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Culture War Roundup for the week of December 9, 2024

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Weed appears to work a little differently from most other substances, most substances mostly cause drug induced psychosis - you take the thing, you act like a crazy person, you sober up, uhhhh whoops OR you get some kind of medical derangement that involves substances. People with bad alcohol withdrawal having hallucinations is the common example of that.

Some things appear to cause actual psychiatric illness. Marijuana and synthetic marijuana are the biggest culprits here. This can manifest as drug-induced psychosis that takes a long, long time to clear (or never does), or as generation of typical psychiatric illness (like Schizophrenia). In the former case the onset is rapid, you get high...and crazy and stay that way. In the latter you seem to have some element of increasing/worsening disease over a variable onset.

This is complicated by the fact that we know the psychiatclly ill like drugs of all kinds (which includes everything from nicotine to Marijuana). Are they treating early prodrome symptoms with weed and the weed is a sign of illness instead of a cause? Were they always going to become schizophrenic and the weed makes it happen earlier? Were they at risk of getting schizophrenia and then get it because of the weed? We don't know yet.

It's also possible that most or all drugs of abuse cause this and we are only having a clear picture with the weed because it's now popular and legal in most places in the U.S.

I'm sure their is some research out there somewhere that feels it has clarified some of this (maybe something like looking at schizophrenia rates in places with recreational weed and without) but I don't think we have an excess of clarity.