Not raving but drowning - could MDMA help therapy?

Love, hate and Ecstasy.

 

“Studies show that when you first fall in love, serotonin levels plummet and the brain's reward centres are flooded with dopamine. This gives a high similar to an addictive drug, creating powerful links in our minds between pleasure and the object of our affection, and meaning we crave the hit of our beloved again and again.”

It’s been a while since I last fell in love. However, reading that passage from a New Scientist feature did remind me of how some people can feel after taking MDMA. Perhaps the best word to describe it is infatuation. Like a lovesick teenager, they grab every chance they get to talk about it. Like Romeo mooning over Rosaline, they wonder almost obsessively when they might get back together with it again. No one else can see as clearly as they can just how wonderful it is.

Given that the comedown from MDMA is so fast, and any obvious physiological symptoms are gone within a few days, the feeling can last a surprisingly long time – a few weeks. Then they begin to get that sheepish sense that they had perhaps been behaving a little foolishly, that their friends had tolerated their obsession but were glad they’d finally stopped blathering on about it whenever the subject – or any obliquely related subject – came up.

At least most people don’t immortalise the infatuation by releasing an album. It wouldn’t be surprising if Madonna had had an encounter with MDMA sometime recently. Called your new album MDNA? Made a crass, thinly-veiled, teenagerish, wide-eyed (ha!) reference to the drug on stage at an electronic music festival? It’s suggestive, isn’t it? Remember Tom Cruise’s embarrassing infatuation dance for Katie Holmes on Oprah’s couch? There are similarities, it would seem.

Next week we’ll be able to hear about the experiences of people who have recently taken a Home Office-grade dose of E. The experimental subjects in Channel 4’s Drugs Live: The Ecstasy Trial will almost certainly tell us they had a wonderful, blissful experience. But that’s not quite a detached analysis: in all probability they will still be a little bit in love with the drug.

And there’s the rub. Almost everything we hear about Ecstasy is anecdotal and subjective. Your experience of Ecstasy, if you’ve taken it, will no doubt be different to the way other people describe theirs, because there are subtle differences between your brain chemistry and everyone else’s, and you took the drug in a different environmental and emotional context.

Channel 4’s show is important because it will highlight the fact that we need to get away from anecdotes about Ecstasy, whether positive or negative. There are plenty of lovers; there are also those whose experience has caused them to harbour hatred towards MDMA. Neither side’s experience provides a good basis for deciding how to move forward.

The objective fact is, we have reason to believe that therapy involving MDMA use can help people get over life-destroying trauma. The study highlighted on Drugs Live involves imaging the brain in an fMRI scanner: early evidence from these scans suggests that the brain on E finds memories of negative experiences much easier to explore. But we don’t have nearly enough data to say for sure, and as things stand, further evidence is very difficult to gather.

Researching with MDMA requires handing over thousands of pounds to the Home Office for a license, a year-long wait for said license, finding the funds for a high security storage facility and a willingness to be subjected to random police inspections. Unsurprisingly, very few researchers are willing to jump through those hoops. And who can blame them when no doctor stands a chance of getting a license to use MDMA in therapy anyway?

People who would benefit from this therapy are not raving, but drowning. It wouldn’t hurt anyone to throw them a lifeline.

Almost everything we hear about Ecstasy is anecdotal and subjective. Photograph: Getty Images

Michael Brooks holds a PhD in quantum physics. He writes a weekly science column for the New Statesman, and his most recent book is At the Edge of Uncertainty: 11 Discoveries Taking Science by Surprise.

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How the internet has democratised pornography

With people now free to circumvent the big studios, different bodies, tastes and even pubic hair styles are being represented online.

Our opinions and tastes are influenced by the media we consume: that much is obvious. But although it’s easy to have that conversation if the medium we are discussing is “safe for work”, pornography carries so much stigma that we only engage with it on simple terms. Porn is either “good” or “bad”: a magical tool for ­empowerment or a destructive influence on society. Many “pro-porn” campaigners shy away from nuanced critique, fearing it could lead to censorship. “Anti-porn” campaigners, convinced that porn is harmful by definition, need look no further than the mainstream tube sites – essentially, aggregators of clips from elsewhere – to gather examples that will back them up.

When we talk about the influence of porn, the emphasis is usually on a particular type of video – hardcore sex scenes featuring mostly slim, pubic-hairless women and faceless men: porn made for men about women. This kind of porn is credited with everything from the pornification of pop music to changing what we actually do in bed. Last year the UK government released a policy note that suggested porn was responsible for a rise in the number of young people trying anal sex. Although the original researcher, Cicely Marston, pointed out that there was no clear link between the two, the note prompted a broad debate about the impact of porn. But in doing so, we have already lost – by accepting a definition of “porn” shaped less by our desires than by the dominant players in the industry.

