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Cognitive Liberty and The Constitutionality of Criminalising Psilocybin Mushrooms in South Africa
Cognitive Liberty and The Constitutionality of Criminalising Psilocybin Mushrooms in South Africa
Cognitive Liberty and The Constitutionality of Criminalising Psilocybin Mushrooms in South Africa
To cite this article: Sebastian William Foster (2023) Cognitive liberty and the constitutionality
of criminalising psilocybin mushrooms in South Africa, South African Journal on Human Rights,
39:1, 1-25, DOI: 10.1080/02587203.2023.2202875
ORIGINAL ARTICLE
1. Introduction
Naturally occurring psychedelic substances have been used by humans arguably since
our prehistoric ancestors began to roam the earth. Humans ‘have been using psycho-
active – mind-affecting – substances such as opium, cannabis, coca, betel, kava, pey-
ote and qat for millennia, and for diverse purposes ranging from social and spiritual
to medicinal and nutritional’.1 Evidence of the use of these substances can be found
throughout the history of many human civilisations.2 However, in modern times
ß 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
This is an Open Access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided
the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript
in a repository by the author(s) or with their consent.
2 S. W. FOSTER
society has largely frowned on the use of psychedelics, typically denoting recreational
drugs with negative societal connotations of illegality and unwanted harm, abuse, or
addiction. This is also the case in South Africa, where the use of psychedelic substan-
ces – such as psilocybin – is criminalised under the Drugs and Drug Trafficking Act
140 of 1992 and the Medicines and Related Substances Act 101 of 1965.
Academic development on the right to psychological integrity may, however, pose
a fresh avenue to challenge such criminalisation. The theory of cognitive liberty –
succinctly regarded as the right to unfettered control over one’s mind, mental proc-
esses, and the freedom to explore one’s consciousness without restriction – is one
such avenue through which criminalisation may be challenged. Cognitive liberty
entails the liberty to engage in mind altering practices as and how one deems fit. It is
heavily linked, if not tantamount, to bodily autonomy. Accordingly, academic analy-
ses on whether the right to cognitive liberty has a place in South Africa’s progressive
constitutional law – and deserves the accompanying legal recognition and protection
– are beckoning.
The right to freedom and security of the person – as guaranteed in s 12 of the
Constitution of the Republic of South Africa, 1996 – may arguably provide a consti-
tutional basis for not only the recognition of cognitive liberty, but further, the recon-
sideration of how psychedelic use is regulated. This article analyses the continued
justification for a blanket ban on the use of psychedelic substances, focussing specific-
ally on psilocybin mushrooms, to test the potential role of a right to psychological
integrity in the constitutional analysis of such ban.
The emphasis here will be solely on whether the criminalisation is justifiable in
terms of the right to freedom and security of the person, specifically the right to psy-
chological integrity, as provided for in s 12 of the Constitution. I will argue that the
Constitution provides for the right to cognitive liberty, and as psilocybin mushrooms
aid in the exercising of an individual’s cognitive liberty, their criminalisation is a limi-
tation of a constitutional right. Accordingly, the justification of the limitation must
pass constitutional muster in terms of a s 36 analysis.
3
D Marlan ‘Beyond cannabis: Psychedelic decriminalization and social justice’ (2019) 23 Lewis & Clark Law Review
851, 853.
4
MW Johnson, PS Hendricks, FS Barrett & RR Griffiths ‘Classic psychedelics: An integrative review of epidemiology,
therapeutics, mystical experience, and brain network function’ (2018) 197 Pharmacology & Therapeutics 83, 83.
5
DE McCulloch, MZ Grzywacz, MK Madsen et al ‘Psilocybin-induced mystical-type experiences are related to
persisting positive effects: A quantitative and qualitative report’ (2022) 13 Frontiers in Pharmacology 1, 12–13.
6
J Ott ‘Entheogens II: On entheology and entheobotany’ (1996) 28 Journal of Psychoactive Drugs 205, 205.
7
JMR Arce & MJ Winkelman ‘Psychedelics, sociality, and human evolution’ (2021) 12 Frontiers in Psychology 1, 2.
8
Synaesthesia is the experiencing of two or more senses at once.
9
C Stangor & J Walinga Introduction to Psychology 1st Canadian ed (2014) 223.
10
Such as through hypnosis, sensory deprivation, holotropic breathwork (M Pollan How to Change Your Mind: The
New Science of Psychedelics (2018) 418), meditation, and other non-drug-induced mechanisms; Stangor & Walinga
(ibid) 266.
11
Stangor & Walinga (ibid) 256; such as stimulants, depressants, opioids, and hallucinogens.
12
Ellens & Roberts (note 2 above) 300.
4 S. W. FOSTER
13
W Birkmayer & P Riederer Understanding the Neurotransmitters: Key to the Workings of the Brain (2013) General
introduction and definitions, see for further insight; dopamine and serotonin are examples of neurotransmitters.
14
T Calvey Psychedelic Neuroscience (2018) 3.
15
FX Vollenweider ‘Brain mechanisms of hallucinogens and entactogens’ (2001) 3 Dialogues in Clinical Neuroscience
265, 266; See further: HA Geiger, MG Wurst & RN Daniels ‘DARK classics in chemical neuroscience: Psilocybin’
(2018) 9 ACS Chemical Neuroscience 2438, 2438–2440.
