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Marijuana: What science has to say


It's a drug that divides people: some see it as unfairly demonised, others as a medical catastrophe in the making. But what does the science say?


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Marijuana: What science has to say

Cannabis literature from Holland, where it's legal to buy small quantities of the drug for personal use.

It's a surprise to find a poster of brightly coloured marijuana leaves adorning the office of Melbourne psychiatrist David Castle. After all, Castle – a professor at St Vincent's Hospital – is, with colleague Robyn Murray of London's Institute of Psychiatry, the author of the prize-winning tome, Marijuana and Madness, a collection of scientific essays on the link between marijuana and schizophrenia.

As we sit in his bright, roomy office, the youthful, denim-clad psychiatrist talks in his clipped South African accent, effusing sympathy for the plant that causes so much heartache to parents and endless social debate.

The sympathy is inherited, it seems. His mother, a renowned Cape Town doctor who was noted for her "interest in things slightly off the edge", explored the medicinal uses of the narcotic weed during the 1950s. Castle has continued the family tradition.

As our discussion weaves through the data, I struggle at first to divine Castle's message. Finally, it dawns on me. The psychiatrist is … I think … exasperated. "When it comes to the marijuana debate, science and rationality have very little to do with it: the truth about marijuana has been lost in the smoke of political rhetoric," Castle tells me.

He is not alone. The 'Marijuana Wars' have waged for decades and there are numerous veterans who also have that exasperated sound.

WAYNE HALL IS former director of Australia's National Drug and Alcohol Research Centre (NDARC), and now a professor at the school of population health at the University of Queensland. Australia has probably done more research on marijuana than anywhere else: a result of its high rate of use and ample research funding, Hall tells me. He has pondered the harms of marijuana for the last 13 years and his commentaries appear in prestigious journals, like a recent one on cannabis and schizophrenia in the January 2006 issue of The Lancet.

"It's hard to get the real message out because the debate is so polarised. If it is perceived to be harmful, people want to go to war and lock up every user; if it is perceived to be harmless, they want to legalise it completely. The truth is that cannabis is a drug like any other – some people will experience difficulty," says Hall.

It seems that after all the textbooks, the scientific papers, and the front-page headlines, it's still the same old story: marijuana used in moderation is a relatively harmless drug. Pharmacologist Les Iversen, now a visiting Oxford scholar, tells me, "Marijuana is somewhat more harmful than aspirin." Iversen should know; he spent 10 years assessing the risks of drugs for pharmaceutical giant Merck & Company, and recently served on Britain's Advisory Council on the Misuse of Drugs.

On the scale of harmful substances, marijuana ranks fairly low. Tobacco and alcohol exact a far greater toll, between them accounting for some 12 per cent of global deaths. Even aspirin is credited with causing in the vicinity of 50 deaths a year in Australia alone. No deaths are attributable to marijuana.

Yet in the war on drugs, marijuana continues to be singled out as the principal scapegoat. In 2005, some three quarters of a million people in the U.S. alone were arrested on marijuana-related charges, about 89 per cent of these just for possession. Even cancer patients who were using marijuana to ease their symptoms were among those arrested.

In Australia, the state of New South Wales recently toughened its laws, and Prime Minister John Howard has called for more to follow: "I will ask [the state premiers] to agree with me that part of the solution to the mental health problem is a tougher line on marijuana, and I imagine they will agree with me," he said, ahead of a forthcoming summit with the states.

Marijuana has been demonised, says Castle, to the point that even its considerable medicinal and agricultural uses have been disavowed. The plant is extremely hardy, and has as much to offer the environmentally challenged world today as it did in times of old, when 'Indian hemp' provided the mainstay for ship sails and rope.

The cover of Life magazine, October 1969.

SOME PUT the scapegoating of marijuana down to the conservative political tide sweeping Western democracies. Until 2004, Peter Cohen was the director of the Centre for Drug Research at the University of Amsterdam. The Netherlands, as any backpacker will tell you, is famous as one of the few places in the world where you can legally buy cannabis. But marijuana use is still technically illegal: individuals can only buy up to 5 grams, and advertising its sale is not permitted.

