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The challenge for the CPDD is to derive, utilize, and defend
scientific standards for defining abuse liability. The tautological
argument that a definition of abuse must include marijuana
use because marijuana use must be drug abuse is exactly the
misuse of terminology both Cicero and Brady have complained
about above. Nonetheless, the question of validity is always
important in evaluating scientific reasoning.
"How can the self-administration model validated? First,
. . .there must be concordance between animal and clinical
results. In order to define the limitations of methodologies,
more effort should be placed on determining the reasons for
discordant results. Secondly, there also must be some sort
of concordance between both the incidence and perniciousness
of street abuse on one hand, and the results of both animal
and clinical studies on the other. Because fads and trends
play a major role in drug abuse patterns, a good concordance
can be expected only for those drugs whose street abuse is
well established."(25)
The validity of the conceptual model behind reliance
on self-administration has been established by research on
the biological actions of drugs of abuse. Brady discusses
the synergy between biology and behavior in his acceptance
of a lifetime achievement award from the CPDD in 1990.
"[L]aboratory procedures for the generation and maintenance
of drug self-administration have become the hallmark of abuse
liability assessment based upon the kind of functional models
that have proven most useful and productive in the experimental
analysis of behavior. The most important conceptual and methodological
consequence of this interactive research has been the analysis
of relationships between the biochemical/ pharmacological
properties of drugs and their environmental/behavioral stimulus
functions."(26)
"The explosive advances in new knowledge of neurotransmitter
and receptor dynamics combined with the demonstrated specificity
of action and good correspondence with drug discrimination
generalization profiles now provide a more precise behavioral
reflection of neurochemical mechanisms."(27)
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