Psychosis has been a relatively uncommon reaction to cocaine in this century: with freebase, however, this reaction is no longer unusual. The purpose of this chapter is to highlight the rising abuse of freebase cocaine (also known as crack) from the standpoint of the clinical psychopathology of psychosis, arguably one of the most serious of cocaine manifestations. I would first like to define cocaine psychosis; second, to summarize some of what we know about this disorder; third, to relate that knowledge of the Bahamian experience with freebase psychosis; and finally, to suggest some ways in which our knowledge should develop.
KeywordsCocaine Abuse Central Nervous System Stimulant Cocaine Hydrochloride Sandi Land Amphetamine Abuse
Unable to display preview. Download preview PDF.
- Cohen, S., 1984, Cocaine: acute medical and psychiatric complications, Psychiatric Annals, 14:747–749.Google Scholar
- Editorial, 1983, Images of cocaine, Lancet II:1231–1232.Google Scholar
- Gordon, A., 1908, Insanities caused by acute and chronic intoxications with opium and cocaine, JAMA, 51:97–101.Google Scholar
- Maier, H. W., 1926, “Der Kokainismus,,” G. Thieme, Leipzig.Google Scholar
- Manschreck, T. C, Laughery-Flesche, J. A., Weisstein, C. C., Allen, D. F., Mitra, N., Characteristics of cocaine psychosis, (in preparation.)Google Scholar
- Mule, S. J., 1984, The pharmacodynamics of cocaine abuse, Psychiatric Annals, 14:724–727.Google Scholar
- National Drug Task Force, 1984, “Report of the National Task Force on Drug Abuse in the Bahamas (David F. Allen, Chairman),,” Bahamas Government Pub lication, Nassau, Bahamas.Google Scholar
- Schiorring, E., 1981, Psychopathology induced by “speed drugs,”, Pharmacology, Biochemistry, and Behaviour, 14(Suppl 1):109–122.Google Scholar