Alcoholics Anonymous

Alcoholics Anonymous (AA) is a global peer-led mutual aid fellowship begun in the U.S. and dedicated to abstinence-based recovery from alcoholism through their spiritually inclined twelve-step program. [1][2][3][4][5][6][7] Besides stressing anonymity and offering membership to anyone wishing to stop drinking, AA's twelve traditions establish it as free to all, non-professional, non-denominational, apolitical and unaffiliated.[2][3][8] In 2020 AA estimated its worldwide membership to be over two million with 75% of those in the U.S. and Canada.[9][10]

Alcoholics Anonymous
NicknameAA
Formation1935 (1935)
FoundersBill Wilson
Bob Smith
Founded atAkron, Ohio
TypeMutual aid addiction recovery twelve-step program
HeadquartersNew York, New York
Membership (2020)
2,100,000
Websiteaa.org

A 2020 scientific review found that clinical interventions increasing AA participation via AA Twelve Step Facilitation (AA/TSF) had sustained remission rates 20-60% better than other well-established treatments regardless of demographics. Additionally, 4 of the 5 economic studies in the review found that AA/TSF lowered healthcare costs considerably.[lower-alpha 1][12][13][14] Regarding the disease model of alcoholism, an otherwise receptive AA has not endorsed it while many AA members have promoted it towards wider acceptance.[15]

In 1935, the recognized start of AA, Bill Wilson (Bill W.) first commiserated alcoholic-to-alcoholic with Bob Smith (Dr. Bob). Meeting through AA's immediate precursor the Christian revivalist Oxford Group, they and other alcoholics fellowshipped there until forming what became AA.[16] In 1939 the new fellowship, then mostly male and white, published Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered From Alcoholism, also known as the Big Book and from which AA draws its name. All editions of the Big Book carry the twelve steps, and since the second edition, they have all included the twelve traditions adopted in 1950 to keep AA as what Wilson called a "benign anarchy.[17][18][19]

AA's twelve steps are a suggested and continuing sobriety program of prayer, reflection, admission, better conduct and atonement, all to effect a “spiritual awakening”, after which members should take others through the steps, usually by taking on sponsees. Divining and following the will of an undefined God—"as we understood Him", also designated as a “higher power”—is integral to the steps, but differing practices and beliefs, including those of atheists and other non-theists, are accommodated.[8]

The twelve traditions are guidelines to keep AA focused on altruistically helping others to recover from alcoholism. With AA's traditions membership goes to anyone professing a desire to stop drinking, and that all memberships should be kept anonymous, especially in public media, but no repercussions are prescribed for broken anonymity. Additionally the traditions have AA avoiding hierarchies, dogma, public controversies and other outside entanglements, or using AA for personal gain or public prestige. They also insist that no dues or fees are required, and to be self-supporting, no outside financial aid can be accepted.[20][21]

AA has allowed other recovery fellowships such as Narcotics Anonymous and Al-Anon to adopt and adapt the twelve steps and twelve traditions.[22]

History
Main article: History of Alcoholics Anonymous
Sobriety token or "chip", given for specified lengths of sobriety. On the back is the Serenity Prayer. Here green is for six months of sobriety; purple is for nine months.

AA was founded on 10 June 1935 but AA's origins are said to have begun when the renowned psychotherapist Carl Jung inspired Rowland H., an otherwise hopeless drunk, to seek a spiritual solution by sending him to the Oxford Group— a non-denominational, altruistic Christian movement modeled after first-century Christianity. Ebby Thacher got sober in that same Oxford Group and reached out to help his drinking buddy Bill Wilson.[23] Thacher approached Wilson saying that he had "got religion", was sober, and that Wilson could do the same if he set aside objections and instead formed a personal idea of God, "another power" or "higher power".[24][25] Feeling a "kinship of common suffering", Wilson attended his first group gathering, although he was drunk. Within days, Wilson admitted himself to the Charles B. Towns Hospital after drinking four beers on the way—the last alcohol he ever drank. Under the care of Dr. William Duncan Silkworth (an early benefactor of AA), Wilson's detox included the deliriant belladonna.[26] At the hospital, a despairing Wilson experienced a bright flash of light, which he felt to be God revealing himself.[27]

Following his hospital discharge, Wilson joined the Oxford Group and tried to recruit other alcoholics to the group. These early efforts to help others kept him sober, but were ineffective in getting anyone else to join the group and get sober. Dr. Silkworth suggested that Wilson place less stress on religion (as required by The Oxford Group) and more on the science of treating alcoholism.

Wilson's first success came during a business trip to Akron, Ohio, where he was introduced to Robert Smith, a surgeon and Oxford Group member who was unable to stay sober. After thirty days of working with Wilson, Smith drank his last drink on 10 June 1935, the date marked by AA for its anniversaries.[28]

The first female member, Florence Rankin, joined AA in March 1937,[29][30] and the first non-Protestant member, a Roman Catholic, joined in 1939.[31] The first Black AA group was established in 1945 in Washington, D.C. by Jim S., an African-American physician from Virginia.[32][33]

While writing the Big Book in the several years after 1935, Wilson developed the Twelve Steps, which were influenced by the Oxford Group's 6 steps and various readings, including William James's The Varieties of Religious Experience.[34][35]

The Big Book, the Twelve Steps, and the Twelve Traditions

To share their method, Wilson and other members wrote the initially-titled book, Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism,[36] from which AA drew its name. Informally known as "The Big Book" (with its first 164 pages virtually unchanged since the 1939 edition), it suggests a twelve-step program in which members admit that they are powerless over alcohol and need help from a "higher power". They seek guidance and strength through prayer and meditation from God or a higher power of their own understanding; take a moral inventory with care to include resentments; list and become ready to remove character defects; list and make amends to those harmed; continue to take a moral inventory, pray, meditate, and try to help other alcoholics recover. The second half of the book, "Personal Stories" (subject to additions, removal, and retitling in subsequent editions), is made of AA members' redemptive autobiographical sketches.[37]

In 1941, interviews on American radio and favorable articles in US magazines, including a piece by Jack Alexander in The Saturday Evening Post, led to increased book sales and membership.[38] By 1946, as the growing fellowship quarreled over structure, purpose, authority, finances and publicity, Wilson began to form and promote what became known as AA's "Twelve Traditions", which are guidelines for an altruistic, unaffiliated, non-coercive, and non-hierarchical structure that limited AA's purpose to only helping alcoholics on a non-professional level while shunning publicity. Eventually, he gained formal adoption and inclusion of the Twelve Traditions in all future editions of the Big Book.[20] At the 1955 conference in St. Louis, Missouri, Wilson relinquished stewardship of AA to the General Service Conference,[39] as AA had grown to millions of members internationally.[40]

In May of 2017, Alcoholics Anonymous World Services Inc. filed a lawsuit in the Supreme Court of the State of New York seeking to a return of the original manuscript of the Big Book from the then owner. AAWS claimed that the manuscript had been given to them as a gift in 1979.[41] This action was criticized by many members of Alcoholics Anonymous since they didn't want their parent organization engaged in lawsuits.[42] Alcoholics Anonymous World Services Inc. asked the court to voluntarily discontinue the action in November of 2017.[43]

Organization and finances
Main article: Twelve Traditions
A regional service center for Alcoholics Anonymous

AA says it is "not organized in the formal or political sense",[40] and Wilson, borrowing the phrase from anarchist theorist Peter Kropotkin, called it a "benign anarchy".[19] In Ireland, Shane Butler said that AA "looks like it couldn't survive as there's no leadership or top-level telling local cumanns what to do, but it has worked and proved itself extremely robust". Butler explained that "AA's 'inverted pyramid' style of governance has helped it to avoid many of the pitfalls that political and religious institutions have encountered since it was established here in 1946."[44]

In 2018, AA had 2,087,840 members and 120,300 AA groups worldwide.[40] The Twelve Traditions informally guide how individual AA groups function, and the Twelve Concepts for World Service guide how the organization is structured globally.[45]

A member who accepts a service position or an organizing role is a "trusted servant" with terms rotating and limited, typically lasting three months to two years and determined by group vote and the nature of the position. Each group is a self-governing entity, with AA World Services acting only in an advisory capacity. AA is served entirely by alcoholics, except for seven "nonalcoholic friends of the fellowship" of the 21-member AA Board of Trustees.[40]

AA groups are self-supporting, relying on voluntary contributions from members to cover expenses.[40] The AA General Service Office (GSO) limits contributions to US$5,000 a year.[46] "Below" the group level, AA may hire outside professionals for services that require specialized expertise or full-time responsibilities.[20]

Like individual groups, the GSO is self-supporting. AA receives proceeds from books and literature that constitute more than 50% of the income for its GSO.[47] In keeping with AA's Seventh Tradition, the Central Office is fully self-supporting through the sale of literature and related products, and the voluntary contributions of AA members and groups. It does not accept donations from people or organizations outside of AA.

