The Trampled Rights of the Depressed in the age of Drug Prohibition

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The Trampled Rights of the Depressed in the age of Drug Prohibition

An open letter to Z. Lavallee and A.M. Gagné-Julien, authors of 'Affective injustice, sanism and psychiatry'

by Brian Ballard Quass, the Drug War Philosopher

May 25, 2026

Dear Dr. Lavallee and Professor Gagné-Julien:

I have just read your excellent paper entitled "Affective injustice, sanism and psychiatry."¹ As a 67-year-old chronic depressive, I believe I have a unique perspective on these issues that I would like to share.

You pose the following question in your paper: "How can we create greater justice for psychopathologized people?"

Given my life story, my answer to that question would be: "End drug prohibition and allow human beings to take care of their psychological health as they see fit."

This will, of course, seem like a bizarre opinion in the age of the Drug War, a time when the media simply will not publish stories about the benefits (potential, anecdotal, or historical) of demonized substances, even though some of them, like opium, have been considered panaceas since the time of Galen. As Thomas Szasz points out, "In Galenic practice the most useful medicine was a theriaca, or antidote, named Electuarium theriacale magnum, a compound composed of several ingredients, among them opium and wine."²

This censorship is thought to be "justified" by westerners because the reigning biochemical model of academia does not judge such substances holistically, but rather looks for efficacy under a microscope. This is why Dr. Robert Glatter had to ask in an article in Forbes magazine in 2021 whether laughing gas could help the depressed.³ Laughing gas. His answer seemed to be a conditional "no"; whereas common sense (which is to say an holistic analysis of the psychological effects of the gas) would tell us that laughing gas has prima facie potential to help the depressed, notwithstanding the west's indoctrinated tendency to think only of misuse and abuse when it comes to such substances. (The use of laughing gas changed the whole philosophical outlook of William James. He encouraged other philosophers to use such substances to learn about the nature of consciousness and reality.)

"Ethicists talk about the rights of patients, but they never talk about the right not to be a patient in the first place."

Whenever I write on this topic (which is almost daily), I experience what a feminist must have experienced in the 1930s and 1940s: namely, almost complete invisibility. Almost every academic or mainstream pundit ignores me. The few who bother to respond essentially tell me that I have no standing in the debate, that biochemical determinists are the experts on such matters, along with academicians who publish articles behind paywalls. I continue to insist, nonetheless, that I am a victim of drug prohibition, having been denied the right to heal by laws that have outlawed potential godsends. Drug prohibition has "saved" me from drugs like opium and cocaine by shunting me off onto drugs that turned out to be harder to kick than heroin, thereby turning me into a lifetime patient, one who has to see a doctor 1/3rd his age every three months of his life to receive a prescription for yet another refill of an expensive and under-performing "maintenance" drug. Ethicists talk about the rights of patients, but they never talk about the right not to be a patient in the first place. Yet the few who respond to my emails basically tell me to "shut up and take my meds."

You criticize "psychiatrization" as causing us to ignore systemic causes of distress. I believe that the most obvious example of this fact is that the psychiatric field has pathologized all the downsides that come from outlawing panaceas. Instead of seeing these downsides as the inevitable result of drug prohibition -- such as unnecessary depression and unnecessary anxiety and a general feeling of disempowerment in life -- we are told that these downsides are actual mental illnesses that psychiatry must treat. Surely we must ask the question "cui bono" about such a diagnosis. Surely, it's clear who is benefiting from seeing the world in this way.

This inability to see the downsides of drug prohibition for what they are has a body count, and I am not just talking about the suicides that must necessarily be brought about when a society outlaws all drugs that have the potential to inspire and elate. You may be familiar with the case of depressed Canadian Claire Brosseau.⁴ She is demanding her "right" to assisted suicide. In other words, she is demanding that the state use drugs to help her die, the same state that refuses to allow her to use drugs that could inspire her to live. Most westerners seem to be convinced that no such drugs exist, but that is only because they are unfamiliar with the whole taboo subject of drug benefits. There are hundreds of drugs that have the potential to inspire and elate, many of which we are only now learning about thanks to ethnobotanists -- and chemists like Alexander Shulgin who are given rare moments of freedom to study phenethylamines and tryptamines without government interference. Of course, the government jealously watches our advances in these areas, ready to intervene with laws to ensure that human beings never profit psychologically from discovered drugs.