16
L Grinspoon & J Bakalar Psychedelic Drugs Reconsidered (1979) 9.
17
Johnson et al (note 4 above) 84.
18
McCulloch et al (note 5 above) 14, see further for anecdotal reports.
19
Calvey (note 14 above) 3.
20
JJ Rucker, L Marwood, R-LJ Ajantaival et al ‘The effects of psilocybin on cognitive and emotional functions in
healthy participants: Results from a phase 1, randomised, placebo-controlled trial involving simultaneous
psilocybin administration and preparation’ (2022) 36 Journal of Psychopharmacology 1, 10.
21
D Bender & DJ Hellerstein ‘Assessing the risk–benefit profile of classical psychedelics: A clinical review
of secondwave psychedelic research’ (2022) 239 Psychopharmacology 1907, 1919.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 5
22
L Orsolini, GD Papanti, D De Berardis, A Guirguis, JM Corkery & F Schifano ‘The “Endless Trip” among the NPS
Users: Psychopathology and Psychopharmacology in the Hallucinogen-Persisting Perception Disorder. A Systematic
Review’ (2017) 8 Frontiers in Psychiatry 1, 2.
23
Johnson et al (note 4 above) 85.
24
R Miller Drugged: The Science and Culture Behind Psychotropic Drugs (2014) 17, the author explains how one who
consumes a psychedelic unsuspectingly – in this case Amanita muscaria – will report having suffered from
Amanita muscaria poisoning syndrome, whereas a knowing consumer will ‘frequently report a positive and
pleasant experience’.
25
See further: Bender & Hellerstein (note 21 above) 1921.
26
FS Barrett, MW Johnson & RR Griffiths ‘Neuroticism is associated with challenging experiences with psilocybin
mushrooms’ (2017) 117 Personality and Individual Differences 155, 158, this study was on post-event submissions
from non-clinical psilocybin users.
27
ECHM Haijen, M Kaelen, L Roseman et al ‘Predicting responses to psychedelics: A prospective study’ (2018)
9 Frontiers in Pharmacology 1, 17.
6 S. W. FOSTER
suggests the likelihood of such is very low.28 Additionally, there remains possible risks
when administering other substances with psychedelics, such as alcohol or serotoner-
gic drugs.29
Moreover, in the aforementioned large group study, researchers concluded that
a ‘challenging experience seemed to have a negative influence on well-being scores’,
indicating potential lasting negative effects.30 Lastly, a study on individuals who had
dysphoric experiences reported that 11 per cent caused risk of physical harm to
themselves or others, 2.6 per cent behaved physically aggressive or violently, and
2.7 per cent required medical intervention. Three cases of the almost 2000 respond-
ents admitting attempting suicide, with three reporting enduring psychotic symp-
toms. However, despite this study focussing on bad trips, ‘84 per cent of
respondents reported having benefitted from the experience’.31
It would appear that psychedelic substances are ‘generally considered physiologic-
ally safe and do not lead to dependence or addiction’.32 This sentiment is supported
by research which found that a single 10 mg or 25 mg dose of psilocybin, given to
healthy subjects, elicited no significant adverse events and resulted in no short- or
long-term effects deemed clinically relevant.33 However, the caveat remains that fur-
ther research ought to be encouraged to formulate a greater understanding of the
potential risks of different types of psychedelics.
28
Johnson et al (note 4 above) 85.
29
B Michael & K Thomas ‘Serotonin toxicity of serotonergic psychedelics’ (2021) 239 Psychopharmacology 1881,
1884–1885.
30
Haijen et al (note 27 above) 15.
31
TM Carbonaro, MP Bradstreet, FS Barrett et al ‘Survey study of challenging experiences after ingesting psilocybin
mushrooms: Acute and enduring positive and negative consequences’ (2016) 30 Journal of psychopharmacology
1268, 1278.
32
D Nichols ‘Psychedelics’ (2016) 68 Pharmacological Reviews 264, 264.
33
Rucker et al (note 20 above) 10.
34
B Minutaglio & S Davis The Most Dangerous Man in America: Timothy Leary, Richard Nixon and the Hunt for the
Fugitive King of LSD (2020).
35
Pollan (note 10 above) 3; due to their growing publicity and recreational use, many people were having negative
psychedelic experiences. When used in an unsafe environment not conducive to a meaningful experience, the
likelihood of a negative psychedelic experience is increased. Used incorrectly, psychedelics can lead to unwanted
experiences or place the user at risk due to their intoxication.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 7
36
Convention on Psychotropic Substances (adopted 21 February 1971 entered into force 16 August 1976) 1019
UNTS 175.
37
United Nations Treaty Collection ‘Chapter VI: 16’ (entered into force and registered 16 August 1976) <https://
treaties.un.org/Pages/ViewDetails.aspx?src=TREATY&mtdsg_no=VI-16&chapter=6&clang=_en>.
38
The active substance in cannabis, decriminalised in South Africa for private consumption by an adult following
Minister of Justice and Constitutional Development v Prince 2019 (1) SACR 14 (CC).
39
Such as MDMA and ecstasy.
