Addiction & Recovery
Related: About this forumSecret of AA: After 75 Years, We Don't Know How It Works
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The resolve is striking, though not entirely surprising. AA has been inspiring this sort of ardent devotion for 75 years. It was in June 1935, amid the gloom of the Great Depression, that a failed stockbroker and reformed lush named Bill Wilson founded the organization after meeting God in a hospital room. He codified his method in the 12 steps, the rules at the heart of AA. Entirely lacking in medical training, Wilson created the steps by cribbing ideas from religion and philosophy, then massaging them into a pithy list with a structure inspired by the Bible.
The 200-word instruction set has since become the cornerstone of addiction treatment in this country, where an estimated 23 million people grapple with severe alcohol or drug abusemore than twice the number of Americans afflicted with cancer. Some 1.2 million people belong to one of AA's 55,000 meeting groups in the US, while countless others embark on the steps at one of the nation's 11,000 professional treatment centers. Anyone who seeks help in curbing a drug or alcohol problem is bound to encounter Wilson's system on the road to recovery.
It's all quite an achievement for a onetime broken-down drunk. And Wilson's success is even more impressive when you consider that AA and its steps have become ubiquitous despite the fact that no one is quite sure howor, for that matter, how wellthey work. The organization is notoriously difficult to study, thanks to its insistence on anonymity and its fluid membership. And AA's method, which requires "surrender" to a vaguely defined "higher power," involves the kind of spiritual revelations that neuroscientists have only begun to explore.
What we do know, however, is that despite all we've learned over the past few decades about psychology, neurology, and human behavior, contemporary medicine has yet to devise anything that works markedly better. "In my 20 years of treating addicts, I've never seen anything else that comes close to the 12 steps," says Drew Pinsky, the addiction-medicine specialist who hosts VH1's Celebrity Rehab. "In my world, if someone says they don't want to do the 12 steps, I know they aren't going to get better."
Wilson may have operated on intuition, but somehow he managed to tap into mechanisms that counter the complex psychological and neurological processes through which addiction wreaks havoc. And while AA's ability to accomplish this remarkable feat is not yet understood, modern research into behavior dynamics and neuroscience is beginning to provide some tantalizing clues.
One thing is certain, though: AA doesn't work for everybody. In fact, it doesn't work for the vast majority of people who try it. And understanding more about who it does help, and why, is likely our best shot at finally developing a system that improves on Wilson's amateur scheme for living without the bottle.
Much more (Long article, but a favorite of mine): https://www.wired.com/2010/06/ff-alcoholics-anonymous/
rampartc
(5,835 posts)i did not go to meetings, but when i had to give it up (ok, maybe 10 years after i had to give it up) i did apply some of the steps. mostly it is the realization that this is a problem and deciding to change enough to get on track.
Rhiannon12866
(222,072 posts)I started learning what to do and the slogans I learned helped a lot in the beginning ("move a muscle, change a thought" ), but One Day at a Time was the key. I figured I could make it through 24 hours - and that's when I started putting time together. That was 10 years ago last April.
rampartc
(5,835 posts)Rhiannon12866
(222,072 posts)I made a long-ago post in this very forum there when I was discouraged, I remember saying that I wasn't doing very well - it did take me a long time. That's why I always say, if I can put time together, anybody can! Thanks!
TexasTowelie
(116,749 posts)but like other matters of faith and spirituality I am grateful for the people that it does.
I believe finding the right sponsor is one of the keys to those that are successful with the 12 step program which is why I would get stuck around step #4. I never found a sponsor that I could relate with and whose own life wasn't a bigger mess than my own. Without a person that I wanted to emulate and count as a friend, it made the 12 step program appear to be more of a joke than anything I could make a commitment to follow.
Rhiannon12866
(222,072 posts)But I was very fortunate to have found the right sponsor - at my second meeting. She must have seen something in me - my "gift of desperation," maybe? ) - and she reached out to me and told me what to do. Even so, it took me awhile, but she stuck right with me, she was an incredible human being, no doubt about it, and helped so many people.
And I got stuck on the Steps where most people don't, the Higher Power belief, but all I was asked was if I had an open mind and I certainly do - I'm a liberal Democrat after all! And it didn't hurt that my sponsor was Jewish, so any religious component was up to me - but what confuses a lot of people I've noticed is the conflation of religion and spirituality. I'm not religious, but the "power of the rooms," people helping and supporting each other, is what has worked for me. If religion works for some people, good for them, but that's not really what it's about.
