Drug use and abuse have two major motivations: the medical or curative, and the religious or supplementary. The author discusses the expanding use of drugs for both purposes, suggesting a possible connection between increased medical use and confidence, and increased religious or pleasure use. He outlines many problems of definition and public relations encountered in studying student drug use. Student's attitudes differ widely, as do administrators', parents', and those of other influential persons. The solution lies in education and dialogue, communication both ways between those who would solve the drug use problem and those who do not see it as a problem. Information and facts on the significance and effects of exotic drug use should be available through student personnel services. Student personnel workers can aim at the development, by students, group norms and inner standards which sensibly guide their conduct. (BP)