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The fluidity of substance use in the context of a Small Island Developing State – Cannabis use as harm reduction in Saint Lucia

Interrogating the concurrency of drug use and the reasoning behind substance substitution or “poly drug use” often focuses on the negative effects of drug interactions. In the popular press review of published research literature, cannabis, when mentioned at all, is that of an aside, as one of the other drugs

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The Hole That Needs Filling: Cannabis as Chronic Maintenance in an Era of Failed Abstinence

Abstract After thirty years of ethnographic fieldwork, clinical observation, and hundreds of structured interviews with people who smoke crack cocaine in the Caribbean, I have concluded that the addiction treatment industry and the international drug control system that supports it, is built on a foundational lie: the assumption that abstinence

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