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Joseph A. Califano Jr.

Joseph A. Califano Jr.

Posted: January 21, 2011 08:47 AM

With President Barack Obama's eloquent speech at the Tucson memorial, Speaker John Boehner's emotional reminder to his Democratic and Republican colleagues and all Americans that "an attack on one of us is an attack on all of us," and the thousands of pundits, left and right, arguing about the meaning of the tragedy in Arizona, it might seem that there is nothing more to say or learn about the horrific incident that killed six, wounded 13, and put a bullet through the brain of Congresswoman Gabrielle Giffords.

But there is -- and it is as important as any other lesson to come out of this tragedy.

It's about the relationship of marijuana use to psychotic illnesses.

There has been plenty of media and talking head attention to the weak gun laws that allow purchase of automatic weapons and super size ammunition clips. There has been story upon story, and comment upon comment, bemoaning how easy it was for this mentally deranged young man to buy such a gun and ammunition clip. And the reporting about the twisted mind of Jared Lee Loughner and his erratic behavior has been extensive.

But I haven't seen press reports or talking heads discuss their concern about how easy it has been for this mentally ill young man to get marijuana. And there has been no mention of the potential of marijuana to spark latent psychosis and exacerbate schizophrenia and other mental illnesses.

In 2007, the British Medical Journal Lancet concluded that an exhaustive review of cannabis use and mental health "leads us now to conclude that cannabis use could increase the risk of psychotic illness." Since then, there has been more research on the relationship of marijuana use and psychosis.

Scientists at the Albert Einstein College of Medicine in New York City conducted a study of individuals who suffered from schizophrenia, half of whom used marijuana. They found that among marijuana users, three fourths had begun smoking pot before the onset of their mental illness and their schizophrenia appeared two years earlier than it did in those who did not smoke pot.

Marie-Odile Krebs, a psychiatrist at the National Institute of Health and Medical Research in France, found that among a group of 121 patients who used cannabis, 44 either developed schizophrenia within a month of beginning to smoke pot or significantly intensified their existing psychosis with each successive use of the drug. Schizophrenia appeared some three years earlier in these 44 than in the other marijuana users.

From CNN and other press reports, we know that Loughner was turned down by the Army because of his admitted regular marijuana use. His childhood friend Kylie Smith tells us that after Loughner's sophomore year in high school, "he got involved with marijuana, and he was really into psychedelics." Smith described how Loughner got more and more involved with marijuana and alcohol during his high school years and how he began hanging out with potheads. In his short stay at Pima Community College, one professor described Loughner's "hysterical kind of laugh, laughing to himself, and his bright red complexion, and his kind of shaking and trembling, as if he was under the influence of drugs."

The question that not enough people are asking -- and the one that should be answered -- is this: Was Loughner under the influence of drugs at the time of the shooting?

If the police have any of the hair shaved from Loughner's head, they can easily find out if marijuana was in his system at the time of the shooting. They may even be able to do so from hair that grows back in.

So as we continue to think about this killer and his deranged mind, we should be asking this question: Is Jared Loughner an individual whose psychosis was prompted or exacerbated by the use of marijuana?

Whether or not he is, it is important for the press and parents to see this horrendous incident not only as a teaching moment about the easy availability and dangerous potential of automatic weapons, but also as a teaching moment about the easy availability and dangerous potential of marijuana to spark and exacerbate psychosis and schizophrenia in individuals with latent mental illnesses.

The missing story line in existing news reports and television chatter shows is about the terrible trinity of easy availability of guns, easy availability of marijuana and mental illness.

The question for all of us, especially parents of teenagers, to ask is this: Is the media's failure to acknowledge this tragic trinity due to its tendency to overlook or underplay the dangers of marijuana use?

Joseph A. Califano, Jr., Founder and Chair of The National Center on Addiction and Substance Abuse at Columbia University, was Secretary of Health, Education, and Welfare in the Carter Administration, and served from 1965 to 1969 as chief domestic affairs assistant to president Lyndon B. Johnson.

 
With President Barack Obama's eloquent speech at the Tucson memorial, Speaker John Boehner's emotional reminder to his Democratic and Republican colleagues and all Americans that "an attack on one of ...
With President Barack Obama's eloquent speech at the Tucson memorial, Speaker John Boehner's emotional reminder to his Democratic and Republican colleagues and all Americans that "an attack on one of ...
 
