Getting high without drugs. A new approach based on harm reduction for cocaine-dependent subjects

Abstract

We hereby present a quantitative-descriptive study about the application  of the “Self-Regulation Therapy”, procedure derived from de cognitive-behavioral perspective of the hypnosis theories, essayed on four cocaine dependent subjects in partial remission and one heavy cocaine user in  total remission for two years; we had the objective of having them learn to “reproduce” the effects of cocaine by means of this suggestion technique, and thus, replace the use of the drug for the similar subjective effects  produced by psychological procedures. At the beginning of the essay, we intended to use a one single-high-dose of Methylphenidate in order for the subjects to observe the actions of the stimulant, similar to those of  cocaine, so they might, in turn, reproduce its effects. We noticed a number of problems that emerged during the experiment tough: increased craving for cocaine, just by knowing about the future contact with the stimulant;  paradoxical effect of the Methylphenidate (relaxation), and even lack of subjective effects with a 40mgrs oral dose. Therefore, we decided to apply the technique invoking their last cocaine use experience, all the subjects  were capable of reproducing those effects of cocaine in their very first suggestion session. On the other hand, all the subjects described a decrease in the subjective craving for cocaine in their self-regulation  session.