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Current controversies over drug and alcohol control

2012/08/05

 

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The use of the law to control drug use is long established though still unproven in efficacy. Although seemingly obvious that legal interdictions should work there is little evidence to support this assertion. So for example, cannabis, though illegal, is at some time used by nearly half of the population. Similarly drugs like ecstasy and amfetamine are widely used by up to a million young people each weekend. This use is underpinned by a demand for the pleasurable experiences that the drugs produce, and also by a paradoxical desire by some people to break the law.

 

As well as being ineffective for many users prohibition of drugs often leads to perverse magnification of harms and drug use. When the “English” approach to heroin use i.e. prescription to addicts was abolished in the 1970s on moral grounds heroin use increased tenfold in a few years as addicts were forced to become dealers so getting more people addicted to fuel their income. The banning of alcohol in the 1920s in the USA lead to huge criminal expansion of alcohol sales the perpetrators of which turned to other drugs once prohibition was repealed: a legacy that we still experience today.

 

Moreover the un-scientific and arbitrary distinct between legal drugs particularly alcohol and tobacco and “illegal” drugs also has perverse negative consequences. As well as bringing the scientific foundation of the drug laws into disrepute it also precludes the use of possibly life-changing drugs  for those who might benefit from them as treatments: examples of these include cannabis for Multiple sclerosis, MDMA [ecstasy] for PTSD and psilocybin for cluster headaches.

 

There are serious ethical implications for a simplistic prohibitionist approach to drugs and alternative strategies might be used.

 

David Nutt is a Professor of Neuropsychopharmacology at Imperial College London and a consultant psychiatrist in the Central and NorthWest London mental health trust, where he conducts research into the be mechanisms of addiction and the effects of drugs on be function. He was chair of the ACMD until sacked by Alan Johnson and now is currently the Chair of the ISCD (Independent Scientific Committee on Drugs) a charitable group that provides unbiased evidence about drugs actions and harms (www.drugscience.org.uk).

 

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