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The Irrationality of Alcoholics Anonymous: Dozens of other treatments more effective.
The Atlantic ^ | 03/17/2015 | Gabrielle Glaser

Posted on 03/17/2015 9:25:29 AM PDT by SeekAndFind

[SNIP]

The 12 steps are so deeply ingrained in the United States that many people, including doctors and therapists, believe attending meetings, earning one’s sobriety chips, and never taking another sip of alcohol is the only way to get better. Hospitals, outpatient clinics, and rehab centers use the 12 steps as the basis for treatment. But although few people seem to realize it, there are alternatives, including prescription drugs and therapies that aim to help patients learn to drink in moderation. Unlike Alcoholics Anonymous, these methods are based on modern science and have been proved, in randomized, controlled studies, to work.

[SNIP]

The debate over the efficacy of 12-step programs has been quietly bubbling for decades among addiction specialists. But it has taken on new urgency with the passage of the Affordable Care Act, which requires all insurers and state Medicaid programs to pay for alcohol- and substance-abuse treatment, extending coverage to 32 million Americans who did not previously have it and providing a higher level of coverage for an additional 30 million.

Nowhere in the field of medicine is treatment less grounded in modern science. A 2012 report by the National Center on Addiction and Substance Abuse at Columbia University compared the current state of addiction medicine to general medicine in the early 1900s, when quacks worked alongside graduates of leading medical schools. The American Medical Association estimates that out of nearly 1 million doctors in the United States, only 582 identify themselves as addiction specialists. (The Columbia report notes that there may be additional doctors who have a subspecialty in addiction.) Most treatment providers carry the credential of addiction counselor or substance-abuse counselor, for which many states require little more than a high-school diploma or a GED. Many counselors are in recovery themselves.

(Excerpt) Read more at theatlantic.com ...


TOPICS: Current Events; General Discusssion; Moral Issues; Religion & Culture
KEYWORDS: aa; addiction; alcoholicsanonymous; alcoholism; naltrexone; obamacare
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1 posted on 03/17/2015 9:25:29 AM PDT by SeekAndFind
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To: SeekAndFind

The point of AA is “You” seeking an alternative life...oh, and it’s free...

unless you discount the very real pain of introspect and striving toward some sort of redeemed life...


2 posted on 03/17/2015 9:27:55 AM PDT by Vendome (Don't take life so seriously-you won't live through it anyway-Enjoy Yourself ala Louis Prima)
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To: SeekAndFind

This should be an interresting thread.


3 posted on 03/17/2015 9:28:40 AM PDT by CrazyIvan (I lost my phased plasma rifle in a tragic hovercraft accident.)
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To: Vendome

That’s what I thought...that AA was to treat the reasonings behind the Drinking, not, the Drinking.

Glad I was on the right path.


4 posted on 03/17/2015 9:29:09 AM PDT by Conan the Librarian (The Best in Life is to crush my enemies, see them driven before me, and the Dewey Decimal System)
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To: SeekAndFind

The irrationality of Alcoholics Anonymous??? What the heck??

I thought AA had achieved a great deal of success.

While I understand that not everybody is helped by AA, isn’t it a stretch to say its an irrational program?

So just because this article cites some other methods which help addicts, how does it follow that AA is not a good treatment method???


5 posted on 03/17/2015 9:32:09 AM PDT by Dilbert San Diego
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To: SeekAndFind
AA lets people deal with their problem without involving health care professionals, insurance companies and without ingesting pharmaceuticals. And it's free.
(Correct me if I'm wrong.)

Is AA ineffective or is the real problem that someone losing out on cash?

6 posted on 03/17/2015 9:33:18 AM PDT by BitWielder1 (Corporate Profits are better than Government Waste)
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To: SeekAndFind

I say whatever works is good.

I quit drinking on my own because I made the decision to quit and struggled through.


7 posted on 03/17/2015 9:34:14 AM PDT by cripplecreek ("For by wise guidance you can wage your war")
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To: SeekAndFind

AA simply shares experience, strength and hope of those who have benefited. The Big Book states that “some day” science and medicine may find a way to make problem drinkers change to normal drinkers.


8 posted on 03/17/2015 9:35:00 AM PDT by don-o (He will not share His glory and He will NOT be mocked! Blessed be the name of the Lord forever!)
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To: SeekAndFind
...and never taking another sip of alcohol is the only way to get better

Speaking from experience, it is a pretty good way to get better.

9 posted on 03/17/2015 9:35:07 AM PDT by SeeSharp
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To: SeekAndFind

It’s a matter of learning skills to call on in the future and not a guarantee of absolute success. I spent 8 years in Al-Anon (for friends and family of alcoholics). That program suggests that you keep on coming back even when/if your alcoholic had quit drinking. 8 years was enough and the meeting I considered my home meeting started becoming unhealthy. They do that sometimes although 8 years was a good run and I’m grateful for the time I spent there. I continue to use the lessons I learned there.