 
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01:55 AM on 01/25/2011
Doubtful. His addiction to Lucid Dreaming is more of a problem.
04:29 PM on 01/24/2011
What a cowardly article. The glaring omission here is that he proposes no solution. Does the author imply that we should be spending more money and lives in the war on drugs in the hopes that we completely eliminate cannabis from the planet?

The only way to even try to keep cannabis out of the hands of the mentally ill is to regulate it. Is the threat of going to jail supposed to deter a mentally ill person from getting their hands on weed? They are the least likely to care.
02:30 PM on 01/24/2011
old joe has been pedaling this snake oil for quite some time. but, here are a few things he never tells anyone:

*no one* actually knows what causes severe mental illness in the first place, thus attempting to blame this guys mental problems on pot is utterly *unscientific*

the rates of schizophrenia in the general population have remained at approximately 1 percent for as long as it has been being measured (since the early 20th century), while the rate of marijuana use has grown *exponentially* over the past four decades. thus, there is *no* demonstrable relationship between generic cannabis use and severe mental illness.

last, but not least, old joe is only harping on drug use because he is afraid that he will go to hell for eternity if he doesn't -- fear of the vengeance meted out by the almighty (an invisible non-definable creature which cannot be proven to exist -- is it just a hallucination?) is a strong motivator to those whose minds have been warped by their religion.
01:11 PM on 02/01/2011
Don't forget the fact that schizophrenics (along with a lot of people with other conditions) often self-medicate. In other words, the psychosis existed before the onset of drug use. Mr. Califano is one of a long line of people who mistake effect for cause.
12:20 PM on 01/24/2011
I'm not a pot smoker because all my friends who use it seem to be irrationally paranoid when they are not high, but if I had to choose whether guns or pot be legal, I'd choose the latter.
01:56 AM on 01/25/2011
Odd reasoning and strange friends.
10:44 PM on 02/11/2011
So you would like to encourage and support a black market monopoly on guns, like we have on drugs?
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01:45 AM on 01/24/2011
END PROHIBITION NOW !!!!!!!!!
IreneNH
Please feel free to disagree
06:11 PM on 01/23/2011
We don't know what mental illness, if any, Loughner has. And anyone I have ever known who smoked pot said it always calmed them down. The only drawback was getting the munchies.
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02:06 PM on 01/23/2011
If cannabis is so bad why did the government patent it in 2003? [see United States Patent: 6630507]
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brandonslayton
11:19 AM on 01/23/2011
of course this comes from the British Medical Journal.. the same people who just recently said vaccines are safe. So it is ok to inject chemicals with mercury and lead into our children to keep them safe, but recreational smokers of a natural plant will turn into murderers. ok...
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Craig 212
Tide goes in, tide goes out.
11:37 PM on 01/23/2011
Vaccines are much safer than the alternative. Deal with it.
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brandonslayton
12:19 PM on 01/24/2011
only if you have a lead or mercury deficiency buddy.
05:35 AM on 01/23/2011
Another hit piece on marijuana, pun intended. Sad to say, it will never be legalized 100% in the United States.
03:31 AM on 01/23/2011
I believe he also had a mole on his skin. What role did his mole play in the Arizona shootings?
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03:01 AM on 01/23/2011
If 10% of psycho killers are on marijuana, then 90% are not on marijuana...thus, not smoking marijuana leads to murder.
01:22 AM on 01/23/2011
I dunno whether to be offended by the blatant political anti-drug slant or the fact that I'm schizophrenic and people think schizophrenic people inevitably degrade into mass-killers.
10:56 PM on 01/22/2011
Likely answer:

Yeah...but not nearly enough.

Legalize pot now.
09:28 PM on 01/22/2011
Look at the bright side of the -Marijuana- and -Gun- issues we are already in a deep recession and if these issues were made -Legal- and Illegal- then we would have a lot more unemployed citizens? We would go into a major depression because we would not need any -Police Officers- etc. or -Gun-dealers and firearm manufactuers etc. The point of this dialogue is that for every arguement their is an equal counter arguement, so if you really have an open mind you will stop arguing and start really listening and when you can argue both sides of any issues then you are truelly enlightened?
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techBob
whatever happened to peace, love and understanding
10:30 AM on 01/23/2011
#2 FnF
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clearwaterclearmind
couldn't stand bush. can't stand obama for the sam
09:17 PM on 01/22/2011
how bout you take into account all the people that smoke marijuana and DON'T go on a homicidal rampage?