The analysis emphasized the contrasting and conflicting social perceptions related to the current role of each drug in the society, as well as the relationship between the two drugs. Of particular interest in the analysis of use and distribution patterns of each drug were the seemingly conflicting moral versus economic dilemma surrounding the drug trade, perceptions related to the effects of the two drugs on the body and mind, and perceptions related to the role of the drugs in local crime and physical violence. Community-level social perceptions were compared to official discourse and actions regarding demand reduction, prevention, and enforcement of drug laws. Findings indicated that current Jamaican policy and programs aimed toward reducing ganja and cocaine use and distribution in Montego Bay are ineffective for several reasons and that culture- specific policy changes are needed. Notes, appended poems, and 21 references (Author abstract modified)