So which is it - is it a treatment with no benefits other than that which is attributable to selection bias, as you first claimed, or is it a high-touch treatment that performs similarly to CBT or other forms of therapy? You&#x27;re moving the goalposts. The latter statement is perfectly valid, as AA is really just CBT dressed up with additional social support and a charitable aspect.<p>Why the focus on high-touch&#x2F;low-touch? It doesn&#x27;t cost anyone anything except for those who attend, and even those who do aren&#x27;t obligated to spend anything. It does take up some time, but it is time that I enjoy spending.<p>I have undergone both CBT and yes, have attended AA. The former did not do much for me, the latter did. AA as practiced in my area is strongly remniscent of CBT, only with additional social support, which is helpful for recovering alcoholics who have likely either alienated most people or who have built social networks focused around substance abuse.<p>If you were to say that addiction is complicated and the right course of treatment is difficult to determine and efficacy is hard to measure, I certainly would agree.