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Alcoholics Anonymous is an international, spiritually oriented community of Alcoholics who meet in groups. The primary purpose of A.A. members is to stay sober and help other alcoholics do the same. A.A. formed the original Twelve-step Program and has been the source and model for all subsequent recovery groups such as Gamblers Anonymous , Narcotics Anonymous , Sexaholics Anonymous , Overeaters Anonymous , and Al-Anon/Alateen , among others. Until the mid-1930s, alcoholics who did not have the financial means to hire a psychiatrist or admit themselves to a private sanitarium could find help only at state hospitals, in jails, or through street ministries Encarta Encyclopedia . The founding of Alcoholics Anonymous marked the first approach to supporting the sustained recovery of the alcoholic, regardless of their financial standing. One revolutionary aspect of Alcoholics Anonymous is their definition of alcoholism. They define it as a progressive disease from which the alcoholic is suffering. A.A. prescribes that alcoholism, as a disease, can not be cured and as such the recovering alcoholic has no option but to completely abstain from alcoholThe A.A. Fact File , 'The Recovery Program' Another vital aspect of Alcoholics Anonymous is that it is exclusively run by and peopled by other alcoholics (aside from 7 out of 21 members of the A.A. Board of trustees who are listed as “nonalcoholic friends of the fellowship”The A.A. Fact File , 'The Structure of A.A.'). A.A. believes that the relative success of their program is owed to their opinion that a recovered alcoholic has a special ability to bond and provide insight into the necessity of sobriety to the alcoholic The A.A. Fact Files , 'The Recovery Program' A.A. literature describes a difference between an "alcoholic" and a "problem drinker", claiming that unlike a ‘problem drinker’ who may drink alcohol but retains the ability to stop or moderate his or her drinking, an alcoholic has an incurable disease rendering them unable to moderate their consumption of alcohol. A.A. states that only the individual themselves can determine whether they are an alcoholic The A.A. Fact Files , 'The Recovery Program'. HISTORY AND DEVELOPMENT A.A. was started by two alcoholics who first met on May 12 , 1935 . One was Bill Wilson (William Griffith Wilson), a New York stockbroker; the other was Dr. Bob Smith (Robert Holbrook Smith), a medical doctor and surgeon from Akron, Ohio . In A.A. circles, the former is known as "Bill W." and the latter, "Dr. Bob." Wilson had been sober since December 11th, 1934 (six months) when he met Smith, although he had struggled with sobriety for years. In that time he had made several important discoveries about his own alcoholism. Firstly he had learned from a New York alcoholism specialist, Dr. William Duncan Silkworth , that alcoholism was not simply a moral weakness. Silkworth told Wilson, during one of Wilson's admissions to his drying-out clinic, that alcoholism had a pathological disease-like character. He told Wilson that, in his view, alcoholism was akin to an allergy, in the sense that it produced abnormal reactions to alcohol that were not observed in non-alcoholic drinkers; he called these reactions a "phenomenon of craving" -- once started drinking, the alcoholic finds it very difficult to stop. In addition, Dr. Silkworth told Wilson that alcoholics had a mental obsession that gave them reasons to return to alcohol after periods of sobriety, even knowing that they would then develop overwhelming cravings. This "double whammy" (as he called it) meant that the alcoholic could not stop once started, and could not stop from starting again. This explained the enormous recidivism rate of alcoholics. Wilson also discovered that some alcoholics were able to recover on a Spiritual basis. This approach had been used by one of Wilson's old drinking buddies, Ebby Thacher, to get sober. Thacher had learned about the spiritual approach from Rowland H., an American business executive and alcoholic who had undergone treatment with the famous Swiss analytical psychologist Dr. Carl Jung . After a prolonged and unsuccessful period of therapy, Jung told Rowland that his case, like that of most alcoholics, was nigh on hopeless. Rowland was horrified and begged Jung to tell him anything that might help. Jung replied there was only one hope: a genuine spiritual conversion experience. History, he said, had recorded isolated examples of recovery from alcoholism that appeared solely attributable to the spiritual conversion of the alcoholic. He told Rowland to seek out a conversion experience. Rowland H. returned to America and found a means to a Spiritual Awakening through the Oxford Group , a self-styled first-Century Christian movement founded by Frank Buchman that advocated finding god through moral inventory, confession of defects, restitution, reliance upon god, and helping others. It appeared that a spiritual awakening would relieve alcoholics of the mental obsession that kept sending them back to alcoholism after periods of sobriety. Note that Wilson later (''Alcoholics Anonymous comes of age'', New York: Harper; 1957, p. 39) credited A.A.'s ideas of self examination, acknowledgement of character defects, restitution for harm done, and working with others, to the religious influence of Rev. Samuel Moor Shoemaker and the Oxford Group Movement. Following one of Wilson's relapses, he returned to the hospital where he was sedated and detoxified. He prayed in bed during his recovery: "If there be a God, will He show himself! The result was instant, electric, beyond description. The place seemed to light up, blinding white. I knew only ecstasy and seemed on a mountain. A great wind blew, enveloping and penetrating me. To me, it was not of air, but of Spirit. Blazing, there came the tremendous thought. 