| The National Commission on Marihuana and Drug Abuse  Marihuana - A Signal of Misunderstanding.  Chapter II  marihuana use and its effectsEFFECTS RELATED TO PATTERN USE
 Set out below is a brief summary of effects of marihuana, related to frequency and
duration of use. The remainder of the Chapter discusses the effects of immediate,
short-term, long-term and very long-term use of the drug.
 Experimenters and  intermittent users ------ Little or no psychological dependence.  Influence on behavior related largely to  conditioning to drug use and its social  value to the user.  No organ injury demonstrable.  Moderate users ------------ Moderate psychological dependence in-
 creasing with duration of use.  Behavioral effects minimal in stable per-  sonalities, greater in those with emo-  tional instability.  Probably little if any organ injury.  Duration of use increases probability of  escalation of all effects including shift  from moderate to heavy use.
 Heavy users -------------- American "pot head."  Strong psychological dependence.  Detectable behavior changes.  Possible organ injury (chronic diminution of pulmonary function).
 Effects more easily demonstrable with long-term use. 
 Very heavy users ---------- Users in countries where the use of cannabis
has been indigenous for centuries.  Very strong psychological dependence to point of compulsive drug seeking
and use.  Clear-cut behavioral changes.  Greater incidence of associated organ injury.
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