don't know if I did either. But I am so lucky to have made the choice of going the route I would have committed myself to going well in advance. Screwing with my brain's chemistry is pragmatically useful for therapeutic purposes and also... fun. But it's not a solution to metaphysics. If I claimed to have come up with one after the trip, my notes tell myself that I should consider the original me gone, maybe for good.

I hope you're doing okay. I wanted to be changed too, but I'm clearly the annoying kind of person who is just as analytical and self-scrutinizing when sober as they are zooted. I'm happy/sad about that. Uh, now that I think about it, I do understand the limits of language as a communication tool/expression of qualia better. That perhaps does constitute a change. Words genuinely cannot express the conflict within at the time. Good luck to you, if there is some residual damage, we will likely be able to cure you, speaking from a medical perspective. That is a promise I am mostly confident science can cash.

There but for the grace of God the Flying Spaghetti Monster go I. I've seen other people lose it with after using psychedelics, or outright go insane. And more who have become "soft" spiritual and woo-ish. I'm not saying I'd rather die than end up like that, but it's very, very low on the list.

It happens to rhyme with Salman Rushdie.

He fucking hopes so. But yes, it's over. Lasted way longer and took far longer to finish than he'd like.

Well, if one of Odin's ravens thinks so:

The long and short of it was that it went way harder and deeper than I accounted for. I genuinely felt the edges of my mind fraying. I was fighting ego death and struggling to retain the integrity of my consciousness. I might have described myself as "tripping balls" when I enrolled for a psilocybin trial, but it had nothing on what I experienced. Back then, and in this instance, my greatest fear was succumbing to woo or catching religion. I felt the pressure, that sense of cosmic significance. I genuinely told it to fuck itself. At that point, I was envisioning it as some kind of extradimensional tendril cracking open my skull and wrapping itself around my consciousness, while "I" was quite literally shearing it away it with a set of scissors.

Another very literal visual metaphor was trying to keep the "knot" of patterns that constituted myself from being unraveled under the tension.

Words can hardly describe it. I feel like the protagonist of Scott's short story, Samsara, except I actually faced the pressure of imminent enlightenment and chose to walk away. I don't need enlightenment, I need to be less depressed. Jury's out on that one.

Sigh. It's probably not worth talking about. Any insights gleaned are personal and the kind of stuff I could have told you a week in advance if I was drunk.

Accurate on both counts, though the latter could be one of many potential extraplanar entities. Almost certainly just the outcome of the brain being reminded why certain mushrooms are not meant for consumption (though this one wasn't from a mushroom).