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                  <text>.,

-1

r7'zVI'.'Vrr"‘-VmVm'r'r’wvvrwwwlwunv‘

-.

December 6, 1977

wv-vvm

’—.-V&lt;7nr'm

1:

r
..,

mum.

w

runway.

"Wllrwu-V‘H.

..‘,..

ray

:1
1-».

V

Wm.

Abruzzi, M.D.

Fox Farm, Loon Lake Road
Malone, New York
Dear Dr. Abruzzi,

c.v. exemplifies a rich experience. As to your questions,
is difficult to know how to answer the first. For decades, various
it
authors have suggested that cannabis is associated with psychosis. Two
theories have been stated—- that cannabis is a psychotogen, and that it
Your

'1iberates' psychotic tendencies that already exist. The issue is not
whether cannabis is a psychotogen, for that issue is spurious. Since there
is good evidence that cannabis inhalation alters brain function, it is clear
that with such alteration there must be changes in behavior and there
is no reason why such changes could not be manifest as psychotic symptoms.
After all, the definition of psychosis is in the eye of the beholder, not
in the symptoms themselves. , If you have some additional data, then why
not follow established custom and present the findings and the controls ?

it

became clear
At the New York Academy of Sciences meeting,
under
and
Costa
controlled
Rica,
the observers in Greece, Jamaica

that
conditions, could not confirm the development of psychosis in long-term
users. But reporteds from India (Chopra) and Egypt (Souief) did say that
psychosis was common. There is a need for someone from the U.S., with the
same support that the other fOreign studies obtained, to go to India and
Egypt and confirm

their observations. Perhaps,

a mission through your association at

studies

and would not do another.
Good

luck in your

summary

NYU.

I

you could undertake such
have done my bit in such

of the recent studies.
Sincerely yours,
Fink, M.D.
Professor of Psychiatry

Max

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