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Abstract：
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.
摘要：
背景：认知行为疗法是一个总称，它涵盖了广泛的不同，然而相关的干预措施，其中一些已被证明在治疗物质使用障碍方面是有效的。然而,12步计划（包括匿名戒酒和匿名戒毒）是传统上最广为人知和最常用的管理酒精和药物滥用的方法。目标：因此，本文试图总结基于CBT的方法和12步哲学的兼容性，为了帮助与患者一起工作的临床医生严格遵守12步思想。结果：来自AA大书的具体段落，NA\的基本文本，和辅助的12步文献将在适当的地方突出显示。此外，还将解决合成的常见障碍（例如，相信“更高的权力；接受一个人的“无能为力”）。结论：致力于以证据为基础的临床医生，与CBT相关的实践最终建议在与认同12步计划文化价值的患者合作时采用灵活性。
