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ALTERED STATES OF CONSCIOUSNESS
Volume 68  No. 3 (Fall, 2001)
Arien Mack, Editor

Table of Contents      Notes on Contributors     Ordering information

Editor's Introduction

Over the last several decades there has been a growing wave of concern over the use and abuse of mind-altering substances that has left in its wake increasingly large expenditures for what is familiarly called the "War on Drugs," despite the simultaneously ever-expanding body of evidence attesting to that war’s failure. Politicians running for public office routinely promise to solve these problems, but this only seems to mean filling our already over-crowded prisons beyond capacity with more people, many of whom may have done little more than use an illegal substance. The costs - both human and economic - to our society continue to skyrocket.

Because we believe that the issues underlying the use, abuse, and control of mind-altering substances cry out for a more rational and invigorated discussion, we made the decision to hold the eighth Social Researchconference on Altered States of Consciousness. The proceedings of that conference appear in this issue. The conference attempted to set the current debate in the context of its extended history as a way of uncovering the markedly different attitudes that have existed at different times and in different places, as a way of raising questions about the validity of our current attitudes. Beyond basic exploration of the question, "What is an altered state of consciousness?" the conference examined the historical uses of mind-altering activities in religion, in medicine, for recreation, and for inspiration. It considered the uses of both psychoactive substances and various behaviors as ways of altering consciousness and explored the legal history of the control of mind-altering substances. It concluded with a discussion about possible ways of reducing the harm that may be caused by mind-altering substances.

One of the questions that was addressed at the conference seems central to a more nuanced understanding of the tangled issues raised by mind-altering drug use, namely: What distinguishes mind-altering activities that are valued (for example, as parts of religious rituals) from those that are deemed dangerous and consequently condemned and outlawed? In asking and attempting to answer this question, we hoped it would become clear that in many cases the neurophysiological effects of mind-altering substances are virtually identical to the effects produced by various behavioral practices or placebos. An understanding of this point inevitably raises doubts about the reflexive distinctions this society makes between one kind of inducing agent and another, and could begin to foster new ways of thinking.

Arien Mack

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Table of Contents

Editor’s Introduction      Arien Mack v

Part 1: States of Consciousness
 
Introduction   Nicholas Humphrey 585
The Rhetoric of Consciousness  John Hollander 589
Altered States of Consciousness  Susan Greenfield  609
The Etiquette of Consciousness Vincent Crapanzano 627

Part II: Alterations of Consciousness: Drug Ways
 
Introduction Ethan Nadelmann          653
Altered States: Opium and
   Tobacco Compared
Virginia Berridge 655
Psychedelics as Catalysts of
  Insight-Oriented Psychotherapy
Lester Grinspoon
and Rick Doblin
677
Mind and Medicine: Drug Treatments
  for Psychiatric Illnesses
Bruce M. Cohen 697

Part III: Keynote Address
 
Magnetic Mockeries                       Jonathan Miller          717 

Part IV: Alterations of Consciousness: Other Ways
 
Introduction James Miller                       743  
How a Psychoactive Substance Becomes
   a Ritual: The Case of Soma
Frits Staal 745
Drugs and Inspiration A. Alvarez 779
The Altered States of Hypnosis Irving Kirsch 795
 
Part V: Legal and Economic Aspects
 
Introduction John T. Curtin              811 
Addiction and Responsibility Richard J. Bonnie 813
The Economics of Drug Prohibition
  and Drug Legalization
Jeffrey A. Miron 835

Part VI: Alternatives to the War on Drugs:
Rational Routes to Harm Reduction: A Discussion
 
Introduction Jerome H. Jaffe                859   
Reforming United States Drug Control
   Policy: Three Suggestions
Richard J. Bonnie 863
Prohibition and Legalization:
   Beyond the False Dichotomy
David Boyum 865
A Judge’s View John T. Curtin 869
End the Drug War Steven Duke 875
The Harmfulness Tax Lester Grinspoon 880
Toward Practical Drug Control Policies Mark A. R. Kleiman 884
The "War on Drugs": A View from the
   Trenches
Robert Silbering 890
The War on Drugs Is a War on
   Racial Justice
Deborah Small  896

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Notes on Contributors
(at time of publication)

Al Alvarez is a poet, novelist, literary critic, anthologist, and author of many nonfiction books on topics ranging from suicide, divorce, and dreams, to poker, North Sea oil, and mountaineering. His most recent book is an autobiography, Where Did It All Go Right? (2000). He is a frequent contributor to The New York Review of Books.

Virginia Berridge is Professor of History at the London School of Hygiene and Tropical Medicine. Her publications include Opium and the People, republished and revised edition (1999); AIDS in the UK: The Making of Policy, 1981-1994 (1996); and Health and Society in Britain since 1939 (1999).

Richard J. Bonnie is John S. Battle Professor of Law at the University of Virginia School of Law and Director of the university’s Institute of Law, Psychiatry, and Public Policy. Professor Bonnie writes and teaches in the fields of criminal law and procedure, mental health law, bioethics, and public health law.

David Boyum is a public policy consultant in New York City.

Bruce M. Cohen is President and Psychiatrist-in-Chief at McLean Hospital. He is also Professor of Psychiatry at Harvard Medical School and head of the Harvard Medical School Department of Psychiatry at McLean Hospital. Dr. Cohen is also Director of the McLean Brain Imaging Program, including the Brain Imaging Center and Sleep Disorders Center.