'You are a free man.' Then the ecstasy subsided. I now found myself in a new world of consciousness which was suffused by a Presence. One with the universe, a great peace stole over me" (Three talks to medical societies by Bill W., co-founder of Alcoholics Anonymous. New York; Alcoholics Anonymous World Services; 1973, p.10). Wilson questioned whether he had a genuine Religious Experience (see also Peak Experiences )or was on the verge of madness. Dr. Silkworth advised him that "hopeless alcoholics" sometimes report conversion experiences before being "turned around" toward recovery. He referred Wilson to William James ' '' Varieties of Religious Experience '' and directed him to Lectures IX and X, dealing with conversion. James states in the first paragraph of Lecture IX, "To be converted, to be regenerated, to receive grace, to experience religion, to gain an assurance, are so many phrases which denote the process, gradual or sudden, by which a self hitherto divided, and consciously wrong, inferior and unhappy, becomes unified and consciously right, superior and happy, in consequence of its firmer hold upon religious realities. This at least is what conversion signifies in general terms, whether or not we believe that a direct divine operation is needed to bring such a moral change about." Lecture VIII, "The Divided Self" also refers to the condition before conversion. In ''When A.A. Came of Age'', Wilson states that Dr. Silkworth "reminded me of Professor William James's observation that truly transforming spiritual experiences are nearly always founded on calamity and collapse." James' Lectures IX and X discussed the conversion of "Mr. S. H. Hadley, who after his conversion became an active and useful rescuer of drunkards in New York." His footnote 104 states "I have abridged Mr. Hadley's account. For other conversions of drunkards, see his pamphlet, Rescue Mission Work, published at the Old Jerry McAuley Water Street Mission, New York City. A striking collection of cases also appears in the appendix to Professor Leuba's article." William James cited the works of James H. Leuba and Edwin D. Starbuck frequently. Leuba quoted sections of ''Autobiography'' by John B. Gough, who describes his depression as an alcoholic. Leuba also points out that self-surrender is necessary for conversion. He quotes S. H. Hadley and comments "In this record the approach towards complete surrender can be followed step by step. He has laid aside pride enough to respond to the invitation and thereby confess publicly his inability to cease drinking. Old crimes, and that which the settlement of them will require of him, pass before his mind; for a moment he hesitates to accept the attitude towards them which submission to God would demand. His humble prayer for succour, and its effect, indicate that all the resistance of which he is conscious had given away, and that, as he called upon Christ, he threw himself unreservedly at his feet." Starbuck describes conversion following what A.A. came to refer to as "hitting rock bottom." When "the divine urging has become imperative and irresistible. Here is the critical point, the tragic moment. The subject resorts to evasion of good influences, pointing out the perfection of the present self, the imperfection of others, and anything to preserve the old self intact. It is more often a distress, a deep undefinable feeling of reluctance, which is perhaps a complex of all surface considerations which a thorough break in habits and associations would involve. He continues until complete exhaustion takes away the power of striving; he becomes nothing; his will is broken; he surrenders himself to the higher forces that are trying to claim him; he accepts the higher life as his own." Most importantly, Wilson found that his own sobriety seemed to grow stronger when he shared his personal alcoholic experience with other alcoholics. Wilson was on the verge of a relapse on a business trip to Akron. In a hotel lobby, he decided to phone local ministers and ask if they knew of alcoholics he could talk to. Thus he was introduced to Smith. Had it not been for Wilson's decision to reach out to a fellow sufferer, AA would not exist today. These were the ideas that he presented to Smith, who had been struggling with his own chronic drinking addiction. The two struck up a solid friendship and together they put Wilson's discoveries into practice. Smith's last drink is said to have been June 10 , 1935 , and that is considered within A.A. to be the date of the founding of A.A. Their first publication in 1939, ''Alcoholics Anonymous'', the first 164 pages of which have remained virtually unchanged since then, has