Promoting Self-Change from Problem Substance Use

Klingemann, Harald; Sobell, Linda C.; Barker, Judith C.; Blomqvist, J.; Cloud, William; Ellinstad, T.; Finfgeld, Deborah L.; Granfield, Robert; Hodgins, David C.; Hunt, Geoffrey; Junker, Christoph; Moggi, Franz; Peele, Stanton; Smart, Reginald G.; Sobell, Mark B.; Tucker, Jalie A.

doi:10.1007/978-94-010-0922-5

Cited by 83 publications

(19 citation statements)

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“…One likely reason for this is the lack of an adequate description of the process of successful and unsuccessful attempts to stop or reduce cannabis use (Klingemann et al, 2001). Although some studies have described attempts to quit cannabis among treatment seekers, as with other drugs, the large majority of attempts to change cannabis use do not involve treatment (Blanco et al, 2015) (Klingemann et al, 2001). Previous natural history studies have described how cannabis use changes over a lifetime (Kandel & Raveis, 1989; Swift, Hall, & Copeland, 2000; VonSydow et al, 2001; Aitken, DeSantis, Harford, & FeCaces, 2000; Ellingstad, Sobell, Sobell, Eickleberry, & Golden, 2006).…”

Section: Introductionmentioning

confidence: 99%

Attempts to stop or reduce daily cannabis use: An intensive natural history study.

Hughes¹,

Naud²,

Budney³

et al. 2016

Psychology of Addictive Behaviors

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We attempted to replicate and add to our prior study of attempts to stop or reduce cannabis use among daily cannabis users trying to change on their own, by observing a larger sample and adding further clinically-relevant outcomes. Daily users (n = 193) who intended to stop or reduce sometime in the next 3 months called an Interactive Voice Response system each morning for 3 months to report on cannabis use, attempts to stop or reduce, withdrawal symptoms, etc., on the prior day. This study replicated our prior findings that a) cannabis users trying to change make many, and often rapid, transitions among use as usual, reduction and abstinence; b) reduction attempts are more common than abstinence attempts; c) quit and reduction attempts are short-lived and few participants achieve long-term abstinence; d) alcohol and drug use are not greater on abstinence days; and e) few users seek treatment. Novel findings included f) a greater number of days of abstinence or intentional reduction predicted a greater decline in cannabis dependence; g) most users do not prepare before their quit attempt; h) coping outcomes during abstinence predict increased duration of abstinence; i) tobacco use is less common on days of abstinence; and j) withdrawal symptoms occur even with short quit attempts. Replication tests in more generalizable samples and of longer duration are indicated. Further natural history studies are likely to provide information to help improve the content of psychological treatments for cannabis use.

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Section: Introductionmentioning

confidence: 99%

Attempts to stop or reduce daily cannabis use: An intensive natural history study.

Hughes¹,

Naud²,

Budney³

et al. 2016

Psychology of Addictive Behaviors

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“…As has been shown by survey research conducted over the past half-century, most people who recover from a substance use disorder never access any professional treatment at all (Klingemann et al, 2001; Klingemann & Sobell, 2001). Substance use disorders are not tumors that are removed by doctors in the hospital, but chronic behavioral health problems that are continually shaped by individual motivation, skills, choices and environments (Humphreys & Tucker, 2002; Kelly & White, 2010).…”

Section: The Reality Of How People With Substance Use Disorders Changementioning

confidence: 99%

Addiction Treatment Professionals Are Not the Gatekeepers of Recovery

Humphreys

2015

Substance Use & Misuse

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Addiction treatment is beneficial to many individuals who have substance use disorders. However, only a minority of individuals who recover from addiction receive it. Despite this, addiction treatment is sometimes granted the status of the “gatekeeper of recovery”. The myth that treatment is necessary for recovery has no empirical support. It also undermines the confidence of individuals in their ability to change on their own and is unduly dismissive of the efforts of nonprofessional helpers.

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“…These questions are relevant because the ways we think about various "excessive appetites" (Orford, 2001) bear decisive consequences on public action and the people involved (Edwards, 2010). For instance, some ideas stigmatize people and discourage them This from even trying to change whereas others may empower people and promote self-change and recovery (Klingemann et al, 2001;Schomerus et al, 2011). Likewise, some ideas lead one to lean on external controls while other ideas promote taking personal responsibility for the problem.…”

Section: Introductionmentioning

confidence: 96%

Population, Professional, and Client Support for Different Models of Managing Addictive Behaviors

Koski-Jännes

Hirschovits-Gerz

Pennonen

2012

Substance Use & Misuse

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This study, funded by the Academy of Finland, explores how different stakeholder groups in Finland attribute responsibility for various addictions. A random general population survey and surveys with addiction treatment professionals and clients (n = 1,338) were conducted in 2007-2008. The data were analyzed with analyses of variance and logistic regression analysis. Individual responsibility was emphasized by all groups. The Moral model dominated in behavioral and the Enlightenment model in hard drug addictions, views on other substance addictions varied more. Some signs of the actor-observer asymmetry were observed. Personal addiction experiences and sex were the major predictors of the average response tendencies. The heavy emphasis on individual responsibility may prevent help-seeking.

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Promoting Self-Change from Problem Substance Use

Cited by 83 publications

References 0 publications

Attempts to stop or reduce daily cannabis use: An intensive natural history study.

Attempts to stop or reduce daily cannabis use: An intensive natural history study.

Addiction Treatment Professionals Are Not the Gatekeepers of Recovery

Population, Professional, and Client Support for Different Models of Managing Addictive Behaviors

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