Vincent Crapanzano, Distinguished Professor of Comparative Literature and Anthropology at the Graduate Center of the City University of New York, has written extensively on trance, possession, ecstasy, and mental illness. His books include Hermes’ Dilemma and Hamlet’s Desire: On the Epistemology of Interpretation (1992), and Serving the Word: From the Pulpit to the Bench (1999).

John T. Curtin is a Senior U.S. District Judge, Western District of New York. Among his most notable cases are the Love Canal case, the Buffalo school desegregation case, and the Donald "Sly" Green criminal drug case. He is the author of "From the Bench: A System that Works" (in Litigation, 1999) and "Drug Policy Alternatives - A Response from the Bench," (forthcoming, Fordham Urban Law Journal).

Richard E. Doblin is founder and president of the Multidisciplinary Association for Psyche-delic Studies. His publications include "Leary’s Concord Prison Experiment: A 34-Year Follow-up Study" in the Journal of Psychoactive Drugs (1998).

Steven B. Duke is a Professor of Law at Yale University. He has written widely on the problems of drug addiction and prohibition. He has published, with Albert Gross, America’s Longest War: Rethinking Our Tragic Crusade Against Drugs (1993). He currently practices and writes in the area of criminal law.

Susan Greenfield is Professor of Pharmacology at the University of Oxford and Director of The Royal Institution of Great Britain. She is also co-founder of a spin-off company specializing in novel approaches to neurodegeneration, Synaptica Ltd. Her books include Journey to the Centres of the Mind (1995) and The Private Life of the Brain (2000).

Lester Grinspoon, M.D., is Associate Professor of Psychiatry Emeritus at Harvard Medical School. A Fellow of both the American Association for the Advancement of Science and the American Psychiatric Association, he is founding editor of the Annual Review of Psychiatry and the Harvard Mental Health Letter. His latest book is Marihuana, the Forbidden Medicine (with James B. Bakalar, 1993).

John Hollander is Sterling Professor of English at Yale University. He has written sixteen volumes of poetry, the most recent of which is Tesserae (1993). He is the author of seven books of criticism, including The Work of Poetry (1997), has edited or co-edited numerous books, written books for children, and collaborated on operatic and lyric works.

Nicholas Humphrey is School Professor-elect at the London School of Economics and Professor of Psychology at New School University. A theoretical psychologist, his work focuses on the evolution of human intelligence and consciousness. His books include A History of the Mind (1992) and Consciousness Regained (1983).

Jerome H. Jaffe, M.D., is a psychiatrist and pharmacologist whose work in the area of drug abuse includes treatment, basic and clinical research, teaching, and government service. He is currently Clinical Professor of Psychiatry at the University of Maryland School of Medicine and an Adjunct Professor, Johns Hopkins University School of Hygiene and Public Health.

Irving Kirsch is Professor of Psychology at the University of Connecticut. He is the author or editor of five books, including Changing Expectations: A Key to Effective Psychotherapy (1990) and How Expectancies Shape Experience (1999). He has written extensively on placebo effects, hypnosis, and psychotherapy.

Mark A. R. Kleiman is Professor of Policy Studies at UCLA and currently a visiting scholar at the Urban Institute in Washington, D.C. He is also the Chairman of BOTEC Analysis Corporation, a Cambridge, Massachusetts firm that conducts policy analysis and contract research on illicit drugs, crime, and health care, and is editor of the Drug Policy Analysis Bulletin.

James Miller is Professor of Political Science and Director of Liberal Studies at the Graduate Faculty of New School University. His books include Flowers in the Dustbin: The Rise of Rock and Roll, 1947-1977 (1999) and The Passion of Michel Foucault (1993). He is the editor of Daedalus.

Jonathan Miller, a Doctor of Medicine, is an author, lecturer, television producer and presenter, and film and opera director who has held many acting and directing roles in theater. Between January 1988 and October 1990, Dr. Miller was Artistic Director of the Old Vic, and his most recent production in London was A Midsummer Night’s Dream for the Almeida Theatre.

Jeffrey A. Miron is Professor of Economics at Boston University and President of Bastiat Institute, Incorporated. He has published more than twenty-five articles in refereed journals and thirty op-eds in the Boston Herald, Boston Business Journal, and Boston Globe. His area of expertise is the economics of libertarianism, with emphasis on the economics of illegal drugs.

Ethan Nadelmann is the Executive Director of The Lindesmith Center - Drug Policy Foundation. His writings on drug policy have appeared in numerous publications, including Science, Rolling Stone, Foreign Affairs, and American Heritage. He is the author of Cops Across Borders: The Internationalization of U.S. Criminal Law Enforcement (1993).

Robert H. Silbering is President of Forensic Investigative Associates (USA) Inc., an international corporate investigations firm specializing in corporate fraud, asset tracing and recovery, due diligence, and global intelligence. Formerly a Special Narcotics Prosecutor for the City of New York, he currently serves as an Adjunct Professor at John Jay College of Criminal Justice.

Deborah Peterson Small, Director of Public Policy for The Lindesmith Center and former Legislative Director of the New York Civil Liberties Union, is an ardent advocate for drug policy reform. She is privileged to speak regularly to elected officials and religious and commu-nity leaders as well as parents about issues relating to the government’s failed drug policy.

Frits Staal is Professor Emeritus of Philosophy and South and Southeast Asian Studies, University of California at Berkeley. His books include Agni: The Vedic Ritual of the Fire Altar, I-II (1983) and Rules without Meaning: Ritual, Mantras, and the Human Sciences (1989). He has two films to his credit as well as more than 130 published articles.

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