The comments responding to our review provide an excellent and provocative agenda for future research. They put emphasis on the relative importance of self change from a macro-societal system perspective and raise important methodological issues. As noted in several of the comments, rather than replacing treatment, large-scale attempts at self-change would actually be likely to increase treatment use because presumably many individuals will not succeed on their own. In this regard, an important and virtually unstudied population is individuals who attempt but do not succeed at self change. > > > >
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