ABSTRACT
This article explores how multiple cultural and clinical factors regarding marijuana complicate accurate clinical recognition, assessment and diagnosis of cannabis use disorders. These factors include: Widespread use of marijuana; culturally confusing messages about marijuana's acceptability or harmfulness; social policy debates over legalization and decriminalization; scientific debates about marijuana's risks or medical benefits; DSM-IV-TR assessment criterion shortcomings; and the inadequacy of current screening methods related to marijuana. These issues are described along with a potential remedy–the development of marijuana specific screening methods.