In keeping with AA's Eighth Tradition, the Central Office employs special workers who are compensated financially for their services, but their services do not include working with alcoholics in need (the "12th Step").[48] (AA's 12th step is: "Having had a spiritual awakening as the result of these Steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.")[49] All 12th Step calls that come to the Central Office are handed to sober AA members who have volunteered to handle these calls. It also maintains service centers, which coordinate activities such as printing literature, responding to public inquiries, and organizing conferences. Other International General Service Offices (Australia, Costa Rica, Russia, etc.) are independent of AA World Services in New York.[50]

Program
See also: Twelve-step program § Twelve Steps

AA's program extends beyond abstaining from alcohol.[51] Its goal is to effect enough change in the alcoholic's thinking "to bring about recovery from alcoholism"[52] through "an entire psychic change," or spiritual awakening.[53] A spiritual awakening is meant to be achieved by taking the Twelve Steps,[54] and sobriety is furthered by volunteering for AA[55] and regular AA meeting attendance[56] or contact with AA members.[54] Members are encouraged to find an experienced fellow alcoholic, called a sponsor, to help them understand and follow the AA program. The sponsor should preferably have experienced all twelve of the steps, be the same sex as the sponsored person, and refrain from imposing personal views on the sponsored person.[55] Following the helper therapy principle, sponsors in AA may benefit from their relationship with their charges, as "helping behaviors" correlate with increased abstinence and lower probabilities of binge drinking.[57]

AA shares the view that acceptance of one's inherent limitations is critical to finding one's proper place among other humans and God. Such ideas are described as "Counter-Enlightenment" because they are contrary to the Enlightenment's ideal that humans have the capacity to make their lives and societies a heaven on Earth using their own power and reason.[51] After evaluating AA's literature and observing AA meetings for sixteen months, sociologists David R. Rudy and Arthur L. Greil found that for an AA member to remain sober, a high level of commitment is necessary. This commitment is facilitated by a change in the member's worldview. They argue that to help members stay sober, AA must provide an all-encompassing worldview while creating and sustaining an atmosphere of transcendence in the organization. To be all-encompassing, AA's ideology emphasizes tolerance rather than a narrow religious worldview that may make the organization unpalatable to potential members and thereby limit its effectiveness. AA's emphasis on the spiritual nature of its program, however, is necessary to institutionalize a feeling of transcendence. A tension results from the risk that the necessity of transcendence, if taken too literally, would compromise AA's efforts to maintain a broad appeal. As this tension is an integral part of AA, Rudy and Greil argue that AA is best described as a quasi-religious organization.[58]

Meetings
Headquarters of Alcohólicos Anónimos in Montevideo, Uruguay

AA meetings are gatherings where recovery from alcoholism is discussed. One perspective sees them as "quasi-ritualized therapeutic sessions run by and for, alcoholics".[59] There are a variety of meeting types some of which are listed below. At some point during the meeting a basket is passed around for voluntary donations. AA's 7th tradition requires that groups be self-supporting, "declining outside contributions".[20] Weekly meetings are listed in local AA directories in print, online and in apps.

Open vs Closed meetings

"Open" meetings welcome anyone—nonalcoholics can attend as observers.[60] Meetings listed as "closed" welcome those with a self-professed "desire to stop drinking," which cannot be challenged by another member on any grounds.[20]

Speaker meetings

At speaker meetings one or more members come to tell their stories.[61]

Big Book meetings

At Big Book meetings, attendees read from the AA Big Book and discuss it.[61]

Discussion meetings

There are also meetings with or without a topic that allow participants to speak up or "share".[62]

Online vs. offline meetings

Online meetings are digital meetings held on platforms such as Zoom. Offline meetings, also called "face to face", "brick and mortar", or "in-person" meetings, are held in a shared physical real-world location. Some meetings are hybrid meetings, where people can meet in a specified physical location, but people can also join the meeting virtually.

Specialized meetings
Building for Spanish-speaking AA group in Westlake neighborhood, Los Angeles

AA meetings do not exclude other alcoholics, though some meetings cater to specific demographics such as gender, profession, age,[63] sexual orientation,[64][65] or culture.[66][67] Meetings in the United States are held in a variety of languages including Armenian, English, Farsi, Finnish, French, Japanese, Korean, Russian, and Spanish.[68][65]

Meeting formats

While AA has pamphlets that suggest meeting formats,[69][70] groups have the autonomy to hold and conduct meetings as they wish "except in matters affecting other groups or AA as a whole".[20] Different cultures affect ritual aspects of meetings, but around the world "many particularities of the AA meeting format can be observed at almost any AA gathering".[71]

Confidentiality

In the Fifth Step, AA members typically reveal their own past misconduct to their sponsors. US courts have not extended the status of privileged communication, such as physician-patient privilege or clergy–penitent privilege, to communications between an AA member and their sponsor.[72][73]

Spirituality

Some critics have criticized 12-step programs as "a cult that relies on God as the mechanism of action"[74] and as "overly theistic and outdated".[75] Others have cited the necessity of a "higher power" in formal AA as creating dependence on outside factors rather than internal efficacy.[75] A 2010 study found increased attendance at AA meetings was associated with increased spirituality and decreased frequency and intensity of alcohol use.[76][77] Since the mid-1970s, several 'agnostic' or 'no-prayer' AA groups have begun across the US, Canada, and other parts of the world, which hold meetings that adhere to a tradition allowing alcoholics to freely express their doubts or disbelief that spirituality will help their recovery, and these meetings forgo the use of opening or closing prayers.[78][79]

Disease concept of alcoholism
Main article: Disease theory of alcoholism

More informally than not, AA's membership has helped popularize the disease concept of alcoholism which had appeared in the eighteenth century.[80] Though AA usually avoids the term disease, 1973 conference-approved literature said "we had the disease of alcoholism."[81] Regardless of official positions, since AA's inception, most members have believed alcoholism to be a disease.[82]

AA's Big Book calls alcoholism "an illness which only a spiritual experience will conquer." Ernest Kurtz says this is "The closest the book Alcoholics Anonymous comes to a definition of alcoholism."[82] Somewhat divergently in his introduction to The Big Book, non-member and early benefactor William Silkworth said those unable to moderate their drinking suffer from an allergy. In presenting the doctor's postulate, AA said "The doctor's theory that we have an allergy to alcohol interests us. As laymen, our opinion as to its soundness may, of course, mean little. But as ex-problem drinkers, we can say that his explanation makes good sense. It explains many things for which we cannot otherwise account."[83] AA later acknowledged that "alcoholism is not a true allergy, the experts now inform us."[84] Wilson explained in 1960 why AA had refrained from using the term disease:

We AAs have never called alcoholism a disease because, technically speaking, it is not a disease entity. For example, there is no such thing as heart disease. Instead, there are many separate heart ailments or combinations of them. It is something like that with alcoholism. Therefore, we did not wish to get in wrong with the medical profession by pronouncing alcoholism a disease entity. Hence, we have always called it an illness or a malady—a far safer term for us to use.[85]

