I was first ‘diagnosed’ and 12-stepped by a well-meanIng Family member at age 16. All AA/NA taught me was to feel ashamed of my moral weakness and I generally met this same attitude from people who became aware that I was a drinker/user in the program. I felt tortured for years because of the sheer number of relapses I had despite doing my best to work the program. It became easy to believe I was morally weak (and therefore worthless).
It was not until I was in my early 40s that an intelligent doctor told me I was not an alcoholic or drug addict but that I had bi-polar disorder and lost likely ADD and that the drink and drugs were a symptom, not the main problem that needed to be treated. With effective treatment for those conditions my ability to stay sober if I wished actually became quite strong (years at a time no trouble not drinking/drugging at all or very much).
The big difference was when my family began to see me as someone unwell rather than someone as weak. I couldn’t give a fuck what strangers think though.
I have no issue with the peer support aspect of 12 steps but the shaming which occurs so regularly due to the inherent nature of the “day 1” mentality has basically driven me from ever wanting to be a part of the programs in any big way again. I’ve seen a multitude of confessions where guys and gals are claiming how they knew nothing and we’re so screwed up, weren’t thorough in their programs or whatever and they’re talking about a slip after multiple years of sobriety.
There’s no sense in totally discounting your successes because you’ve made the mistake of choosing to use when you’re trying to abstain. It’s addiction, most people have their days. For every person who’s sitting in there with a bunch of years there’s probably a hundred more who will and are struggling. They are no less worthy or desiring to have better lives.
Addictions a bitch. By dictionary definition it’s even the disease AA claims it to be, and chronic diseases are recurring most cases.
I used to flail so hard when I fucked up and had a slip and the shame of it all, losing my sober date and back to day 1 (or zero really) drove me to full on relapse more than once. That whole aspect of AA and the abstinence only model of recovery that’s so prevalent in the industry of addictions treatment is so not harm reduction it’s unreal. It encourages failure by injecting an attitude of failure into anything less than perfection, while simultaneously telling you you’re this spiritually lacking person who’s defective of character over and over and to turn it over to a higher power as your powerless.
There are some people who are very successful within this model but they’re not the rule, they’re the exception. They didn’t want it more, or get it more, or more ready necessarily, they’re just more pliable to total abstinence than average by sheer dumb luck in my opinion. I think the person whos having a hell of a time and is a repeat “chronic relapser” yet continues to try here, despite it not working very well.. more gumption there than the person who managed more easily. Not going to discount anyone’s struggle, but some have it easier than others at the outset from quitting.
All roads lead to AA pretty well too. For a program that’s so unaffiliated, it sure is embedded deep into booming big industry, like medical and addictions; the legal system, television, etc. The whole gamut that’s generally available to the public is so far behind contemporary science and harm reduction practices, that’s unreal too. Only the last few years where I am some real sense is starting to be made with drug policy in Canada where I live; and especially harm reduction prigramming; Good Samaritan law(cops can’t bust you at site of an overdose), things like that.
Addiction is a mental health problem. Whether it’s the only issue, or a subset of another issue as a symptom like you with bipolar and ADD (I have same two things diagnosed btw among others) it’s a disorder of the mind and eventually body (physical addiction) that is chronic and often incurable. Just like the big book says.
Too bad the program in the big book doesn’t really treat it as such, by implying you’re a failure. Or you’re constitutionally incapable of being honest or spiritual and whatever else. If you have this disease, and it flares up like any other it’s a character problem.. Dichotomy of the most damaging order: Fuck 12 steps, bring on the harm reduction!