People need more options
Alcoholics Anonymous: A Beguile Organization with ultraconservative views
This is a rant on how in America, the ONLY treatment option we have is Alcoholics Anonymous. 97% of inpatient and outpatient drug rehabilitation programs are 12 step related. What if AA/NA just isn't for you? What if it doesn't
work for you? Here's some statistics and other articles to read up on. How this country is praising a program that's success rate is 3% ( some studies say its more like 1%) Yet 40% of people that get clean do it on their own, and stay clean. So let me get this straight, 40% of people clean did it their own way, and only 3% of people who used the AA/NA 12-step method got clean. hmmmmmm
*****Disclaimer**********
I see NO problem with people going to AA/NA or other related self help groups, if it works for you, thats AWESOME. That is essentially what thiis is about, what works for you.
The 12-step success rate is showing to be approximately 3 percent. Yes, that’s right… only 3 percent! (Brown,Treatment Doesn’t Work, 1991). Here are some more startling statistics: 45% of the people who attend Alcoholics Anonymous meetings never return after their first meeting.
• 95% never return after the first year.
• 5% retention rate (Based on Alcoholics Anonymous World Services' own statistics).
• 93-97% of conventional drug rehabs and alcohol treatment centers are 12-step or AA based, so those who leave AA to look elsewhere, such as conventional alcohol and drug treatment for solutions, are essentially rejoining AA!AA hardly sounds like a “proven method,” let alone one that works for most people. So, if only about 5% of the people are getting the help that they need, what about the 95% of the people who are not being helped? That is the purpose of this article… to provide much needed awareness to individuals, rehabilitation centers, hospitals, sober livings, and even 12-step programs themselves so that people with substance abuse problems can be helped.
The bottom line is this… is the goal to get alcoholics and addicts into AA or NA or CA, or is it to actually get them help? source:
http://www.addictioninfo.org/articles/647/1/AA-Is-Not-The-Only-Way/Page1.html
There's something else that bothers me in AA and other 12 step groups. The disease model that is used by 12-step and AA/NA. Here's a great way to explain it, source at bottom.
One of the unique features of this disease is that the effects of the disease are usually first felt by people other than the one suffering from the disease. For most diseases, the sick person feels bad. If the sick person doesn’t feel bad, nobody else feels bad. If alcoholism is a disease, it must be a mental illness. The mentally ill often deny they are ill and the first identification of a mental illness is often when others notice that the afflicted person is behaving in unconventional, bizarre or self-destructive ways. Like other mental illnesses, there is no blood or urine test for alcoholism. There is no physical marker the healer can look for to identify the disease. All the signs are behavioral.
Unlike mental illness, however, alcohol abuse is self-inflicted and might better be called brain abuse.
One cynical view of the matter is that alcoholism as a disease is not a matter of discovery, but of definition. It is a disease because it has been declared to be so by the very ones who profess to have the cure for the disease. How fortunate for the world that those who define the disease also define the cure! Actually, they don’t have a "cure." They have a remedy. The inventors of the disease also declare that no one can be cured of this disease. Once an alcoholic, always an alcoholic. You haven’t had a drink in fifty years, you say. That is not evidence that you are no longer an alcoholic. A cure would mean an end to treatment. A remedy means a lifelong income for the SAT provider. The treatment usually begins by being repeatedly told that the first step to recovery is the declaration: I am an alcoholic. For the sinner to be saved, the sinner must first admit he is a sinner. (I am not claiming that A.A. uses the word 'sin' or 'sinner' or 'grace' or that there is any official use of theological terminology.) To refuse to do so is proof the sick one is "in denial" and without grace. The only way to prove you are not in denial is to admit you are an alcoholic. This is only phase one. The next phase is public confession: the subject must declare before others how they have degraded themselves and betrayed their humanity through substance abuse. The point, I suppose, is to get the substance abuser to believe he or she is hopelessly addicted or diabolically possessed (or both) and can be helped only by abandoning oneself to a "Higher Power."
