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A Drug Issue, Not A Black Issue?: Cannabis Psychosis and Black People’s Drug Use in Britain, 1982–1992

Jamie Banks

Social History of Medicine June 18, 2026 DOI: 10.1093/shm/hkag057 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Historical analysis Peer reviewed
Topics Cannabis
Key points Argues that elevated rates of "cannabis psychosis" diagnoses among young Black men in British psychiatric care during the mid-1980s did not reflect higher drug use in Black communities, using sources such as the British Crime Survey to support this. The author contends that psychiatrists' beliefs about greater Black drug use drew on broader contemporary British portrayals of drug use among Black communities.

Abstract

Abstract During the mid-1980s, British psychiatry erupted into a vehement debate about the disproportionate use of ‘cannabis psychosis’ as a clinical diagnosis amongst young Black men admitted into psychiatric care. Assessing contemporary suggestions that these unequal rates of diagnosis reflected elevated rates of drug use in Black communities more generally, this article uses sources such as the British Crime Survey to show that this was not the case. The article also questions why some psychiatrists nevertheless believed that Black communities were more likely to use drugs, locating such assumptions in the broader presentations of drug use amongst Black communities circulating in Britain at the time.

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