This document shows the projected timeline for legalizing MDMA for medical purposes: http://maps.org/prospectus.pdf
Essentially the MDMA phase 2 trials are going to continue for another 2 - 3 years, at which point there will be an end-of-phase-2 meeting with the FDA, where they will come up with a plan for phase 3 studies. Phase 3 will take another 3 - 5 years, and that's assuming they're able to raise all the money it's going to take. However, it's looking like there is a good chance of getting MDMA legalized within ten years for medical use if MAPS can raise the money.
Psilocybin is also close to getting moved to schedule 2 or even schedule 3. However, AFAIK the research that's being done isn't formally designed to turn psilocybin into a prescription drug, so I'm not entirely sure how the current research gets used going forward.
Most research into the medical benefits of marijuana has been stalled because of Obama. Essentially the person Obama appointed has decided to block MAPS from getting any marijuana to use for studies that might show potential benefits from marijuana, so even though the FDA keeps approving their studies they can't actually go forward with any of them.
Yet most of society would hesitate to label having a beer "bad use". Why? Probably because we're used to it, it's not a boogyman.
https://secure.wikimedia.org/wikipedia/en/wiki/Alcohol_withd...
Addiction is bad.
In the case of common substances such as ethanol, society at large is generally pretty good at separating the two concepts, but when the substance becomes somewhat more obscure people freak the shit out for no apparent reason.
If you can find me one junkie who stood on principle and quit cold turkey just because they ran out of money, I will seriously reconsider my position. But I know you can't, because that's not how addiction works.
Dependence on drugs that mess with the dopamine system (nicotine, caffeine, amphetamines, cocaine, etc.) is almost completely psychological. The physical withdrawal symptoms are slight in comparison to the category above.
Psychedelic drugs mostly mess with the serotonin system, which has a lower (but non-zero) propensity for producing psychological addiction, owing largely to the fact that the tolerance curve is very steep and it takes the brain a few days to reset.
You have a case with benzos, I suppose but in that case physical addiction is far more prominent than psychological. LSD/halluconigens act on the 5-HT receptors and is not psychologically addictive nor pragmatically possible for physical dependence.
Do you characterize people with other drug sensitivities as "unable to handle their [Advil/Codeine/Penicillin/Accutane/etc]" ?
A drug makes 1% or 0.1% of its users go insane can still reasonably be characterized as very dangerous.
Basically the best predictor of serious drug abuse is whether someone had a highly adverse childhood. Those who do are 4600% more likely to use injection drugs then those who didn't. Essentially every single street level drug addict was abused as a child. If you didn't suffer serious abuse as a child then you could use the same drug without developing an abusive relationship with it. (Listen to the public radio interview with the Mator Gabe I linked to, and also read the adverse childhood experience study and specifically the analysis of the drug addiction portion.)
2) The norms of a person's peer group and also why the person is using the drug are also very good predictors of how likely a person is to get addicted. E.g. someone using a drug to escape from emotional pain is much more likely to get addicted to a drug than someone using it for analgesic or spiritual purposes.
3) The method of consumption also plays an enormous role in how likely someone is to become addicted. The faster the drug hits you, the more likely you are to become addicted. Taking a drug transdermally is less addictive than eating it, eating a drug is less addictive than taking it sublingually or snorting it, snorting a drug is less addicting than injecting it, and injecting a drug is less addictive than smoking it. That's why you can drink coca tea several times a day indefinitely without becoming addicted, whereas people smoking crack get addicted extremely quickly.
4) There are basically two components of addiction, physical addiction and 'moreishness'. Physical addiction is a result of how increasing your neurotransmitter levels decreases your density of receptors for those neurotransmitters, so once you stop taking a drug you don't have enough neurotransmitters anymore so you can be in enormous pain (depending on the drug, the method of administration, etc.)[1]. The vast majority of people can just deal with the pain and it's not a big deal. But for those with severe depression, a history of abuse, or other mental problems, they don't have enough inner strength to deal with this pain so they just keep using the drug until it kills them. It's actually very very similar to the studies on 'learned helplessness' that they do with rats, where they see how long they swim before they drown. (The rats with depression just give up and drown much faster than the normal rats, even though they can physically swim just as well.)
The second issue is with the 'moreishness' of a drug. There are a few drugs, especially stimulants, where there is a very short high followed by a ridiculously wicked comedown. With these drugs people tend to just keep doing the drug until they run out of it. The best example of this is probably MDPV, which is usually marketed as 'bath salts'. When people tell you that quitting crack is a joke compared to quitting this drug, you know it's probably bad news. But again, those without severe mental issues do eventually manage, they're just in a world of pain for about a week.
