The Present State Examination was used to assess the psychopathology o
f 23 psychotic patients who were cannabis positive on urinary screenin
g, and 46 matched drug-free controls. Cases and controls were indistin
guishable in terms of psychopathology, DSMIII diagnoses, onset of rece
nt illness, the proportion of first admissions, ethnicity, and socio-e
conomic class, differing only in their histories of substance use. The
se data suggest that psychosis which develops or recurs in the context
of cannabis use does not have a characteristic psychopathology or mod
e of onset, and is not restricted to a particular ethnic or socio-demo
graphic group. There is thus little evidence to support the validity o
f 'cannabis psychosis' as a diagnostic entity.