Since then medical and scientific communities have defined alcoholism as an "addictive disease" (aka Alcohol Use Disorder, Severe, Moderate, or Mild).[86] The ten criteria are: alcoholism is a Primary Illness not caused by other illnesses nor by personality or character defects; second, an addiction gene is part of its etiology; third, alcoholism has predictable symptoms; fourth, it is progressive, becoming more severe even after long periods of abstinence; fifth, it is chronic and incurable; sixth, alcoholic drinking or other drug use persists in spite of negative consequences and efforts to quit; seventh, brain chemistry and neural functions change so alcohol is perceived as necessary for survival; eighth, it produces physical dependence and life-threatening withdrawal; ninth, it is a terminal illness; tenth, alcoholism can be treated and can be kept in remission.[87]

Canadian and United States demographics

AA's New York General Service Office regularly surveys AA members in North America. Its 2014 survey of over 6,000 members in Canada and the United States concluded that, in North America, AA members who responded to the survey were 62% male and 38% female.[88] The survey found that 89% of AA members were white.[88]

Average member sobriety is slightly under 10 years with 36% sober more than ten years, 13% sober from five to ten years, 24% sober from one to five years, and 27% sober less than one year.[88] Before coming to AA, 63% of members received some type of treatment or counseling, such as medical, psychological, or spiritual. After coming to AA, 59% received outside treatment or counseling. Of those members, 84% said that outside help played an important part in their recovery.[88]

The same survey showed that AA received 32% of its membership from other members, another 32% from treatment facilities, 30% were self-motivated to attend AA, 12% of its membership from court-ordered attendance, and only 1% of AA members decided to join based on information obtained from the Internet. People taking the survey were allowed to select multiple answers for what motivated them to join AA.[88]

Relationship with institutions

Hospitals

Many AA meetings take place in treatment facilities. Carrying the message of AA into hospitals was how the co-founders of AA first remained sober. They discovered great value in working with alcoholics who are still suffering, and that even if the alcoholic they were working with did not stay sober, they did.[89][90][91] Bill Wilson wrote, "Practical experience shows that nothing will so much insure immunity from drinking as intensive work with other alcoholics".[92] Bill Wilson visited Towns Hospital in New York City in an attempt to help the alcoholics who were patients there in 1934. At St. Thomas Hospital in Akron, Ohio, Smith worked with still more alcoholics. In 1939, a New York mental institution, Rockland State Hospital, was one of the first institutions to allow AA hospital groups. Service to corrections and treatment facilities used to be combined until the General Service Conference, in 1977, voted to dissolve its Institutions Committee and form two separate committees, one for treatment facilities, and one for correctional facilities.[93]

Prisons

In the United States and Canada, AA meetings are held in hundreds of correctional facilities. The AA General Service Office has published a workbook with detailed recommendations for methods of approaching correctional-facility officials with the intent of developing an in-prison AA program.[94] In addition, AA publishes a variety of pamphlets specifically for the incarcerated alcoholic.[95] Additionally, the AA General Service Office provides a pamphlet with guidelines for members working with incarcerated alcoholics.[96]

United States court rulings
See also: Rational Recovery § Court-mandated twelve-step program attendance

United States courts have ruled that inmates, parolees, and probationers cannot be ordered to attend AA. Though AA itself was not deemed a religion, it was ruled that it contained enough religious components (variously described in Griffin v. Coughlin below as, inter alia, "religion", "religious activity", "religious exercise") to make coerced attendance at AA meetings a violation of the Establishment Clause of the First Amendment of the constitution.[97][98] In 2007, the Ninth Circuit of the U.S. Court of Appeals stated that a parolee who was ordered to attend AA had standing to sue his parole office.[99][100]

United States treatment industry

In 1939, High Watch Recovery Center in Kent, Connecticut, was founded by Bill Wilson and Marty Mann. Sister Francis who owned the farm tried to gift the spiritual retreat for alcoholics to Alcoholics Anonymous, however citing the sixth tradition Bill W. turned down the gift but agreed to have a separate non-profit board run the facility composed of AA members. Bill Wilson and Marty Mann served on the High Watch board of directors for many years. High Watch was the first and therefore the oldest 12-step-based treatment center in the world still operating today.

In 1949, the Hazelden treatment center was founded and staffed by AA members, and since then many alcoholic rehabilitation clinics have incorporated AA's precepts into their treatment programs.[101] 32% of AA's membership was introduced to it through a treatment facility.[88]

Effectiveness

There are several ways one can determine whether AA works and numerous ways of measuring if AA is successful, such as looking at abstinence, reduced drinking intensity, reduced alcohol-related consequences, alcohol addiction severity, and healthcare cost.[12]

The effectiveness of AA (compared to other methods and treatments) has been challenged throughout the years,[102] but recent high quality clinical meta-studies using quasi-experiment studies show that AA costs less than other treatments and results in increased abstinence.[12][103] In longitudinal studies, AA appears to be about as effective as other abstinence-based support groups.[104]

Because of the anonymous and voluntary nature of AA meetings, it has been difficult to perform random trials with them. Environmental and quasi-experiment studies suggest that AA can help alcoholics make positive changes.[105][106][107]

In the past, some critics have criticized 12-step programs as pseudoscientific[75][108] and "a cult that relies on God as the mechanism of action".[74][75][109] Until recently, ethical and operational issues had prevented robust randomized controlled trials from being conducted comparing 12-step programs directly to other approaches.[75] More recent studies employing randomized and blinded trials have shown 12-step programs provide similar benefit compared to motivational enhancement therapy (MET) and cognitive behavioral therapy (CBT), and were more effective in producing continuous abstinence and remission compared to these approaches.[110]

Cochrane 2020 review

A 2020 Cochrane review concluded that "compared to other well-established treatments, clinical linkage using well-articulated Twelve-Step Facilitation (TSF) manualized interventions intended to increase Alcoholics Anonymous (AA) participation" are more effective than other established treatments, such as motivational enhancement therapy (MET) and cognitive-behavioral therapy (CBT), as measured by abstinence rates.[111][112] Manualized TSF probably achieves additional desirable outcomes—such as fewer drinks per drinking day and less severe alcohol-related problems—at equivalent rates as other treatments, although evidence for such a conclusion comes from low to moderate certainty evidence "so should be regarded with caution".[111]

In response to a concern expressed by another addiction researcher that "those more strongly committed to total abstinence after receiving AA/TSF were likely to experience more protracted 'slips' if they did for any reason drink",[113] the Cochrane review authors stated that subjects who did not achieve abstinence did not have worse drinking outcomes overall.[114]

Older studies

A 2006 study by Rudolf H. Moos and Bernice S. Moos saw a 67% success rate 16 years later for the 24.9% of alcoholics who ended up, on their own, undergoing a lot of AA treatment.[115][116] The study's results may be skewed by self-selection bias.[117][118]

Project MATCH was a 1990s 8-year, multi-site, $27-million investigation that studied which types of alcoholics respond best to which forms of treatment.[119]

Brandsma 1980 showed that Alcoholics Anonymous is more effective than no treatment whatsoever.[120]

Membership retention

In 2001–2002, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) conducted the National Epidemiological Survey on Alcoholism and Related Conditions (NESARC). Similarly structured to the NLAES, the survey conducted in-person interviews with 43,093 individuals. Respondents were asked if they had ever attended a twelve-step meeting for an alcohol problem in their lifetime (the question was not AA-specific). 1441 (3.4%) of respondents answered the question affirmatively. Answers were further broken down into three categories: disengaged, those who started attending at some point in the past but had ceased attending at some point in the past year (988); continued engagement, those who started attending at some point in the past and continued to attend during the past year (348); and newcomers, those who started attending during the past year (105).[121] In their discussion of the findings, Kaskautas et al. (2008) state that to study disengagement, only the disengaged and continued engagement should be utilized (pg. 270).[121]

The Sober Truth

American psychiatrist Lance Dodes, in The Sober Truth, says that research indicates that only five to eight percent of the people who go to one or more AA meetings achieve sobriety.[122]

