The history of drugs and war Stavanger, Norway, 2 February 2017 By Lukasz Kamienski Reports of Daesh fighters, terrorists, and insurgents fueled by drugs on their murderous rampages have generated outrage. The vision of intoxicated jihadists adds an almost unthinkable level of fright, but perhaps it should not. There is nothing exceptional in Daesh fighters popping pills. For drugs and warfare have always gone hand in hand – from Homeric warriors to Wehrmacht troops, and more recently to American pilots during Operation Iraqi Freedom and Ukrainian combatants in the ongoing conflict with Russia. The use of intoxicants by non-Western irregulars is often portrayed as unique and shocking, but the fact is that Western soldiers have been fighting while high on plenty of occasions for much of history. For Daesh the substance of choice is Captagon, a powerful stimulant known as fenethylline metabolized in the body to form amphetamine and theophylline. Invented in 1961, it has become a major recreational drug in the Middle East but also a favoured stimulant in the Syrian civil war. It makes for a good combat drug that numbs fear, induces bravado, enhances strength, promotes alertness, alleviates pain and perhaps also increases aggression when overdosed, which has probably often been the case. Jihadists have been reported to consume it pervasively, while also taking powerful opioid painkillers, hashish and perhaps cocaine and heroin, too. Intoxicants transform them into highly stimulated, ferocious and seemingly crazed fighters. Intoxication, although contrary to Islam, is not seen as immoral, but sacred. When fighters ingest drugs to meet religiously inspired goals, they are filled with not only courage but also a sense of righteousness. In short, many jihadist fighters and terrorists are very often high on two powerful intoxicants: jihad and psychostimulants. Adversaries often compare intoxicated jihadists to zombies. In this way, they’re made to seem inhuman, an obvious mistake, but one that helps soldiers and witnesses to digest their incredible brutality. A Muslim Brotherhood militant in Syria recalls: “Some people take so much, if you shoot them, they won’t drop.” Fueled by Captagon, jihadists continue fighting even when gravely wounded, similar to the virulent and instinct-driven walking dead. This was precisely what U.S. Marines experienced in November 2004 in the battle of Fallujah – the insurgents they engaged with were so heavily doped up on amphetamines and cocaine that they continued fighting despite severe injury. When the standard firing procedure to aim at the body failed, the Marines were ordered to refocus on head shots. Incidentally, this same tactic is suggested in Max Brooks’ famous Zombie Survival Guide. But the experience of fighting with irregular, fierce, odd enemy pumped up on drugs is hardly new. When the British decided to subdue the Zulus in 1879, they did not expect to encounter the extremely determined resistance they did. The Zulus fought with fanaticism and fury. And they seemed immune to the enemy rifle fire. What made them truly fearless warriors was not only their traditional belligerence but also Zulu pharmacopoeia. The warriors were provided by their shamans with various herbs to eat, drink or inhale. These were intelezi – a traditional plant taken in purifying rites to boost morale, medicated beer, dagga – the South African variety of cannabis which had a stimulating effect, probably also toadstool – Amanita 1 muscaria known as fly agaric, and a potent painkiller and hallucinogen produced from the “Bushman Poison Bulb”. Had the British been familiar with the idea of zombie, they could probably have used it to describe the Zulus. But back to the present non-Western irregulars. Intoxicants seem to have become inherent to contemporary terrorism. Take two further examples. The Chechens who in September 2004 seized a Russian school in Bieslan were heavy heroin and morphine addicts. During the threeday siege they ran out of supplies and, suffering from withdrawal symptoms, turned extremely ruthless and massacred almost 200 children at the end. Separately, the Pakistani Lashar-eTaiba terrorists, who perpetrated a series of ferocious attacks in Mumbai in November 2008, enhanced their performance with cocaine and steroids, enabling them to hold out against Indian Special Forces for nearly 60 hours. We know that Daesh has also drugged children – commonly with anti-anxiety medications – to turn them into hardened fighters. Again, this is hardly new. Horrible as it may seem, the practice of drugging children to turn them into better combatants is commonplace, an almost inherent feature of the child soldiering phenomenon. From Sierra Leone and Liberia to Afghanistan, from Somalia to