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Versed for couple's counselling

I’ve been away because I had to have my gall bladder removed, thanks to a gallstone the size of a small moon. Unfortunately they had to do it “old school” rather than laproscopically, which means the recovery is so much more fun.

The immersion into the hospitalization system (first time in the US) will generate some blog posts, but today let me add thoughts on one element that surprised me. Almost exactly a year ago, I wrote speculating on the use of Versed for torture. I still wonder about that, and now I have a direct experience. Though I was not told about it, the anesthesiologist included one of the amnesia-inducing drugs into the pre-op “calm you down” sedation coctail. I remember him doing that injection, and getting a bit flushed from that, but it’s blank after that. No memory of any discussion after, of being wheeled to the operating room and receiving the actual injection to make me unconscious for the procedure. Those events never laid down.

(When I asked the surgeon about not being told I would receive this drug, she at least had a sense of humour and said, “How do you know you weren’t told?” Indeed, I don’t know that. And to pile on the irony, I brought the movie “Momento” to the hospital, and watched it during my recovery.)

It is disturbing to have a memory deliberately erased. We’ve all lost memories, found periods in which we can’t recollect anything about particular event or stretch, but this is different.

Still, it got me wondering about bizarre uses to which this might be put. I already speculated on torture and sinister uses. And we know about the use for date-rape which is highly disturbing. I wondered about its application to deep dark secrets.

The scenario is this. You have a couple. One or both of them volunteer for an amnesia inducing drug. Then, you pour out your heart, with all the deep dark secrets you’ve been hiding, kinky fantasies you’ve been begging for, and wait for the reaction. If your own memory is not going to store, you make notes on the reactions. When you’re done, you know what secrets you can tell, and which would be relationship-destroying or particularly hurtful. Of course, the tested party needs to cooperate, and not say, “Oh, I had better pretend to not be bothered by that so that this horrible thing does not become lost to me” and and better not be a good actor. Or couples who are in the “both want to break up but are not admitting it for the sake of the other one” state could discover it and talk it out — though one could also make a computer program to solve that problem.

To be tricky, my companion in the pre-op room could have decided to tell me things there without my being aware I had received the drug — it is quite common now in sedation coctails — in which case I would not have thought to fake my reactions. Technically, though I trust her, I can not be sure via my own memory that she did not.

These drugs are currently Schedule IV, so they don’t see such non-medical use, but one can imagine other bizarre uses. For example, confidential job interviews. Consider applying for a job to work on a confidential project at a company. They might give you an NDA, or they might give you Versed and tell you the whole deal, knowing you won’t be talking about it. Or truly “embargoed” releases to the media, or trials of secret products before a focus group. And these aren’t as scary as the suggestions of use in torture or policework I already made. Certainly when it comes to any official use, we need a law requiring that any administration of such drugs be paired with complete videotaping of the entire episode and secure storage and authentication of the videotape — if we allow such use at all. (Unfortunately we are probably going to see use whether we permit it or not.)

There could be medical uses. For example, say you have the cliche’d incurable, non-communicable fatal disease and some number of months to live. You could be told, and given the choice about when you should be told in a way you’ll remember it. It’s like creating test versions of yourself to try new and dangerous ideas and report back if the real you should absorb them.

Now I should note that there are barriers to the ideas I worry about above. The drugs are not 100%. You can’t be sure they will block the long term storage of memory. And they also sedate you, put you in a calmer, non-natural mental state so they might not really be too useful in job interviews and other circumstances. (Even for torture, they might make you more able to tolerate the non-damaging torture they would want to do to you, just as they help you tolerate surgical squicks.)

But the drugs are going to get better, if they haven’t already in secret labs. There are documents of experimentation with amnesiac drugs in intelligence contexts back to Viet Nam. Who knows what the black labs have discovered? We are going to have to get used to a world where memory is more fungible, and we call can be temporarily the character from Momento.