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Chapter 34

Chapter 34. Self-Help Groups. Intro. The 12 Steps 1 in 10 adults has attended, some for family members AA is the least researched in rehab AA remains a mystery Lots of critics of AA AA has helped hundreds of thousands. History of AA. Born out of the temperance movement of the 1800s

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Chapter 34

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  1. Chapter 34 Self-Help Groups

  2. Intro • The 12 Steps • 1 in 10 adults has attended, some for family members • AA is the least researched in rehab • AA remains a mystery • Lots of critics of AA • AA has helped hundreds of thousands

  3. History of AA • Born out of the temperance movement of the 1800s • Taken from the Oxford group in the 1930s and Carl Jungs work • Founded in 1935 after a stockbroker and a physician met. Bill Wilson called on Dr. Bob who was drinking. • Today in 150 countries • Membership of 2 million with 1.2 million in the US or Canada (68% of membership in N. America

  4. Elements of AA • Page 447 • First three of the 12 steps focus on acceptance of one’s limitations • Steps 4-9 about change oriented activities • Steps 10-12 are about maintaining spiritual way if life • FREE

  5. AA and Religion • Religion vs. spirituality • Alcohol becomes like a God • Develop own concept of God or Higher Power, something outside of oneself • Emphasis on spiritual growth a) desire a relationship with higher power b) Self has been the center of the universe rather than a higher power

  6. Anonymity • One reason many mtgs are closed • Central concept of AA • Court or employer mandates runs counter to AA central philosophy • Breaking anonymity • What happens to the famous?

  7. Outside Organizations • AA does not affiliate • Each group is self supporting • Declining outside contributions

  8. Primary Purpose • Carry the message • Program for living life without alcohol/drugs

  9. Sponsorship • Key element to AA program • Sponsor offers guidance, confrontation, insight and support • Does not take responsibility for sponsee • Sets an example, is a tool, guide • Unconditional

  10. How Does AA work • Refer to talk by our speaker

  11. Effectiveness of AA • Difficult to research • People who join AA might be different than most • Participation and frequency may be a factor in outcomes • Many researchers say evidence does not support effectiveness • Effectiveness far to complex to be measured by a single study

  12. Narcotics Anonymous • Since 1953 • Focus is on “the disease of addiction” • Not affiliated with AA

  13. Al-Anon & Alateen • Help for families who love someone who is alcoholic • Members focus on themselves • Learn it is ok to love an alcoholic • 4 C’s

  14. Other Support Groups • SMART-cognitive/behavioral • Focus is on addictive thinking, relapse warning signs and internal locus of control • SOS • WFS • MM

  15. Criticism of AA/12 step movement • AA view is “never recovered” • AA seen as hardcore • Based on fear, demands conformity and fails to affirm the person • Founded by 100 men and 1 women-white privilege • Religious • All or nothing

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