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In each case, though, it is the recent neurobiological findings
about marijuana that have provided the bridge between social
and natural science. As always, Leo Hollister has something
enlightening to add to the discussion. In his acceptance of
the Oscar B. Hunter Award from the American Society for Clinical
Pharmacology and Therapeutics in 1988, Hollister addressed
the topic of "Psychopharmacology: The bridge between psychiatry
and biology."(55)
"Two separate psychopharmacologic developments heralded
this return of psychiatry to the biologic sciences. The most
important was the discovery of drugs such as reserpine and
chlorpromazine, which were truly effective for treating major
psychiatric disorders. The second was the discovery of LSD,
which indicated that extremely small amounts of an aberrant
chemical could have profound mental effects. In somewhat more
than three decades, psychiatric thinking has changed profoundly.
No longer does one speak of schizophrenic, manic, or depressive
"reactions" (the latter term implying that these abnormal
mental states were reactions to life events), but rather these
disorders are thought of as malfunctions of the brain determined
by a genetic predisposition and mediated by biologic mechanisms
involving neurotransmitters, receptors, and metabolic alterations."(56)
Some conditions are reactions to life events, and others
are not. Hollister's bridge enables contemporary science to
distinguish the two. Both Hollister and Kandel refer to instances
where marijuana use may be explained by self-medication for
depression or other psychopharmacological deficits, and in
the some cases of therapeutic use of marijuana correction
of neurochemical deficits in the cannabinoid receptor system
may also have explanatory value. The preeminent value of the
bridge between social science and biology is in its explanatory
value, which reveals to us which aspects of behavior are more
strongly influenced by biological variables than individual
characteristics or the social environment. Hollister's bridge
connects drugs to sets and settings, and allows scientists
to view their work from both sides of the river of life.
Lee Robins of the Department of Psychiatry at he Washington
University School of Medicine published an editorial in the
January 1995 issue of the American Journal of Public Health
based on Kandel's work; the editorial's title is "The Natural
History of Substance Use as a Guide to Setting Drug Policy."(57)
His concluding paragraph is a fitting summary of this discussion
on the effects of marijuana's schedule I status on public
health.
"One interesting possibility might be to simultaneously
ban tobacco and legalize marijuana, as antithetical as these
two acts appear at first. Such an action might result in cigarettes'
and marijuana's swapping position in adolescents' progression
from one drug to another. If tobacco is banned without legalizing
marijuana, there is a greater risk that alcohol's domination
of the drug scene will increase further, with known risks
to drinkers' livers, hearts, memories, and offspring. Even
if it did not achieve a diminution of alcohol's role, such
a transposition of the legal status's of tobacco and marijuana
should bring the public perception of which drug's are "soft"
(i.e., relatively safe) and which are "hard" (i.e. relatively
risky) closer to matching what we know about their relative
physiological effects and addictive properties."(58)
Section 7 will return to the biological evidence that
marijuana does not have sufficient enough of a dependence
liability to justify schedule I status.
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