On the day you read this, one single site, PornHub, will get somewhere between four and five million visits from within the UK. Millions more will visit YouPorn, Tube8, Redtube or similar sites. It’s clear that they’re influential. Perhaps less clear is that they are not unbiased aggregators: they don’t just reflect our tastes, they shape what we think and how we live. We can see this even in simple editorial decisions such as categorisation: PornHub offers 14 categories by default, including anal, threesome and milf (“mum I’d like to f***”), and then “For Women” as a separate category. So standard is it for mainstream sites to assume their audience is straight and male that “point of view” porn has become synonymous with “top-down view of a man getting a blow job”. Tropes that have entered everyday life – such as shaved pubic hair – abound here.

Alongside categories and tags, tube sites also decide what you see at the top of their results and on the home page. Hence the videos you see at the top tend towards escalation to get clicks: biggest gang bang ever. Dirtiest slut. Horniest milf. To find porn that doesn’t fit this mould you must go out of your way to search for it. Few people do, of course, so the clickbait gets promoted more frequently, and this in turn shapes what we click on next time. Is it any wonder we’ve ended up with such a narrow definition of porn? In reality, the front page of PornHub reflects our desires about as accurately as the Daily Mail “sidebar of shame” reflects Kim Kardashian.

Perhaps what we need is more competition? All the sites I have mentioned are owned by the same company – MindGeek. Besides porn tube sites, MindGeek has a stake in other adult websites and production companies: Brazzers, Digital Playground, Twistys, PornMD and many more. Even tube sites not owned by MindGeek, such as Xhamster, usually follow the same model: lots of free content, plus algorithms that chase page views aggressively, so tending towards hardcore clickbait.

Because porn is increasingly defined by these sites, steps taken to tackle its spread often end up doing the opposite of what was intended. For instance, the British government’s Digital Economy Bill aims to reduce the influence of porn on young people by forcing porn sites to age-verify users, but will in fact hand more power to large companies. The big players have the resources to implement age verification easily, and even to use legislation as a way to expand further into the market. MindGeek is already developing age-verification software that can be licensed to other websites; so it’s likely that, when the bill’s rules come in, small porn producers will either go out of business or be compelled to license software from the big players.

There are glimmers of hope for the ethical porn consumer. Tube sites may dominate search results, but the internet has also helped revolutionise porn production. Aspiring producers and performers no longer need a contract with a studio – all that’s required is a camera and a platform to distribute their work. That platform might be their own website, a dedicated cam site, or even something as simple as Snapchat.

This democratisation of porn has had positive effects. There’s more diversity of body shape, sexual taste and even pubic hair style on a cam site than on the home page of PornHub. Pleasure takes a more central role, too: one of the most popular “games” on the webcam site Chaturbate is for performers to hook up sex toys to the website, with users paying to try to give them an orgasm. Crucially, without a studio, performers can set their own boundaries.

Kelly Pierce, a performer who now works mostly on cam, told me that one of the main benefits of working independently is a sense of security. “As long as you put time in you know you are going to make money doing it,” she said. “You don’t spend your time searching for shoots, but actually working towards monetary gain.” She also has more freedom in her work: “You have nobody to answer to but yourself, and obviously your fans. Sometimes politics comes into play when you work for others than yourself.”

Cam sites are also big business, and the next logical step in the trickle-down of power is for performers to have their own distribution platforms. Unfortunately, no matter how well-meaning your indie porn project, the “Adult” label makes it most likely you’ll fail. Mainstream payment providers won’t work with adult businesses, and specialist providers take a huge cut of revenue. Major ad networks avoid porn, so the only advertising option is to sign up to an “adult” network, which is probably owned by a large porn company and will fill your site with bouncing-boob gifs and hot milfs “in your area”: exactly the kind of thing you’re trying to fight against. Those who are trying to take on the might of Big Porn need not just to change what we watch, but challenge what we think porn is, too.

The internet has given the porn industry a huge boost – cheaper production and distribution, the potential for more variety, and an influence that it would be ridiculous to ignore. But in our failure properly to analyse the industry, we are accepting a definition of porn that has been handed to us by the dominant players in the market.

Girl on the Net writes one of the UK’s most popular sex blogs: girlonthenet.com

This article first appeared in the 16 February 2017 issue of the New Statesman, The New Times