40
Article 22(1)(a) of the Convention on Psychotropic Substances (note 36 above).
41
T LeBianco ‘Report: Aide says Nixon’s war on drugs targeted blacks, hippies’ (24 March 2016) CNN Politics.
42
D Beres ‘Why are psychedelics illegal?’ (13 October 2020) Psychedelic Spotlight.
8 S. W. FOSTER
behaviour.43 It is, therefore, apropos to state that ‘it is the modern stigma attached to
drugs – not any inherent quality of the chemicals – that makes their use shocking’.44
As such, it seems evident that the criminalisation of psychedelics is based largely
upon moral and political beliefs, rather than on the harms they may pose to individu-
als and society.
43
R Rogers & J Cavanaugh ‘Illegal drug use’ (1985) 3 Behavioral Sciences & the Law 239, 239.
44
A Gross & S Duke America’s Longest War: Rethinking Our Tragic Crusade Against Drugs (2014) 4.
45
Article 32 of the Convention on Psychotropic Substances (note 36 above); Ellens & Roberts (note 2 above) 300.
46
A Lande Commentary on the Convention on Psychotropic Substances: Done at Vienna on 21 February 1971
(1976) 387.
47
Prince v The President of the Law Society of the Cape of Good Hope 1998 JDR 0368 (C) 15.
48
Section 1(1) of the Drugs Act.
49
Section 22A(9)(a)(i) read with Schedule 7 of the Medicines Act.
50
Potential challenges could be raised on the grounds of, inter alia, s 9, 10, 14, 15, 16, 18, and 31 of the
Constitution.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 9
a certain way, on the basis that it is for their own good, on the assumption that the
state knows best.
Paternalism, as a legal doctrine, allows for the reduction of an adult’s ability to act
with free volition. When a state acts in a paternalistic manner to justify decision-
making, it limits competent adults’ autonomy to act freely, creating an assumption
that they are unable to make rational and mature decisions for, and regarding, them-
selves. Joel Feinberg, in discussing the theory of paternalism, argues that the ‘fully
voluntary choice or consent of a mature and rational human being concerning mat-
ters that affect only his own interests is such a precious thing that no one else (and
certainly not the state) has a right to interfere with it simply for the person’s “own
good”’.51 As such, paternalistic governmental decision-making is arguably an
encroachment on the rights of adults to the full exercising of their freedom rights. It
is argued that this encroachment is a limitation of constitutional rights, and therefore,
can only be limited justifiably.
Justifying a limitation in terms of paternalistic beliefs alone should never be
acceptable. Where the state, through regulation or criminalisation, limits rights on
the basis of mere paternalism – not paternalism paired with a more reasonable cause
– such a limitation can never be justifiable and should not be legally acceptable. The
state’s duty is not to parent its citizens, rather, it should encourage and protect the
exercising of freedom rights.
Through paternalism, the state acts as a parental figure for all citizens, regardless
of majority. When adults are ‘[de]prived of the right to choose for themselves, they
will soon lose the power of rational judgment and decision’.52 This is certainly not an
outcome desired within the South African constitutional dispensation, especially in
light of the restrictions on freedoms experienced in South African’s recent history,
where many were ‘victims of processes of historical silencing’.53 As such, criminalisa-
tion on the basis of mere paternalism is undesirable – the state should not be an
overbearing, rigid parental figure, and adults should be empowered to assume risk.
However, although it would be invalid for the state to outright criminalise psyche-
delics on paternalistic bases, paternalism may be useful in the regulatory process. It is
agreed that necessary limitations are desirable, such as those applicable to, inter alia,
alcohol and nicotine. Paternalism would be justifiable in restricting a citizen’s volition
to, for example, drive under the influence or take the substances in certain
environments.54
51
J Feinberg ‘Legal Paternalism’ (1971) 1 Canadian Journal of Philosophy 105, 111.
52
Ibid 105.
53
Doctors for Life International v Speaker of the National Assembly 2006 (6) SA 416 (CC) para 234.
54
AE Cudd ‘Taking drugs seriously: Liberal paternalism and the rationality of preferences’ (1990) 4 Public Affairs
Quarterly 17, 17–22.
55
Section 12 of the Constitution reads:
10 S. W. FOSTER
offers examples of what the right protects, but this list is not a numerus clausus – evi-
dent through the term ‘includes’. The focus here is to determine if s 12(2) offers per-
sons the right to cognitive liberty and by extension the right to use psilocybin
mushrooms to achieve this outcome.
In the Interim Constitution, the right to freedom and security of the person was
formulated differently,56 with the right to personal autonomy being secured within
s 11(1).57 The Interim Constitution protected the right to freedom and security of the
person, which included the right not to be detained without trial, and protections
against torture and degrading treatment. Despite this, the legislature deemed it vital
to extend the ambit of the right. The Constitution extended this right to add protec-
tion against arbitrary deprivation of freedom, as well as providing everyone with the
right to bodily and psychological integrity. This deliberate extension of the right clari-
fies that the Constitution specifically protects everyone’s right to integrity in both the
psychical and metaphysical sense – both the flesh and the mind – as will be eluci-
dated upon.
