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have done so in a manner that specifically calls forth the efforts of physicians to verify our
cultural sentiments.
It follows that marijuana use will be viewed as a medical matter. And that it is a matter
for physicians' attention. It might be presumed that physicians' word is sought on
marijuana use because it is a medical matter. The sociologist looks at the issue differently.
That marijuana use is a medical matter is an imputation, not a fact. It is because society
has already adopted the pathology or "disease" model on marijuana use that it seems
reasonable to infer that marijuana use, therefore, is a medical matter. But the prior
imputation was necessary to see it that way in the first place.
The central point of this book, explained in detail in the chapter on "the politics of
reality," is that we all view reality selectively. We notice that which verifies our own point
of view, and ignore that which does not. We accept a "world taken for granted," and an
exposure to contrary worlds does little to shake our faith in our own. Moreover, when our
version of what is real and true is threatened, we marshall pseudoevidence to support this
version. Facts used in arguments are rhetorical rather than experimental. Societies whose
values do or would oppose a given activity face a tactical problem: how to make a
condemnation of that activity seem reasonable and rational? A rationale must be provided,
and a personnel whose word is respected must provide that rationale. Thus, by generating
statements from physicians, society is utilizing a valuable ideological resource. The
antimarijuana lobby will therefore court and win the sympathies of doctors whose word on
cannabis is largely negative. Society is searching for verification of an already held
ideological position, not for some abstract notion which idealistic philosophers once
called "truth." (We all assume that we have truth on our side.) So that the pathology
position will be crystallized out of the magma of society's needs and expectations, out of
the social and cultural position of physicians, their self-conception —partly growing out
of society's conception of them—as preservers of society's psychic and bodily
equilibrium, and as experts on anything having to do with what is defined as a health
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The Marijuana Smokers - Chapter 5
matter. It is these pressures that generate the concern of physicians regarding marijuana,
and not any particular expertise they might have.4]
In lieu of actually doing a survey, it is necessary to examine the writings of physicians
on marijuana. However, to use these written statements to characterize the dominant
medical view on cannabis use it would be necessary to resolve at least one difficulty first.
There is the question of the typicality of published and widely disseminated statements, as
opposed to the actual sentiments and actions of the vast bulk of doctors who do not write
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