Iraq, from East Timor to Mexico and Brazil young fighters and drug cartel hit-boys have been issued narcotics to facilitate recruitment and training, improve morale and courage, increase cruelty as well as reward good performance. These are mostly cocaine, heroin or their mix with bullet-powder which allows for the consumption of greater amounts of cocaine or heroin at once. Other popular substances are marijuana, hashish, amphetamines, and psychotropic medicines. But if junkie jihadists, including juveniles, are described as erratic how then should we account for the behavior of Achilles, an archetypal Western warrior? Homer portrays him as a frenzied warrior experiencing extreme mood swings, losing control over his emotions, and wreaking astonishing slaughter. What would the neurochemical brain analysis tell us about the foundational Western hero? Well, Achilles certainly seems high most of the time. If I am allowed, I would speculate that he might have taken opium which was well-known and common in ancient Greece where it came from Egypt – and nearly certainly he drank wine heavily. After all, Victor Davis Hanson, a prominent scholar of the Greek way of war, tells us that it is almost certain that the Greek hoplite marched into battle drank. Whatever the issue, Achilles was for sure high on violent emotions. Biochemical neuroscience reveals that the feeling of intense and violent anger is, in fact, the result of a specific chain reaction of hormones activating specific parts of the brain. Achilles is, in a word, high on hormones and today, he could be called an “adrenalin junkie”. By any measure, Homeric heroes are few and far between. It is mere men who must be roused to arms. For a combatant to overcome survival instincts, cope with borderline stress and fears, and be ready for a sacrifice he often needs extra motivation. A British military historian John Keegan answered the question of “why soldiers fight” by listing three factors: “inducement, coercion, and narcosis.” Apart from a “positive motivation”, such as socialization to military life, primary group bonds, or a deeper sense of purpose, and a “negative motivation”, that includes training, discipline, obedience to authority, sanctions, or punishments soldiers frequently need an additional, chemical motivator. And this helps us understand why the use of drugs has been part of much of the history of war and violence. For, imagine yourself as a soldier just about to go to battle. You may be a Russian infantryman facing the Japanese in 1905, you may be Tommy, the proverbial British soldier, in the Western Front in 1916, you may be a Wehrmacht soldier far in the east in 1942, or you 2 may be American G.I. in the dense Vietnam jungle. You’ve been dragged by extreme fatigue for days now, with very little sleep, small ration of food, you are cold and dirty. You’ve been sick a few times already. You no longer want to be where you are. You may feel how ridiculous it is to risk your life in a war that appear to have no sense to you. You feel hopeless. You want to escape from the brutish reality. But this is not an option. You must face the enemy. You may well get shot and die. You may be seriously injured. You may lose a limb. You’ve seen lots of killing and death, many maimed bodies. You may lose your best comrades. And how about your honour – you fear that you may not pass the test of battle and let your brothers in arms down. This is, in fact, what you may fear the most. In a word, you are an exhausted, stressed and anxious man. And you are demanded to go over all these essentially human emotions. A bit of chemical moderation may have a blessing effect. Call it a chemical courage or a liquid relief. Drug taking was frequently unofficial, a form of self-medication, but quite often it was a deliberate policy implemented by the military hierarchy. Intoxicants were both self-prescribed by soldiers and prescribed by their commanders. At times this two went hand in hand. Napoleon’s famous dictum about armies marching on their stomachs needs to be developed further – for soldiers must also knock the butterflies from their stomach. It was early discovered that if men at arms are expected to put a lot of “tears, blood and sweat” they need to be provided with some kind of chemical encouragement. In Napoleon’s times the substance of choice was alcohol – cognac and wine. But during the Egyptian campaign (1798–1801) in the absence of alcohol in the Muslim country. Napoleon’s forces quickly developed a taste for hashish. This new habit began to undermine French forces’ effectiveness in the region to such a point that Napoleon put a total ban on hashish and the army commissioned the development of an alcohol made of dates hoping of seducing soldiers away from