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Marihuana-Modified Mania

Marihuana-Modified Mania Abstract A syndrome seen in four Jamaican patients is described in which increased use of marihuana followed the onset of symptoms of a hypomanic nature. At the time of admission to the hospital the patients exhibited persecutory delusions, auditory hallucinations, withdrawal, and thought disorder. Within three to four days after admission, manic or hypomanic symptoms emerged. It is suggested that these patients had mania and that excess marihuana usage was symptomatic of their illness, leading to a transient, marihuana-induced, schizophreniform phase of their manic illness. A plea is made for a broader approach to the psychiatric implications of marihuana use. References 1. Cannabis: A Report of the Commission of Enquiry into the Non-Medical Use of Drugs . Ottawa, Information Canada, 1972. 2. Marijhuana: A signal of misunderstanding , in Appendix: The Technical Papers of the First Report of the National Commission on Marijhuana and Drug Abuse . Washington DC, Government Printing Office, 1972, vol 1. 3. Bromberg W: Marijhuana intoxication: A clinical study of Cannabis sativa intoxication . Am J Psychiatry 91:303-330, 1934. 4. Hauschild TB: Marijhuana . Milit Med 136:105-109, 1971. 5. Kaplan HS: Psychosis associated with marijuana . N Y State J Med 71:433-435, 1971. 6. Hekimian LJ, Gershou S: Characteristics of drug abusers admitted to a psychiatric hospital . JAMA 205:125-130, 1968.Crossref 7. Keup W: Psychotic symptoms due to cannabis abuse . Dis Nerv Syst 31:119-126, 1970. 8. Boroffka A: Mental illness and Indian hemp in Lagos . East Afr Med J 43:377-384, 1966. 9. Grinspoon L: Marihuana . Sci Am 221:17-25, 1969.Crossref 10. Beaubrun MH, Knight F: Psychiatric assessment of 30 chronic users of cannabis and 30 matched controls . Am J Psychiatry 130:309-311, 1973. 11. Keeler M: Adverse reaction to marijuana . Am J Psychiatry 124:674-677, 1967. 12. Bialos DS: Adverse marijuana reactions: A critical examination of the literature with selected case material . Am J Psychiatry 127:119-123, 1970. 13. Lipkin KM, Dyrud J, Meyer GG: The many faces of mania . Arch Gen Psychiatry 22:262-267, 1970.Crossref 14. Carlson GA, Goodwin FK: The stages of mania: A longitudinal analysis of the manic episode . Arch Gen Psychiatry 28:221-228, 1973.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Marihuana-Modified Mania

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1973 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1973.04200050048008
Publisher site
See Article on Publisher Site

Abstract

Abstract A syndrome seen in four Jamaican patients is described in which increased use of marihuana followed the onset of symptoms of a hypomanic nature. At the time of admission to the hospital the patients exhibited persecutory delusions, auditory hallucinations, withdrawal, and thought disorder. Within three to four days after admission, manic or hypomanic symptoms emerged. It is suggested that these patients had mania and that excess marihuana usage was symptomatic of their illness, leading to a transient, marihuana-induced, schizophreniform phase of their manic illness. A plea is made for a broader approach to the psychiatric implications of marihuana use. References 1. Cannabis: A Report of the Commission of Enquiry into the Non-Medical Use of Drugs . Ottawa, Information Canada, 1972. 2. Marijhuana: A signal of misunderstanding , in Appendix: The Technical Papers of the First Report of the National Commission on Marijhuana and Drug Abuse . Washington DC, Government Printing Office, 1972, vol 1. 3. Bromberg W: Marijhuana intoxication: A clinical study of Cannabis sativa intoxication . Am J Psychiatry 91:303-330, 1934. 4. Hauschild TB: Marijhuana . Milit Med 136:105-109, 1971. 5. Kaplan HS: Psychosis associated with marijuana . N Y State J Med 71:433-435, 1971. 6. Hekimian LJ, Gershou S: Characteristics of drug abusers admitted to a psychiatric hospital . JAMA 205:125-130, 1968.Crossref 7. Keup W: Psychotic symptoms due to cannabis abuse . Dis Nerv Syst 31:119-126, 1970. 8. Boroffka A: Mental illness and Indian hemp in Lagos . East Afr Med J 43:377-384, 1966. 9. Grinspoon L: Marihuana . Sci Am 221:17-25, 1969.Crossref 10. Beaubrun MH, Knight F: Psychiatric assessment of 30 chronic users of cannabis and 30 matched controls . Am J Psychiatry 130:309-311, 1973. 11. Keeler M: Adverse reaction to marijuana . Am J Psychiatry 124:674-677, 1967. 12. Bialos DS: Adverse marijuana reactions: A critical examination of the literature with selected case material . Am J Psychiatry 127:119-123, 1970. 13. Lipkin KM, Dyrud J, Meyer GG: The many faces of mania . Arch Gen Psychiatry 22:262-267, 1970.Crossref 14. Carlson GA, Goodwin FK: The stages of mania: A longitudinal analysis of the manic episode . Arch Gen Psychiatry 28:221-228, 1973.Crossref

Journal

Archives of General Psychiatry – American Medical Association

Published: Nov 1, 1973

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