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thological. The
use of a drug to get high is abuse of that drug: "There is no such thing as use without
abuse in intoxicating substances."8]
In an essay in what is widely considered the bible of clinical pharmacology, the
following is a definition of drug abuse (of which marijuana abuse is discussed as an
instance; a distinction is made between obsolete "Therapeutic Uses" and current "Patterns
of Abuse"):
In this chapter, the term "drug abuse" will be used in its broadest sense, to
refer to use, usually by self-administration, of any drug in a manner that
deviates from the approved medical or social patterns within a given
culture. So defined, the term rightfully includes the "misuse" of a wide
spectrum of drugs.... However, attention will be directed to the abuse of
drugs that produce changes in mood and behavior.9]
Etiology of Drug Use
In terms of the etiology of marijuana use, physicians may generally be found within the
orbit of the personality theory of causality. Now, no psychologist or psychiatrist would
dispute the contention that sociological factors play a decisive role in marijuana use.
Clearly, a milieu wherein marijuana is totally lacking, or in which its use is savagely
condemned, is not likely to generate many marijuana smokers, regardless of the
psychological predisposition of the individuals within that ambiance. Yet, at the same
time, a theory of marijuana use set forth by a psychologist, psychiatrist, or physician, will
look and sound very different from one delineated by a sociologist. Doctors will tend to
emphasize individual and motivational factors in the etiology of marijuana use. It is
necessary, therefore, according to this perspective, to understand the individual's life
history, particularly his early family relations, if we are to understand why an individual
does as he does, particularly if he challenges the established social order—as, to some
degree, his use of marijuana does. An individual of a certain family background will be
predisposed to specific certain kinds of behavior.
(6 of 25)4/15/2004 1:04:59 AM
The Marijuana Smokers - Chapter 5
More than merely being generated to a considerable degree by personality factors,
physicians (following psychologists and psychiatrists) often see marijuana use as being at
least to some degree generated by pathological or abnormal motives. Sometimes this is
seen as a general process; marijuana use, like all illicit, deviant, and illegal drug use,
represents a form of neurosis, however mild: "The willingness of a person to take drugs
may represent a defect of a superego functioning in itself."10] It is, of course, necessary
to specify the degree of drug involvement. Most physicians will not view occasional or
experimental use in the same light as frequent, habitual, or "chronic" marijuana use.
Probably we can make a safe generalization about the relative role of the factors we are
discussing: the heavier and the more frequent the use o

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, Marihuana: Chemistry, Biochemistry and Cellular Effects, Springer-Verlag, New
York, 1976, pp
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