10 posted on 03/17/2015 9:35:19 AM PDT by Mercat (forgive all your DeeDees)
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To: SeekAndFind
The debate over the efficacy of 12-step programs has been quietly bubbling for decades among addiction specialists. But it has taken on new urgency with the passage of the Affordable Care Act, which requires all insurers and state Medicaid programs to pay for alcohol- and substance-abuse treatment...

Hmm...so now self-proclaimed "experts" are claiming social control based on the collectivization of medicine. Whoever could have seen this coming?

11 posted on 03/17/2015 9:36:00 AM PDT by Billthedrill
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To: SeekAndFind

The article lists what should be non-controversial facts. That AA isn’t for everyone. That other methods may work for some people. And that some people don’t like certain aspects of AA. That’s all true.

The problem with the article is that it starts with the flawed premise that people in AA claim that other methods don’t work, or that everyone who has a problem with alcohol has to follow AA and completely abstain. That then sets up the criticisms of AA in the article, as if AA is somehow preventing problem drinkers from getting help. That line of criticism completely misses the point.

AA is one way for people to stop drinking that, based on experience, has helped millions of people. The other treatments mentioned in the article may or may not work. They certainly don’t have the long history of proof that AA has. And the idea of suggesting to alcoholics that they can go back to controlled drinking rather than abstaining is dangerous.


12 posted on 03/17/2015 9:36:10 AM PDT by Opinionated Blowhard ("When the people find they can vote themselves money, that will herald the end of the republic.")
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To: BitWielder1

It could be that someone is losing on out cash, but also that someone is losing out on RECORDS, so they know who has been or is being treated for alcohol abuse, all the details, etc. How can some huge government-funded program work, if people seek treatment/recovery outside of the boundaries of the government controls?


13 posted on 03/17/2015 9:36:27 AM PDT by NEMDF
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To: SeekAndFind

the third, fifth, and sixth steps in any 12 step program all appeal to God. that’s their problem, right there.


14 posted on 03/17/2015 9:37:22 AM PDT by JohnBrowdie (http://forum.stink-eye.net)
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To: SeekAndFind
....although few people seem to realize it, there are alternatives, including prescription drugs and therapies that aim to help patients learn to drink in moderation. Unlike Alcoholics Anonymous, these methods are based on modern science and have been proved, in randomized, controlled studies, to work....it has taken on new urgency with the passage of the Affordable Care Act, which requires all insurers and state Medicaid programs to pay for alcohol- and substance-abuse treatment....

From Wikipedia's entry on AA:

As summarized by the American Psychological Association, the initial 12 steps involved the following:
- admitting that one cannot control one's alcoholism, addiction or compulsion;
- recognizing a higher power that can restore sanity;
If you like your Higher Power, you can keep your Higher Power.
15 posted on 03/17/2015 9:37:50 AM PDT by Alex Murphy ("the defacto Leader of the FR Calvinist Protestant Brigades")
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To: SeekAndFind

Alcoholics Anonymous is not the only path to sobriety.

If a problem drinker wants to try something other than the tried and true AA route, please go ahead and do so. We in AA still will be here doing what we do . . . staying sober. If someone wants to join us, please do. We have plenty of chairs available.

DOS: July 26, 2003


16 posted on 03/17/2015 9:39:31 AM PDT by BAW (We live in dangerous times.)
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To: Dilbert San Diego
While I understand that not everybody is helped by AA, isn’t it a stretch to say its an irrational program?

Efficacious is not the same as rational.

It's great training if you aspire to join a cult.

17 posted on 03/17/2015 9:39:46 AM PDT by papertyger (I didn't leave my party: my party betrayed me.)
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To: BitWielder1
"Is AA ineffective or is the real problem that someone losing out on cash?"

Bingo - 23 years ago I went from a bar-brawling, car-wrecking, relationship-trashing loser to a sober, caring, rational person - for only a buck a day.

(Rarely make "meetings" much anymore, mostly heavily involved in church ministries, but never want to forget where i came from....)

18 posted on 03/17/2015 9:40:21 AM PDT by Psalm 73 ("Gentlemen, you can't fight in here - this is the War Room".)
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To: Opinionated Blowhard

“And the idea of suggesting to alcoholics that they can go back to controlled drinking rather than abstaining is dangerous.”

How true.

It’s the first drink that gets you drunk...


19 posted on 03/17/2015 9:42:55 AM PDT by Stormdog (A rifle transforms one from subject to Citizen)
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To: JohnBrowdie

It’s been a while, but wasn’t that “a higher power”. Still the fact that for most that higher power is God, you make a very good point.


20 posted on 03/17/2015 9:46:51 AM PDT by moehoward
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