Some of the rare books about drug benefits include: "Plants of the Gods" by ethnobotanist Richard Schultes ⁵, "Pihkal" by Alexander Shulgin ⁶, "The Psychedelic Explorer" by James Fadiman ⁷, "Drugs of the Dreaming: Oneirogens" by Toro Gianluca ⁸, "Food of the Gods" by Terence McKenna ⁹, "Opium for the Masses" by Jim Hogshire ¹⁰, "The Truth about Opium" by William Brereton ¹¹, and Coca and its Therapeutic Application" by Angelo Mariani ¹².

Interestingly, however, there is no book that I know of that discusses the common-sense use of drugs in general from the point of view of non-determinist psychology, which is to say from an indigenous point of view. No book will, for instance, discuss the psychological benefits of the strategic use of a variety of substances in such a way as to avoid addiction while yet providing health-facilitating positive anticipation in one's life: anticipation, that is, of ecstatic or transcendent experiences. It is an article of faith with westerners that drugs can never be put to common-sense positive uses for humanity. In my view, however, this belief is philosophically identical to the "fire bad!" mentality of our prehistoric ancestors. Whether we say "drugs bad!" or "fire bad!", we are saying that we ought to fear dangerous substances rather than to learn how to use them as wisely as possible for the benefit of human beings.

"Self-interested doctors chose to focus only on misuse and abuse of drugs."

Your article suggests the need for marginalized communities to push back against the psychopathologizing of socially created problems. I am trying to do just that. Someday I hope that other med-dependent depressives will stand up as I am doing for their right to take care of their own health as they see fit. Until then, our depression will be ripe for pathologizing by the psychiatric establishment. It was not the depressed, after all, who decided that drugs like cocaine and opium could have no positive uses, it was self-interested doctors who chose to focus only on misuse and abuse, without regard for the millions who could have benefitted from wise use.

The Drug War is all about blaming drugs for social problems and as such is the prime example of the trend against which your paper is fighting, the attempt to normalize injustice through conservative hermeneutics, pathologization and the wholesale demonization of "drugs" without regard for dosage, quality, quantity or reason for use, etc. If drugs were really the cause of all evil, however, then history would be nothing but one long account of problematic drug use. This is not the case, however. Even the supposed problematic use of opium in China in the 19th century was hyped by self-interested protestant missionaries from Britain, who had nothing but contempt for the Chinese way of life and who saw opium smoking as preventing the Chinese from reading the Bible. See "The Truth about Opium" by William Brereton ¹³, a book written during the heyday of the British Anti-Opium Society, in which the author rebuts the society's armchair arguments against opium smoking with quotes from the prominent British doctors of his time, including the British Surgeon General of Hong Kong.

Sincerely Yours,

Brian
abolishthedea.com

PS I wish I could attend the Workshop on the Philosophy of Mental Health coming up on Thursday in Montreal.¹⁴ I think in a sane world (a "drug-neutral world," that is), I would be considered a subject expert at such an event, given my 40+ years on the receiving end of the affective injustices about which you write. I have written hundreds of essays against drug prohibition from the point of view of a med-dependent patient over the last seven years. If you are one of the rare academics who does not think that I should "shut up and take my meds," I invite you to read a few of them at my website called The Drug War Philosopher @ abolishthedea.com.

"I am hopefully just the pioneer of an upcoming movement of pushback against drug prohibition."

