LSD Use as a barrier to public safety employment: A review of the medical findings

Conclusions In a review of available literature on the topic of adverse effects of the use of hallucinogenics, the authors found some remarkable evidence. First, there is not evidence that these drugs are physically or emotionally addictive. In fact, users generally discontinue use because of the impact of altering states of consciousness. Few have the desire to experience these effects beyond satisfying their curiosity about the drugs. There seem to be some specific personality factors that predispose individuals to experiment with psychedelic drugs, and certainly, specific personality types are prone to be associated with negative side effects in both the short and long-term. In light of the considerable amount of research which supports the premise that LSD is not as dangerous as once assumed, perhaps restrictive hiring policies should be reviewed and reevaluated in the case of the one-time user. If an individual passes all testing, and personal history shows stability, disqualifying a candidate for prior LSD use does not appear to be supportable by research finding. Again, this report is not meant to diminish the negative effect of hallucinogens on a small portion of our society. The intent is to point out that the medical literature does not support the contention that one-time hallucinogen use carries with it any undesirable long-term consequences. The importance of considering an individual within the context of testing and background can not be minimized.     

Modeling psychiatric patients' treatment decision making

Decision-making processes of psychiatric inpatients were assessed at admission and prior to discharge, and compared to hospital staff members using a paired comparison paradigm in which subjects chose between hypothetical antipsychotic medications. Multidimensional analyses of binary choice matrices revealed that all subjects based decisions on the risks and benefits of medication, and weighted risks and benefits in roughly equal proportions. Hospital staff demonstrated greater internal consistency in their decisions than the inpatient sample at both time points. For newly admitted inpatients, severity of psychiatric symptoms and nonverbal intelligence were related to internal consistency of decision making, and behavioral indices of medication compliance predicted relative weighting of risks and benefits. For predischarge and comparison samples, verbal intelligence and treatment preferences predicted both outcome measures. Reliance on verbal reports of decision making may be misleading when assessing competence in acutely impaired psychiatric patients.