It is important to understand the use of the terminology in s 12. Integrity, in the
legal context, is used to denote notions of ‘self-determination and autonomy’ – the
right to the control over one’s body, and arguably, one’s mind.58 Bodily integrity –
commonly referred to as corpus – is the freedom of self-determination for a person
to do with their body what they want, free from ‘significant, non-consensual interfer-
ence’.59 It is the freedom to make decisions about one’s own body, free from
unwanted manipulation. The right to bodily integrity, therefore, protects one’s ability
to make autonomous determinations regarding one’s body. The right enforces the
practicality that ‘every person’s body is inviolate’.60
In the case of R v The Parole Board,61 the court stated that the right to bodily
integrity has always been regarded as the ‘most important of civic rights’ in English
common law. In In re A (Children) (Conjoined Twins: Surgical Separation),62 the
court concluded that the bodily integrity right was ‘the right to have one’s own body
whole and intact and (on reaching an age of understanding) to take decisions about
(1) Everyone has the right to freedom and security of the person, which includes the right—(a) not to be
deprived of freedom arbitrarily or without just cause; (b) not to be detained without trial; (c) to be free from all
forms of violence from either public or private sources; (d) not to be tortured in any way; and (e) not to be
treated or punished in a cruel, inhuman or degrading way. (2) Everyone has the right to bodily and
psychological integrity, which includes the right—(a) to make decisions concerning reproduction; (b) to security
in and control over their body; and (c) not to be subjected to medical or scientific experiments without their
informed consent.
56
Constitution of the Republic of South Africa, Act 200 of 1993 (Interim Constitution). The Interim Constitution has
been repealed. Section 11 reads: ‘(1) Every person shall have the right to freedom and security of the person,
which shall include the right not to be detained without trial. (2) No person shall be subject to torture of any
kind, whether physical, mental or emotional, nor shall any person be subject to cruel, inhuman or degrading
treatment or punishment’.
57
I Currie & J De Waal The Bill of Rights Handbook 6 ed (2013) 286.
58
Ibid 288; C van der Watt ‘The child’s right to self-determination in relation to his/her right to bodily and
psychological integrity’ (2013) LLM diss., North-West University 16.
59
T Douglas & L Forsberg ‘Three rationales for a legal right to mental integrity’ in S Ligthart, D Van Toor,
T Kooijmans et al (eds) Neurolaw: Advances in Neuroscience, Justice & Security (2021) 179, 179.
60
Collins v Wilcock [1984] 3 All ER 374 (QB) 378 (England and Wales High Court appellate decision).
61
R v The Parole Board [2002] EWCA Civ 1641 para 49 (England and Wales Court of Appeal decision).
62
In re A (Children) (Conjoined Twins: Surgical Separation) [2001] Fam 147 258H (Court of Appeal of England and
Wales decision).
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 11
one’s own body’. Therefore, it is clear that the right to bodily integrity protects an
individual’s physical matter and their autonomy to do with it what they freely decide.
The importance of the inclusion of a right to psychological integrity cannot be
understated. Where bodily integrity has always garnered protection and respect
throughout legal history – even in cases of mere touching and/or causing of fleeting
pain – the equal protection of psychological integrity is often legally overlooked.63 As
Hoexter JA stated in Minister of Justice v Hofmeyr:
One of an individual’s absolute rights of personality is his right to bodily integrity. The
interest concerned is sometimes described as being one in corpus, but it has several facets.
It embraces not merely the right of protection against direct or indirect physical
aggression or the right against false imprisonment. It comprehends also a mental element.64
Accordingly, the inclusion of the right to psychological integrity is a vital step
towards the equal protection and privileging of an individual’s psychology.
By proxy of bodily integrity, psychological integrity – and the right thereto – is the
freedom of an individual’s psychological self-determination and the right to be pro-
tected from ‘nonconsensual interference with [an individual’s] mind’.65 In other
words, the right protects the inviolability of the mind. Each individual has a right to
their ‘[m]ental states, thoughts, feelings [and] behavioural dispositions’,66 and to have
these sanctities of the mind protected and not abused, manipulated, or infringed
upon. This often overlooked right, is arguably an invaluable fundamental right of all
human beings.
Philosophically, if an individual finds their mind – as well as their body – unfet-
tered from external (non-consensual) influence, what state do they find themselves
in? Arguably, one of personal authenticity. Without external psychological influences,
be it through chemical or active influences on the brain or pressures from peers and
society, an individual will be left completely in the hands of their own natural incli-
nations and actualisations: they would be ‘getting through the pseudo-self to the Real
Self’.67 Although the reality of this state of personal purity is not necessarily realistic
– as all individuals are influenced by their natural surroundings daily – nonetheless,
there is a human desire to achieve this state.
The law, at the very least, should prevent unjustifiable limitations on an individu-
al’s exploration of their ‘Real Self’. As the right allows for the protection against
unwanted mental persuasions and influences, it is argued that the right to psycho-
logical (and bodily) integrity can be viewed as the right to enable one to be ‘true to
oneself’ in both body and mind – a state of authenticity or self-actualisation.68 This
must, however, carry with it a caveat. Individuals will always be influenced by exter-
nal pressures that may have a preventative effect on self-actualisation. Like bodily
63
C Bublitz & R Merkel ‘Crimes Against Minds: On Mental Manipulations, Harms and a Human Right to Mental Self-
Determination’ (2014) 8 Criminal Law and Philosophy 51, 52.
