coerced treatment

[Yoshie Furuhashi]

>A note on this.  Glasser is right when he says
>"coerced treatment is an oxymoron," as any addiction
>specialist could tell you.  Mark Shuckit once told me,
>showing refreshing ideological bluntness, that most
>users for whom it works have sought treatment out of
>the exhaustion and ruin, as they see it, of many
>years.  They are "ready."  This, at the end of the
>addiction business cycle, is what hedges success
>rather than the content of the treatment program.
>Moreover, since the bio-psycho-social medical model
>accounts for relapses, there's no way it could be used
>in good faith to justify coerced treatment.
>
>Alec

Isn't there a large middle ground between getting coerced by the 
state and becoming "ready" out of the exhaustion and ruin of many 
years?

Yoshie