been a perennial best-seller. The fellowship began to be called "Alcoholics Anonymous" after the publication of this book. Given this start, it is no surprise that A.A. groups and members are frequently called "Friends of Bill W." The AA Grapevine is the international journal of Alcoholics Anonymous. It is written, edited, illustrated, and read by A.A. members and others interested in the A.A. program of recovery from the disease of alcoholism. The growth of A.A., especially in its early years, was striking. In 2002, the General Service Office of Alcoholics Anonymous reported more than 100,000 A.A. groups in 150 countries, with a total membership of approximately two million alcoholics. HOW THE A.A. PROGRAM WORKS Although some believe that A.A's success lies in the sense of support its members gain from attending regular meetings, many members, as well as A.A's literature, hold that the essence of the program is the Twelve Steps. The Steps incorporate Dr. Silkworth's description of the two-fold problem of physical allergy and mental obsession in Step One, Dr. Jung's description of the spiritual solution in Step Two, the Oxford Groups' method of reaching a spiritual awakening in Steps Three through Eleven, and Wilson's experience in helping others in Step Twelve. The process of working the Steps is sometimes summed up as "Trust god, clean house, and help others." (See Twelve-step Program for a list of the steps themselves.) A.A. members are encouraged to "work the Steps", usually with the guidance of a voluntary sponsor. (A sponsor is a more experienced member who has worked the Steps before, usually of the same sex as the sponsee, and freely chosen - and just as freely "fired"- by the sponsee.) The Steps are designed to help the alcoholic achieve a spiritual, emotional and mental state conducive to lasting sobriety. There are many long-term A.A. members who claim that working the Steps has freed them entirely from the urge to drink alcohol. Whereas staying sober was once difficult and uncertain, these members report that sobriety is now much easier, provided they keep working the A.A. program. Most members regard attendance at A.A. meetings as important to their sobriety (although there are groups in A.A. made up of loners and members living in remote locations who communicate by mail and internet). Even members with decades of continuous sobriety still go to meetings regularly. There is no compulsion or requirement to attend. Members may attend as few or as many meetings as they wish, as frequently or infrequently as they like. However, new members are encouraged to go to 90 meetings in 90 days, and a sponsor may set his or her own expectations for a sponsee's attendance. No official membership or attendance records are kept at any level in A.A. However there are annually published estimates which are available through AAs headquarters in New York City, known as "GSO" (General Service Office). With the above in mind, a typical individual program of recovery for a newcomer may include:
It will be noted that the program is to be worked ''daily'' and done so ''one day at a time.'' Frequently heard at meetings: "I'm a winner today, no matter what happens, as long as I don't pick up that first drink." A common feature of A.A. meetings is that members are asked to speak to the group about their experience with alcoholism and recovery. However, there is no requirement to speak. Some members speak every time they are asked; others simply sit and listen in meetings for years before they say anything; some may choose never to speak. A.A. does not charge membership fees to attend meetings, but instead relies on whatever donations members choose to give to cover basic costs like room rental, coffee, etc. Contributions from members are limited to a maximum annual amount. A.A. is self-supporting and is not a charity. It accepts no subsidies from any non-A.A. source and donations of money or other items of value from such sources are not accepted. A.A. receives proceeds from sale of its book ''Alcoholics Anonymous'' along with other A.A. published books and literature, which are periodically reviewed from a cost standpoint so that printed materials can be priced to be self-sustaining while not actually being a source of profit for the organization. Many A.A. groups use the famous Serenity Prayer and many AA groups in the United States often close their meeting with The Lord's Prayer . BELIEFS ABOUT ALCOHOLISM There is no official creed of A.A. belief about alcoholism, since individual members are free to believe whatever they wish based on their own experiences. Even the core twelve step program is presented to members as suggested rather than mandatory. While AA literature states that "our twelve steps are only suggestions", many more traditionally-minded members claim that today's decreased emphasis on "Step Work" has resulted in a drastic decline in AA's success rate. In the early days of AA, say critics of today's meeting-centred brand of Alcoholics Anonymous, the 12 Steps were mandatory and attendance at meetings were optional. They claim that during this time, AA experienced 75-90% success rates of recovery. In recent years however, the Fellowship has shifted its views greatly and now many veteran AA members advise newcomers that meetings are mandatory while placing less emphasis on "working the steps". Some blame this lessened emphasis on The Twelve Steps for a first-time sobriety success rate of approximately 5%, according to an internal study conducted by AA Intergroup in 1988. Other estimates put overall success rates however somewhere between 5 and 10%. Given that AA's membership is by definition, anonymous, and its administrative body -- the General Service Office, General Service Board and annual General Service Conference -- acknowledges the importance of anonymity, no records are kept on AA members, so non-anecdotal data about success rates cannot be obtained from official AA sources. Many A.A. members share similar views on alcoholism and most would agree with the following statements:
