Ethical Concerns about Psilocybin Intellectual Property

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I n 1957, Life magazine published one of the most impactful articles in modern history about psychedelics. "Seeking the magic mushroom" 1 was written by a former J.P. Morgan banker named R. Gordon Wasson. Within two years of the story's publishing, psilocin and psilocybin, the main active compounds in the mushrooms, were isolated, characterized, synthesized and named by Swiss chemist Albert Hofmann at the Sandoz pharmaceutical company. Sandoz quickly patented the extraction procedure and a method for "therapeutic tranquilization", marketing pills under the trade name Indocybin.Six decades later, North-American and European businessmen disproportionately reap financial gain from psychedelics. In October 2020, one of the first pharmaceutical companies focused on developing psilocybin for the treatment of depression went public, and has a current market value of approximately $1.5 billion.According to the World Health Organization, depression affects 264 million people worldwide,and is a leading cause of disability in the 21st century. This constitutes a market which can surpass 200 billion dollars in the USA alone.Therefore, with a neoliberal lens, developments with psilocybin are considered significant advances involving ethnopharmacology, chemistry, psychopharmacology, toxicology, psychology, and psychiatry. From an indigenous perspective, psilocybin research and drug development tells a story of extraction, cultural appropriation, bioprospecting, and colonization. In Life Magazine's article, R. Gordon Wasson wrote of his expeditions to Oaxaca, Mexico, seeking the sacred rites and mushrooms of the Mazatec people, and learning from a curandera he initially protected with the pseudonym, Eva Mendez. Eva Mendez guided Wasson on the sacred veladas, in exchange for Wasson's promise of secrecy, including a promise to never publish photos. However, Wasson ultimately betrayed his promise and revealed his teacher's identity, curandera Maria Sabina, in his second volume: Mushrooms, Russia and History. He also widely published and publicized her photographs, thus constituting further betrayal.After Wasson's visit to Huautla de Jimenez, conflict ensued; Maria Sabina was briefly jailed and her house was set on fire. 1 Details of the story vary according to different accounts,but these sacred Mazatec rituals were well hidden for centuries. Many indigenous spiritual practices were brutally persecuted and banned during the Spanish inquisition and conquest; thousands were slaughtered. That these rituals survived the events between the inquisition to Wasson's first visit reveals their strong resilience; for the Mazatec, these mushrooms and traditions are still sacred and the last healing resource as a medicine (Figure). Less than a month after Wasson's article on May 13th, 1957, the Governing Body of the International Labour Office convened in Geneva, on June 5th, 1957, to establish the Indigenous and Tribal Populations Convention No 107. As Mexico adhered on June 01 of 1959, the convention cannot be applied retroactively to the Wasson case. In 1989 this convention was renamed to Indigenous and Tribal Peoples Convention of the International Labour Organization 169. According to its preamble: "in many parts of the world these peoples are unable to enjoy their f undamental human rights to the same degree as the rest of the population of the States within which they live, and that their laws, values, customs and perspectives have often been eroded". The same convention determined that "the social, cultural, religious and spiritual values and practices of these peoples shall be recognized and protected" (Article 5a) and that "governments shall consult the peoples concerned, through appropriate procedures and in particular through their representative institutions, whenever consideration is being given to legislative or administrative measures which may affect them directly" (Article 6a). In 1992, 150 world leaders signed the United Nations Convention for Biological Diversity (CBD) in Rio de Janeiro, which directs the signatory States, through national legislation, to "respect, preserve and maintain knowledge, innovations and practices of indigenous and local communities embodying traditional lifestyles relevant for the conservation and sustainable use of biological diversity and promote their wider application with the approval and involvement of the holders of such knowledge, innovations and practices and encourage the equitable sharing of the benefits arising f rom the utilization of such knowledge, innovations and practices" (Article 8j). The CBD was followed by other agreements such as the Cartagena Protocol on Biosafety to the Convention on Biological Diversity (2000) and Nagoya Protocol on Access to Genetic Resources (2010). These developments culminated in the Convention for the Safeguarding of the Intangible Cultural Heritage 2003 of the United Nations Educational, Scientific and Cultural Organization (UNESCO). According to its preamble, it was recognized that "in particular indigenous communities, groups and, in some cases, individuals, play an important role in the production, safeguarding, maintenance and re-creation of the intangible cultural heritage, thus helping to enrich cultural diversity and human creativity". Intangible cultural heritage was defined as "the practices, representations, expressions, knowledge, skills-as well as the instruments, objects, artefacts and cultural spaces associated therewith-that communities, groups and, in some cases, individuals recognize as part of their cultural heritage" (Article 2.1). In 2007, the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP) was adopted by a majority of 144 states in favor and 4 votes against which were later reversed, establishing that "indigenous peoples have the right to practise and revitalize their cultural traditions and customs", including "the right to maintain, protect and develop the past, present and f uture manifestations of their cultures, such as archaeological and historical sites, artefacts, designs, ceremonies, technologies and visual and performing arts and literature" (Article 11.1) determining that "States shall provide redress through ef fective mechanisms, which may include restitution, developed in conjunction with indigenous peoples, with respect to their cultural, intellectual, religious and spiritual property taken without their f ree, prior and informed consent or in violation of their laws, traditions and customs" (Article 11.2). These advancements imply that traditional knowledge is not an open access unregulated market.Indigenous people have the right to protect, preserve, and develop their traditional practices and medicinal knowledge, and are entitled to benefit from developments based on their intangible cultural heritage, including their spiritual practices. According