ALCOHOLISM AND ITS CURE
By John E. Russell
CHAPTER 2
THE CURE: ALCOHOLICS ANONYMOUS
A Brief History of AA
AA has to its credit a total membership of about 1,000,000 alcoholics. [THE ENCYCLOPEDIA AMERICANA, International ed. (1990), s.v., "Alcoholics Anonymous," by John L. Norris, M. D. (Dr. Norris is Chairman, General Service Board of Alcoholics Anonymous)]. It has 85,000 local groups in 130 countries. [THE WORLD BOOK ENCYCLOPEDIA, 1991 ed., s.v. "Alcoholics Anonymous (A.A.)"]. The recovery rate is 75 percent. Guest House, which treats alcoholic priests and works with AA, at one time had a recovery rate of 80 percent. (Hoffer, op. cit., pp. 179-180. Psychiatrist Hoffer claimed a 50% recovery rate with LSD therapy at one time. I do not believe that LSD therapy is a good method of treating alcoholics).
THE OXFORD GROUP
Psychologist John Drakeford traces the spiritual roots of AA back to the Oxford Group:
THE FOUNDERS OF AA
Bill began his work with alcoholics, but failed to sober any. However, he remained sober. Six months after his conversion, a crisis occurred when a job opportunity fell through. The temptation to get drunk drove him to find another drunk to talk to. His search led him to the historic meeting with Dr. Bob in May 1935 in Akron. Dr. Bob was sobered, and Alcoholics Anonymous was founded 10 June 1935.
THE GROWTH OF AA
Then at the end of 1937, the New York AA reluctantly parted from the Oxford Groups, and in friendship. Oxford Group rules did not seem to work with alcoholics. Dr. Bob and Bill saw concrete results in 1937 when forty alcoholics became sober.
TWELVE STEPS was written in 1938.
There were 100 members by 1939. ALCOHOLICS ANONYMOUS was published in 1939. Also, in 1939, the midwest AA withdrew from the Oxford Groups as those in New York had done in 1937-- AA was completely on its own now. This same year, Dr. Bob and Sister Ignatia began treating the 5,000 that they were to treat in the next ten years. Also, the first work in the mental institution began this year.
In 1940, the first religious leaders approved of AA; Father Dowing and Dr. Fosdick. In 1941, an article in the SATURDAY EVENING POST publicized AA and AA membership grew from 2,000 to 8,000 from March through December!
AA's first prison work began at San Quentin in 1942. In 1945, Dr. Silkworth and Teddy R. began treating the first of 10,000 prisoners to be treated the next ten years.
In 1944, AA established THE A. A. GRAPEVINE.
In 1946, AA formulated and published "The Twelve Traditions."
In 1949, leading medical associations recognized AA.
In 1950, AA held the First International Convention in Cleveland. Dr. Bob died in 1950.
In 1951, the First General Service Conference met and AA received the Lasker Award from the American public Health Association.
In 1953, AA published TWELVE STEPS AND TWELVE TRADITIONS.
In 1955, the Twentieth Anniversary Convention met at St. Louis. The Three Legacies of Recovery, Unity and Service were passed on to AA from the "old-timers."
Bill W., co-founder of AA, passed away January 24, 1971.
This synthesis gives an historical sketch of AA. [Bill W., ALCOHOLICS ANONYMOUS COMES OF AGE (New York: Harper and Brothers, 1957), pp. vii ff.]. (ALCOHOLICS ANONYMOUS, pp. 1-16). (Clinebell, op. cit., pp. 119 ff.). (Hoffer, op. cit., pp. 22-23).
Group Dynamics of AA
Some principles used in AA are stated in Twelve Steps and Twelve Traditions:
THE TWELVE STEPS
Before examining the principles of AA, it might be well to review some forces acting from within and from without on the alcoholic. One force is peer pressure. The alcoholic probably was in a drinking society, and felt pressure to conform in order to be accepted, and to help meet certain psychological needs. (Dunn, op. cit., p. 23).
As he continued to drink, associational forces probably began to pressure him from differing internalized groups' demands, such as church and family.
Then, at some point, a biochemical dependence on alcohol may have become established, adding another strong internal pressure for him to drink.
A violated value system (conscience) continued to add more guilt. This guilt continued to drive him farther into drinking to anesthetize psychic pain. (Ibid., p. 19).
Family and friends may identify with the alcoholic at first, helping him hide the truth from himself. These are some forces acting on the alcoholic. (Drakeford, op. cit., passim). [Malcolm and Hula Knowles, INTRODUCTION TO GROUP DYNAMICS (New York: Association Press, 1959), pp. 32. ff.]. [O. Hobart Mowrer, ABNORMAL REACTIONS OR ACTIONS? (AN AUTO-BIOGRAPHICAL ANSWER) (Dubuque: William C. Brown Company Publisher, 1969), passim. Dr. Mowrer is a renown research psychologist].
The alcoholic, while under internal pressure, may lose hope and try to "solve" his problem by suicide. "Menninger referred to alcoholism as `chronic suicide,' with the alcoholic seeking self-destruction in alcohol." (Hoffer, op. cit., p. 25). Dunn agrees with Menninger that the alcoholic has a tendency toward self-destruction. (Dunn, op. cit., p. 144).
Bill W., co-founder of AA, believed in God. He declared,
Step two indicates faith in God's character.
Step seven indicates confession to God.
Steps three and eleven indicate bowing to the Lordship of God.
The conversion experience itself is indicated in step twelve.
As the vertical relationship is established, the horizonal relationship is also--members reach out to help others in step twelve. Consequently, the circular or internal relationship of the alcoholic is corrected.
When the novice alcoholic comes to an AA meeting, he hears the confession of recovered alcoholics. From this role modeling, he sees that his rationalizations are unacceptable. In this non-threatening atmosphere of caring people, it is easier to be honest with himself and others. He leaves the denial stage and confesses.
Now that the alcoholic is in a group that abstains from alcohol, this positive peer pressure is internalized. Hoffer comments,
Husband and wife complement each other and help meet the spiritual, psychological, social and physical needs of each other in a unique way. AA is geared to help husband, wife and children to become a fully-functional family. AlAnon and Alateen enable family and friends to help the alcoholic.
In real life, people falter and fail. AA group members' social behavior is therapeutic to one who may be in trouble. At this time, he will be aided by the action of the group, since his creative energy is being dissipated internally, possibly by interpsychic conflict due to his drinking. He will receive strength from both confrontation and support of the group. When he gains mastery of alcohol, he will begin to help others. He will discover that he will receive strength to keep sober by helping others with their common problem. AA members remain honest with God, others and themselves. They keep channels open to God and to other people.
Although AA believes that Alcoholism is a disease, AA also holds the individual responsible for his own wrongdoing. This is stated in steps five and ten.
Freud believed that in neurosis, the superego (conscience) overpowers the ego (the decision-making self), expending energy and producing a state of anxiety. Freud further believed that conscience should be violated sometimes, to reduce its strength.
Mowrer had a different view of neurosis. He believed that the id (the primitive, pushing, unregulated urges such as sex drive and aggression) gains control of a weak ego and that the conscience is dissociated (cut off).Mowrer's hypothesis is an accurate description of what happens in the alcoholic. (Mowrer, op. cit., p. 31.) AA follows Mowrer's view, by strengthening the ego and by urging the alcoholic to follow his conscience.
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Copyright © 1995-1997 by John E. Russell, Revised 1997
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