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Bridging the Gap

The Compatibility of CBT-Based Approaches with Twelve-Step Programs in the Treatment of Substance Use Disorders

Bibliographic Data

ID21645380
AuthorsNathan A Winner (0000-0002-3820-4426, Department of Veterans Affairs, South Texas Veterans Health Care System, San Antonio, TX, USA, corresponding author)
Year2021
Volume56
Issue11
Pages1662-1669
Publication date2021-09-19
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2021.1949606
PMID34278969
OpenAlexW3185199538
LanguageEN
Citations received1
References cited50

Background: Cognitive-behavioral therapy is an umbrella term which encompasses a wide range of distinct, yet related interventions, several of which have been shown to be efficacious in the treatment of substance use disorders. However, 12-Step programs (including Alcoholics Anonymous and Narcotics Anonymous) are traditionally the most widely known and commonly used approaches to managing alcohol and substance abuse. Objectives: Therefore, this paper attempts to offer a summary of the compatibility of CBT-based approaches and 12-Step philosophy, in order to assist clinicians who work with patients with a strong adherence to 12-Step ideology. Results: Specific passages from AA’s Big Book, NA’s Basic Text, and ancillary 12-Step literature will be highlighted where appropriate. Moreover, common roadblocks to synthesis (e.g. belief in a “higher power;” acceptance of one’s “powerlessness”) will also be addressed. Conclusions: Clinicians who are committed to evidence-based, CBT-related practices are ultimately advised to adopt flexibility when working with patients who identify with the cultural values of 12-Step programs

Alcoholics Anonymous · Cognition · Cognitive therapy · Psychiatry · Psychological intervention · Psychotherapist · Relapse prevention · Substance abuse · Substance use · Child and Adolescent Psychosocial and Emotional Development · Community Health and Development · Medicine · Psychology · Substance Abuse Treatment and Outcomes

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Citations per year0.25
Citation span2022 - 2022 (1)
Highly citedNo

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