Alcoholics Anonymous

Sobriety-focused mutual help fellowship

Alcoholics Anonymous

Nickname| AA
Formation| 1935; 89 years ago (1935)
Founders| Bill Wilson
Dr. Bob Smith
Founded at| Akron, Ohio
Type| Mutual aid addiction recovery twelve-step program
Headquarters| New York, New York

Membership (2021)

| 1,967,613
Website| aa.org

Alcoholics Anonymous (AA) is a global, peer-led mutual-aid fellowship dedicated to abstinence-based recovery from alcoholism through its spiritually inclined twelve-step program.[1] AA’s Twelve Traditions, besides stressing anonymity and the lack of a governing hierarchy, establish AA as free to all, non-professional, unaffiliated, and non-denominational, as well as apolitical.[1][2][3] In 2021 AA reported a presence in approximately 180 countries with nearly two million members—73% in the United States and Canada.[4][5]

AA dates its beginnings to Bill Wilson's (Bill W.) and Bob Smith's (Dr. Bob) first commiseration alcoholic-to-alcoholic in 1935. Meeting through the Christian revivalist Oxford Group, they and other alcoholics helped each other until forming what became AA. In 1939 the new fellowship published Alcoholics Anonymous: The Story of How More than One Hundred Men Have Recovered from Alcoholism. Informally known as the “Big Book”, it is the origin of AA's name.

AA says its recovery fellowship program of admission, reflection and atonement, as well as better conduct and assistance and aid to other alcoholics is “suggestive only”. The Big Book calls alcoholism an “illness” for which AA offers a spiritual solution. Members are encouraged to attend meetings, maintain regular contact with other alcoholics, and find a sponsor, who helps guide them through the twelve steps. The program aims for a "spiritual awakening" as the path to sobriety and recovery.

AA meetings vary in format, with some focusing on personal stories, readings from the Big Book, or open discussion. Meetings may cater to specific demographics, but they generally welcome anyone who desires to stop drinking. AA is self-supporting, with donations from members covering expenses, and it operates through an "inverted pyramid" structure, where individual groups function autonomously. The organization does not accept outside contributions and relies heavily on literature sales. AA also provides services in hospitals, treatment centers, and correctional facilities.

Many studies and reviews show AA as an effective and cost-efficient method for achieving abstinence in individuals struggling with alcohol addiction. A 2020 Cochrane review found that AA and Twelve-Step Facilitation (TSF) significantly increased rates and durations of abstinence compared to other treatments like cognitive-behavioral therapy, while being more cost-effective.[6][7]

AA has faced criticism for various reasons. Critics have questioned its overall success rate, and others have criticized the religious or cult-like aspects of its program. There have also been concerns about "thirteenth-stepping," where older members pursue new members romantically, as well as lawsuits regarding safety and the religious nature of AA in court-mandated treatment.

Other addiction recovery fellowships, such as Narcotics Anonymous, Sexual Recovery Anonymous, and Al-Anon—with AA’s permission—have adopted and adapted the twelve steps and traditions.[8]

## History

[edit]

Main article: History of Alcoholics Anonymous

### Hazard's search for treatment

[edit]

Rowland Hazard’s journey from Carl Jung’s psychiatric treatment to spiritual conversion through the Oxford Group played a pivotal role in shaping the foundations of Alcoholics Anonymous, influencing its principles of recovery.[9] In 1926, Hazard went to Zurich, Switzerland, to seek treatment for alcoholism with psychiatrist Carl Jung. When Hazard ended treatment with Jung after about a year, and came back to the US, he soon resumed drinking, and returned to Jung in Zurich for further treatment. Jung told Hazard that his case was nearly hopeless (as with other alcoholics) and that his only hope might be a "spiritual conversion" with a "religious group".[10][11][12][13]

### Hazard’s spiritual conversion & involvement with Oxford Group

[edit]

Back in America, Hazard went to the Oxford Group, whose teachings were eventually the source of such AA concepts as "meetings" and "sharing" (public confession), making "restitution", "rigorous honesty" and "surrendering one's will and life to God's care". Hazard underwent a spiritual conversion" with the help of the Group and began to experience the liberation from drink he was seeking. He became converted to a lifetime of sobriety while on a train ride from New York to Detroit after reading For Sinners Only by Oxford Group member AJ Russell.[14][15] Members of the group introduced Hazard to Ebby Thacher. Hazard brought Thacher to the Calvary Rescue Mission, led by Oxford Group leader Sam Shoemaker.[16]

