What constitutes as âpsychosisâ. Alcohol related psychosis is a well known/documented condition, I can attest to having seen it firsthand. Both as a result of acute intake and prolonged abuse. Psychosocial impairment, delusions of grandeur, violent/antisocial behaviour, destruction of property, paranoia and more.
Iâve also seen cannabis mediated acute psychosis before (mimicking schizo-affective symptomatology). Iâve seen this present as the individual hearing voices and/or talking to people who donât exist, extreme paranoia and the inability for one to discern whereabouts. That being said, for the hundreds + of times Iâve seen people smoke cannabis (even to the point of near incapacitation) Iâve only seen a psychotic reaction twice.
Iâve seen near fatal reactions to alcohol abuse, Iâve seen fights, risky sexual activity, paranoia (more times than I can count), severe and sudden mood swings and irrational anger. These behaviours are typically the result of a once off, and it appears certain individuals are merely more predisposed to these negative reactions. I donât drink often, though I have my fair share of âdrunkâ experiences. Iâve never blacked out, gotten into fights, become irrationally emotional, paranoid or hostile. Some people simply donât react well to alcohol akin to how some donât react well to cannabis.
Whatâs more, from a chronic standpoint; chronic abuse of ethyl alcohol will (typically) lead to more severe deleterious health outcomes in terms of physical health/wellbeing.
It doesnât tend to increase either. Whatâs more, cannabis isnât legal in the Netherlands. I like what the Netherlands have done with the âtolerance policyâ but at the same time a lack of government regulation has allowed criminal syndicates to maintain a large grip on the trade.
If cannabis use is to stagnate, increase or decrease regardless of legislation (as appears to be the case), Iâd prefer societal ramifications donât encompass a thriving black market, mass incarceration or criminal records being handed out associated with mere possession/use.
The Netherlands doesnât have a relatively high rate of use per capita. France/the UK have higher rates of use, as do many European countries of which have far harsher penalties associated with use. Australia also has one of the highest rates of use per capita, itâs very common amongst university students in particular.
Iâm fine with this, though Iâd argue the risk for acute psychosis associated with the use of psychedelics is (probably) higher. These substances can take naive people for a ride, particularly those who feel affixed to the confines of reality and/or who have a requirement, a need to constantly feel in control of their surroundings. An interesting legal framework would be akin to the way Uruguay was legalised cannabis. Uruguay sells regulated portions of cannabis to residents through licensed pharmacies. If they could do this with psychedelics, MDMA (media sensationalism aside, the substance isnât particularly dangerous if used sparsely. To note Iâve never taken this, so no personal bias is present), cannabis etc Iâd be all for it. Background checks, a discussion over potential interactions with individualistic medical conditions and medications taken etc.
Alcohol may be a lot of fun, but it was a huge mistake to market it as an acceptable past time available to the masses, with various events encouraging the mass consumption of heavy quantities (nightclubs etc). Iâd personally prefer if cannabis replaced alcohol in the generations to come, I may not personally be the biggest fan but I legitimately believe all cause hospitalisations (relating to drug abuse) would drop considerably if cannabis was the ânew alcoholâ.
I donât believe itâs quasi dependence. Cannabis can be habit forming and regular, heavy use appears to result in withdrawal symptoms, both physical and psychological for heavy users who suddenly cease use. Whatâs more the long term neurological ramifications are still somewhat unknown. The perpetuated stoner stereotypes donât appear to hold ground within reality aside from when relating to the most heavy of users. Cannabis isnât harmless, but following legislation (in any sense) I donât think the sky would fall. Many countries have had the substance effectively decriminalised for decades with no societal detriment being apparent.
As have I. Destroyed is a stretch, though Iâve seen chronic, very heavy use completely and potentially permanently change the demeanours of adolescents (and even adults). Though this encompasses a fraction of those who use. The same goes with booze, say 95% manage to keep use in control, 5%; due to genetic variances, environmental factors or whatever simply canât regulate use. The congitive dissonance you speak is most certainly a consequence following heavy, prolonged use for some/many; and cannabis certainly isnât harmless.
That being said, the ramifications Iâve seen from harder substances/incurred upon others associated with alcoholism, opiate addiction, methamphetamine use, heavy cocaine use etc FAAAAARRRR surpass the âhazy, foggy, unproductive stonerâ consequences associated with potheads. At least they arenât winding up dead in their 20s-30sâŠ
I advocate for either
- decriminalisation + an emphasis on harm reduction, treatment and safe use (i.e testing, public education)
- legalisation with unbiased public education campaigns aiming to allow someone to make a calculated decision.
- softened penalties for mere use/possession of minor amounts (if X,Y or Z is illigal, make possession of small amounts a civil penalty as opposed to a criminal one. Refer repeat offenders to treatment).
What Iâm not for is a large scale market dominated by large corperations as is unfolding in the USA.
Ramifications associated with current era approaches include mass incarceration/criminal penalties resulting in a high rate of re-offending/progrssion to more malignant criminal activity, high rates of contaminated (more lethal/dangerous) substances, thriving criminal syndicates of which are also involved in seriously nefarious shit like human trafficking, unregulated use by youth, excess resources being used to combat an un-winnable war (like Australian police spending billions per year to eradicate cannabis crops) and more.
Even AAS, some AAS users wind up dead in their 20âs/30âs. The risks associated with steroid use are far , far, far more severe than the risks associated with cannabis use.
In the benefit/detriment, pro/con list I tend to favour a different approach as to what has been currently trialled, an approach that has failed drastically for decades.
I apologise if this message is disorganised/incoherent (it is). Itâs difficult for me to type out these large posts on my phone.