PPS When America and England decided to outlaw "dangerous drugs" in the early 20th century, they were considering only one set of stakeholders: namely, those who might "abuse" the drugs. They totally ignored the fact that there were other stakeholders in the debate: like the hundreds of millions who could have benefited from wise use. Unfortunately, the goals of the puritanical Drug Warriors of the time dovetailed nicely with the financial needs of doctors, and so the rights of the depressed and pain patients were completely ignored. It is interesting that no one thought of launching a massive education campaign in response to substance misuse: the only fix for social problems in the public mind was criminalization. That's no surprise, however, because the motivation for drug prohibition, especially in the States, was undisguised racism and xenophobia. Meanwhile, the doctrine of biochemical determinism suggested that safe use of drugs was impossible, which was a completely ahistorical view, but one which doctors and addiction therapists had a financial interest in promulgating.

This is why I think that the best way to end drug prohibition would be for the depressed to insist that they are stakeholders in drug laws and that they have a fundamental right to heal. I am hopefully just the pioneer of an upcoming movement of pushback against drug prohibition -- which I hope will come not just from the depressed, but from academics as well, academics who will demand their right to study any substance on earth and draw any appropriate conclusions from that study without having to kowtow to the sensibilities of either Drug Warriors or biochemical determinists. Surely, science should be free in any country that claims to value freedom.

PPPS I have shared these concerns with Robert Whitaker of Mad in America. He does not believe that I have any standing. He thinks that only academics are experts on these matters. I am just a patient. Robert is there to help the depressed, not to learn from them. And yet I am the only one in the world who is pointing out that assisted suicide for the depressed cannot be discussed without discussing drug prohibition. I cannot believe that he will not let me share that message. I am the only one pointing out that school shootings cannot be discussed ethically without discussing the outlawing of entheogens that could teach compassion. I am the only one pointing out that Alzheimer's must be discussed in connection with drug prohibition, which outlaws substances that sharpen the brain and grow new neurons. I am the only one who protested to the FDA on behalf of the depressed and academic freedom against the outlawing of laughing gas. And yet I am completely ignored. This is the ultimate disempowerment and yet I am off the radar of academia. Robert wants the depressed to listen to the experts: in my view, that is just another way of telling us to "Shut up and take your meds," it's just that in this case the "meds" are metaphorical in nature.

Key Takeaways:

Justice for psychopathologized individuals requires the end of drug prohibition.
Drug efficacy is established under a microscope, not based on any obvious benefits.
Drug prohibition has outlawed the right to heal for the depressed.
Ethicists talk about the rights of patients, but never about the right not to be a patient in the first place.
Psychiatry turns the emotional downsides of drug prohibition into diseases.
Westerners are almost completely uneducated about drug benefits.
To say Drugs Bad is like saying Fire Bad!
The Drug War is about blaming drugs for social problems.
America and England outlawed drugs without considering any stakeholders but the irresponsible.
Doctors and addiction 'experts' have a financial interest in promoting biochemical determinism and user helplessness.

Notes for essay entitled The Trampled Rights of the Depressed in the age of Drug Prohibition: An open letter to Z. Lavallee and A.M. Gagné-Julien, authors of 'Affective injustice, sanism and psychiatry':

