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View Diary: Sin, stigma and syringes: The struggle for harm reduction (109 comments)

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  •  It's worth remembering that (2+ / 0-)
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    bsmechanic, spacecadet1

    the primary reason that 12-step group approaches so dominate the substance-abuse treatment industry is that they don't require highly educated professional counselors; programs can be staffed with $12/hr high school graduates. It has nothing to do with effectiveness. Research shows that the 12-step approach definitely works for some people, but they're a minority (it seems to work best for people who have dependent personalities and who aren't highly educated).

    Note that the argument that 12-step programs work for anyone who tries hard enough to follow them is a non-falsifiable one: if you believe it, then every possible set of observations is consistent with it. Heads I win, tails you lose. Note also that most "ex-gay" programs are based on a similar argument.

    Writing in all lower-case letters should be a capital offense

    by ebohlman on Mon Jan 28, 2013 at 01:12:01 AM PST

    [ Parent ]

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