The 5–8% figure put forward by Dodes is controversial;[123] other doctors say that the book uses "three separate, questionable, calculations that arrive at the 5–8% figure."[124][125] Addiction specialists state that the book's conclusion that "[12-step] approaches are almost completely ineffective and even harmful in treating substance use disorders" is wrong.[126][127] One review called Dodes' reasoning against AA success a "pseudostatistical polemic".[128]

Dodes has not, as of March 2020, read the 2020 Cochrane review showing AA efficacy, but opposes the idea that a social network is needed to overcome substance abuse.[129]

The Irrationality of Alcoholics Anonymous

In a 2015 article for The Atlantic, Gabrielle Glaser criticized the dominance of AA in the treatment of addiction in the United States.[130] Her article uses Lance Dodes's figures and a 2006 Cochrane report to state AA had a low success rate, but those figures were subsequently criticized by experts as outdated.[123][124][125] The Glaser article incorrectly conflates the efficacy of treatment centers with the efficacy of Alcoholics Anonymous.[131] The Glaser article says that "nothing about the 12-step approach draws on modern science", but a large amount of scientific research has been done with AA, showing that AA increases abstinence rates.[125] The Glaser article criticizes 12-step programs for being "faith-based", but 12-step programs allow for a very wide diversity of spiritual beliefs, and there are a growing number of secular 12-step meetings.[132][133]

Criticism
See also: Twelve-step program

Sexual advances ("thirteenth-stepping")

"Thirteenth-stepping" is a pejorative term for AA members approaching new members for dates. A study in the Journal of Addiction Nursing sampled 55 women in AA and found that 35% of these women had experienced a "pass" and 29% had felt seduced at least once in AA settings. This has also happened with new male members who received guidance from older female AA members pursuing sexual company. The authors suggest that both men and women must be prepared for this behavior or find male or female-only groups.[134] Women-only meetings are a very prevalent part of AA culture, and AA has become more welcoming for women.[135] AA's pamphlet on sponsorship suggests that men be sponsored by men and women be sponsored by women.[136]

Alcoholics Anonymous World Services has a safety flier which states that "Unwanted sexual advances and predatory behaviors are in conflict with carrying the A.A. message of recovery."[137]

Criticism of culture
See also: Alcoholism § Management

Stanton Peele argued that some AA groups apply the disease model to all problem drinkers, whether or not they are "full-blown" alcoholics.[138] Along with Nancy Shute, Peele has advocated that besides AA, other options should be readily available to those problem drinkers who can manage their drinking with the right treatment.[139] The Big Book says "moderate drinkers" and "a certain type of hard drinker" can stop or moderate their drinking. The Big Book suggests no program for these drinkers, but instead seeks to help drinkers without "power of choice in drink."[140]

In 1983, a review stated that the AA program's focus on admission of having a problem increases deviant stigma and strips members of their previous cultural identity, replacing it with the deviant identity.[141] A 1985 study based on observations of AA meetings warned of detrimental iatrogenic effects of the twelve-step philosophy and concluded that AA uses many methods that are also used by cults.[142] A later review disagreed, stating that AA's program bore little resemblance to religious cult practices.[143] In 2014, Vaillant published a paper making the case that Alcoholics Anonymous is not a cult.[144]

Literature

Alcoholics Anonymous publishes several books, reports, pamphlets, and other media, including a periodical known as the AA Grapevine.[145] Two books are used primarily: Alcoholics Anonymous (the "Big Book") and Twelve Steps and Twelve Traditions, the latter explaining AA's fundamental principles in depth. The full text of each of these two books is available on the AA website at no charge.

  • Anonymous (2011). Alcoholics Anonymous: the story of how many thousands of men and women have recovered from alcoholism (multiple PDFs) (4th ed.). ISBN 978-1-893007-16-1. OCLC 49743393. 575 pages.
  • Anonymous (2002). Twelve Steps and Twelve Traditions (multiple PDFs). Hazelden. ISBN 978-0-916856-01-4. OCLC 13572433. 192 pages.
  • "Home Page". AA Grapevine. Alcoholics Anonymous. ISSN 0362-2584. OCLC 319167052.

AA in media

Film and television

See also

Notes
  1. "Twelve-Step Facilitation (TSF) interventions include extended counseling, adopting some of the techniques and principles of AA, as well as brief interventions designed to link individuals to community AA groups."[11]

