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Carl Hart

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Carl L. Hart (born October 30, 1966) is an American psychologist and neuroscientist. He is a professor of psychology at Columbia University. Hart is known for his research in drug abuse and drug addiction. Hart is one of the first tenured African American professors of sciences at Columbia University.





Early life and education




Hart grew up in the Carol City neighborhood of Miami Gardens, a suburb of Miami considered one of the most dangerous in the US. As a youth, he engaging in petty crime and the use and sale of drugs, and at times carried a gun. He was also a skilled athlete involved in high school sports. He was raised by a single mother, who separated from an abusive father when Hart was six. After high school, he served in the United States Air Force (1984-1988), which became his path to higher education.



Hart earned a Bachelor of Science degree in psychology from the University of Maryland. He earned a Master of Science (1994) and Ph.D. (1996), both in psychology/neuroscience, from the University of Wyoming. Hart attended University of North Carolina Wilmington, where he worked with his undergraduate neuroscience professor, Robert Hakan, before attending the University of Wyoming. He pursued postdoctoral research at the University of California, San Francisco and Yale University, and completed an Intramural Training Award fellowship at the National Institutes of Health.





Career and research




Hart is the Ziff Professor of Psychology (in Psychiatry) and former chair of the psychology department at Columbia University. Hart arrived at Columbia in 1998; in 2009, he became one of the first tenured African American professors of sciences at Columbia University. His area of expertise is neuropsychopharmacology. His general research focus is in the behavioral and neuropharmacological effects of psychoactive drugs in humans. He has a particular interest in the social and psychological factors that influence self-administration of drugs. He is the Principal Investigator at Columbia University's Neuropsychopharmacology Lab.



In 1999, Hart began investigating the effects of crack cocaine on behavior. Through 2009, he received research grants totaling over $6 million, from the National Institute on Drug Abuse.



Hart's research is centered around human subject experiments conducted in his research lab at the New York State Psychiatric Institute (a hospital located in the Columbia University Irving Medical Center). Informally called the ResLab (residential laboratory), the facility accommodated subjects for extended periods; a typical experiment ran for two weeks. The subjects, habitual drug users, were given precisely metered doses of drugs such as marijuana, cocaine, and methamphetamine, while being continuously monitored and tested.



Hart opposes the brain disease model of addiction dominant in the field, which holds that addiction is a brain disorder. Nora Volkow, director of the National Institute on Drug Abuse, states that visible differences in the brains of addicts helps explain the nature of compulsive drug usage. Hart states that most studies show that drug users' cognitive abilities and functions are within the normal range. Commenting on Hart's position, Anna Lembke, head of the Stanford Addiction Medicine Dual Diagnosis Clinic, said there is evidence that long-term drug use can alter the brain, and that "intelligent, informed people can disagree on the disease model of addiction". He indicates a lack of positive outlets and activities as a reason for drug use in communities. He argues that drug laws intended to make a society safer should be based on empirical evidence.



Hart is also a Research Fellow and former Co-Director at Columbia's Institute for Research in African-American Studies.





Books



Hart has written two books for the general public, High Price and Drug Use for Grown-Ups, and co-authored, with Charles Ksir, recent editions of the introductory textbook, Drugs, Society, and Human Behavior.



High Price

In 2013, Hart published High Price: A Neuroscientist's Journey of Self-Discovery That Challenges Everything You Know About Drugs and Society, described as "combining memoir, popular science, and public policy." In it, Hart discusses misconceptions about illegal drugs, speaking from the combined perspectives of growing up in a poor, crime-ridden African American neighborhood, and his career as a research neuroscientist. He describes his upbringing, time in the military, years in college and grad school, and his journey to a PhD and tenured professorship at Columbia. He discusses the challenge of learning white cultural norms and language as an aspect of succeeding in academia, and then returning to his family and feeling alienated and unable to connect. Using drug crime statistics and details from his lab research, he argues that drugs are a symptom, not the cause, of crime and poverty, and that they mask issues of lack of education, racism, unemployment, and despair. He ends the book with an argument for the decriminalization of drugs. He states that his research has shown that the dangers associated with drugs are largely misunderstood, and a decrease in stigma and increase in conversation would likely decrease the number of drug related deaths. He advocates for a move to drug policies based on scientific evidence and human rights, not irrational fear and sensationalism.