And I lost my sponsor a year ago this month. She wasn't all that well when I met her, but defied the odds and almost made 16 years when she doubted she'd make it to "two digits," as she used to say. Her birthday was also a week ago today. I miss her a lot and have yet to find a new sponsor which I know I need to do (she had a sponsor and her sponsor has a sponsor), but she was pretty special and I haven't yet found someone who I feel that connection to and could measure up to my friend, Sue.
TexasTowelie
(116,749 posts)but I know that you miss her so you have my sympathies.
I can only say that I met one person in a 12 step program who I felt some kinship with although he was about 15 years older than me. He had a long period of sobriety, then relapsed and nearly died in an auto accident while DWI. Since his relapse was recent and he had to focus on his own financial problems he wasn't in a position to be a sponsor for someone else. I eventually fell out of touch with him after a couple of years so I don't know whether he had another relapse or some other type of health problem since he was a Vietnam veteran.
Rhiannon12866
(222,072 posts)She stuck with me in the beginning and supported me through so much - when I lost my mother, she sat with me in the hospital room! I kept telling her she didn't need to stay, I knew she wasn't well, but she said that she was staying as long as I did. And I hope that I helped her out a few times too (she lost her dog that I loved ).
And I have heard about that happening - I can think of a couple of people I knew who sponsored people who relapsed themselves. One was a guy who probably didn't have enough time to be working with others, but he's back as far as I know. And another was a woman I admired a lot, long time friend of my sponsor, and she apparently has no intention of coming back - and took another girl I liked a lot (her sponsee) with her.
It is hard, I know, to find someone you connect to. But in the beginning it really does help to get to know others who you can relate to - and realize that you aren't alone. That's what kept me coming back - there were all these really nice women who seemed to be doing well and they had the same issues that I did!
And it's never too late to start over. I also have one friend who's not in AA, but in OA (Overeaters Anonymous) and she swears by phone meetings, she often just listens. There are also online meetings too - but I recognize that finding that one person you can relate to is important, since that's what made the difference for me. I also know those who find a "temporary sponsor," just to get started. And others who have had numerous sponsors - I was just lucky to find the right one right away.
RockRaven
(16,261 posts)The question ought to be: what *specifically* is empirically/demonstrably, reliably/reproducibly effective?
12-step advocates, including celebrity commentators like Dr Drew, vastly over-sell the predictive value of engaging in those programs.
That said, if the choice is the 12-step program or the addict making it up themselves as they go along, then duh! of course anything structured with other people involved is better than handling it yourself. Humans are social primates for f--k's sake, having other people involved with the intent of helping you is always better -- pick almost any maladaptive behavioral problem and that would be true.
Rhiannon12866
(222,072 posts)The support of others is a key to recovery - having people who understand to talk to and knowing you're not alone - but having a sponsor to guide you is what worked the most for me. I have known people who tried to go it alone - thinking they can work the Steps and jump ahead - and it always backfires. Having someone with experience to guide and support me is what worked for me. I haven't done it perfectly by a long shot, but I've been sober now for over 10 years - when I couldn't have made it through 10 days on my own - because I learned that no matter what happens, I can make it through today.
stopdiggin
(12,817 posts)"understanding more about who it does help, and why, is likely our best shot at finally developing a system that improves on Wilson's amateur scheme .."
I find it disheartening (in the extreme) that our "gold standard" has a failure rate that would be laughed out of any other results oriented structure. And that so many involved in providing treatment are so totally invested. Like other posters, I'm happy and grateful for the people it does help. But my sincere hope is that (like the article said) by connecting some dots and using some vastly improved science .. we can one day be doing a whole lot better.
Rhiannon12866
(222,072 posts)Is that people give up too soon and if they have a "slip," they're too embarrassed to come back. That's what I try to emphasize because I work with a beginners' group - it's not a destination, it's a journey and no matter what happens, you're always welcomed back.
stopdiggin
(12,817 posts)and my total respect for slogging it out in the trenches. a hand reached out is a pretty powerful thing. stay safe, kid.