References
  1. Kitchin, Heather A. (December 2002). "Alcoholics Anonymous Discourse and Members' Resistance in a Virtual Community: Exploring Tensions between Theory and Practice". Contemporary Drug Problems. 29 (4): 749–778. doi:10.1177/009145090202900405. ISSN 0091-4509. S2CID 143316323.
  2. AA Grapevine (15 May 2013), A.A. Preamble (PDF), AA General Service Office, archived (PDF) from the original on 9 October 2022, retrieved 13 May 2017
  3. Michael Gross (1 December 2010). "Alcoholics Anonymous: Still Sober After 75 Years". American Journal of Public Health. 100 (12): 2361–2363. doi:10.2105/ajph.2010.199349. PMC 2978172. PMID 21068418.
  4. Mäkelä 1996, p. 3.
  5. "Benign Anarchy: Voluntary Association, Mutual Aid and Alcoholics Anonymous | PDF | Alcoholics Anonymous | Twelve Step Program". Scribd. Retrieved 3 September 2022.
  6. "New Cochrane Review finds Alcoholics Anonymous and 12-Step Facilitation programs help people to recover from alcohol problems". www.cochrane.org. Retrieved 13 February 2023.
  7. Miller, Hannah (30 March 2020). "AA meetings, addiction counseling move online as social-distancing guidelines limit group gatherings". CNBC.
  8. "Information on AA". aa.org. Retrieved 18 April 2019.
  9. Tonigan, Scott J; Connors, Gerard J; Miller, William R (December 2000). "Special Populations in Alcoholics Anonymous" (PDF). Alcohol Health and Research World. 22 (4): 281–285. PMC 6761892. PMID 15706756. Archived (PDF) from the original on 9 October 2022.
  10. Alcoholics Anonymous (April 2016). "Estimates of A.A. Groups and Members As of December 31, 2020" (PDF). Archived (PDF) from the original on 9 October 2022. Retrieved 17 December 2016. cf. Alcoholics Anonymous (2001). Alcoholics Anonymous (PDF) (4th ed.). Alcoholics Anonymous World Services. p. xxiii. Archived (PDF) from the original on 9 October 2022. Retrieved 17 December 2016.
  11. Kelly, John F.; Humphreys, Keith; Ferri, Marica (2020). "Alcoholics Anonymous and other 12-step programs for alcohol use disorder". Cochrane Database of Systematic Reviews. 3 (CD012880): 15. doi:10.1002/14651858.CD012880.pub2. PMC 7065341. PMID 32159228.
  12. Kelly, John F.; Humphreys, Keith; Ferri, Marica (2020). "Alcoholics Anonymous and other 12-step programs for alcohol use disorder". Cochrane Database of Systematic Reviews. 3 (3): CD012880. doi:10.1002/14651858.CD012880.pub2. PMC 7065341. PMID 32159228.
  13. Kelly, John F.; Abry, Alexandra; Ferri, Marica; Humphreys, Keith (2020). "Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers". Alcohol and Alcoholism. 55 (6): 641–651. doi:10.1093/alcalc/agaa050. PMC 8060988. PMID 32628263.
  14. "How Effective is Alcoholics Anonymous?".
  15. Kurtz, Ernest (2002). "Alcoholics Anonymous and the Disease Concept of Alcoholism" (PDF). Alcoholism Treatment Quarterly. Informa UK Limited. 20 (3–4): 5–39. doi:10.1300/j020v20n03_02. ISSN 0734-7324. S2CID 144972034. Archived from the original (PDF) on 26 January 2012.
  16. John, Stevens (26 January 1971). "Bill W. of Alcoholics Anonymous Dies". The New York Times. Archived from the original on 2 November 2021. Retrieved 19 November 2012.
  17. "A Brief History of the Big Book | Alcoholics Anonymous". www.aa.org. Retrieved 5 December 2022.
  18. "The Beginnings of The Twelve Traditions | Alcoholics Anonymous". www.aa.org. Retrieved 5 December 2022.
  19. Bill W. (1957). "benign+anarchy" Alcoholics Anonymous Comes of Age: A Brief History of A.A. Harper, and Brothers. p. 224.
  20. "The Twelve Traditions". The AA Grapevine. Alcoholics Anonymous. 6 (6). November 1949. ISSN 0362-2584. OCLC 50379271.
  21. AA. "The Twelve Traditions of Alcoholics Anonymous (Long Form)" (PDF). Alcoholics Anonymous.
  22. Chappel, JN; Dupont, RL (1999). "Twelve-Step and Mutual-Help Programs for Addictive Disorders". Psychiatric Clinics of North America. 22 (2): 425–46. doi:10.1016/S0193-953X(05)70085-X. PMID 10385942.
  23. Schaberg, William H. (2019). Writing The big book : the creation of A.A. Las Vegas, NV. ISBN 9781949481297.{{cite book}}: CS1 maint: location missing publisher (link)
  24. Pass It On, 1984, p 117.
  25. Kurtz 1991, p. 17.
  26. Pittman, Bill "AA the Way it Began" 1988, Glenn Abbey Books
  27. Kurtz 1991, p. 19–20.
  28. Kurtz 1991, p. 33.
  29. Anonymous (1939). Alcoholics Anonymous. New York: Works Publishing Company. p. Original Manuscript p. 217.
  30. Bamuhigire, Oscar Bamwebaze (2009). Healing power of self love: enhance your chances of recovery from addiction through the. [S.l.]: Iuniverse Inc. p. x. ISBN 978-1-44010-137-3.
  31. Kurtz 1991, p. 47.
  32. Alcoholics Anonymous (3rd ed.). New York: AA World Services. 1976. p. 483.
  33. Mustikhan, Ahmar (13 April 2015). "First black AA group to celebrate 70th anniversary today in Washington DC". CNN. Archived from the original on 1 December 2017. Retrieved 28 May 2017.
  34. This first sentence has been revised to reflect conclusions drawn by William Schaberg's exhaustive research into 1930s AA documents. The results published in Writing the Big Book (2019) clarify many details, rewriting history. Many statements made online, and in earlier books, including Susan Cheever's book referenced next, need to be reconsidered.
  35. Cheever, Susan (2004). My name is Bill: Bill Wilson: his life and the creation of Alcoholics Anonymous. New York: Simon & Schuster. p. 127-136. ISBN 978-0-7432-0154-4.
  36. "Copyright of AA Book". gsowatch.aamo.info. Archived from the original on 24 February 2021. Retrieved 26 June 2010.
  37. Anonymous, Alcoholics. "AA Big Book, preface" (PDF). Alcoholics Anonymous. Anonymous Press. Archived (PDF) from the original on 9 October 2022. Retrieved 25 December 2016.
  38. Jack Alexander (1 March 1941). "Alcoholics Anonymous" (PDF). Saturday Evening Post (Reprinted in booklet form ed.). Alcoholics Anonymous World Services. ISBN 978-0-89638-199-5. Archived from the original (PDF) on 2 December 2008. Retrieved 12 December 2009.
  39. Pass It On, 1984, p. 359
  40. "AA Fact File" (PDF). General Service Office of Alcoholics Anonymous. 2007. Archived (PDF) from the original on 9 October 2022.
  41. "Alcoholics Anonymous sues to recover original manuscript". Reuters. 22 May 2017. Retrieved 15 August 2023.
  42. Michael Levin “Alcoholics Anonymous goes to court (and its members are livid)” Fox News Opinion, June 7, 2017
  43. “PLAINTIFF’S MEMORANDUM OF LAW IN SUPPORT OF ITS MOTION TO VOLUNTARILY DISCONTINUE THIS ACTION PURSUANT TO CPLR 3217(b)” filed November 27, 2017
  44. Carroll, Steven (26 March 2010). "Group avoids politics of alcohol". The Irish Times. Retrieved 17 December 2016.
  45. Wilson, Bill. "The A.A. Service Manual Combined with Twelve Concepts for World Services" (PDF). Alcoholics Anonymous World Services, Inc. Archived from the original (PDF) on 25 March 2009. Retrieved 12 December 2009.
  46. "A.A. GSO Guidelines: Finances" (PDF). Alcoholics Anonymous General Service Office. Archived (PDF) from the original on 18 June 2010. Retrieved 12 December 2009.
  47. "GSO 2007 Operating Results". Alcoholics Anonymous General Services Office. Archived from the original on 27 November 2008. Retrieved 12 December 2009. Gross Profit from Literature ≈8,6M (57%), Contributions ~$6.5M (43%)
  48. "Frequently Asked Financial Questions". Fort Worth central office of Alcoholics Anonymous. Retrieved 13 May 2017.
  49. "The Twelve Steps | Alcoholics Anonymous". www.aa.org. Retrieved 8 August 2023.
  50. "Alcoholics Anonymous : International General Service Offices". Alcoholics Anonymous website. Archived from the original on 10 October 2010. Retrieved 8 October 2009.
  51. Humphreys, Keith; Kaskutas, Lee Ann (1995). "World Views of Alcoholics Anonymous, Women for Sobriety, and Adult Children of Alcoholics/Al-Anon Mutual Help Groups". Addiction Research & Theory. 3 (3): 231–243. doi:10.3109/16066359509005240.
