The Law And Cannabis: Protecting Teens From Future Psychosis?

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Main Category: Alcohol / Addiction / Illegal Drugs
Also Included In: Mental Health;  Regulatory Affairs / Drug Approvals
Article Date: 02 Mar 2011 - 9:00 PDT

Current ratings for:
'The Law And Cannabis: Protecting Teens From Future Psychosis?'

Patient / Public:4 stars

4 (4 votes)

Healthcare Prof:4 stars

3.6 (5 votes)

Article opinions: 3 posts

Smoking pot as a teen may lead to psychosis later on in life. Cannabis is described as an "illicit drug" and is the most used in this category worldwide. Interesting enough, it is not clear whether the link between cannabis and psychosis is direct, or whether it is because people with psychosis use cannabis to self medicate their symptoms.

A Dutch team, where cannabis usage is legal in their country, set out to investigate the association between cannabis use and the incidence and persistence of psychotic symptoms over 10 years. However, the study took place in Germany and involved a random sample of 1,923 adolescents and young adults aged 14 to 24 years.

Incident cannabis increased the risk of later incident psychotic symptoms by almost half, even after accounting for factors such as age, sex, socioeconomic status, use of other drugs, and other psychiatric diagnoses.

Outstanding is the finding that those persons that were using cannabis use at the start of the study, continued use of cannabis over the ten year study period increased the risk of persistent psychotic symptoms.

The authors summarize:

"These results help to clarify the temporal association between cannabis use and psychotic experiences. In addition, cannabis use was confirmed as an environmental risk factor impacting on the risk of persistence of psychotic experiences."


The legality of cannabis has been the subject of debate and controversy for decades. Cannabis is illegal to consume, use, possess, cultivate, transfer or trade in most countries. Since the beginning of widespread cannabis prohibition around the mid 20th century, most countries have not re-legalized it for personal use, although more than 10 countries tolerate (or have decriminalized) its use and/or its cultivation in limited quantities. Medicinal use of cannabis is also legal in a number of countries, including Belgium, Canada, the Netherlands, Czech Republic, Israel and 15 states of the United States.

The name marijuana (Mexican Spanish marihuana, mariguana) is associated almost exclusively with the plant's psychoactive use. The term is now well known in English largely due to the efforts of American drug prohibitionists during the 1920s and 1930s. The prohibitionists deliberately used a Mexican name for cannabis in order to turn the US populace against the idea that it should be legal by playing to negative attitudes towards that nationality according to the 1937 Marihuana Tax Act.

In the United States, a September 2009 article in Fortune Magazine notes that President Barack Obama's stance regarding marijuana, expressed by the U.S. Attorney General's Office, has all but decriminalized its use in the United States. The U.S. Attorney General, Eric Holder, confirmed at a press conference that his Office would no longer subject individuals who were complying with state medical marijuana laws to federal drug raids and prosecutions. The article likens Obama's policy toward marijuana, in terms of its eventual outcome, to the Twenty-First Amendment of the U.S. Constitution, which repealed the federal prohibition on alcoholic beverage sales.

In 2010, Proposition 19, titled the "Regulate, Control, and Tax Cannabis Act of 2010", qualified for the November California ballot. Rejected by 54% of voters, this initiative would have legalized the recreational use of cannabis and its related activities in the State of California. It would also have allowed local governments to regulate and tax the newly created cannabis market.

Sources: British Medical Journal and Fortune Magazine

Written by Sy Kraft, B.A.
Copyright: Medical News Today
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Visitor Opinions (latest shown first)

Examine this study very closely

posted by Peter Reynolds on 4 Mar 2011 at 5:01 am

It's worth looking closely at this study because very quickly the incredibly weak nature of its conclusions become clear.

It’s not about clinically diagnosed psychosis at all. It’s about what may be just one trivial thought or mental confusion in the space of 10 years. The authors call it "subclinical expression of psychosis in the general population...that is, expression of psychosis below the level required for a clinical diagnosis." Astonishingly, that's enough for a "positive".

Once you delve behind the headlines, phrases like “might under certain circumstances” start to appear and then you realise how meaningless the study’s conclusions are.

Something else that nearly all the reports of this study have missed out is the authors statement that "The evidence on cannabis and psychosis has influenced the decision in the UK to retain criminal penalties for cannabis use, despite evidence that removing such penalties has little or no detectable effect on rates of use. An informed cannabis policy should be based not only on the harms caused by cannabis use, but also on the harms caused by social policies that attempt to discourage its use, such as criminal penalties for possession and use."

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Crazy Weed

posted by Fairuse on 2 Mar 2011 at 10:19 pm

After smoking daily for 18 years, I have started to become "paranoid" or "agitated" more often while stoned. Being conscious of this at the time of "stoning" I have come to the conclusion that particular strain of cannabis and increased thc level in those strains and less availability if lower thc / higher cbd strains have lead to these symptoms. Potent "Indica" strains certainly have more of an uncomfortable effect on my psyche than light sativa strains. These sativas have been systematically hybridized with Indicas to produce a more marketable product.This was also found during alcohol prohibition where "bathtub gin" and adulteration of distilled spirits was commonplace.

Purely anecdotal experience, but the more I ask old timers about the change in WHAT they have been smoking the more I see a correlation. Used to be primarily Mexican Sativa Commercial "brickweed" and now its walloping couch potato Indicas. I submit that the shift in thc and other chemicals found in strains bred for potency may aggravate those persons already predisposed to psycho-disorders. For these folks I suggest a high mountain Ruderalis Sativa.

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Far article

posted by Thomas on 2 Mar 2011 at 3:21 pm

This is one of the most well written article on this study that I've read, and I've read most of them. It's drawn quickly that this study doesn't confirm cannabis links directly. And then points out the nefarious beginning of anti cannabis propaganda. Very Far article.

With that said, the thing about Obama and all but decriminalization is crap. All he did was called off his dog, Eric Holder, from going after "legal dispensaries" but that hasn't stopped him from prosecuting multiply co-ops for minor state violations, but also has arrest a Montanan card holder for a single gram of hash(condensed marijuana tricombs). This is pathetic, as all Mr. Obama has to do is reschedule cannabis to schedule III or even II and then doctors can prescribe it, pharmacies can stock it, and patients wouldn't have to worry about being arrested. But no, this would make him look soft on drugs, and he won't get reelected with that type of attitude. No instead he chooses to laugh at an issue that has been the number one internet question the last two years. "it's open to debate" is all he says, when Mr. President, after another hundred thousand people are arrested to pay off the third party prison lobbyist? When you catch enough college kids to balance out finical aide? How many more fatal raids on non violent offender? When will you answer these questions?

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