Anonymous Groups: Does One Size Fit All?

Alcoholics Anonymous subscribes to the belief that addiction is a disease and one that can only be overcome through the intervention of a higher power. Those who seek support from groups like AA or Narcotics Anonymous must first acknowledge the existence of their problem and then demonstrate a willingness to relinquish control to their chosen higher power. The efficacy of the recovery process, as outlined by AA, hinges on the completion of these vital initial steps.

AA's Big Book

The Big Book (guiding text of AA) contains a wealth of insights into the thought patterns and actions that can lead someone back into the grip of addiction. It aims to connect with readers by offering relatable examples that may prompt them to explore the benefits of AA. Through real-life stories of how others have overcome their struggles, the book encourages readers to believe that they too can find a path to recovery. However, staying sober is just the beginning of the journey. Chapter 6, "Into Action," emphasizes the importance of facing past mistakes and making amends where possible, without causing further harm. This involves taking an honest inventory of how one has hurt others, and how one has been hurt in turn. The book highlights specific examples of how addiction can devastate relationships and cause chaos in the home. It stresses that true sobriety involves more than simply abstaining from alcohol, but also taking responsibility for one's actions and working to rebuild trust. Given the extensive range of assistance that Alcoholics Anonymous (AA) provides, it is conceivable that some individuals may choose to revert to alcohol consumption as a coping mechanism to suppress the emotional turmoil generated by their previous alcohol-related binges.

The sentiment conveyed by this approach may inadvertently exclude some individuals who may benefit from seeking help from a group like AA. This type of thinking may cause them to feel uncertain about fitting in or being perceived as not needing as much support as other members. However, from personal experience, I know that these groups are inclusive and welcoming to all who seek their assistance. On social media platforms, there are often inquiries from potential members who are unsure if they would be accepted due to their perceived lack of serious issues with alcohol or other substances. However, the comments on these posts are always supportive and encourage individuals to come and get to know the group members.

The Disease Model of Addiction

Alcoholics Anonymous (AA) presents the disease model of addiction to help those who identify themselves as alcoholics. However, not all potential members so easily fit into the textbook definition of an “alcoholic.” The Big Book does not provide information on how to deal with this situation. Some people fear the negative stigma of being labeled as an alcoholic and the possibility of never being able to enjoy a drink at a social event again. Waiting until behaviors demonstrate the characteristics of a "true alcoholic" may not be the preferred method for some people to help themselves. For those who have not reached rock bottom but still want to explore the reasons behind their use of alcohol or other substances, there are alternative ways to do so.

At Prosperity Counseling Services, we understand that everyone has unique challenges to face and that it can be difficult to navigate them alone. As your counselor, I would take the time to get to know your internal narrative and circumstances that lead to use. This would provide me insight into understanding how those experiences have impacted your life. I utilize various interventions to help you face your challenges and move forward toward a happier and healthier future on the other side of healing the core conflict that resides within. Please know that I am here for you and I will do everything I can to support you along the way.

References

Alcoholics Anonymous World Services Inc. (2001). Alcoholics Anonymous, Fourth Edition: The Official “Big Book” (4th ed.). Alcoholics Anonymous World Services.
University of Houston, Clear lake