1: Lavallee, Zoey, and Anne-Marie Gagné-Julien. 2024. “Affective Injustice, Sanism and Psychiatry.” Synthese 204 (3). https://doi.org/10.1007/s11229-024-04731-8. (up)
2: “Ceremonial Chemistry – Syracuse University Press.” 1974. Syr.edu. 2026. https://press.syr.edu/supressbooks/1114/ceremonial-chemistry/. (up)
3: Glatter, Robert. 2021. “Can Laughing Gas (Nitrous Oxide) Help People with Treatment-Resistant Depression?” Forbes, June 9, 2021. https://www.forbes.com/sites/robertglatter/2021/06/09/can-laughing-gas-nitrous-oxide-help-people-with-treatmentresistant-depre (up)
4: Open Letter to Claire Brosseau DWP (up)
5: Plants of the Gods: Their Sacred, Healing, and Hallucinogenic Powers Schultes, Richard, 1979 (up)
6: Shulgin, Alexander T, and Ann Shulgin. 2019. Pihkal : A Chemical Love Story. Berkeley, Ca: Transform Press. (up)
7: Fadiman, James. Psychedelicexplorersguide.com. 2011. https://www.psychedelicexplorersguide.com/. (up)
8: Gianluca, Toro, and Benjamin Thomas. 2007. “Drugs of the Dreaming.” Barnes & Nobel. Simon and Schuster. 2007. https://www.barnesandnoble.com/w/drugs-of-the-dreaming-gianluca-toro/1136795490. (up)
9: “Food of the Gods : The Search for the Original Tree of Knowledge : A Radical History of Plants, Drugs, and Human Evolution : McKenna, Terence K., 1946-2000 : Free Download, Borrow, and Streaming : Internet Archive.” 2022. Internet Archive. 2022. https:// (up)
10: Opium for the Masses: Harvesting Nature’s Best Pain Medication Hogshire, Jim (up)
11: “The Truth about Opium, by William H. Brereton—a Project Gutenberg EBook.” 2024. Gutenberg.org. 2024. https://www.gutenberg.org/files/44043/44043-h/44043-h.htm. (up)
12: “The Project Gutenberg EBook of Coca and Its Therapeutic Application, by Angelo Mariani.” 2026. Gutenberg.org. 2026. https://www.gutenberg.org/files/48328/48328-h/48328-h.htm. (up)
13: The Truth About Opium by William H. Brereton DWP (up)
14: “Workshop on the Philosophy of Mental Health.” 2026. Centre de Recherche En Éthique. May 15, 2026. https://www.lecre.umontreal.ca/en/event/atelier-sur-la-philosophie-de-la-sante-mentale/. (up)

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If we encourage folks to use antidepressants daily, there is nothing wrong with them using heroin daily. A founder of Johns Hopkins used morphine daily and he not only survived, but he thrived.

We should place prohibitionists on trial for destroying inner cities.

And we should not insist it's a problem if someone decides to use opium, for instance, daily. We certainly don't blame "patients" for using antidepressants daily. And getting off opium is easier than getting off many antidepressants -- see Julia Holland.

I can't believe people. Somebody's telling me that "drugs" is not used problematically. It is CONSTANTLY used with a sneer in the voice when politicians want to diss somebody, as in, "Oh, they're in favor of DRUGS!!!" It's a political term as used today!

Some fat cat should treat the entire Supreme Court to a vacation at San Jose del Pacifico in Mexico, where they can partake of the magic mushroom in a ceremony led by a Zapotec guide.

This is the "Oprah fallacy," which has led to so much suffering. She told women they were fools if they accepted a drink from a man. That's crazy. If we are terrified by such a statistically improbable event, we should be absolutely horrified by horses and skateboards.

Morphine can provide a vivid appreciation of mother nature in properly disposed minds. That should be seen as a benefit. Instead, dogma tells us that we must hate morphine for any use.

"Judging" psychoactive drugs is hard. Dosage counts. Expectations count. Setting counts. In Harvey Rosenfeld's book about the Spanish-American War, a volunteer wrote of his visit to an "opium den": "I took about four puffs and that was enough. All of us were sick for a week."

Until prohibition ends, rehab is all about enforcing a Christian Science attitude toward psychoactive medicines (with the occasional hypocritical exception of Big Pharma meds).

How would we even KNOW that outlawed drugs have no positive uses? We first have to incorporate them in a sane, empathic and creative way to find that out, and the drug war makes such a sensible approach absolutely impossible.

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The Trampled Rights of the Depressed in the age of Drug Prohibition

An open letter to Z. Lavallee and A.M. Gagné-Julien, authors of 'Affective injustice, sanism and psychiatry'

Key Takeaways:

Ten Tweets

against the hateful war on US

Break the ice with a sledgehammer: place this book on your coffee table.

Diary of a Drug Fiend