For 20 years, Cohen's centre documented the country's experiment of decriminalising cannabis, allowing small quantities to be sold from the coffee shops that now outnumber butcher shops in parts of Amsterdam. His studies show drug laws have very little impact on the rate of cannabis use anywhere in the world. "There are enormous differences in the rates of drug use between countries," he says. "We don't really know why. For instance in the Netherlands, 17 per cent of people have tried it; the U.K. rate is twice as high. We don't think drug policy has anything to do with it."

In his view, the direction of marijuana research is at the whim of the political climate. "There's a fashion now to determine the cause of mental health problems; they want research that shows the harms of marijuana. But people's lives don't fall apart because of marijuana. I call it Soviet science – science geared to produce a political point."

Alex Wodak is director of the Alcohol and Drug Service at St. Vincent's Hospital in Sydney and Australia's most colourful drug-war resistance hero. He agrees politics is a big driver in the marijuana wars. "[Australian Prime Minister John] Howard can't lose on this. If he wins, he'll be wrapped in the Australian flag as protecting the youth of the future. If he loses, then the states [who are his political enemies] get labelled 'soft on drugs'."

Yet even if most people are not harmed by smoking marijuana – and, as Iversen puts it, "many find it a very useful drug" – there's no doubt a minority is harmed.

And that minority is recognisable to many. It might be the vulnerable teenager for whom marijuana is the grease that slides them towards aimless drug-dependence; psychiatrists will think of their mentally ill patients whose marijuana habit makes their disease much worse; and then there is that minority in the general population, largely undetectable, who have a predisposition to schizophrenia. Most psychiatrists now believe marijuana smoking will push those susceptible to schizophrenia over the edge.

Readers' comments

Marijuana, what science has to say

Its quite simple, Alcohol and tobacco kill more than all illegal drugs combined per year. Also in Australia its a criminal record, jail time and a fine big enough to buy a house if anyone is caught growng their own tobacco! Oh but wait, cigarettes are legal, not only that, the addictive chemicals added to the tobacco is also legal (for the tobacco companies, if they also again pay a hefty tax), so basically its money. the Australian government dosent care about its people since, if it did, alcohol and cigarettes would be highly illegal and politicians would stop stealing and lying to further their own careers. But lets face reality and the truth, clearly the government dosent want us to have a substance that they cant effectively tax, because it grows easily anywhere, thats it. There is absolutely no concern for the publics safety. The tax we pay on alcohol goes to helping all those who cant control their habit, junkies get a shoot up room, wheres the government funded loungeroom with a fridge and a PS3? As for lower income groups you'll find that alcohol is actually abused more due to its availability. Whilet i dont enjoy either, I have to say i'd rather face a stoner than a drunk at the end of the day. I hate paying for drunks, the public hospital bill after they beat their wife, the public trial after running someone down while drunk driving, or the murder charge, the life long welfare payments because someone couldnt get off the bottle, the assault charge or just dealing with behaviour that is totally unacceptable, the list goes on, especially in Sydney, drinking and fatal violence seem to be the choice of activity these days. Maybe we should try making alcohol illegal and pot legal.

Check your facts

I think you may need to do a little more research because there are some perfectly legal drugs that have even worse side effects and in any debate it is no way worse than alcohol, think about how many people die from drinking too much whether it's an OD or Drunk driving, now think about how many people that have ODed from smoking some weed, none that I know!

Also it would actually benefit society (or atleast the taxpayers) if it was legalized because around 20,000 arrests are made a year in marijuana charges, many who face jail time (and your tax dollars to keep them there) and jail does not "rehab" any of these people thanks to our awful system, but I won't get into that. Many of these people are young adults anyways who really didn't harm anyone else and whose lives can be ruined just because they made a few poorly thought out decisions. Either way legalization cuts down the crime rate so the POs can do their job and worry about the real criminals. Plus with the taxes that will be placed on good ol' MJ it will most likely only do good for the economy and help us to get out of this recession.

Here's to the new decriminalization of Marijuana in Massachusetts!!

my comment on weed!

I would like to know why so many people bag it out when none of them have ever smoked it? I must say that in all my years of smoking pot it has not once ever made me turn to a harder drug! I have been smoking weed for around nine years and never touched any other drug apart from cigarettes and an occasional drink. IF anything it has kept me sane from constant stress and family drama's. If weed is so bad then why do certain scientists agree with the terms of smoking weed for medical reasons such as stress relief and pain relief?