Neither A.A. nor many other SATs are based on science, nor do they seem interested in doing any scientific studies which might test whether the treatment they give is effective. A.A. members know A.A. works, so they don’t need studies to verify the effectiveness of the program. They have very vivid testimonials from people like Bill Wilson, the founder of A.A., of hopeless alcoholics whose only salvation was a religious experience. But others might like to know how many don’t stay and go through the program? How many go through it, but leave? We only hear about the successes, not the failures, because the failures aren’t counted; they aren’t around to be counted. We won’t read about any comparisons with non-A.A. programs, nor will we hear about those substance abusers who quit drinking or drugs without any treatment at all. They didn’t need a "Higher Power" or the group’s help to quit; they did it on their own. How is that possible? If alcoholism is a disease for which there is no cure, and which requires the substance abuser to give oneself over to a "Higher Power," how do some people quit abusing alcohol or drugs on their own? This should not be possible if either the A.A. philosophy or the disease theory is correct.
We know that many studies have found that many people who abuse alcohol have stopped the abuse on their own. The studies vary in quality and the results are wildly disparate, but most of them found at least 40% success rates with no treatment at all. Getting data from A.A. is not easy, but their own people say that they have a success rate of about 40% (Salerno 2005: 142). The probability is that the success rate is much lower.
In any case, if alcoholism isn’t a disease, then it is foolish to seek a "cure" for it. It is foolish to have treatment centers with patients who are "suffering from alcoholism," if it isn't a disease that needs to be treated, but a behavior that needs to be changed.
Even if alcoholism is a sin and a matter of self-control, it is especially foolish to treat all alcoholics with the A.A. 12-step program. All alcoholics don’t come from the same mold. They are not all physically addicted. They are not all psychologically addicted. They are not all addicted. They are not all victims. They are not all diseased. They are not all hopelessly without any self-control. They are not all completely irrational and incompetent. They are not all mentally ill. They don’t all need therapy or medication. There are probably many good programs besides those based on the "disease" or the "sinner" models of the alcoholic. Substance abusers who want to get back some control in their lives might check out some of these other programs and not feel it’s either A.A. or a "chemical dependency" program or nothing. Although, there is a good chance that no program, with the support of people who love you, and a sincere effort on your part, could be just as beneficial as any of the organized substance abuse programs.
One final note: it seems rather curious that Bill Wilson, founder of A.A., credited people like Carl Jung and William James’s Varieties of Religious Experience for helping him see that "ego collapse" is the common denominator in conversion experiences and that such an experience was the one the alcoholic must have in order to reform. (Wilson also wrote fondly to Jung that some in A.A. had become devotees of psychic powers and the I Ching, a favorite of Jung’s.) Jung had simply thought that some people were hopeless and therapy could do them no good, but perhaps religious devotion could help them. James catalogued experiences as part of his pragmatism: the truth of religion is in its fruits, its effects on a person’s life. The idea is attractive if you keep one eye shut and ignore the Jim Joneses, Jerry Falwells, David Koreshes, Peter Popovs, and Pat Robertsons of the world. The idea might seem true to someone whose selective memory ignores all the alcoholic priests, priestesses, and devoted churchgoers.
I know this might sound like this is some drug induced rant. But its not, and I am quite sober. Last night I wrote literally 27 pages of information regarding Alcoholics Anonymous. I was court ordered to attend Alcoholics Anonymous?Narcotics anonymous. This was a year ago. I did my 90 meetings in 90 days, got a sponsor. Some days I even went to 2 or 3 meetings. But It did NOT work for me. I used during my 90/90. I lied to to my sponsor. I even took commitments ( coffee, clean up, all that shit) hell, i even SPOKE at meetings, In the end it just wasn't for me, it didn't keep me clean.
Last Wednesday my probation officer said that I need to come back with my signed AA slips ( proof i went) or she will violate me ( violate me for going to a program that simply hasn't kept me clean???). Anyway, is there ANY recovery programs out there that do NOT use the 12 step recovery model, and if possible, the disease model. Just, through some groups my way I could attend in my area, just give my links to their sites
Sorry for the long read Gals and Guys. If you actually enjoy all this ready, I have plenty more reading i could shoot your way.
-Marc