Clinicians searching for a spiritual emergency versus psychosis differential want a decision procedure. The literature gives them two incompatible vocabularies instead. What actually discriminates, what does not, and the referral triggers that hold either way.
Oregon collects race, ethnicity, language, disability, sexual orientation, gender identity, income, age, and veteran status from psilocybin clients, and reports it quarterly in aggregate. Clients can decline. The state counts how many did, and learns nothing about who they were.
The belief that psychedelics nudge people toward tolerance collides with a documented record of right-wing and authoritarian psychedelic use. Political pluripotency, the thin evidence on both sides, and why it matters for clinicians who assume the medicine shares their values.
