Dr. Platt thoroughly reports and discusses what has been written about the psychosocial treatment of cocaine abuse. He has little good news for us, however. He finds that there is some promise in contingency management, a form of behavior therapy using community resources such as vocational, educational, financial, and legal counseling together with direct financial rewards for abstinence (p. 212). This approach was found to be more effective than a 12-step program in initiating abstinence and preventing relapse. The published studies of contingency management contrasted with a 12-step program have had follow-ups as long as 24 weeks. Long-term outcome studies had not been reported when this book was prepared (p. 333). Dupont (R1558271) strongly advocated lifelong membership in a 12-step fellowship as the sine qua non of addiction treatment. The many forms of nonpharmacological treatment that are reviewed in this publication attempt to reach the cocaine addicts who will not or cannot make use of Narcotics Anonymous (NA) or Alcoholics Anonymous (AA). In my experience, involvement in an abstinence-based, sponsored fellowship such as AA and NA is the best possible outcome of psychotherapy with an addict. In APA's practice guideline for the treatment of patients with substance use disorders, published in 1995 (R1558272), self-help groups for substance abuse disorders are referred to as adjunctive and helpful for many patients. The authors of the practice guideline noted that 12-step groups may not be right for patients who need to take psychoactive drugs for a comorbid condition, such as depression, if their use of prescribed medications is considered a form of substance abuse R1558272.