64
Minister of Justice v Hofmeyr 1993 (3) SA 131 (A) 145, emphasis added.
65
Douglas & Forsberg (note 59 above) 182.
66
Bublitz & Merkel (note 63 above) 52.
67
A Maslow Motivation and Personality (1954) 95.
68
C Bublitz & R Merkel ‘Autonomy and authenticity of enhanced personality traits’ (2009) 23 Bioethics 360, 360;
P Vannini & A Franzese ‘The authenticity of self: Conceptualization, personal experience, and practice’ (2008)
2 Sociology Compass 1621, 1621.
12 S. W. FOSTER
69
B Svenson ‘Psychological integrity and the concept of biophile’ (1981) 26 Scandinavian Journal of Social Medicine
Supplementum 1, 57.
70
Maslow (note 67 above) 95.
71
Ibid 94.
72
F Gino, M Kouchaki & AD Galinsky ‘The moral virtue of authenticity: How inauthenticity produces feelings of
immorality and impurity’ (2015) 26 Psychological Science 983, 983.
73
K Thacker The Art of Authenticity: Tools to Become an Authentic Leader and Your Best Self (2016) 8.
74
Maslow (note 67 above) 94, emphasis added.
75
Ferreira v Levin; Vryenhoek v Powell 1996 (1) SA 984 (CC) para 54 (footnotes omitted).
76
The matter dealt with the Interim Constitution but remains applicable in understanding s 12(1) of the Constitution.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 13
The right to psychological integrity, therefore, should protect against both the
non-consensual ‘trespass upon and violation of [an individual’s] right to mental and
intellectual wellbeing’,77 and exploration of their most authentic self. The right to psy-
chological integrity includes ‘positive entitlements’ that materialise as a ‘freedom to
self-determine one’s inner realm, e.g., the content of one’s thoughts, consciousness or
any other mental phenomena’.78
In conclusion, it seems apparent that the rights to both bodily and psychological
integrity, as found in s 12(2) of the Constitution, are, in effect, a right to bodily and
psychological authenticity. Both of these rights protect psychological authenticity but,
fundamentally, also the right to explore the authentic self. Therefore, in the same way
as an individual has the right not to be branded, but has the right to tattoo them-
selves, an individual also has the right to not have their psychology invaded by
unwanted interference, but has the right to pursue the exploration of their own
psychology, as they deem fit.
77
Ferreira (note 75 above) para 146.
78
Bublitz & Merkel (note 63 above) 60, emphasis added.
79
Jones v City of Opelika 319 U.S. 103 (1943) para 618 (Supreme Court of the United States decision).
80
NE Farahany ‘The Costs of Changing our Minds’ (2019) 69 Emory Law Journal 75, 99.
14 S. W. FOSTER
him or herself. It must mean, at a minimum, that each person is free to direct one’s
own consciousness; one’s own underlying mental processes, and one’s beliefs, opinions,
and worldview. This is self-evident and axiomatic.81
Today, many stigmatised drugs – like cocaine and opiates – were ‘common among
upright citizens in America and elsewhere in [ … ] the nineteenth century’.82
Arguably, through criminalisation, society’s view on drugs has become ingrained:
these substances are believed to be toxic, linked with notions of ‘secretiveness, dis-
honesty, stealing and irresponsibility’.83 Although somewhat true, these beliefs are
linked to, and encouraged by, the criminal sanctions attached to these substances –
decisions influenced by political and legislative measures based on rationale which is
not always truly accurate. However, through objective and in-depth assessment, valid
reasons can be found for justifying a challenge on such ingrained beliefs – the likes
of which have been seen before.84
To conclude, cognitive liberty is best defined as ‘the right to choose one’s own cog-
nitive processes, to select how one will think, to recognise that the right to control
thinking processes is the right of each individual person’.85 It is, quintessentially,
a freedom of the mind and the right to explore one’s consciousness without restraint
– the entitlement to ‘make free and competent decisions with respect to’ that which
affects thoughts and consciousness.86 It is an open and accepted standard that every-
one has the unfettered right to control their bodily processes – and any non-consen-
sual invasion of a person’s bodily autonomy may amount to an infringement of
a human right. Cognitive liberty simply applies the same privileges awarded the body
to the mind.
81
RG Boire ‘On Cognitive Liberty (Part 1)’ (2001) 2 Journal of Cognitive Liberties 7, 10.
82
Gross & Duke (note 44 above) 4.
83
Ibid.
84
For example, the unjustifiable societal stigmatisation or/and criminalisation of: homosexuality (declared
unconstitutional in National Coalition for Gay and Lesbian Equality v Minister of Justice [1998] ZACC 15), cannabis
(the private use by an adult was declared unconstitutional in Prince (note 38 above)), abortion (declared legal by
the Choice on Termination of Pregnancy Act 92 of 1996, and upheld in Christian Lawyers Association v Minister of
Health 2005 (1) SA 509 (T)), male primogeniture (declared unconstitutional in Bhe v Magistrate, Khayelitsha; Shibi v
Sithole; SA Human Rights Commission v President of the RSA 2005 (1) SA 580 (CC)) and, racism (evident throughout
the Apartheid era, despite no scientific or academic justification). Similar arguments may apply to the continued
criminalisation of crimes like incest, bestiality, and other drugs, being based on moral and/or paternalistic reasons,
supported through societal stigmatisation.
