Biological Psychiatry 1992;32:976-991
Leo Hermie, Matthias Filnfgeld, Godehard Oepen, Hanno Botsch, Dieter Borchardt, Euphrosyne Gouzoulis, Rose A. Fehrenbach, and Manfred Spitzer
The psychological, neuropsychological, and neurometabolic effects of the hallucinogenic agent mescaline were investigated in 12 normal men who were volunteers. Mescaline produced an acute psychotic state 3 ½ - 4 hr after drug intake, as measured by the Brief Psychiatric Rating Scale (BPRS) and Paranoid Depression Scale (PDS). The Assessment of Altered States of Consciousness (APZ) questionnaire revealed specific effects of mescaline in the visual system. Neuropsychological effects were studied with a facelnonface decision task with known right-hemisphere advantage, in which mescaline induced a decrease of functioning of the right hemisphere. In functional brain imaging using single photon emission computed tomography (SPECT), mescaline produced a "hyperfrontal" pattern with an emphasis 011 the right hemisphere, which was correlated with mescalineinduced psychotic psychopathology. Our findings question the validity of the concept of hypofrontality as an explanation for schizophrenic symptomatology. The study of psychoactive substances under controlled laboratory conditions has the methodological advantage of intraindividual control, and hence, minimal variability of data.
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Mescaline-Induced Psychopathological and Neuropsychological Effects in Normal Subjects
Experimental Psychosis as a Tool for Psychiatric Research