Rhiannon12866
(222,072 posts)I've been around long enough (2008) that I've collected certain things others have said that have stuck with me. One I learned from a woman with 32 years - she said that she belongs to "The No Matter What Club," no matter what happens, it's not a reason to pick up. And I shared that at a beginners' meeting I go to - and this one kid, who celebrated his year, remembered and quoted what I'd said! I shared that with my friend with 32 years - that's what we do, pay it forward and help each other.
Funtatlaguy
(11,793 posts)does mean God. Although some AA people will say no, it can be any higher power that you believe in.
AA and its sister Al-Anon are great for people affected by alcohol.
But, only if you believe in God or dont mind that component (which is quite a large one).
Rhiannon12866
(222,072 posts)There are people who embrace religion in their lives and good for them if it works for them. But when we discuss it, it's generally acknowledged that it can be whatever works for you, nature is often mentioned, for me at this point it's the power of the rooms that has worked. There is something about everyone working for a common purpose, supporting each other in sobriety, that makes meetings work for me.
And I often think of the time AA was founded. We often read about Model Ts and WWII, and the influence of religion in society at large has changed too. Back in the day people knew the difference between Presbyterians and Methodists, for example. That meant a lot back then. I don't know what the difference is and I don't know many people now who belong to a church.
Like I said, if that's what works for someone, that's terrific, but it hasn't worked for me. I look at AA as a GOD (group of drunks) supporting and learning from each other. My Jewish sponsor never had a problem with the way it's worked for me, but then she wasn't very religious either.
Funtatlaguy
(11,793 posts)Or some other form of opening or closing that includes the word God.
Doesnt bother me as an Agnostic.
But they do do this.
Rhiannon12866
(222,072 posts)I have one AA friend with 35 years who will walk out if they close with the Lord's Prayer (she's Jewish - though not religious). I figure it's up to whoever leads the meeting to choose what works for them. My sponsor who is also Jewish and also not particularly religious solved the problem by using the Responsibility Declaration which I like a lot. We even use it at the District Meetings because of her influence.
I am Responsible.
When Anyone, Anywhere
Reaches Out For Help,
I Want The Hand Of A.A.
Always To Be There.
And For That,
I Am Responsible !
JDC
(10,486 posts)Funtatlaguy
(11,793 posts)progree
(11,463 posts)Why can't you pray for knowledge of a tree's will for you, and for the power to carry it out? (Step 11).
Why can't you get ready to have a tree remove all your defects of character? And why can't you humbly ask Him (generic male tree of course) to remove your shortcomings? (Steps 6 and 7).
(Steps with "tree" or whatever thing or concept you wish substituted for the word "God" )
What some people who conflate spirituality with religion find objectionable about AA/NA is the "proselytization" about a prayer-answering favor-dispensing deity -- the word "God" appears 136 times in the first 11 chapters of the Big Book, not counting Him, His, He, Maker, Creator, Employer, Principal, Father, assigner or our roles, giver of our sex powers, provider of our needs, something other than our well-loved A.A. group, no human power, nor any other human being, accomplisher of the humanly impossible, divine, Providence, has all knowledge and power).
And how the Big Book demeans anything human as a higher power .. e.g. to take two of many quotes:
"we simply do not stop drinking so long as we place dependence upon other people ahead of dependence on God. Burn the idea into the consciousness of every man that he can get well regardless of anyone. The only condition is that he trust in God and clean house." - BB p. 98
"This Power has in each case accomplished the miraculous, the humanly impossible." - BB p. 50
And how the Big Book demeans non-believers (agnostics) with these characterizations: "Handicapped By Obstinacy" (p. 48), "prejudiced" and "unreasoning prejudice" (p. 48) "Rather Vain" (p. 49), "No Reasonable Conception Whatever" (p. 49), "Biased And Unreasonable" (p. 51), "Prey To Misery And Depression" (p. 52), "Couldn't Make A Living" (p. 52), "Full of Fear" (p. 52), "Our Ideas Did Not Work" (p. 52), "We Couldn't Quite Step Ashore" (p. 53), "Leaning Too Heavily On Reason" (p. 53), "Abjectly Faithful To The God Of Reason" (p. 54), "Whirling On To A Destiny Of Nothingness" (p. 54), "Fooling Ourselves" (p. 55),
It's not just a handful of people who conflate spirituality with religion. Six out of six of the highest courts -- all just one level below the U.S. Supreme Court -- have found A.A. to be religious in nature -- religious enough that coerced attendance by government constitutes a violation of the establishment clause of the first amendment. The Supreme Court declined to hear an appeal of one of the U.S. Court of Appeals cases, thus letting the ruling stand.
http://www.democraticunderground.com/1144174#post32
It's sad that nobody explained to the courts that since people are free to substitute "tree" or "door knob" or whatever they wish (just so it's not something human), that it suddenly becomes spiritual but not religious.
