Recreational agents which are legal and socially sanctioned by respectable society aren’t, of course, popularly viewed as drugs at all. The nicotine addict and the alcoholic don’t think of themselves as practising psychopharmacologists; and so alas their incompetence is frequently lethal.
Is such incompetence curable? If it is, and if the abolitionist project can be carried forward with pharmacotherapy in advance of true genetic medicine, then a number of preconditions must first be in place. A necessary and sufficient set could not possibly be listed here. It is still worth isolating and examining below several distinct yet convergent societal trends of huge potential significance.
- First, it must be assumed that we will continue to seek out and use chemical mood-enhancers on a massive, species-wide scale.
- Second, a pioneering and pharmacologically (semi-)literate elite will progressively learn to use their agents of choice in a much more effective, safe and rational manner. The whole pharmacopoeia of licensed and unlicensed medicines will be purchasable globally over the Net. As the operation of our 30,000 plus genes is unravelled, the new discipline of pharmacogenomics will allow drugs to be personally tailored to the genetic makeup of each individual. Better still, desirable states of consciousness that can be induced pharmacologically can later be pre-coded genetically.
- Third, society will continue to fund and support research into genetic engineering, reproductive medicine and all forms of biotechnology. This will enable the breathtaking array of designer-heavens on offer from third-millennium biomedicine to become a lifestyle choice.
- Fourth, the ill-fated governmental War On (some) Drugs will finally collapse under the weight of its own contradictions. Parents are surely right to be anxious about many of today’s illegal intoxicants. Yet their toxicity will no more prove a reason to give up the dream of Better Living Through Chemistry than the casualties of early modern medicine are a reason to abandon contemporary medical science for homeopathy.
- Fifth, the medicalisation of everyday life, and of the human predicament itself, will continue apace. All manner of currently ill-defined discontents will be medically diagnosed and classified. Our innumerable woes will be given respectable clinical labels. Mass-medicalisation will enable the big drug companies aggressively to extend their lucrative markets in medically-approved psychotropics to a widening clientele. New and improved mood-modulating alleles, and other innovative gene-therapies for mood- and intellect-enrichment, will be patented. They will be brought to market by biotechnology companies eager to cure the psychopathologies of the afflicted; and to maximise profits.
- Sixth, in the next few centuries an explosive proliferation of ever-more sophisticated virtual reality software products will enable millions, and then billions, of people to live out their ideal fantasies. Paradoxically, as will be seen, the triumph of sensation-driven wish-fulfilment in immersive VR will also demonstrate the intellectual bankruptcy of our old Peripheralist nostrums of social reform. Unhappiness will persist. The hedonic treadmill can’t succumb to computer software.
- Seventh, secularism and individualism will triumph over resurgent Islamic and Christian fundamentalism. An entitlement to lifelong well-being in this world, rather than the next, will take on the status of a basic human right.
There are quite a few imponderables here. Futurology is not, and predictably will never become, one of the exact sciences. Conceivably, one can postulate, for instance, the global triumph of an anti-scientific theocracy. This might be in the mould of the American religious right; or even some kind of Islamic fundamentalism. Less conceivably, there might be a global victory of tender-minded humanism over the onward march of biotechnical determinism. It is also possible that non-medically-approved drug use could be curtailed, at least for a time, with intrusive personal surveillance technologies and punishments of increasingly draconian severity. Abetted by the latest convulsion of moral panic over Drugs, for example, a repressive totalitarian super-state could institute a regime of universal compulsory blood-tests for banned substances. Enforced “detoxification” in rehabilitation camps for offenders would follow.
These scenarios and their variants are almost certainly too alarmist. Given a pervasive ethos of individualism, and the worldwide spread of hedonistic consumer-capitalism, then as soon as people discover that there is no biophysical reason on earth why they can’t be as happy as they choose indefinitely, it will be hard to stop more adventurous spirits from exploring that option. Lifelong ecstasy isn’t nearly as bad as it sounds.