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Enter any bar or public place and canvass opinions on cannabis and there will be a different opinion for each person canvassed. Some opinions will be well-informed from respectable sources while others will be just formed upon no basis at all. To be sure, research and conclusions based on the research is difficult given the long history of illegality. Nevertheless, there is a groundswell of opinion that cannabis is good and should be legalised. Many States in America and Australia have taken the path to legalise cannabis. Other countries are either following suit or considering options. So what is the position now? Is it good or not?
The National Academy of Sciences published a 487 page report this year (NAP Report) on the current state of evidence for the subject matter. Many government grants supported the work of the committee, an eminent collection of 16 professors. They were supported by 15 academic reviewers and some 700 relevant publications considered. Thus the report is seen as state of the art on medical as well as recreational use. This article draws heavily on this resource.
The term cannabis is used loosely here to represent cannabis and marijuana, the latter being sourced from a different part of the plant. More than 100 chemical compounds are found in cannabis, each potentially offering differing benefits or risk.
A person who is "stoned" on smoking cannabis might experience a euphoric state where time is irrelevant, music and colours take on a greater significance and the person might acquire the "nibblies", wanting to eat sweet and fatty foods. This is often associated with impaired motor skills and perception. When high blood concentrations are achieved, paranoid thoughts, hallucinations and panic attacks may characterize his "trip".
In the vernacular, cannabis is often characterized as "good shit" and "bad shit", alluding to widespread contamination practice. The contaminants may come from soil quality (eg pesticides & heavy metals) or added subsequently. Sometimes particles of lead or tiny beads of glass augment the weight sold.
A random selection of therapeutic effects appears here in context of their evidence status. Some of the effects will be shown as beneficial, while others carry risk. Some effects are barely distinguished from the placebos of the research.
The NAP report highlights the following findings on the issue of cognitive performance and mental health:
- Recent cannabis use impairs the performance in cognitive domains of learning, memory, and attention. Recent use may be defined as cannabis use within 24 hours of evaluation.
- A limited number of studies suggest that there are impairments in cognitive domains of learning, memory, and attention in individuals who have stopped smoking cannabis.
- Cannabis use during adolescence is related to impairments in subsequent academic achievement and education, employment and income, and social relationships and social roles.
- Cannabis use is likely to increase the risk of developing schizophrenia and other psychoses; the higher the use, the greater the risk.
- In individuals with schizophrenia and other psychoses, a history of cannabis use may be linked to better performance on learning and memory tasks.
- Cannabis use does not appear to increase the likelihood of developing depression, anxiety, and posttraumatic stress disorder.
- For individuals diagnosed with bipolar disorders, near daily cannabis use may be linked to greater symptoms of bipolar disorder than for nonusers.
- Heavy cannabis users are more likely to report thoughts of suicide than are nonusers.
- Regular cannabis use is likely to increase the risk for developing social anxiety disorder.