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These are Hollister's conclusions on marijuana dependency
in 1986:
"Brain damage has not been proven. Physical dependence
is rarely encountered in the usual pattern of social use,
despite some degree of tolerance that may develop."(10)
These are Abood and Martin's comments on dependence in
1992:
"It is well established that chronic heavy use of cannabis
does not result in a withdrawal syndrome with severe symptomatology.
However, the occurrence of some form of psychological dependency
or craving is more probable than physical dependence . . .There
are few reports in which an abrupt interruption in marijuana
use has led to incapacitation of the individual using the
substance. The number of people who have difficulty in controlling
their abuse of cannabis to the extent that they require professional
treatment is relatively small."(11)
The only rationale defense for basing marijuana's scheduling
on a presumptive finding is that at the time no scientific
knowledge was available regarding marijuana's mechanism of
action in the brain that allowed a comparative assessment
of the abuse potential of marijuana and other drugs. The discovery
of the cannabinoid receptor system has finally provided the
means to mark the "extent' to which marijuana has a dependence
liability.
Early research into brain functions centered on the role
of electrical impulses in creating pleasure and pain. Dr.
Gabriel Nahas praises Robert Heath's work in this field, and
includes a commentary by Heath on the relationship between
his work and public policy in a 1981 text on Drug Abuse in
the Modern World.(12)
Dr. Heath's research also suggested that marijuana use
caused irreversible brain damage, however this conclusion
has rejected by reviewers for various reasons including excessive
doses and lack of replication.(13) Given his own conclusions
about marijuana, Heath eloquently describes what he believes
to be the problem at hand:
"In short, the initial use of marihuana produces a provocative
phenomenon: the person smoking the joint can, at will, activate
his brain's pleasure system . . . What is wrong with this?
. . . The deleterious effects to both the individual and society
have been repeatedly and consistently demonstrated. . .The
fate of cultures in which drug use has been extensive serves
to substantiate the consequences of inducing pleasure dissociated
from utility and survival. In our own culture . . when the
pleasure a person gains from taking a drug replaces reward
for a job well done, we have shoddy workmanship. When puffs
from a joint replace the pleasure of a good golf game or a
swim on a warm afternoon, we have apathy and physical deterioration.
When the anxiety before an examination is eliminated by the
instant pleasure of a drug, the student does not prepare and
fails the examination. When ingestion of a chemical substitute
replaces the pleasant arousal of solving a problem or designing
a new engine, what are the implications for the future of
our society -- or even our survival as a nation?"(14)
More recent research also associates addiction with the
pleasure/reward system in the brain. Unlike Heath, who associated
activity in various regions of the brain as pleasure-oriented,
modern theory is based on activation of the pleasure/reward
system by the neurotransmitter dopamine. Izenwasser and Kornetsky
discuss the discovery by Olds and Milner in 1954 that animals
would work to receive electrical stimulation to brain regions,
and the modern "evidence about the neurochemical bases underlying
drug reinforcement [that] suggests that dopamine plays a major
role."(15) The role of dopamine in the brain pleasure/reward
system is now well established in the pharmacological literature.(16)
According to Izenwasser and Kornetsky:
"Using in vivo microdialysis, Di Chiara and Imperto(17)
(in 1988) showed that many drugs abused by humans (opiates,
ethanol, nicotine, amphetamine, and cocaine) increased extracellular
dopamine in the nucleus accumbrens, whereas drugs that are
dysphoric . . . reduce dopamine release. Drugs such as diphenhydramine
(an antihistamine), imipramine (an antidepressant), and atropine
(a muscarinic cholinergic agonist), which are not abused by
humans, have no effect on the concentration of synaptic dopamine
in the nucleus accumbrens."(18)
Microdialysis in freely moving rats is a new technology
that allows researchers to implant measuring devices in the
rat brain. The device extrudes from the live rat's skull.
When the rat recovers from the surgery, researchers are able
to use the microdialysis device to measure changes in dopamine
levels in a living, "freely moving" specimen. Izenwasser and
Kornetsky have used these and other experimental data to correlate
brain wave data with neurobiological processes, as have others.
Technological innovation allows modern researchers access
to more accurate data than was available to their predecessors.
In 1992 the National Institute on Drug Abuse published
a monograph on Neurobiological Approaches to Brain-Behavior
Interaction.(19) This monograph presents several papers on
the various technologies being applied to brain-behavior research.