Drug Use for Grown-Ups

In 2021, Hart published Drug Use for Grown-Ups: Chasing Liberty in the Land of Fear. In the book's prologue, he acknowledges that he personally uses heroin for recreational purposes. He further argues that for the majority of individuals, recreational use of drugs has a positive effect, and that journalists and researchers overstate the harms of recreational drug use.



Public debate

Hart is outspoken about misperceptions and misinformation regarding illegal psychoactive drugs, and the impact that has on drug laws. He states that drug policy in the US and most of the rest of the world “is based on assumption and anecdote, but rarely on scientific evidence”. He advocates decriminalizing drug use through policies that are scientifically based rather than heavily influenced by social determinants such as race and class. As an example, he discusses the criminalization of crack cocaine (typically associated with poor communities) and lack of similar criminalization of powder cocaine (traditionally associated with wealthier communities) as an example of how drug criminalization has been based on social problems rather than scientific fact.



Hart states that the poor, crime-ridden environment he grew up in influenced his world view, and he believed that drugs were the reason for poverty and crime in most neighborhoods. Only later, through his research, did he come to believe that "crime and poverty were mostly independent of drug use".



Hart has lectured and testified around the world as an expert on psychoactive drugs. He testified before the United States Congress' Committee On Oversight and Government Reform.[29] He has testified, on the stand and in written submissions, in family courts in New York City, advocating for children to stay with parents who have tested positive for marijuana use, arguing that there is no scientific basis for casual marijuana use having an effect on parenting. In one case, a mother had tested positive while giving birth at a city hospital, and been charged with negligence (the case was later dropped).



In a 2013 New York Times editorial, Hart commented on the toxicology report presented in the case of Trayvon Martin, where the indication of marijuana in Martin's blood was used as evidence that he might have been paranoid the night of his shooting, causing him to attack Zimmerman. Hart stated that the assertion subscribed to outdated notions of marijuana use, such as those implied in Reefer Madness, and failed to recognize the seven decades of research on marijuana that show the levels of marijuana present in Martin's blood were insufficient to cause the aforementioned side effects, and that the side effects mentioned are extremely uncommon in marijuana users.



In May 2017, speaking at a drug policy conference at the University of the Philippines Diliman, Hart addressed the misconceptions about methamphetamine in the Philippines amidst President Rodrigo Duterte's war on drugs. Citing lab tests on animals, Hart refuted Duterte's claim that methamphetamine shrinks people's brains and causes them to become violent. In the aftermath of his speech, Hart began to receive online death threats which forced him to leave the Philippines shortly thereafter. Duterte commented on Hart's claims, saying: "That's all bullshit to me", and called Hart a "son of a bitch who has gone crazy". In an interview with Public Radio International, Hart described Duterte as "a president making such ignorant comments about drugs — like he's a pharmacologist" and added that Duterte was "out of his league when he talks about drugs".



In his book, Drug Use for Grown-Ups (2021), and in media interviews around its publication, Hart revealed that he is a recreational heroin user, and employs a number of drugs in a responsible manner, not as an addict, and in the "pursuit of happiness".



Media appearances



Hart has been a speaker at Talks at Google, The Reason Foundation, and The Nobel Conference. He has been interviewed or otherwise featured on CNN, "Stossel" and "The Independents" on Fox Business, "All In with Chris Hayes" on MSNBC, Reason TV, "The O'Reilly Factor" on Fox News, "Democracy Now!", and The Joe Rogan Experience. He spoke at TEDMED 2014, discussing his evidence-based view of drug addiction, and how that should impact public policy. Hart is featured in the 2012 documentary, The House I Live In, and in the 2021 Netflix documentary, Crack: Cocaine, Corruption & Conspiracy, where he discusses what was missing from the sensationalized portrayal of crack in the 1980s.