85
A Weil The Natural Mind: An Investigation of Drugs and the Higher Consciousness (1998) 140.
86
S Ali ‘Brain-computer-interfacing & respondeat superior: Algorithmic secisions, manipulation, and accountability in
armed conflict’ (2021) 29 Catholic University Journal of Law and Technology 1, 26.
87
Sections 10, 12(2), 14, 15 and 16 of the Constitution.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 15
88
Ferreira (note 75 above) para 89.
89
L Lazarus ‘Mapping the right to security’ in B Goold & L Lazarus (eds) Security and Human Rights (2007) 325, 336.
90
Natal Joint Municipal Pension Fund v Endumeni Municipality 2012 (4) SA 593 (SCA) para 18.
91
AB v Minister of Social Development 2017 (3) SA 570 (CC) para 54.
16 S. W. FOSTER
It is, therefore, apparent that recognising and protecting the right to security in and
control over one’s mind is congruent with the theory of cognitive liberty. It has been
found that the Constitution does provide for cognitive liberty through s 12(2). This is
found either as an additional manifestation of the right to psychological integrity, or
in terms of a holistic interpretation of s 12(2)(b).
92
Ibid para 309, emphasis added.
93
B Shozi ‘Something old, something new: Applying reproductive rights to new reproductive technologies in South
Africa’ (2020) 36 South African Journal on Human Rights 1, 9–10, emphasis added.
94
AB (note 91 above) para 59.
95
Ibid para 62.
96
Ibid para 67.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 17
s 12(2) is lacking, in regard to their original interpretation and the possible implica-
tions it may have on the consumption of psilocybin.
First, as Bonginkosi Shozi elaborates, the ‘plain reading of the text of s 12(2) neces-
sitates that we view bodily and psychological integrity as two separate concepts, each
applicable to subsections (a), (b) and (c) in their own right’.97 This way of reading is
in line with the Constitution. Take s 27(1)(b) of the Constitution for example, which
states that everyone has the right to have access to sufficient food and water.
Through the majority’s reading, legislation enacted to provide access to sufficient
food only, would violate this right, insofar as it neglects to address access to sufficient
water, too. This cannot be the case – the correct reading must be that everyone must
have sufficient access to both food and water, as separate concepts.
Second, the majority erred in leaving judgment open on whether s 12(2)(a) alone
would be restricted to bodily harm, whereas s 12(2)(c) would not.98 This anomaly
places doubt in the strength of their argument, as there is nothing in the section to
indicate a separation of treatment between (a), (b), and (c). Furthermore, this judg-
ment fails to understand the true purpose of s 11 of the Interim Constitution,
neglects to appreciate the difference between s 12 and its predecessor, and takes an
archaic view to reproduction being limited to the body.99
Finally, to their rejection of the autonomy of psychological integrity, the majority
seemingly failed to recognise the well-observed protection of psychological integrity
found within the state’s law of delict. As Khampepe draws from NM v Smith,100 there
is protection afforded to the ‘harm that emerges from the psychological stress caused
by the removal of the applicants’ choice’.101 As has been shown, it cannot be that psy-
chological integrity is relegated below that of bodily integrity – such an understand-
ing cannot be constitutional.
However, the majority’s judgment – should it be the correct interpretation of
s 12(2) – may not be detrimental to my arguments with regard to s 12(2)(b). In this
instance, it appears that s 12(2)(a) does not extend to an individual who wishes to
exercise this right using the body of another. Currently, the law prohibits individuals
from consuming psilocybin mushrooms. This would appear to be a prohibition on
one’s choice relating to their own body – that being the right to choose what to con-
sume. According to the AB majority, this would still amount to an infringement on
one’s bodily integrity, and the choice and control they have over their body.102
Consequently, the minority’s interpretation is preferred, and would allow for the
detachment of psychological integrity from bodily integrity. This would allow for
a irect attack on legislation which violated psychological integrity – or cognitive lib-
erty as argued – but not bodily integrity. However, in keeping with the majority of
AB, it has also been propositioned that prohibiting what one may consume may be
97
Shozi (note 93 above) 10.
98
AB (note 91 above) para 76, read with judgment’s footnote 74.
99
Shozi (note 93 above) 11–12.
100
NM v Smith 2007 (5) SA 250 (CC) para 40.
101
AB (note 91 above) para 69, emphasis added.
102
Ibid paras 312–315.
18 S. W. FOSTER
103
See further: SW Foster ‘The right to privacy in the decriminalisation of psilocybin mushrooms in South Africa’
(2023) 27 Law, Democracy & Development 1–30.
104
Boire (note 81 above) 11.
105
TM Carbonaro & M Gatch ‘Neuropharmacology of N,N-dimethyltryptamine’ (2016) 126 Brain Research Bulletin 74,
75 – discussing DMT.
