PART ONE: THE GROUP Introduction Helping Characteristics and Change Mechanisms in Self-Help Groups Ideology, Climate, Structure and Professionalization in Self-Help and Support Groups PART TWO: THE MEMBER Beginning Participation Long-Term Participation PART THREE: THE PRACTITIONER Practitioner Roles with Support Groups Practitioner Relationships with Self-Help Groups PART FOUR: REPRESENTATIVE GROUPS Twelve Step Programs Other Change Oriented Associations: Recovery Inc and Parents Anonymous Supportive Educational Groups Telephone and On-Line Self-Help