Abstract
Nearly 2 million American men and women are annually treated for substance abuse (SAMHSA, 2002). Unfortunately, as most substance abuse patients will relapse within a year or even within the first few months (Weisner, Matzger, & Kaskutas, 2002; Bond, Kaskutas, & Weisner, 2003), it is clear that treatment alone does not translate into long-term abstinence. What appears to help many but certainly not all of those wishing to remain abstinent is affiliating with mutual help support groups, such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) (Emrick, Tonigan, Montgomery, & Little, 1993; Tonigan, Miller, & Connors, 2000; Tonigan, Tocova, & Miller, 1996).
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