That's important in a treatment context, because a history of multiple drug use means they will be tempted to focus on one substance -- their "drug of choice", whatever they may feel that is -- while minimizing the importance of the others.
Just asking the question suggests this individual’s thinking is already strongly biased in favor of continuing to use cannabis.
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Daily life becomes a battle zone; the more folks press for change, the more the drinker retreats into isolation, aided by the bottle.
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It’s just our old friend motivated reasoning at work– our inclination to favor arguments that support what we want to believe over evidence to the contrary.
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Clearly, these folks don’t experience shame in the way society expects. It’s why they arrive in treatment angry and defensive.
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There are folks who make the rounds, getting the same advice over and over, and never putting it into action.
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Of course, left to its own devices, addiction often worsens.
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Our goal is to reframe the discussion in a way that supports rather than undermines change.
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Here was a physician who regularly committed an assortment of crimes without considering himself a criminal. To his way of thinking, he was the victim.
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It seems to me that it’s entirely possible for one person to be lying, ambivalent, and in denial at the same time.
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The addicted brain is unable to accurately evaluate the situation.
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Addiction programs, conversely, targeted elimination or at least substantial reduction in substance use– a narrower goal that permitted greater focus in treatment.
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