hashish. Unsuccessfully, for Napoleon’s soldiers brought the habit back home spreading the use of hashish to the Parisian bohemians. Soon hashish overflowed to other European countries. So, soldiers were at times pioneers in experimenting with psychoactive drugs, introducing new practices that then spread to their societies and further. The historical sociologist Charles Tilly famously wrote that “war made the state and the state made war”. Echoing him, I would say: “Drugs shaped warfare, while warfare shaped the society, often by spreading intoxicants.” The oldest and most popular was, of course, alcohol. For centuries, governmental rations inspired “Dutch courage” propelling troops into battle. Different nations had different drinks of choice – for the British it was rum, for the Russians/Soviets it was vodka, it was wine for the ancient Greeks, Romans, Chinese and modern French, it was beer for the Germans, for the Americans first it was rum and then – since the Civil War – whiskey. So on and so forth. Until the end of the Second World War wars were rarely fought sober. The First World War brought cocaine to the frontline. The drug was used, for example, by German and French pilots, and Canadian infantrymen. The British army used a medicine containing cocaine and an extract from cola nuts known as “Forced March” or “Tabloid”, which had been successfully used during long and exhausting polar expeditions. It was said to encourage fearlessness and to offset combat fatigue. Self-prescribed consumption was also widespread as cocaine proved an effective aid in the trenches and London pharmacists sold mail-ordered medical kits containing cocaine and heroin, advertising them as “useful presents for friends at the Front”. So, girls happily sent them to their boys, fiancés, and husbands in the trenches. 3 And what about the Second World War? The stimulant of choice was amphetamines. The Nazis pioneered the whole-scale and systematic doping. The pill known as Pervitin was an early version of crystal meth, which energized the body, increases alertness, combats fatigue, creates a sense of well-being and strong feelings of confidence, as well as hyperactivity. In his book Art of War, the ancient Chinese philosopher Sun Tzu writes that “Speed is the essence of war”. This could not be more accurate a remark to describe the speedy war of Blitzkrieg, for which German forces were primed by chemical speed. Between April and December 1939, the Temmler-Werke company supplied the German military with 29 million Pervitin “attack” pills, many of which were used experimentally during the campaign against Poland in September 1939. As the drug proved very useful, at the peak of the Blitzkrieg in the spring of 1940, troops were issued some 35 million tablets. The Wehrmacht’s amazingly rapid advances appear less incredible given that in some units many soldiers took up to four Pervitin pills a day for weeks on end. Thus, blitzkrieg was significantly fuelled by meth which gave soldiers nearly superhuman ability. How could one otherwise explain tank units moving for 2 or 3 days non-stop or infantry men making 160 km a day? German army on methamphetamine could fight longer and with little rest. Overall, it is estimated that from 1939 to 1945 the German military consumed some 200 million meth pills. The extensive use of drugs in the Third Reich, including Adolf Hitler, is the subject of Norman Ohler’s fascinating book Blitzed: Drugs in Nazi Germany published in English in 2016 and now also available in the Norwegian translation as Hitlers Rus published by Spartacus. The German military was the first to introduce deliberate military doping, but soon Britain, the USA and Japan followed, also administering amphetamines to their troops. It is estimated that British soldiers consumed some 72 million Benzedrine amphetamine tablets. The drug was issued largely to pilots, but also to infantrymen. For example, on 23 October 1942 General Bernard Montgomery gave away some 100,000 pills to his 8th Army before the 2nd battle of El Alamein. The British high on speed managed to win over the Germans high on meth. The role of uppers in the outcome of this battle remains, however, unknown. During the war American soldiers used at least 250 million Benzedrine pills popularly known as “bennies”, yet the total number might be as high as 500 million. This huge range in estimates results from the fact that we know the value of government contracts with Smith, Kline & French pharmaceutical company, the producer of Benzedrine (877,000 dollars), but what we do not know is the government procurement price for the drug, which was certainly much lower than the market price. In Japan the Emperor’s Army handed out tablets known as Nekomo-Jo (“cat’s eyes”). Kamikaze