  52. Bill W. 2002, p. Appendix II, p. 567.
  53. Alcoholics Anonymous (4th ed.). New York: AA World Services. 2002. pp. xxix. ISBN 9781893007178.
  54. "This is AA" (PDF). Alcoholics Anonymous Work Services, Inc. 1984. Archived (PDF) from the original on 25 March 2009. Retrieved 12 December 2009.
  55. Questions & Answers on Sponsorship
  56. "A Newcomer Asks." (PDF). Alcoholics Anonymous World Services, Inc. 1980. Archived (PDF) from the original on 15 March 2009. Retrieved 12 December 2009.
  57. Zemore, S. E.; Kaskutas, L. A. & Ammon, L. N. (August 2004). "In 12-step groups, helping helps the helper". Addiction. 99 (8): 1015–1023. doi:10.1111/j.1360-0443.2004.00782.x. PMID 15265098.
  58. Rudy, David R.; Greil, Arthur L. (1989). "Is Alcoholics Anonymous a Religious Organization?: Meditations on Marginality". Sociological Analysis. 50 (1): 41–51. doi:10.2307/3710917. JSTOR 3710917.
  59. Leach, Barry; Norris, John L.; Dancey, Travis; Bissell, Leclair (1969). "Dimensions of Alcoholics Anonymous: 1935–1965". Substance Use & Misuse. 4 (4): 509. doi:10.3109/10826086909062033.
  60. The A.A. Group 2016, p. 13.
  61. "What to Expect at an A.A. Meeting | Alcoholics Anonymous". www.aa.org.
  62. Anonymous, Alcoholics. "SMF-177: Information on Alcoholics Anonymous" (PDF). Alcoholics Anonymous. AA World Services Inc. Archived (PDF) from the original on 9 October 2022. Retrieved 25 December 2016.
  63. "International Conference of Young People in Alcoholics Anonymous (ICYPAA)". Retrieved 12 June 2023.
  64. The A.A. Group 2016, p. 12.
  65. "Find a Meeting". Inter-Group Association of A.A. of New York. Retrieved 29 May 2017.
  66. "Native American Indian General Service Office of Alcoholics Anonymous (NAIGSO-AA)". Retrieved 29 May 2017.
  67. Cf. A.A. for the Native North American (PDF), New York: Alcoholics Anonymous World Services, 2009, archived (PDF) from the original on 9 October 2022, retrieved 29 May 2017
  68. "Alcoholics Anonymous (A. A.) Meetings in Los Angeles County, California". Alcoholics Anonymous in Staten Island, N. Y. Archived from the original on 9 June 2017. Retrieved 29 May 2017.
  69. The A.A. Group (PDF), New York: Alcoholics Anonymous World Services, 19 October 2016 [1990], archived (PDF) from the original on 9 October 2022, retrieved 29 May 2017
  70. "Suggestions For Leading Beginners Meetings" (PDF). Alcoholics Anonymous World Services, Inc. Archived from the original (PDF) on 25 March 2009. Retrieved 12 December 2009.
  71. Mäkelä 1996, pp. 149–150.
  72. Coleman, Phyllis (December 2005). "Privilege and Confidentiality in 12-Step Self-Help Programs: Believing The Promises Could Be Hazardous to an Addict's Freedom". The Journal of Legal Medicine. 26 (4): 435–474. doi:10.1080/01947640500364713. ISSN 0194-7648. OCLC 4997813. PMID 16303734. S2CID 31742544.
  73. Hoffman, Jan (15 June 1994). "Faith in Confidentiality of Therapy Is Shaken". The New York Times. Retrieved 23 October 2008.
  74. Kaskutas, Lee Ann (2 April 2009). "Alcoholics Anonymous Effectiveness: Faith Meets Science". Journal of Addictive Diseases. 28 (2): 145–157. doi:10.1080/10550880902772464. eISSN 1545-0848. ISSN 1055-0887. PMC 2746426. PMID 19340677.
  75. Lilienfeld, Scott O.; Lynn, Steven Jay; Lohr, Jeffrey; Tavris, Carol (2015). Science and pseudoscience in clinical psychology (PDF) (Second ed.). New York: The Guilford Press. ISBN 9781462505814. Retrieved 27 January 2023.
  76. Kelly, John F.; Eddie, David (February 2020). "The role of spirituality and religiousness in aiding recovery from alcohol and other drug problems: An investigation in a national U.S. sample". Psychology of Religion and Spirituality. 12 (1): 116–123. doi:10.1037/rel0000295. eISSN 1943-1562. ISSN 1941-1022. PMC 7989793. PMID 33767804.
  77. Sánchez-Iglesias, Iván; Saiz, Jesús; Molina, Antonio J.; Goldsby, Tamara L. (31 December 2022). "Reporting and Interpreting Effect Sizes in Applied Health-Related Settings: The Case of Spirituality and Substance Abuse". Healthcare. 11 (1): 133. doi:10.3390/healthcare11010133. eISSN 2227-9032. PMC 9818974. PMID 36611592.
  78. C., Roger (November 2011). "A History of Agnostic Groups in Alcoholics Anonymous: Part 1". Humanist Network News. Archived from the original on 21 February 2014. Retrieved 12 February 2014.
  79. Freedman, Samuel (21 February 2014). "Alcoholics Anonymous, Without the Religion". The New York Times. Archived from the original on 1 January 2022. Retrieved 26 February 2014.
  80. Rush, Benjamin (1805). Inquiry into the Effects of Ardent Spirits upon the Human Body and Mind. Philadelphia: Bartam.
  81. Is A.A. for You? (PDF), New York: Alcoholics Anonymous World Services, 11 January 2017, archived (PDF) from the original on 9 October 2022, retrieved 14 May 2017
  82. Kurtz, Ernest (2002). "Alcoholics Anonymous and the disease concept of alcoholism" (PDF). Alcoholism Treatment Quarterly. 20 (3–4): 5–39. doi:10.1300/j020v20n03_02. S2CID 144972034. Archived (PDF) from the original on 9 October 2022. Retrieved 13 May 2017.
  83. Alcoholics Anonymous page xxx
  84. Living Sober. 1975. p. 68.
  85. Gately, Iain (2008). Drink: A Cultural History of Alcohol. Penguin Group. p. 417. ISBN 9781592403035.
  86. "Alcohol use disorder Diagnostic Criteria – Epocrates Online".
  87. Heilig, M.; Thorsell, A.; Sommer, W. H.; Hansson, A. C.; Ramchandani, V. A.; George, D. T.; Hommer, D.; Barr, C. S. (2009). "Translating the neuroscience of alcoholism into clinical treatments: From blocking the buzz to curing the blues". Neuroscience and Biobehavioral Reviews. 35 (2): 334–344. doi:10.1016/j.neubiorev.2009.11.018. PMC 2891917. PMID 19941895.
  88. "Alcoholics Anonymous 2014 Membership Survey" (PDF). AA World Services. 2014. Archived (PDF) from the original on 9 October 2022.
  89. Cheever, Susan (14 June 1999). "Bill W.: The Healer". Time. p. 201. Archived from the original on 6 March 2008. Retrieved 12 June 2013. by helping another alcoholic, he could save himself
  90. B., Dick (1997). "Turning point". Turning Point: A History of Early A.A.'s Spiritual Roots and Successes (Volume 10 ed.). Good Book Publishing Company. p. 110. ISBN 9781885803078. Retrieved 13 May 2017. Bill went back to Towns constantly to work on alcoholics there, simply trying to help others had kept him from even thinking of drinking
  91. Lois (1979). Lois remembers: memoirs of the co-founder of Al-Anon and wife of the co-founder of Alcoholics Anonymous (illustrated, reprint ed.). Al-Anon Family Group Headquarters. p. 95. ISBN 9780910034234. Retrieved 12 June 2013. simply trying to help other had kept him from even thinking of drinking
  92. Alcoholics Anonymous (3rd ed.). Alcoholics Anonymous World Services. 1976. p. 89.
  93. "Treatment Committee". AA Area 62 (South Carolina). n.d. Retrieved 17 December 2016.
  94. "Corrections Workbook" (PDF). New York: Alcoholics Anonymous Word Services, Inc. 1995. Archived from the original (PDF) on 25 October 2010. Retrieved 12 December 2009.
  95. "Corrections Catalog". Archived from the original on 28 November 2008. Retrieved 12 December 2009. The titles include: Carrying the Message into Correctional Facilities, Where Do I Go From Here?, A.A. in Prison: Inmate to Inmate, A.A. in Correctional Facilities, It Sure Beats Sitting in a Cell, Memo to an Inmate Who May be an Alcoholic, A Message to Corrections Administrators
  96. "AA Guidelines from GSO: Cooperating with Court, DWI and Similar Programs" (PDF). Archived (PDF) from the original on 28 November 2008. Retrieved 12 December 2009.
  97. Judge Levine (11 June 1996). "In the Matter of David Griffin, Appellant, v. Thomas A. Coughlin III, As Commissioner of the New York State Department of Correctional Services, et al., Respondents". Legal Information Institute. Retrieved 17 December 2016.
