Drugs Without the Hot Air - David Nutt.pdf

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Drugs – without the hot air
Minimising the harms of legal and illegal drugs
David Nutt
Contents at a glance
Preface
1 Why I had to write this book
2 Is ecstasy more dangerous than horse riding?
3 How can we measure the harms done by drugs?
4 Why do people take drugs?
5 Cannabis, and why did Queen Victoria take it?
6 If alcohol were discovered today, would it be legal?
7 “Meow meow” – should mephedrone have been banned?
8 What is addiction? Is there an “addictive personality”?
9 Can addiction be cured?
10 Cocaine – from chewing to crack (or, eats shoots and leaves)
11 Why was smoking banned in public places?
12 Prescription drugs – Am I addicted to Valium, Doctor?
13 Can drugs improve performance?
14 Psychedelics – should scientists try LSD?
15 The War on Drugs, and drugs in war
16 The future of drugs
17 What should I tell my kids about drugs?
URLs
Index
Contents
Title Page
Preface
1 Why I had to write this book
Who this book is for
2 Is ecstasy more dangerous than horse riding?
Go compare
Equasy
What is ecstasy?
Does ecstasy kill?
What are the other harms of ecstasy?
Ecstasy in the media
Ecstasy: a moral issue
Why measuring drug harms frightens politicians
Ecstasy and post-traumatic stress disorder
3 How can we measure the harms done by drugs?
Why measure?
Sixteen different sorts of harm
Multi-criteria decision analysis
The expert panel
Which drugs did the expert panel consider?
Rating the drugs
Weighting the scores
Results
Limitations of the model
Critical reception
Conclusion
Reviewing a drug’s Class? The case of ketamine
4 Why do people take drugs?
How drugs evolved
Chemicals in the human brain
A typical day without drugs
What is a drug?
1. Opioids – opium, heroin, methadone,
2. Stimulants or “uppers” – cocaine, amphetamine,
3. Depressants or “downers” – alcohol, benzodiazepines, GHB
4. Psychedelics – LSD, mushrooms,
Less easily-classified drugs
A typical day on drugs
A brief history of drug use
Why do people take drugs?
Why this matters
5 Cannabis, and why did Queen Victoria take it?
Cannabis as hemp
Cannabis as a drug
What are the benefits?
What are the harms?
Cannabis routes of use
Is skunk more harmful than hash?
Why did cannabis stop being seen as a medicine?
Medicinal cannabis use in the UK today
Conclusion
Does cannabis cause schizophrenia?
6 If alcohol were discovered today, would it be legal?
How the drinks industry influences alcohol policy
How can we reduce the harm done by alcohol?
Conclusion
7 “Meow meow” – should mephedrone have been banned?
“Meow meow”
What is mephedrone and why is it called plant food?
The harms and benefits of taking mephedrone
Why was mephedrone banned?
The designer drug problem
Alternative approaches
The very least we ought to know
Conclusion

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