It might be an awkward combo, but one option would be to use standard gamepad controls, and then read relative shoulder/torso movement once you're in a position to lean.
For some people with mental illness or certain genetic predispositions, marijuana can trigger the onset of schizophrenia. And once it's triggered, there is no going back. It's only for a small portion of the population, but it is still a potential risk.
It isn't just Western religion that has blood on its hands. The East has its own, just in different amounts and for different reasons. For example. They have also been equally as capable at fostering sexism and racism, among other things.