5) The worst drugs to quit if you've been severely addicted are benzos (e.g. xanax, ativan, valium, etc.), and also methadone and some of the other synthetic opiates. Even heroin addicts get through the worst of their symptoms in a week or so, whereas xanax addicts can't sleep for up to a year or more. And what's worse, they feel like they're constantly being electrocuted over and over, they can't think straight, and there are plenty of other horrific issues as well. So basically you don't want to get addicted to drugs with horrific physical withdrawals like xanax, and you don't want to use drugs that are ridiculously moreish, like MDPV, but other than that drug addiction is almost entirely a function of the person and not the molecule.
Obviously you want to follow best practices when using any drug. E.g. if you want to try psychedelics then read Neal Goldsmith's new book Psychedelic Healing, which explains how to use the substances safely and effectively. But if you don't have any mental issues, and if you know how to use a given drug safely, then the risks can be minimal as long as you're disciplined enough to actually do everything correctly every time. (Not unlike driving, rock climbing, skiing, etc.)
That's not to say that everyone should go out and start using drugs. But the fact is that according to government estimates, around 89% of Americans use illegal drugs at some point during their lives (at least once). And making poor decisions about drug usage (including legal drugs) kills around 30% of Americans.[2] So while people say you should eat healthy and exercise, and they're right, in fact learning how to use drugs safely has a much better bang for your buck in terms of improving your overall expected health and lifespan.
It's undeniable that when used properly drugs can have enormous benefits for treating medical issues, relaxing, socializing, gaining spiritual understanding, etc. And what's more, I would argue that if you haven't read extensively about and also tried (for most of them) the drugs that have shaped western civilization (alcohol, tobacco, cannabis, sugar, chocolate, tea, coffee, cocaine, lsd, psilocybin, MDMA, mescaline, and opium), you aren't even really fully capable of understanding the world we live in and why society is the way it is.[3] Which isn't to say that everyone should use all the drugs I just mentioned, but I think taking the time to understand not only the health aspects of drugs, but also how these drugs have affected art, architecture, music, the law, medicine, philosophy, psychology, technology, etc. is probably the single best investment one could make in terms of becoming a self-actualized and well-educated person.
[1] With opiates you also get oxidative damage to receptors. It's effectively the same as having their density reduced, but it's worth mentioning because it can be largely preventing with certain supplements, and also possibly reversed with ibogaine.
[2] http://news.ycombinator.com/item?id=1877771. N.b. it's possible that alcohol-related fatalities have been wildly exaggerated by the NHTSA.
[3] I might actually add ayahuasca to this list as well, though I didn't include it because it hasn't really had any impact on western civilization, at least not yet. It seems like smoked DMT may end up being important as well, though as of yet its contributions have been fairly peripheral.
> And what sorts of drugs will not mess you up when taken in "recreational" dosages?
Alcohol is one, if we change "not addictive" to "not always addictive".
Alcohol certainly can be powerfully addictive, but you can also use it periodically in small doses throughout your adult life without becoming dependent.
Alcohol certainly can be massively destructive, but, depending on your definition of a recreational dose, it not. It can actually have health benefits, and is associated with longevity.
The Psychedelics Experience by Peter Stafford
Pikhal by Alexander Shulgin
Acid Dreams by Lee and Shlain
The Illuminatus Trilogy by Shea and Wilson
Plants of the Gods by Richard Evans Schultes
The Archaic Revival by Terrence McKenna
The Psychedelic Explorer's Guide by James Fadiman
That should get you started. Good luck, and have a safe trip.
"Recreational drugs" can be used in respectful ways. To many they are holy and sacred.
They can enhance your creativity, open your eyes to the wonder of the universe around you, and gift you with empathy for all living creatures.
With them you can experience death and rebirth and profoundly transform the way you understand and relate to the world. They can be intensely therapeutic.
There is certainly a stigma against all that, and against certain drugs and experiences which buck against the need for many people to reduce life to a little tiny and orderly box under their command where they can channel your world view and your understanding of yourself and others in a manner of their liking.
Yet despite all of their efforts they can not fully resist the deep need of humanity to transcend their ordinary state of consciousness. Each society has sanctioned ways of doing this, whether it's through certain approved substances (like alcohol), rituals, or ordeals.
Curiously, societies tend to differ as to which mind altering substances are prohibited and which are allowed. Usually it's the substances with a long tradition of use in the given society that are allowed, and the newer substances which are prohibited. The very same substances which are allowed and even praised in one society might be despised and prohibited in others (alcohol, mushrooms, and marijuana are some great examples).
Mind altering substances which a particular society is encountering for the first time and the use of which can not be easily fit in to the dominant culture's traditions are usually seen as a threat.
But this can change over time as the members of that society get more familiar with the substances and learn to use them in socially sanctioned ways.