STRUCTURE The affairs of A.A. are governed broadly by A.A.'s Twelve Traditions . A.A. has a minimal amount of organized structure. There is no hierarchy of leaders and no formal control structure. People who accept service positions within the Fellowship are known only as "trusted servants." Individual A.A. members and groups cannot be compelled to do anything by "higher" A.A. authorities. Each A.A. group, small or large, is considered a self-supporting and self-governing entity. A.A. does maintain offices and service centres which have the task of co-ordinating activities like printing literature, responding to public enquiries and organizing state or national conferences. These offices are funded by local A.A. members and are directly responsible to the A.A. groups in the region or country they represent. (For more information, see A.A.'s Twelve Traditions as set out in the A.A. "Big Book" Alcoholics Anonymous and discussed in detail in the A.A. book ''Twelve Steps and Twelve Traditions''.) A.A., RELIGION AND THE LAW U.S. judges continue to require attendance at AA meetings as a condition of probation or parole or as an element of a sentence for defendants convicted of a crime. A federal appeals court ruled in 1999 that doing so compromises the Establishment Clause of the First Amendment right not to have religion dictated to them by government - because A.A. practices and doctrine are (in the words of the district court judge who wrote Griffin v. Coughlin {Link without Title} ) "unequivocally religious". In that ruling it was also noted "adherence to the A.A. fellowship entails engagement in religious activity and religious Proselytization . Followers are urged to accept the existence of God as a Supreme Being, Creator, Father of Light and Spirit of the Universe. In "working" the 12 steps, participants become actively involved in seeking such a God through prayer, confessing wrongs and asking for removal of shortcomings." The United States Supreme Court denied certiori and let this decision stand. Grandberg V. Ashland County is another example concerning judicially-mandated A.A. attendance and the Establishment Clause. In that case the Federal 7th Circuit Court ruled, "Alcoholics Anonymous materials and the testimony of the witness established beyond a doubt that religious activities, as defined in constitutional law, were a part of the treatment program. The distinction between religion and spirituality is meaningless, and serves merely to confuse the issue." In Warner v Orange County Department of Probation, where a man convicted of drunk driving was sentenced to A.A. The court found that the county was guilty of “coercing the plaintiff into participating in religious exercises, an act which tends toward the establishment of a state religious faith.” Similar court cases where mandated AA attendance was ruled unconstitutional due to A.A.'s religiosity include Kerr v Lind and O’Connor v State of California. While A.A. World Services Inc. legal entity of the program as a whole and A.A.'s General Service Office legal entity of A.A. in the U.S. and Canada do not favour coercion regarding meeting attendance, their failure to unequivocally condemn the practice (and promulgate their condemnation at the cell level) is interpreted by some as tacit approval. A.A. experience long suggests that the program works best for people who seek sobriety of their own free will. The Third Tradition of A.A. states "The only requirement for A.A. membership is a desire to stop drinking." Those forced to attend meetings may not have any desire to stop drinking. Nevertheless, it is true that some members claim to owe their recovery to the fact they were ordered to go to A.A. by a judge or doctor. A.A. welcomes everyone at its meetings, including those who are there only because a court or other external authority compelled them. The A.A. program contains spiritual ideas, but it does not promote any particular Religion over others, and it has worked for adherents of many faiths, including Christians, Buddhists, Jews and Muslims as well as for many who identify with no religion. Nevertheless, since it suggests that the recovering alcoholic seeks help from a "Higher Power," some Atheists and those not looking for a "spiritual" solution find themselves unable to accept A.A.'s Twelve Steps and instead seek out secular alternatives. Many others have been able to adapt the concept of a "Higher Power" in a manner that works for them, and there is a chapter of