departing for their final mission were not only given a shot of sake but also Tokkou-Jo – methamphetamine mixed with powdered green tea. Remember that generally kamikaze were not volunteers. So imagine yourself torn with doubts and fears departing for a one-way mission. Wouldn’t you rather go a bit pill-popped? I would. In short, the Second World War was to a great extent fought on speed and armed forces were the greatest consumers of amphetamines. The Americans continued to boost their troops with amphetamines well after the Second World War. In the Korean War the administration of dextroamphetamine became commonplace. But it was the Vietnam War when the consumption of psychoactive substances by servicemen both prescribed and self-prescribed assumed alarming proportions. Authorised 4 speed-popping was rampant. In 1971 a Congressional report revealed that in 1966–1969 Armed Forces used 225 million amphetamine tablets, mostly Dexedrine. The war saw American servicemen stationed in Korea and Japan concocting the speed ball – an injectable mixture of amphetamine and heroin. Thus soldiers discovered how to increase the effect of self-prescribed speed. According to the Pentagon, while in 1968 some 50% of American soldiers in Vietnam took drugs, in 1973, the year of the U.S. withdrawal, this jumped to 70%. Half of the soldiers doing drugs smoked marihuana, and nearly 30% took heroin and opium. More to recent times. During the Gulf War (1990–1991) some 58 percent of American pilots participating in Operation Desert Storm enjoyed dextroamphetamine support and 17 percent regularly flew on “go pills” – as legal uppers are commonly referred to by the pilots themselves. As for the present-day, jet and bomber plane pilots embarking on missions longer than 8 hours (one-manned flights) or exceeding 12 hours (two-pension crews) can each time, if all required procedures are met, obtain 10-milligram pills of Dexedrine. Beginning in 2003 amphetamine go pills have been slowly replaced by a new generation psychostimulant, an eugoric called modafinil, apparently colloquially referred to as a “zombie pill”. Go pills are seen as a tool of fatigue management – they are taken under strict control regimen and not abused. Today, officially the US military is the only armed force that allows for controlled pharmacology-assisted combat and it is limited to pilots only. However, the Chinese army is reported to introduce its own smart drug, anti-sleep pill referred to in the West as “Night Eagle”. It is said to turn Chinese soldiers into night owls able to say awake for up to 72 hours. And how about the Russians? At Russian pharmacies, there are plenty easily available medicines which in the West are called nootropics and are banned in sports as doping. Some of these performance enhancers, developed originally for astronauts, were used by the Red Army in the Afghan War (1979–1989). The effects of drugs such as Phenotropil, Metraprote, or Mildronate are similar to those of dextroamphetamine and methamphetamine but without the same serotonin or dopamine side effects. Metraprote is probably still given to special forces or rapid response units in emergency situations. All these few random examples I hope illustrate that intoxicants have been an important part of the war experience. Throughout history they have been used in the battlefield, for five basic, often interrelated purposes. First, stimulants were effective in keeping personnel awake and alert and hence alive, they combated fatigue and allowed men to go on with little sleep and rest. In a word, uppers helped to enhance combat performance. Second, drugs inspired courage and provided relief from the stress of battle, in other words, intoxicants assisted in transforming man into warrior. In his famous book The Anatomy of Courage (1945) Lord Moran, Winston Churchill’s, physician argues that every soldier has a certain unique supply of courage. “A man’s courage is his capital and he is always spending”, writes Moran. No man has an unlimited stock of courage but it is possible for soldiers to replenish it. Applying Moran’s metaphor, drugs can be read as a means of feeding individual accounts of courage with special supplies. Yet, the problem with chemical courage is that the asset cannot be saved for later use. It is but for short-term spending. Recharging must be repeated, which can be, and often was, habit-forming. 