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  • 9 - Guided Self-Change: A Brief Motivational Intervention for Cannabis Abuse

  • from Part II - Interventions with Cannabis-Dependent Adults
  • Edited by Roger Roffman, University of Washington, Robert S. Stephens, Virginia College of Technology
  • Foreword by G. Alan Marlatt, University of Washington
  • Book:
    Cannabis Dependence
    Published online:
    29 October 2009
    Print publication:
    23 February 2006, pp 204-224

  • Summary

    This chapter describes the guided self-change (GSC) treatment as applied to cannabis users. The brief motivational nature of this intervention may be particularly appropriate for cannabis users who approach treatment with less severe problems and ambivalence about reducing use, and who may be reluctant to accept a goal of complete abstinence from marijuana use. Important influence on the development of the GSC treatment was the purported efficacy of brief treatments for alcohol problems, especially less severe problems. In order to evaluate the efficacy of the GSC approach with cannabis users, the chapter uses data from a randomized controlled trial comparing an individual and group format of GSC treatment. The fact that the majority of cannabis abusers in the GSC trial chose a reduced use goal suggests that a harm reduction approach might be a good way to involve cannabis abusers in treatment.