  98. Honeymar (1997). "Alcoholics Anonymous As a Condition of Drunk Driving Probation: When Does It Amount to Establishment of Religion". Columbia Law Review. 97 (2): 437–472. doi:10.2307/1123367. JSTOR 1123367.
  99. Egelko, Bob (8 September 2007). "Appeals court says requirement to attend AA unconstitutional". San Francisco Chronicle. Archived from the original on 4 October 2009. Retrieved 8 October 2007.
  100. Inouye v. Kemna, 504 F.3d 705, 714 n.9 (9th Cir. 2007) ("[T]he AA/NA program involved here has such substantial religious components that governmentally compelled participation in it violated the Establishment Clause.").
  101. Robertson 1988, p. 220.
  102. Ferri, Marcia; Amato, Laura; Davoli, Marina (19 July 2006). "Alcoholics Anonymous and other twelve-step programmes for alcohol dependence". Cochrane Database of Systematic Reviews (3): CD005032. doi:10.1002/14651858.CD005032.pub2. PMID 16856072. no experimental studies unequivocally demonstrated the effectiveness of AA or [12-step] approaches for reducing alcohol dependence or problems
  103. Becker, Deborah. "New Review Finds Alcoholics Anonymous Is Effective, But Not For Everyone". NPR.
  104. Zemore, Sarah E; Lui, Camillia; Mericle, Amy; Hemberg, Jordana; Kaskutas, Lee Ann (2018). "A longitudinal study of the comparative efficacy of Women for Sobriety, LifeRing, SMART Recovery, and 12-step groups for those with AUD". Journal of Substance Abuse Treatment. 88: 18–26. doi:10.1016/j.jsat.2018.02.004. PMC 5884451. PMID 29606223.
  105. "Frequently Asked Questions: Searching for Alcohol Treatment". NIAAA. 29 November 2018. the free and flexible support provided by mutual help groups can help people make and sustain beneficial changes and thus promote recovery
  106. https://addiction.surgeongeneral.gov/sites/default/files/chapter-5-recovery.pdf Page 5-2
  107. Recovery: The Many Paths to Wellness. US Department of Health and Human Services. November 2016.
  108. Gorman DM (2010). "Understanding prevention research as a form of pseudoscience". Addiction. 105 (4): 582–583. doi:10.1111/j.1360-0443.2009.02804.x. PMID 20403008.
  109. White, William L.; Kurtz, Ernest (2008). "Twelve Defining Moments in the History of Alcoholics Anonymous". Recent Developments in Alcoholism. Vol. 18. Springer New York. pp. 37–57. doi:10.1007/978-0-387-77725-2_3. ISBN 978-0-387-77724-5. ISSN 0738-422X. PMID 19115762.
  110. Kelly, John F; Abry, Alexandra; Ferri, Marica; Humphreys, Keith (6 July 2020). "Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers". Alcohol and Alcoholism. 55 (6): 641–651. doi:10.1093/alcalc/agaa050. eISSN 1464-3502. ISSN 0735-0414. PMC 8060988. PMID 32628263.
  111. Kelly, John F.; Humphreys, Keith; Ferri, Marica (2020). "Alcoholics Anonymous and other 12-step programs for alcohol use disorder". Cochrane Database of Systematic Reviews. 3 (CD012880): 35. doi:10.1002/14651858.CD012880.pub2. PMC 7065341. PMID 32159228.
  112. Frakt, Austin; Carroll, Aaron (11 March 2020). "Alcoholics Anonymous vs. Other Approaches: The Evidence Is Now In". The New York Times.
  113. Heather, Nick (2020). "Let's not turn back the clock: Comments on Kelly et al., "Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers"". Alcohol and Alcoholism. 56 (4): 377–379. doi:10.1093/alcalc/agaa137. PMID 33316028.
  114. Kelly, John F.; Abry, Alexandra W. (2021). "Leave the Past Behind by Recognizing the Effectiveness and Cost-Effectiveness of 12-Step Facilitation and Alcoholics Anonymous". Alcohol and Alcoholism. 56 (4): 380–382. doi:10.1093/alcalc/agab010. PMC 8243271. PMID 33616171. while more individuals in AA/TSF achieved continuous abstinence, those who were not completely abstinent did not drink more heavily, drink more frequently or experience more alcohol-related consequences
  115. Moos, Rudolf H.; Moos, BS (June 2006). "Participation in Treatment and Alcoholics Anonymous: A 16-Year Follow-Up of Initially Untreated Individuals". Journal of Clinical Psychology. 62 (6): 735–750. doi:10.1002/jclp.20259. PMC 2220012. PMID 16538654.
  116. Humphreys; Blodgett; Wagner (2014). "Estimating the efficacy of Alcoholics Anonymous without self-selection bias: an instrumental variables re-analysis of randomized clinical trials". Alcoholism: Clinical and Experimental Research. 38 (11): 2688–94. doi:10.1111/acer.12557. PMC 4285560. PMID 25421504.
  117. Kaskutas, Lee Ann (2009). "Alcoholics Anonymous Effectiveness: Faith Meets Science". Journal of Addictive Diseases. 28 (2): 145–157. doi:10.1080/10550880902772464. PMC 2746426. PMID 19340677.
  118. Szalavitz, Maia (2016). Unbroken Brain: A Revolutionary New Way of Understanding Addiction. the research that does show AA to be effective is overwhelmingly flawed by what is known as selection bias.
  119. Keith Humphreys. "Here's proof that Alcoholics Anonymous is just as effective as professional psychotherapies". The Washington Post. Archived from the original on 31 May 2016. Retrieved 29 May 2018. AA skeptics were confident that by putting AA up against the best professional psychotherapies in a highly rigorous study, Project MATCH would prove beyond doubt that the 12-steps were mumbo jumbo. The skeptics were humbled: Twelve-step facilitation was as effective as the best psychotherapies professionals had developed.
  120. Brandsma, Jeffery M; Maultsby, Maxie C; Welsh, Richard J (1980). Outpatient Treatment of Alcoholism: a review and comparative study. Baltimore, MD: University Park Press. ISBN 978-0-8391-1393-5. OCLC 5219646. Brandsma 1980 is paywalled, but is summarized in the Wikipedia
  121. Kaskutas, Lee Ann; Ye, Yu; Greenfield, Thomas K.; Witbrodt, Jane; Bond, Jason (30 June 2008). "Epidemiology of Alcoholics Anonymous Participation". Recent Developments in Alcoholism. Vol. 18. pp. 261–282. doi:10.1007/978-0-387-77725-2_15. ISBN 978-0-387-77724-5. PMID 19115774.
  122. Lance Dodes, M.D.; Zachary Dodes (2014). The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and the Rehab Industry. ISBN 978-0-8070-3315-9. University of California professor Herbert Fingarette cited two [...] statistics: at eighteen months, 25 percent of people still attended AA, and of those who did attend, 22 percent consistently maintained sobriety. [Reference: H. Fingarette, Heavy Drinking: The Myth of Alcoholism as a Disease (Berkeley: University of California Press, 1988)] Taken together, these numbers show that about 5.5 percent of all those who started with AA became sober members.
  123. Singal, Jesse (17 March 2015). "Why Alcoholics Anonymous Works". The Cut. Retrieved 25 December 2017. [Lance Dodes] has estimated, as Glaser puts it, that "AA's actual success rate [is] somewhere between 5 and 8 percent," but this is a very controversial figure among addiction researchers.
  124. Beresford, Thomas (2016), Alcoholics Anonymous and The Atlantic: A Call For Better Science, National Council on Alcoholism and Drug Dependence, archived from the original on 15 July 2019, retrieved 16 July 2019, [Herbert Fingarette used] two publications from the Rand Corporation [...] At 4-year follow-up the Rand group identified patients with at least one year abstinence who had been regular members of AA 18 months after the start of treatment: 42% of the regular AA members were abstinent, not the "calculated" 5.5% figure.
  125. Emrick, Chad; Beresford, Thomas (2016). "Contemporary Negative Assessments of Alcoholics Anonymous: A Response". Alcoholism Treatment Quarterly. 34 (4): 463–471. doi:10.1080/07347324.2016.1217713. S2CID 151393200.
  126. Kelly, John F.; Beresin, Gene (7 April 2014). "In Defense of 12 Steps: What Science Really Tells Us about Addiction". WBUR's Common Health: Reform and Reality. Archived from the original on 11 April 2014. Retrieved 5 January 2018.