5 Third, drinking and drugging rituals helped soldiers bond thus creating trust and primary group relations – the Shakespearean bond of brothers, if you like. And it was crucial for group cohesion, morale, motivation and good performance. Fourth, intoxicants enabled warriors to cope with the traumas of war. drug-use was simply a response to the hardships and horrors of combat. When the battle ended, mind-altering downers provided a healing benefit. Remember that preventing or delaying mental breakdowns have always been high at the commanders’ priority list, so has been fast recovery aimed at the prompt return to combat. And finally, drugs were often taken to kill boredom and monotony. Soldiers reached for intoxicants because they simply had not much else to do. Boredom, in fact, became one of the characteristics of modern war which was particularly vivid in Vietnam. In his outstanding war memoir A Rumor of War Philip Caputo confirms that “nine-tenths of war is waiting around for the remaining one-tenth to happen.” When in The Gay Science Friedrich Nietzsche wrote “Who will ever relate the whole history of narcotica? — It is almost the history of “culture” of our so-called higher culture” he could have also had military culture in mind. Although largely neglected by the military history scholarship, intoxicants and various practices of intoxication have been nearly an integral part of the culture of war. War might be, as a great Prussian general Carl von Clausewitz argues, an extension of policy, but it is also an extension of culture as famously claimed by John Keegan, Clausewitz’s prominent critic, yet often it is also an extension of pharmacology. In the 21st century it may well become an extension of biotechnology as well. Let me mention just some areas of the ongoing military research and development that may contribute to the raise of enhanced brave new warriors of the future American military. The Pentagon quests for yet next generation of smart drugs. One area of research is on ampakines, the compounds that affect glutamatergic AMPA receptor in the brain selectively blinding it. Some research proved them promising as performance and alertness promoters. In pharmaceutical laboratories research is also underway on sleep inducing drugs that would alert sleep architecture allowing for more effective and regenerating sleep “on demand”. The idea is a sleeping pill with an inbuilt “alarm clock”, inducing a good quality highly regenerative sleep for three, four, or six hours as demanded. Another area is the search for compounds that could prevent post-traumatic stress disorder (PTSD). We know that blocking beta-adrenergic receptors in the brain can suppress the creation of bad emotional memories and subsequently avoid anxiety disorders. One of the substances intensively investigated for this purpose has been propranolol. Finally, as pharmacogenetics slowly opens the door to individualized pharmacology, the future military may well be designing drugs tailored to individual soldiers – bespoke for their genetic profiles. Moving away from pharmacology, rapid advances in neuroscience and neurotechnologies offer new and exciting prospects of military applications. Stimulating particular areas of the brain allows for various forms of enhancement. Among many effects of transcranial magnetic, direct or focused ultrasound brain stimulation are: greater alertness and concentration, better quality of sleep, increased pain resistance, improved short-term memory, reduced stress, and better decision making. These are of great military potential. So, imagine a future soldier wearing a helmet with focused ultrasound stimulation option, a device which could switch on and switch off some of her functions and capabilities. Instead of 6 taking “go pills” she could stimulate her brain and be operationally effective for up to 60–70 hours without sleep. I predict that in 10–20 years neuromodulation will become a standard element of military training and combat. Add to this not only brain-computer interface allowing to remotely operate devices with thought only, but also brain-brain interface enabling direct “silent” communication between humans, add various chips implantable to soldier’s body like satellite-RFID chips, add biosensors monitoring physical and psychological conditions of servicemen, add bionic exoskeletons and intelligent uniforms and welcome to the world of cyborg-soldiers. Welcome to the Brave New World of the Brave New Warriors. True Blade Runners, Terminators and Iron Men are no longer science fiction. This is happening. Science fiction turns into military science reality. But the nature and consequences of these emerging and future biotech developments are not the same as with the traditional, centuries-old use of drugs in war. For biotechnology applied to the military may threaten to take the human agency out of the equation of war. A truly dystopian vision of totally scientific way of warfare. And this might be extremely risky for as Thucydides reminds us, the essence of war is that it is a “human thing”. 7
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