to these treaties and regulations, bioprospecting must include previous informed consent of the communities involved. Most laws on the matter were developed as a consequence of the CBD, now one of the international treaties with the highest number of signatories in history. However, there are still a series of important issues pending and ongoing debates on how to best achieve just and fair consultations and agreements, respecting ethical, epistemological, and ecological concerns, and how to properly share the benefits in the case of private properties of pharmaceutical corporations based on cumulative collective knowledge of indigenous peoples.Researching psilocybin is configuring a bioprospecting project resulting in the pharmaceutical industry pursuing innovation through intellectual property rights with no plans for reciprocity with or compensation for the indigenous communities who have protected these traditional mushroom practices for millennia. Thus, it is critical to reconsider the neoliberal pharmaceutical approach, including basic science to clinical science, and the implications of its stated goals. In the case of psilocybin, for which there are now at least 24 registered patent processes (Table), no pharmaceutical psilocybin developers have reached any legitimate or reciprocal agreements with the Mazatecs, or any other indigenous communities. Some important considerations are warranted, especially regarding the many species of mushrooms now identified in the genus Psilocybe and the issue of spirituality. The mushrooms Wasson brought out of Huautla de Jimenez are the basis of the current commodification of psilocybin; they were identified as Psilocybe mexicana, but hundreds of others are now known, some which can even be cultivated indoors. Yet, despite some of these being native and endemic to Europe, for example, Psilocybe semilanceata, reported centuries ago as intoxicating or poisonous, there is little to no evidence of interest in their medical properties in western scientific literature before Wasson's historical account, thus corroborating the sine qua non role of the Mazatec in all further psilocybin developments. For the Mazatec, the mushrooms are primarily used as medicine, to treat sick people, although in a context and worldview which can be characterized as spiritual by western scholars. And although western science tends to dismiss or disregard spiritual issues in drug development, some of the most important psilocybin studies to date focus exactly on the spirituality domain. Even neuroscientific studies reveal correlations between spiritual or mystical experiences with treatment outcomes in depression.Developments in psilocybin science and research are intimately intertwined with the Mazatec intangible cultural heritage, raising concerns about harms caused by intellectual property regimes. As the biodiversity regime can be applied to patents in the future, but not retroactively to isolated psilocybin patents obtained by Sandoz Ltd. in 1965, the question is how to protect and develop traditional medicine ceremonies in a way that serves indigenous communities? Why is the so-called psychedelic renaissance, including commodification, almost exclusively benefiting nonindigenous Western businessmen? Is there any restitution or reparation to be done in this case? Raids and extractive activities continue to this day in the Mazatec land. Mycologists, biologists, speleologists, and scientists descend upon the Mazatec community, without asking for permission from or adequately explaining their research to the community. Some researchers claim they received permission and have protocols to specifically work with the indigenous communities, but it is not clear what kind of permission was requested or from whom it was received. Instead, a Mazatec communitary protocol could be developed in order to consent with the researchers on the biocultural heritage. The racialized and colonial western mindset contributes to Westerners' ongoing delegitimization of indigenous community-held knowledge. Westerners consciously or subconsciously racialize and demean the Mazatec as the "noble savage." Western scientists and researchers tell Mazatec chojta chijne (wisdom bearers) that they in fact are naming the mushrooms incorrectly, and that they do not know the range of their local mushrooms. Depression is considered a disorder based in a series of social determinants, many of which can be dramatically exacerbated by colonial and extractive enterprises. Notably, studies about depression cite causes including grief, loss of significant personal relationships in communities, loneliness, stress and past history of abuse, physically, mentally, and emotionally. Bioprospecting and biopiracy often cause conflicts, tensions, disconnection, poverty, and suffering in the communities from which the knowledge and tradition originate. This suffering tracks onto our understanding of how one's social and cultural environment can affect mental health. In other words, nonconsensual extractive for-profit ventures based on intellectual property regimes can cause intergenerational distress and suffering in impacted indigenous communities in a way that could actively perpetuate illness, while cutting them off from rightful benefits derived from their intangible cultural heritages. As depression both perpetuates and emerges from socio-economic barriers, so the idea of its treatment being extracted from highly traumatized populations to benefit the current healthcare economy indicates an ethical oversight on the part of most western scientists and researchers. The motivations behind a highly profitable business selling psilocybin as a panacea for this century forces us to ask: will this treatment really be affordable to all social stratum, or only for a privileged part of society? Aiming for justice, the Mazatec must benefit for their centuries-long stewardship of these sacred rituals and knowledge. Since these Mazatec rituals became public in 1957, no one has sought reparation or reciprocity with the communities in a fair manner. This implies extraction in all aspects and meanings, including abuse of the Mazatec people's hospitality. As the third decade of the 21st century unfolds, the survival of indigenous peoples and our natural world is gravely threatened at an unprecedented level by construction, mining, logging, and energy "development programs" for the benefit of shareholder driven corporations. When the intellectual "property" derived from naturally occurring compounds is the prior art of indigenous people, we are obliged to explore the ethics of shareholders reaping the financial benefit from these compounds. Reflecting on these ethical dilemmas may offer frameworks to understand and solve for the ongoing harm of extractive economics, and perhaps even point the way toward reciprocal and reparative arrangements with indigenous stewards of medicines and molecules around the world.