I think that all the haters need to get over the fact that people smoke weed and deal with the fact it should be legal its all the other drugs that should be criticized not weed. Have a think about that tho just because a person smokes it does not mean they are stoners and waste all their money on it when not all of us abuse the use of it.

thanks for letting me have an opinion about it!

as far as i concern

as far as i concern who do not subsidise their own health care nor illegitimate offspring and higher income groups should not be burdened by other demographics' poor choices or control of will power. Research paper writing

the above comment is crap, i

the above comment is crap, i am a law/commerce student, over half the students in my degree smoke to some degree, and a quarter heavily. funnilly enough i tend to find the brightest ones are laughing their way into exams stress free after a lovely spliff, while we laugh at the straight edge geeks, generally crying despite their superior study regimes. Pot doesn't make you stupid, stupidity, ignorance and an inability to understand alternative lifestyles does
WAKE UP

i think that the use of

i think that the use of marijuana should be legalized in the united satates , if it has been scientificly proven that it doesnt do much harm it shouldnt be illeagle.

A spell check would help the cause

I think it should be legalized however if everyone posting would do a spell check before posting it would look much better to the readers. I mean if your mispelling words then marijuana must be harmful because these people can't spell and have dropped out of school...lol

Spelling Nazi

When being a Spelling Nazi, it's generally advisable to ensure that your own spelling is correct. If you're making spelling mistakes while pointing out someone else's errors, it makes you look like a bit of a fool, yes?

;-)

What about the commercials

What about the commercials everyday on TV for prescription drugs, all the claims they make about what they do. Then right at the end of their drug / medicine commercial you hear the small list of side affects or long list should I say. None of which any of us would want to risk, and these are based on tests done of people taking the drugs. How about a study for marijuana, I think with all the people smoking it it's fair to say that side affects include hunger, laughter, and relaxation....Not to get detailed into the affects of pure indicas or pure sativas and their many variations. If the Netherlands can make a clear distinction between marijuana and hard drugs such as heroine, cocaine, and others I think other countries should look to them as an example of whats working and what isn't when it comes to drugs. As far as treatment for addictions of mainly hard drugs here's a faq on drug rehab treatment alcohol is also treated. It's just my opinion that marjiuana isn't as bad as people make it out to be it's not a gateway drug leading to more dangerous drugs etc.

The least harmful course.

Cannabis is currently illegal simply because this seems to be the least harmful course to follow. Let's look at the facts. Cannabis use is widespread and ever increasing in it's popularity. Cannabis prohibition can do nothing to stop this trend. In fact, prohibitions only increase demand, which is met by organized crime. In fact, cannabis prohibition has returned every evil the US once waged a 13 year war against with the prohibition of another drug. Alcohol. That prohibition was repealed because it was unenforcable and did more harm to society than alcohol itself. After 72 years of cannabis prohibition fuel growth, organized crime and it's related evils are many times a greater problem than ever before. It is widely acknoledged that cannabis is not as dangerous a drug as tobacco or alcohol. No one has ever been proven to have died from cannabis use. Hence, we have a double standard in which more dangerous drugs are legal, and cannabis is not. Plus, cannabis use is here to stay. So, what is truly the least harmful course for our society to follow? The same one that was followed before. Repeal. Repeal cannabis prohibition. Install all the controls we have with alcohol and tobacco. But, keep the cost below that which makes it profitable for criminals to sell cannabis. This will make it harder for our kids to get cannabis. Do not allow the advertizing of any drug. This only glamourizes drugs and encourages their use. After cannabis use is permitted, the novelty will quickly wear off and use will go down. Because, cannabis use will no longer be as exciting when it's no longer the "forbidden fruit". Amsterdam proved this. Cannabis use will be further reduced when scare tactics propaganda is replaced with factual education. Our nation will be more at peace. Lawlessness will decline. We will be able to redirect police efforts towards violent crimes like murder, and rape. Which currently have appalingly low clearance rates. The seizure of private property for mear cannabis possession will end. Hatred for our government will be relaced with more respect. We will save billions of taxpayer dollars per year currently being squandered on prohibition. We will put billions more dollars into the public coffers by taxing cannabis. Every element of society will profit from this. Such as farmers, distributors, merchants, and end users. Quality product will replace adulterated product. Prison populations will fall dramatically. Parents will be there to provide for their children. Police militancy, organized crime and drug related murders will decline. All we have to do is give legalization a chance. As things now stand we have nothing to lose and everything to gain.