12-step facilitation for the dually diagnosed: a randomized clinical trial.

There are few clinical trials of 12-step treatments for individuals with serious mental illness and alcohol or drug dependence. This randomized trial assessed the effects of adding a 12-session 12-step facilitation therapy (TSF), adapted from that used in Project MATCH, to treatment as usual in an outpatient dual diagnosis program. Participants were 121 individuals dually diagnosed with alcohol dependence and a serious mental disorder, followed during 12 weeks of treatment and 36 weeks post-treatment.

Evil by default: the origins of dark visions.

The growing body of literature on transformational change reflects an increasing interest among professionals in understanding epiphany and visionary change. However, we typically assume that such quantum changes are positive and pro-social ones. It is equally possible for an individual to lead a life that is organized around a motivating vision that is destructive to self, others, or both.