A paper on microdialysis provides extensive citations on the
role of dopamine in reinforcement. These citations will not
be repeated in the excerpt below, but are available in the
NIDA monograph.
"The mesolimbic DA [Dopamine] system has attracted the
most attention in the study of the neural circuitry underlying
drug abuse. Its importance is undeniable. If the mesolimbic
system is blocked or almost completely depleted of DA, animals
refuse to work for food, self stimulation, or self-injection.
. . . Not only is the DA system necessary, its functions are
sufficient to motivate and reward behavior. Rats will work
to stimulate certain DA cell regions electrically or chemically.
For example, they will electrically self-stimulate the mesolimbic
DA cell body region in the ventral tegmental area (VTA)."(20)
"Many drugs of abuse given systematically increase extracellualr
DA. Similarly, when AMPH, cocaine, PCP, or nicotine was injected
locally into the nucleus accumbens or infused through the
microdialysis probe itself, this local treatment increased
levels of extracellular DA in a manner similar to an intraperitoneal
injection."(21)
The Office of Technology Assessment cites several pharmacological
studies in support of the following summary.
"A key part of this drug reward pathway appears to be
the mesocorticolimbic pathway (MCLP) . . .
"These structures and pathways are thought to play a
role in the reinforcing properties of many drugs of abuse,
although the precise mechanisms involved in all drugs of abuse
lack a thorough description. The mesocorticolimbic dopamine
pathway appears to be critical in the rewarding properties
of stimulant drugs such as cocaine and amphetamines. Also,
both the ventral tegmental area and the nucleus accumbens
appear to be important for opiate reward, while these same
structures and their connections to other limbic areas, like
the amygdala, may play a role in the rewarding properties
of barbiturates and alcohol."(22)
As recent as 1992 many believed marijuana had an effect
on dopamine levels in the brain. Izenwasser and Kornetsky
cite research on self-stimulation by Lewis rats in support
of the notion that marijuana shares this quality with other
drugs.(23) They also note that this quality is only observable
in the Lewis Rat strain. Martin also notes that this finding
is confined to "one strain of rat" and its application "to
human abuse is tentative at best."(24) This conclusion is
also reported by the Office of Technology Assessment, which
attributes the finding to an in-bred quality specific to Lewis
Rats.(25)
In 1992 Herkenham, using a lesion-technique, established
that there are no cannabinoid receptors in the dopamine producing
areas of the human brain.(26) This confirms a 1991 microdialysis
study indicating that THC does not affect striatal dopamine
release in freely moving rats.(27)
Dopaminergic qualities are now a widely acknowledged
biological marker of a drug's dependence producing qualities.
The brain is evolutionarily conditioned to adjust behavior
to increase dopamine production. Usually, this neurotransmitter
activity rewards essential activities related to eating, reproduction,
and physical fitness that contribute to the perpetuation of
the species. Dopamine release provides a reinforcing effect
that encourages repetition of the source activity.
Addressing interest in dopamine release in the brain,
Herkenham and his colleagues noted in his breakthrough 1990
report that:
"The presence of cannabinoid receptors in the ventromedial
striatum suggests an association with dopamine circuits thought
to mediate reward. However, reinforcing properties of cannabinoids
have been difficult to demonstrate in animals. Moreover, cannabinoid
receptors in the basal ganglia are not localized on dopamine
neurons."(28)
Herkenham's 1992 review of the literature concludes that:
"The effects of cannabinoids on dopamine circuits thought
to be common mediators of reward are indirect and different
from those drugs such as cocaine and morphine which directly
affect extracellular dopamine levels and produce craving and
powerful drug-seeking behavior."(29)
Marijuana does not stimulate the pleasure/reward center
of the brain and is categorically different from popular drugs
of abuse.
This information explains why marijuana does not produce
self-administration in animals, and why evidence of a damaging
dependence liability in humans has not emerged in the 25 years
since the creation of the Controlled Substances Act.
Popular drugs of abuse, such as heroin, cocaine, and
amphetamines, produce reinforcing self-administration in animal
models, and all have effects on the production of the neurotransmitter
dopamine, explaining the biological basis for their respective
dependence liabilities. Marijuana does not produce reinforcing
self-administration in animal models, and does not have an
effect on the production of dopamine, explaining the biological
basis for its lack of a significant dependence liability.
Consequently, marijuana does not have a sufficient dependence
liability for schedule I or II status.
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