JDC
(10,486 posts)Rhiannon12866
(222,072 posts)Which includes The Steps. From my perspective The Steps really are the program, learning how to feel better about yourself and leading a better life. A woman who had more time than me once said that she wished everybody had this program, which I took to mean that people would be happier generally if they worked at cleaning up all the crap in their lives that keeps them unhappy and stuck.
Funtatlaguy
(11,793 posts)But in my experience in several states, there was a strong religious component. Im not saying thats bad but I just think they should own up to it.
progree
(11,463 posts)the Twelve Steps,
1. We admitted we were powerless over alcohol - that our lives had become unmanageable.
2. Came to believe that a Power greater than ourselves could restore us to sanity.
3. Made a decision to turn our will and our lives over to the care of God as we understood Him.
4. Made a searching and fearless moral inventory of ourselves.
5. Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
6. Were entirely ready to have God remove all these defects of character.
7. Humbly asked Him to remove our shortcomings.
8. Made a list of all persons we had harmed, and became willing to make amends to them all.
9. Made direct amends to such people wherever possible, except when to do so would injure them or others.
10. Continued to take personal inventory and when we were wrong promptly admitted it.
11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
12. Having had a spiritual awakening as a result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.
and
Tradition 2
For our group purpose there is but one ultimate authority - a loving God as He may express Himself in our group conscience. Our leaders are but trusted servants; they do not govern.
are not religious. It's deity spiritualism, not religion, or something like that. And best of all, a loving deity (see Tradition 2 just above).
Funtatlaguy
(11,793 posts)But if you dont equate all of the God mentions to religion, thats cool.
I do see it as religion and, again, Im okay with that. Religion doesnt offend me. But to claim that AA is not a religious organization is to deny reality, IMHO.
Ok, Im done with this subject.
Id rather talk about how much we all hate Trump. See ya. 😀
progree
(11,463 posts)I agree with all that except for "religion doesn't offend me". And when I and others are coerced into it, I'm not okay with it. But that's because I'm looking for excuses to get drunk, or something like that, so others and I have been told when we quote from the Big Book like in https://www.democraticunderground.com/?com=view_post&forum=1144&pid=3135 above.
demosincebirth
(12,740 posts)have been born that way." That's the key to recovery from this malady, self honesty. We alkies bullshlt ourselves about our drinking and about everything else in life. No wonder many say " well, it didn't work for me," blaming the program instead of looking in the mirror.
Comatose Sphagetti
(836 posts)The original CBT (Cognitive Behavioral Therapy.)
lark
(24,149 posts)It's worthless for atheists like my son who definitely has addiction problems, just not with alcohol.
Rhiannon12866
(222,072 posts)The meetings that I've been to don't usually talk about religion. It's a spiritual program, not a religious one. And there are people who do say that they choose to call their Higher Power "God," but that's a personal choice and if that's what works for them, it's fine with me - whatever works. One thing I learned early on was to "take what you want and leave the rest."
At one of my first meetings I told a long-timer who highlighted parts of my Big Book that referred to God that I wasn't religious. And I was asked if I was "open minded," which I try to be - and I also take into account that many of the writings are from the 1930s when organized religion played a much bigger part in society. They also talk about Model Ts and WWII, as well - and I appreciate the times in which they were written.
