I hate to butt in, but.
When I quit drinking I had to hit the absolute floor. I'd been sent to counseling, knew the dangers and problems I faced, but until I was left without options I couldn't change. I don't know that my bottom had any purity in it, but it was damn sure certain effective. 30 years later I still remember that hopelessness...
Is that a cigarette pun? :D
And I think this is why it is good for everyone to experience it - as to survive it proves something to the person that lives on for a lifetime.
Ah, and yeah - I think sometimes therapy gives a cushion or safety net that stops people feeling the cold of bedrock - but they think they know the worst of it.
You can butt in anytime @Bigtom, you know me and that's what we're all here for isn't it- to talk, to learn to share and discuss.
And that's another thing too, you're absolutely right- most people won't/don't want to change until they absolutey have too.
I didn't stop smoking my very tasty rollies until I had my first heart attack at 38...so I think that it's the slap in the face that people need- the big wake up call...tough love some call it...