106
Section 12(2)(b) does not fall under the ambit of non-derogable rights as per s 37(5)(c) of the Constitution.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 19
per the criminalising sections in Drugs Act and Medicines Act – both of which are
laws of general application. Section 36(1) of the Constitution provides:
The rights in the Bill of Rights may be limited only in terms of law of general
application to the extent that the limitation is reasonable and justifiable in an open
and democratic society based on human dignity, equality and freedom, taking into
account all relevant factors, including—a) the nature of the right; b) the importance of
the purpose of the limitation; c) the nature and extent of the limitation; d) the
relation between the limitation and its purpose, and; e) less restrictive means to
achieve the purpose.
Having accepted that the criminalising legislations are laws of general application,
it must be determined whether the limitation is reasonable and justifiable in an open
and democratic society based on human dignity, freedom, and equality. A s 36 ana-
lysis, therefore, requires a proportionality or balancing exercise.107 Lastly, having
proved an infringement, the burden of justification would fall upon the state.108
107
P de Vos, D Brand, W Freedman et al South African Constitutional Law in Context (2014) 363.
108
Moise v Greater Germiston Transitional Local Council: Minister of Justice and Constitutional Development Intervening
2001 (4) SA 491 (CC) para 19 states ‘once a limitation has been found to exist, the burden of justification under s
36(1) rests on the party asserting that the limitation is saved by the application of the provisions of the section’.
109
Farahany (note 80 above) 75, 98.
110
Bublitz & Merkel (note 63 above) 64.
20 S. W. FOSTER
111
Sections 59, 72 and 118 of the Constitution.
112
Land Access Movement of South Africa v Chairperson, National Council of Provinces 2016 (5) SA 635 (CC) para 57.
113
Note 53 above 234.
114
Prince v President, Cape Law Society 2002 (2) SA 794 (CC) para 141.
115
AB (note 91 above) para 291.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 21
116
DW Thaldar ‘Post-truth jurisprudence: the case of AB v Minister of Social Development’ (2018) 34 South African
Journal on Human Rights 231, 250–251.
117
J Halpern, J Suzuki, PE Huertas & T Passie ‘Hallucinogens’ in B Johnson (ed) Addiction Medicine: Science and
Practice (2010) 1083, 1089.
118
J Liebenberg, L du Toit-Prinsloo, V Steenkamp & G Saayman ‘Fatalities involving illicit drug use in Pretoria, South
Africa, for the period 2003 – 2012’ (2016) 106 South African Medical Journal 1051, 1053.
119
Ibid.
120
Calvey (note 14 above) 3.
121
Psilocybin mushrooms have delivered promising results in studies of addiction to nicotine and alcoholism (MW
Johnson, A Garcia-Romeu & RR Griffiths ‘Long-term follow-up of psilocybin-facilitated smoking cessation’ (2017)
43 The American Journal of Drug and Alcohol Abuse 55, 55-60); Johnson et al (note 4 above) 85; Pollan (note 10
above) 358–374.
122
D Nutt ‘Psilocybin for anxiety and depression in cancer care? Lessons from the past and prospects for the future’
(2016) 30 Journal of Psychopharmacology 1163, 1163.
123
Ibid (references omitted).
124
<https://www.youtube.com/watch?v=KuhmZSFvhL0>.
22 S. W. FOSTER
which is ‘safely managed with safeguards in place’ – the risk of harm is largely miti-
gated, with the potential for benefit increased.125
It would be short-sighted to outright disregard the potential for psilocybin mush-
room misuse. There may be possible harms which are yet to be well documented out-
side of the research clinic. As such, although perhaps contradictory, there may be
weight given to the state erring on the side of caution. With the importance of set
and setting in psilocybin use not being fully understood and regularly communicated
to the general public, it may be considered wise to regulate the substance until such
time as research can offer clearer advice on safe psilocybin use. However, in making
such a concession, there should also be a duty on the state to ease prohibitions so
that further research can be conducted, and in time, a more accurate assessment of
the potential unpredictable harms of psilocybin mushrooms can be made. The state
should not act in a knee-jerk and paternalistic fashion, unquestioningly and uncondi-
tionally prohibiting psilocybin mushrooms outright without allowing for the oppor-
tunity and possibility of critical (re)assessment.
As it has been established that psilocybin mushrooms carry considerable benefits
against limited-to-no harm – both to the individual and to society – it would be
unjustifiable to punish the use, possession, and/or cultivation on the basis of retribu-
tion. However, it must be noted that, even should psilocybin mushrooms carry a risk
of harm to the individual user, competent adults ought still to be allowed to assume
the risks on the basis of volenti non fit injuria – consenting to the risk of harm. For
the state to limit competent adults’ freedom to assume the risk of consuming psilo-
cybin mushrooms and further punish them criminally for doing so, reduces adults to
‘children’ of the paternalistic state.126 Arguably, this paternalistic attitude is an unsuit-
able approach in the current constitutional dispensation – the state should not be
authorised to punish competent adults who consent to the risk of consuming psilo-
cybin mushrooms.