When I first started going to AA meetings in 2008, the discussions were strictly limited to alcohol. But that's changed, as well. So many these days say that "drugs are a part of my story," and I don't have an issue with that, either. Many now identify as "addicts," but if the rooms of AA - as opposed to NA - are working for them, I certainly don't judge.
lark
(24,149 posts)Unfortunately, here, where my son went,a lot of the emphasis was on religion - at least in his mind. He's got some issues so I don't know how much was him just being pissed that he had to be there and how much was them pushing religion? I'm glad to hear that it's not that way at all AA places and you found a good helpful place for yourself.
progree
(11,463 posts)Six out of six of the highest courts -- all just one level below the U.S. Supreme Court -- have found A.A. to be at least religious in nature -- religious enough that coerced attendance by government constitutes a violation of the establishment clause of the first amendment. The Supreme Court declined to hear an appeal of one of the U.S. Court of Appeals cases, thus letting the ruling stand.
http://www.democraticunderground.com/1144174#post32
lark
(24,149 posts)Don't know about more recently but it was definitely part of my sons' probation orders from the court back then.
progree
(11,463 posts)Many courts by default sentence people to A.A./N.A. I've been involved in an anti-coercion Yahoo Group for a long time, and most who have brought these court cases to the attention of the judge succeed, but then some other program is substituted which might be harder to get to and worse in other ways.
Minnesota in 2007, and probably now, got around this explicit sentencing to A.A. by indirection -- requiring out-patient evaluation and treatment and then requiring that we follow the treatment center's recommendations. In my case the treatment center's recommendations included A.A. attendance. I could have fought that, but since I had a jail sentence hanging over me as leverage, I decided not to. Fortunately it was only once a week attendance for a year.
I went to many "We Agnostics" A.A. meetings, and some "Addiction Busters" (a secular non-AA group) meetings, as a substitute for some of the A.A. meeting requirements, and probation didn't complain.
The Agnostic A.A. meeting movement has grown rapidly in the last few years, and I am grateful to A.A. that these have been allowed.
https://aaagnostica.org/
List of secular A.A. meetings https://secularaa.org/meetings/?tsml-day=any
There are also alternatives to A.A. that one can Google by searching on "A.A. alternatives"
lark
(24,149 posts)Thanks for the information.
progree
(11,463 posts)You're welcome, and hopefully your son will never need it. (Well, Secular A.A. and "A.A. alternatives" (there are several), and similarly for N.A. (Narcotics Anonymous) may be helpful resources for life, since alcoholism / addiction is a lifelong issue, no matter how long one has been sober / not using. They say addiction is "cunning, baffling, powerful", and many add the words, "and patient" -- since it waits patiently for a weak moment, no matter how many years or decades one has been sober).
Response to Rhiannon12866 (Original post)
happyaccident This message was self-deleted by its author.
Iggo
(48,262 posts)I know that's NA, but still.
That said, fuck Dr Drew.
Rhiannon12866
(222,072 posts)That and "It works if you work it." (The Steps) When I first joined AA over 10 years ago, we rarely heard about drugs. I remember one time when I was at a meeting, talking to someone just outside the door, when a long timer (30+ years) I knew came rushing out of the room and didn't answer me when I asked him was going on. It turns out that the poor girl who was leading the meeting mentioned that drugs were a part of her story.
These days, it's completely different. I still go to AA meetings since drugs aren't a part of my story, but now it's more common than not to hear drugs mentioned by people who lead the meeting or share. Some say that they're an alcoholic and an addict, some even just say they're addicts, though many say that they started out using alcohol.
We have both NA and HA (heroin) meetings around here, but AA is still the most prevalent. And having gone to other types of meetings, most use the AA Big Book. A friend of mine said recently that "a drug is a drug is a drug" and I happen to agree. Anything that helps is just fine with me, but the key, like you said, is to "keep coming back!"
Stuart G
(38,726 posts)First part of the Serenity Prayer.....
Higher power grant me the serenity to help me accept the things I cannot change...
Call the H.P. whatever you want..Love, God, Quiet Power of Kindness, etc..(sometimes I think of God as just the quiet feeling I get in the forest on a beautiful day, or maybe that feeling I get when I watch the sunrise in the morning.
Call it what you want to call it. Forget the H.P. Call it the kindness of the groups that we go to...
Just going to meetings makes a difference for me. Sometimes it helps me get through the very worst. Been going to meetings for 40 years. By not being alone, the meetings probably saved my life...Been to OA, EA, AA, CODA. Sometimes I go to different meetings. Most of the times, I feel better after the meeting.
On one particular day, I went to a meeting and was feeling very sad. My girl friend was dying of cancer and was very close to death. On that day, there were 2 other people at the meeting who were dealing with death. One person was in town for a funeral, and another was dealing with the death of a daughter from suicide. It made a difference that I wasn't alone with those feelings. (my girlfriend who I was deeply in love with, died the next day)