Neurotoxicity.....
How I think: Life is about stressors and rewards. Stressors, I think a case could be made, cause "brain damage" in the sense that depression and chronic-stress at least have been proven to be correlated to lower levels of certain neurotransmitters, lowered neurogenesis etc etc....
Some of you in this thread seem to think we MUST obsess about the minute changes that could be negative to our brain after taking a single MDMA pill. I think we need to take a step back and pragmatically look at how life, in general, can increase or decrease your brain's abilities.
And it's not just drugs I'm talking about. Sure, I would clearly admit that almost any stimulant has the potential to stress neurons and either kill or force it to mal-adapt in some way that is negative long-term.
But let's keep it real. This this life we're talking about, nobody gets out alive!
How long are you going to live for? 60? 80? 100? 120 if you're lucky? Let's say we all want to live, in good health, until we are 120 years old.
Ask yourself: "When I am 60, 80, or 100, what major life stressors, over time, have negatively effected my cognitive ability?"
I would highly doubt that moderate MDMA use would EVER rise to the #1 spot on that list.
My list, for discussion purposes, from highest to lowest risk of lifelong negative brain changes (damage):
1. Loss of loved ones (grievance)
2. Loss of physical abilities (depression, sedentary lifestyle, atrophy)
3. Poor diet and lack of exercise (sedentary lifestyle)
4. Retirement (depression, less use of cognitive functions, atrophy)
5. General aging mechanisms (free radical damage etc)
6. Social isolation
7. Loss of career
8. Long-term, heavy use of:alcohol, stimulant medication (ritalin/amph/meth/coke, take your pick), opiates, or just name your drug. Very few can be said to have zero long-term negative side-effects (including of course many prescription drugs).
9. Long-term moderate (let's call this recreational use levels): alcohol (for some), many harder stimulants such as amph, meth, coke, marijuana (the smoke, not the THC), MDMA
10. Long-term low dose/rate use: Who knows? Most likely drugs like cocaine or meth (sleep deprivation, vascocontriction, slow depletion of dopamine producing neurons). But for the rest.. I would bet that MDMA, mushrooms, benzo's, ritalin, even amphetamine, would show negligible effects even after 60 years of low use.
It is my firm belief that some drugs can be used in a responsible manner, which truly have no cummulative damage which are not offset by the positive changes which can occur with proper drug (recreational or therapeutic/prescription).
There are so many studies already showing how anxiety, chronic stress, bad diet, sedentary lifestyle, mood/mental disorders have LARGE negative effects on our brain.
So ask yourself: Why the obsession on MDMA? Why not fund other drug research on alcohol?
Or most importantly - Why not fund preventative treatment for MENTAL AND MOOD DISORDERS, which clearly, are the main factor for drug users who use drugs to temporarily escape from the life which is causing them pain? How many more studies do I have to read about huge correlations between child abuse, social isolation, poverty, violence and drug abuse? Most drug addicts do not wish to become addicts. There are underlying reasons why drug use becomes paramount in some people's lives.
Look at the last few article on MDMA released - Almost ALL of them are focusing on whether MDMA causes mood/mental disorders, or is MDMA simply the result of people self-medicating for these conditions? Or simply using MDMA for it's positive effects (not just the euphoria, but the introspection, the long-term personality changes which are so often reported).
(Ok, this may have been a little bit of a rant, but let's keep MDMA use in perspective with all the other activities/behaviours you are going to partake in during life)