What do you think?
Rate this book


343 pages, Paperback
First published January 1, 2002
"A great deal of research addresses the role of cannabis on health. Marijuana does not appear to have a toxic dose. The drug can exacerbate symptoms of some mental illnesses, particularly psychotic disorders like schizophrenia. Yet it does not appear to cause these mental health problems. Cannabis's impact on brain structure is minimal. Nevertheless, sensitive measures of brain function reveal subtle changes associates with years of regular use. Respiratory symptoms like bronchitis and wheezing appear more often in chronic cannabis users; they also show changes in bronchial cells comparable to those seen in early stages of lung cancer. High doses of cannabinoids can alter sperm production and reproductive hormones, but these effects are temporary. The impact of THC and cannabis smoke on immune function may require further investigation, but data have yet to show that smoking marijuana increases the rates of infectious disease.
"These results confirm that marijuana is neither completely harmless nor tragically toxic. Compared to other drugs that are currently legal, its impact on health is minimal. People with psychotic disorders should probably avoid cannabis. Chronic daily use obviously creates potential problems for the quick performance of complex tasks. Smoking every day undoubtedly taxes the lungs. Men attempting to impregnate women may have more luck if they abstain from cannabis. Pregnant women should probably avoid all drugs. Nevertheless, occasional use by healthy adults does not appear to create dramatic mental or physical illness. Cannabis seems to have fewer negative health effects than legal drugs, like alcohol, caffeine, or tobacco, and kills far fewer people."
"There is no evidence that cannabis creates physiological changes that increase the desire for drugs. The idea that marijuana causes subsequent drug use also appears unfounded."
"Popular authors often misinterpret THC's long half-life by frequently implying that intoxication or some sort of residual effect of the drug remains for weeks at a time. Yet intoxication dissipates in a couple of hours. The amount of THC released gradually from fat cells does not create any subjective, cognitive, or emotional effects but may register on drug tests. Thus, a person may test positive for cannabis even a week or two after smoking, when all signs of intoxication have clearly terminated."
"A great deal of the available information on marijuana appears in this book. But the marijuana literature is extensive. It does not lend itself to easy summaries or interpretations. As mentioned in the preface, any attempt to explain this research may say more about the explainer than the explained. People who claim to be rational often gather information before forming opinions and making decisions. Others form opinions, make decisions, and then go in search of reasons afterward. A selective reading of this research can buttress nearly any argument for or against the drug. A careful reading, however, reveals several consistent themes.
"...Cannabis is the most popular illicit drug in the world. Hundreds of millions of people have tried it. Only a small fraction of them develop problems with other illicit drugs. Less than one-tenth of the people who ever try marijuana end up using it regularly. Fewer still develop troubles with it. Some fix the problems on their own. Many respond well to therapy. Current treatments are promising, but not perfect.
"A few facts about marijuana intoxication also seem clear...varies dramatically from person to person...Some people feel more relaxed, happy, and alive. Others feel paranoid and anxious...They eat more and crave sweets. Intoxicated people do not learn new material well. They cannot solve complex problems quickly, and their brain waves change. They can drive a car as well as the unintoxicated, but these consistent results are so counter intuitive that most people find them unbelievable. Individuals are no more aggressive after smoking marijuana. Intoxication usually lasts a couple of hours, depending on dosage. After it ends, there is little hangover or residual effect.
"Several points about chronic use are also evident. After years of daily smoking, people do not show any changes in brain structure, unless they started using the drug before adulthood. They also rarely show deficits on standard measures of intelligence, thinking, or ability. Yet sensitive tests show changes in brain function. Chronic users can perform more poorly on complex, difficult tasks that require fast reactions and focused attention. The practical implications of these findings continue to generate debate. Studies show chronic users have yet to reveal dramatic health problems, but their lungs show changes that suggest an increased risk for cancer. Chronic users do not show a consistent, identifiable, amotivational syndrome. Yet people who are high all the time probably do not get a great deal of work done. Compared to alcohol, cigarettes, and over-the-counter medications, occasional marijuana use causes little harm.
"[...]
"The laws may reveal unspoken attitudes about the people who want to alter consciousness. Some citizens may view people who want to change their consciousness as evil or bad. These views may become the strongest determinants of cannabis policy, particularly as news of the drug's limited harm reaches everyone."