the book ''Alcoholics Anonymous'' called "We Agnostics" that speaks directly to agnostics and agnosticism. It counsels that even those members who "thought we were atheists or agnostics" were able to "lay aside prejudice and express even a willingness to believe in a Power greater than ourselves ... even though it was impossible for any of us to fully define or comprehend that Power, which is god" and "had to stop doubting the power of god" because "deep down in every man, woman, and child, is the fundamental idea of god." (quotes from ''Alcoholics Anonymous'', 4th Edition, p. 44, 46, 52, 55) Many alcoholics arrive at A.A. with a strong disbelief towards spiritual ideas. A.A. members usually counsel attendees with such beliefs to keep attending despite their perceived conflicting beliefs. The attitude towards these cases is usually the same as in the ''Alcoholics Anonymous'' book, they believe that eventually atheists and agnostics will "come around" to believing in a "higher power." Many agnostics and atheists find this attitude offensive and condescending, because they interpret such statements as being tantamount to saying that atheist and agnostics have simply not thought about the implications enough to come to see what A.A. adherents see as a basic "truth." It should also be noted that many believers reject AA's spiritualism as well. Many alcoholics who arrive at A.A. without belief in a god use the group itself as their "Higher Power." One such alcoholic defined "GOD" as "Group Of Drunks" until he was able to discover a spiritual concept of god which worked for him. Other A.A. members point out that there are many powers greater than one's self to choose from. The idea that this power must be God is not necessarily true for everyone. Some A.A. members choose some principle, such as the truth, or compassion, or the law of impermanence and constant change and surrender to that principle as their "higher power". Others may focus on the program itself, defining "GOD" as "Good Orderly Direction." On the other hand, newcomers are cautioned that it is unwise to use any one person, such as a sponsor, as their higher power in that all individual human beings are fallible and, in the case of another recovering alcoholic, no matter how long his or her sobriety, capable of relapse. The basic idea is that, in order to recover, the alcoholic must "surrender," meaning that he or she must admit his or her powerlessness over alcohol and unmanageability of life and must stop depending only on self, while beginning to rely on help from a "power greater than self ," whatever the precise nature of that power. Many recovering alcoholics would agree with the statement: "I had done things my way long enough, and all it got me was drunk. I decided it was time to start following directions." Ironically, it has been the experience of some A.A. "old timers" (recovering alcoholics with many years of uninterrupted sobriety) that active alcoholics who seek recovery in A.A. without having a prior religious concept of god may have a better chance of lasting recovery than their more religious counterparts. This seems to be true because the former may find it easier to focus on working the program itself, instead of using previously-held religious beliefs as a rationalization for seeking an "easier softer way." However, as stated elsewhere, many people who come to A.A. with all sorts of religious beliefs, or the lack thereof, have found long-lasting recovery from alcoholism in A.A. "one day at a time."
DISCUSSION OF THE MERITS OF A.A. (Note: in this section, BB refers to ''The Big Book'', aka ''Alcoholics Anonymous'', 3rd Edition, by the first 100 members of Alcoholics Anonymous, and 12x12 refers to ''Twelve Steps and Twelve Traditions'', by William G. Wilson) Note: in 2001 the 4th edition of Alcoholics Anonymous, was released. The first 164 pages (including the doctors opinion), of the BB have been left intact and unchanged since the book's initial publication in 1939. The only change in each edition, aside from some minor updating of the basic text from the first to the second edition, has been the addition and/or deletion of some of the stories in the back of the book. AA's Supporters On one hand, supporters claim that AA is an indispensable support group for people seeking to free themselves of an addiction to alcohol. Some things they cite include:
AA's Critics Specific criticisms sometimes put forth by AA's critics (some of whom go so far as to call AA a Cult ) include:
Criticisms specific to religious themes Critics see the following points as evidence of religious themes in AA:
Criticism of religious themes from religious groups Several , Jesuitic , or even Occult aspects to Bill W 's personal philosophy. LITERATURE
For more literature, see Bill W. , Literature; Dr. Bob , Literature; Twelve-step Program , Literature.
DRAMATIC PORTRAYALS
EXTERNAL LINKS Official A.A. links Unofficial A.A. sites on the internet
Testimonials (Stories of Recovery via AA)
Critical links
Links to AA alternatives Abstinence based programs
Moderation/ Harm Reduction based programs REFERENCES # ''Three Talks to Medical Societies by Bill W., co-founder of Alcoholics Anonymous'' World Service, 1973. |
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