As for deterrence, the current criminalising legislation has certainly deterred the
use, possession, and cultivation of psilocybin mushrooms. The majority of citizens
will not be exposed to psilocybin mushrooms, due to their criminalisation. These
mushrooms have successfully been marginalised from general society, with those who
wish to engage with psilocybin mushrooms having to source them through
‘underground’, illegal means. Furthermore, for better or for worse, their criminalisa-
tion has immensely reduced the academic research and media attention of psilocybin
mushrooms, rendering the large majority of South African society deterred and disin-
terested. This, however, may change as psychedelics seem to be experiencing
a ‘modern renaissance’.127 For individual deterrence, it is argued that the criminalis-
ing legislation has had success, except from deterring determined individuals. Their
availability is such that even pensioners have access.128
125
Johnson et al (note 4 above) 85.
126
Feinberg (note 51 above) 105.
127
Pollan (note 10 above) 21-81.
128
South Africa’s ‘unlikely public activist for sacred mushrooms’ (M Thamm ‘Ambrosini’s ghost: The ongoing
challenge to decriminalise dagga and other sacramental substances’ (28 January 2015) Daily Maverick; referring
to Monica Cromhout.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 23
129
Teddy Bear Clinic for Abused Children v Minister of Justice and Constitutional Development (1) SACR 327 (CC)
para 88.
130
Gross & Duke (note 44 above) 2.
131
C Walsh ‘Drugs and human rights: private palliatives, sacramental freedoms and cognitive liberty’ (2010) 14 The
International Journal of Human Rights 425, 435.
132
J Trout ‘Paternalism and cognitive bias’ (2005) 24 Law and Philosophy 393, 393.
24 S. W. FOSTER
on drugs’,133 can no longer hold the same weight it once did. As the renaissance of
psychedelics develops, historical and current evidence of the benefits of psilocybin
mushrooms continue to disprove the societal beliefs connected to the fungi. In add-
ition, with an increased recognition and protection of the rights afforded in terms of
s 12(2) of the Constitution, specifically the right to cognitive liberty allowing citizens
to take active steps in how they exercise self-determination over their mind, it is
premised that there is sufficient evidence to justify the weighing in favour of decrim-
inalisation, with regulations.
7. Conclusion
Psilocybin mushrooms, alongside their psychedelic cousins, have co-existed with the
human species for millennia. Our ancestors have dieted on them, worshipped them,
learnt from them, and respected them. Over the past fifty-plus years, psilocybin
mushrooms have been criminalised and ostracised by society. This decision has hin-
dered further academic and scientific research into the plethora of potential health
and wellbeing benefits associated with the fungus, as well as any potential harms. As
politician Cori Bush stated upon introducing a health-centred approach drug reform
and decriminalisation Bill: ‘[i]t’s time to put wellness and compassion ahead of
trauma and punishment’.134
The theory of cognitive liberty was put forward as a constitutional basis upon
which to challenge the criminalisation of psilocybin mushrooms. An understanding
of psychedelic substances has been detailed, briefly showcasing the interconnected
history they share with the human species, what they are, and the potential effects
they have on the human brain. The international and domestic geneses of their crim-
inalisation was addressed, providing clarity on important sections of the Drugs Act
and Medicines Act, as well as elucidating upon the paternalistic presence associated
with the prohibition of psychedelics in South Africa. Further, an assessment of s 12
of the Constitution was presented, explicating that s 12(2) provides for the right to
bodily and psychological authenticity – catering for both the protection and explor-
ation of one’s bodily and psychological integrity. Notably, the theory of cognitive lib-
erty has been explained, as well as how the right to cognitive liberty may be
contained in, or found under, s 12(2) of the Constitution, through either a broad
interpretation of s 12(2)(b), or via an additional manifestation of the right to psycho-
logical integrity.
Finally, having addressed concerns raised in AB, it was determined that the crim-
inalisation of psilocybin mushrooms may infringe upon the right to cognitive liberty.
Accordingly, a limitation of rights analysis was conducted to show how the nature
and importance of the right to cognitive liberty weighs heavier than the importance
and purpose of the limitation served by the criminalisation of psilocybin mushrooms.
133
Prince v President, Cape Law Society (note 114 above) 52.
134
M Sutton ‘US House representatives Bonnie Watson Coleman & Cori Bush introduce federal Bill to decriminalize
drug possession, replace with health-centered approach’ (17 June 2021) Drug Policy.
SOUTH AFRICAN JOURNAL ON HUMAN RIGHTS 25
South Africa criminalised psilocybin mushrooms on the basis of very little inde-
pendent research and evaluation. In doing so, the state has failed to uphold its obliga-
tions in respect of the progressive rights afforded by s 12(2), which empower
individuals with the right to security in and control over their minds. In the current
constitutional dispensation, premised on a culture of justification, it is argued that the
state, through the criminalisation of psilocybin mushrooms, has failed to adequately
justify its decision-making and subsequent infringement of a fundamental right.
Acknowledgements
This article has benefited greatly from Prof. Geo Quinot, Dr Mary Nel, David Foster, and John
Woolner, whose generous advice and support aided my thoughts on earlier drafts. All argu-
ments and errors remain my own. This article originates from a dissertation written in fulfil-
ment of my LLB degree.
Disclosure statement
No conflict of interest has been reported by the author.
Notes on contributor
Sebastian William Foster, LLB candidate, Stellenbosch University, Stellenbosch, South Africa
ORCID
Sebastian William Foster http://orcid.org/0000-0001-5908-6177