  127. Humphreys, Keith; Moos, Rudolf (May 2001). "Can encouraging substance abuse patients to participate in self-help groups reduce demand for health care? A quasi-experimental study". Alcoholism: Clinical and Experimental Research. 25 (5): 711–716. doi:10.1111/j.1530-0277.2001.tb02271.x. PMID 11371720. 12-step patients had higher rates of abstinence at follow-up (45.7% versus 36.2% for patients from CB [cognitive-behavioral] programs, p < 0.001)
  128. Roth, Jeffrey D; Khantzian, Edward J (2015). "Book Review: The Sober Truth: Debunking the Bad Science behind 12-step Programs and the Rehab Industry". Journal of the American Psychoanalytic Association. 63: 197–202. doi:10.1177/0003065114565235. S2CID 145764030.
  129. Becker, Deborah. "AA Keeps People From Drinking Alcohol Longer Than Other Tools, Cochrane Review Finds". WBUR-FM. Dodes hadn't yet read the new Cochrane Review, but said in an interview that he is opposed to the fundamental idea of AA -- that fellowship and social connections are needed to deal with substance use disorders
  130. Glaser, Gabrielle. "The Irrationality of Alcoholics Anonymous". The Atlantic. Retrieved 15 April 2016.
  131. Mendola, A.; Gibson, R. L. (2016). "Addiction, 12-Step Programs, and Evidentiary Standards for Ethically and Clinically Sound Treatment Recommendations: What Should Clinicians Do?". AMA Journal of Ethics. 18 (6): 646–655. doi:10.1001/journalofethics.2016.18.6.sect1-1606. PMID 27322999. A related point is that some critiques of TS [Twelve steps] do not maintain a clear distinction between TS groups and rehabilitation programs and facilities that use TS groups, principles, or TSF [Twelve step facilitation]
  132. Galanter, Marc; White, William L.; Ziegler, Penelope P.; Hunter, Brooke (2020). "An empirical study on the construct of "God" in the Twelve Step process". The American Journal of Drug and Alcohol Abuse. 46 (6): 731–738. doi:10.1080/00952990.2020.1789870. PMID 32870030. S2CID 221403749.
  133. "The "God" Word: Agnostic and Atheist Members in A.A." Alcoholics Anonymous World Services.
  134. Bogart, Cathy J.; Bogart, Cathy J. (2003). "'13th-Stepping:' Why Alcoholics Anonymous Is Not Always a Safe Place for Women". Journal of Addictions Nursing: A Journal for the Prevention and Management of Addictions. 14 (1): 43–47. doi:10.1080/10884600305373. ISSN 1548-7148. OCLC 34618968. S2CID 144935254.
  135. Sanders, Jolene M. (2010). "Acknowledging Gender in Women-Only Meetings of Alcoholics Anonymous". Journal of Groups in Addiction & Recovery. 5: 17–33. doi:10.1080/15560350903543766. S2CID 144776540. AA has evolved in a dialectical fashion to become more accommodating to women
  136. Questions and Answers on Sponsorship, page 10. 2005.
  137. "Safety and A.A. Flyer". Alcoholics Anonymous World Services.
  138. Peele 1999.
  139. Shute, Nancy (September 1997). "The drinking dilemma: by calling abstinence the only cure, we ensure that the nation's $100 billion alcohol problem won't be solved". U.S. News & World Report. 123 (9): 54–64.
  140. Alcoholics Anonymous page 20-1,24
  141. Levinson, D (1983). "Current Status of the Field: An Anthropological Perspective on the Behavior Modification Treatment of Alcoholism". In Galanter, Marc (ed.). Genetics Behavioral Treatment Social Mediators and Prevention Current Concepts in Diagnosis. Recent Developments in Alcoholism. Vol. 1. New York: Plenum Press. pp. 55–261. doi:10.1007/978-1-4613-3617-4_14. ISBN 978-1-4613-3619-8. ISSN 0738-422X. PMID 6680227.
  142. Alexander, F; Rollins, M (1985). "Alcoholics Anonymous: the unseen cult" (PDF). California Sociologist. Los Angeles: California State University. 17 (1): 33–48. ISSN 0162-8712. OCLC 4025459. Archived (PDF) from the original on 1 December 2010. Retrieved 12 December 2009.
  143. Right, KB (1997). "Shared Ideology in Alcoholics Anonymous: A Grounded Theory Approach". Journal of Health Communication. 2 (2): 83–99. doi:10.1080/108107397127806. PMID 10977242.
  144. Vaillant, George (2014). "Positive Emotions and the Success of Alcoholics Anonymous". Alcoholism Treatment Quarterly. 32 (2–3): 214–224. doi:10.1080/07347324.2014.907032. S2CID 144153785. What differentiates AA from universities, religions, and, of course, cults, is that AA, by experimentation during its first few years and perhaps guided by the outcomes of the alcoholics whom it was trying to heal, evolved along the lines of biological spirituality, not superstitious religion or institutional greed.
  145. A WorldCat search for materials authored by Alcoholics Anonymous and more specific divisions of the organization (AA Grapevine, World Services, General Service Conference, World Service Meeting) yields well over 500 results.
  146. Turner, Adrian. "Review: My Name Is Bill W". Radio Times. Archived from the original on 21 August 2017. Retrieved 9 June 2017.
  147. Jarvis, Jeff (1 May 1989). "Picks and Pans Review: My Name Is Bill W". People. Retrieved 9 June 2017.
  148. Dawn, Randee (14 October 2010). "When Love Is Not Enough: The Lois Wilson Story – TV Review". The Hollywood Reporter. US. Retrieved 9 June 2017.
  149. Lowry, Brian (23 April 2010). "Review: 'When Love Is Not Enough: The Lois Wilson Story'". Variety. US. Retrieved 9 June 2017.
  150. Urycki, Mark (27 March 2012). "Bill W. documentary at CIFF". Kent, Ohio: WKSU. Retrieved 21 May 2012.
  151. Linden, Sheri (18 May 2012). "'Bill W.' cuts through the anonymity". Los Angeles Times. Los Angeles. Retrieved 22 May 2012. Laudatory but never simplistic, "Bill W." is a thoroughly engrossing portrait of Wilson, his times and the visionary fellowship that is his legacy.
  152. Macnab, Geoffrey (18 September 2015). "A Walk Among The Tombstones, film review: Neeson could sleepwalk down these mean streets". The Independent. UK. Archived from the original on 18 September 2014. Retrieved 9 June 2017.
  153. Maslin, Janet (29 April 1994). "Review/Film: When a Man Loves a Woman; A Woman Under the Influence". The New York Times. US. Retrieved 9 June 2017.
  154. Ebert, Roger (10 August 1988). "Review: Clean and Sober". Chicago Sun-Times/rogerebert.com. US. Retrieved 9 June 2017.
  155. Crowther, Bosley (18 January 1963). "Movie Review: Days of Wine and Roses". The New York Times. US. Retrieved 9 June 2017.
  156. "Review: 'Drunks'". Variety. US. 11 September 1995. Retrieved 9 June 2017.
  157. Crowther, Bosley (24 December 1952). "Come Back, Little Sheba". The New York Times. US. Retrieved 9 June 2017.
  158. Crowther, Bosley (13 January 1956). "Screen: Return From Alcoholism; 'I'll Cry Tomorrow' Is Film at Music Hall Susan Hayward Seen in Lillian Roth Story Lana Turner as 'Diane'". The New York Times. US. Retrieved 9 June 2017.
  159. "Review: 'I'll Cry Tomorrow'". Variety. US. 31 December 1954. Retrieved 9 June 2017.
  160. Macdonald, Moira (6 July 2007). "Hi, I'm Frank and I'm an alcoholic hitman in "You Kill Me"". The Seattle Times. US. Retrieved 9 June 2017.
  161. Howell, Peter (6 July 2007). "Rehab for the reaper". Toronto Star. Canada. Retrieved 9 June 2017.
  162. Holden, Stephen (11 October 2012). "A Relationship's Glue Is Made of Alcohol". The New York Times. US. Archived from the original on 1 January 2022. Retrieved 9 June 2017.
  163. "Don't Worry, He Won't Get Far on Foot review – Van Sant's disability drama misses the mark". Retrieved 25 January 2021.
  164. "Flight (2012) - IMDb" – via www.imdb.com.
  165. "CBS' 'Elementary' deduces the painful truth at the heart of sobriety". Los Angeles Times. 24 April 2014. Retrieved 26 April 2020.
  166. "The Drink Takes The Man: Alcoholism And Recovery In THE SHINING And DOCTOR SLEEP". Fangoria. 30 April 2021. Retrieved 22 August 2023.

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