Awards and honors



Columbia University: Presidential Award for Outstanding Teaching (2008)

Mothers Against Teen Violence: Humanitarian Award (2014)

PEN/E. O. Wilson Literary Science Writing Award for High Price: A Neuroscientist's Journey of Self-Discovery That Challenges Everything You Know About Drugs and Society (2014)

City of Miami: Dr. Carl Hart Day (1 Feb 2016)





Bibliography



Selected articles, essays and research papers:



Hart CL, van Gorp W, Haney M, Foltin RW, Fischman MW. Effects of acute smoked marijuana on complex cognitive performance. Neuropsychopharmacology. 2001 Nov;25(5):757-65. doi: 10.1016/S0893-133X(01)00273-1. PMID: 11682259.

Haney M, Hart CL, Vosburg SK, Nasser J, Bennett A, Zubaran C, Foltin RW. Marijuana withdrawal in humans: effects of oral THC or divalproex. Neuropsychopharmacology. 2004 Jan;29(1):158-70. doi: 10.1038/sj.npp.1300310. PMID: 14560320.

Hart, Carl L.; Lynch, Wendy J. (2005). Developing Pharmacotherapies for Cannabis and Cocaine Use Disorders. Current Neuropharmacology. 3 (2): 95–114. doi:10.2174/1570159053586726.

Haney M, Hart CL, Vosburg SK, Comer SD, Reed SC, Foltin RW. Effects of THC and lofexidine in a human laboratory model of marijuana withdrawal and relapse. Psychopharmacology (Berl). 2008 Mar;197(1):157-68. doi: 10.1007/s00213-007-1020-8. Epub 2007 Dec 27. PMID: 18161012; PMCID: PMC3372576.

Hart CL, Marvin CB, Silver R, Smith EE. Is cognitive functioning impaired in methamphetamine users? A critical review. Neuropsychopharmacology. 2012 Feb;37(3):586-608. doi: 10.1038/npp.2011.276. Epub 2011 Nov 16. PMID: 22089317; PMCID: PMC3260986.

Rowell TL, Wu E, Hart CL, Haile R, El-Bassel N. Predictors of drug use in prison among incarcerated Black men. American Journal of Drug and Alcohol Abuse. 2012 Nov;38(6):593-7. doi: 10.3109/00952990.2012.694536. Epub 2012 Jul 2. PMID: 22746253; PMCID: PMC3582218.

Ksir C, Hart CL. Cannabis and Psychosis: a Critical Overview of the Relationship. Current Psychiatry Reports. 2016 Feb;18(2):12. doi: 10.1007/s11920-015-0657-y. PMID: 26781550.

Frazer KM, Manly JJ, Downey G, Hart CL. Assessing cognitive functioning in individuals with cocaine use disorder. Journal of Clinical and Experimental Neuropsychology. 2018 Aug;40(6):619-632. doi: 10.1080/13803395.2017.1403569. Epub 2017 Dec 10. PMID: 29226762.

M Grifell, CL Hart Is drug addiction a brain disease?. American Scientist, 2018

Hart CL, Hart MZ. Opioid crisis: Another mechanism used to perpetuate American racism. Cultural Diversity & Ethnic Minority Psychology. 2019 Jan;25(1):6-11. doi: 10.1037/cdp0000260. PMID: 30714762.

Hart CL. Exaggerating Harmful Drug Effects on the Brain Is Killing Black People. Neuron. 2020 Jul 22;107(2):215-218. doi: 10.1016/j.neuron.2020.06.019. Epub 2020 Jul 1. PMID: 32615067; PMCID: PMC7328574.

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