### Bill W. & his spiritual awakening

[edit]

In keeping with the Oxford Group teaching that a new convert must win other converts to preserve his own conversion experience, Thacher contacted his old friend Bill Wilson, whom he knew had a drinking problem.[17][18] Thacher approached Wilson saying that he had "got religion", was sober, and that Wilson could do the same if he set aside objections and instead formed a personal idea of God, "another power" or "higher power".[19][20]

Sobriety token or "chip", given for specified lengths of sobriety. On the back is the Serenity Prayer. Here green is for six months of sobriety; purple is for nine months.

Feeling a "kinship of common suffering", Wilson attended his first group gathering, although he was drunk. Within days, Wilson admitted himself to the Charles B. Towns Hospital after drinking four beers on the way—the last alcohol he ever drank. Under the care of Dr. William Duncan Silkworth (an early benefactor of AA), Wilson's detox included the deliriant belladonna.[21] At the hospital, a despairing Wilson experienced a bright flash of light, which he felt to be God revealing himself.[22]

### Founding of AA

[edit]

#### Wilson's early efforts and influence of the Oxford Group

[edit]

Following his hospital discharge, Wilson joined the Oxford Group and tried to recruit other alcoholics to the group. These early efforts to help others kept him sober, but were ineffective in getting anyone else to join the group and get sober. Dr. Silkworth suggested that Wilson place less stress on religion (as required by The Oxford Group) and more on the science of treating alcoholism. Bill W. would later write: "The early AA got its ideas of self-examination, acknowledgment of character defects, restitution for harm done, and working with others straight from the Oxford Group and directly from Sam Shoemaker, their former leader in America, and from nowhere else."[23] According to Mercadante, however, the AA concept of powerlessness over alcohol departs significantly from Oxford Group belief. In AA, alcoholism cannot be cured, and the Oxford Group stressed the possibility of complete victory over sin.[24]

#### Beginnings of AA in Akron, Ohio

[edit]

Robert Smith's House in Akron

In 1935, AA began in Akron, Ohio, as the outcome of a meeting between Bill W., and Dr. Bob, an Akron surgeon. Wilson's first success came during a business trip to Akron, Ohio, where he was introduced to Dr. Robert Smith, a surgeon, who was unable to stay sober.[25] Dr. Bob's participation in the Oxford Group had not been enough to enable him to stop drinking.[25]

Bill W. explained that alcoholism affects the mind, emotions, and body, a concept he learned from Dr. Silkworth at Towns Hospital in New York, where he had been a patient multiple times. Convinced by Bill's insights, Dr. Bob soon achieved sobriety and never drank again, marking the inception of A.A., on 10 June 1935.[26] Bill W. and Dr. Bob started working with alcoholics at Akron’s City Hospital.[25] One patient, who soon achieved sobriety, joined them.[25] Together, the three men formed the foundation of what would later become Alcoholics Anonymous, although the name "Alcoholics Anonymous" had not yet been adopted.[25]

In late 1935, a new group of alcoholics began forming in New York, followed by another in Cleveland in 1939. Over the course of four years, these three initial groups helped around 100 people achieve sobriety.[25] In early 1939, the Fellowship published its foundational text, Alcoholics Anonymous, which outlined A.A.’s philosophy and introduced the Twelve Steps. This book also included case histories of thirty individuals who had achieved recovery, marking a significant milestone in A.A.'s development.[25] The Twelve Steps were influenced by the Oxford Group's 6 steps and various readings, including William James's The Varieties of Religious Experience.[27][28]

The first female member, Florence Rankin, joined AA in March 1937,[29][30] and the first non-Protestant member, a Roman Catholic, joined in 1939.[31] The first black AA group commenced in 1945 in Washington D.C., and was founded by Jim S., an African-American physician from Virginia.[32][33]

### The Alcoholic Foundation

[edit]

Alcoholics Anonymous material on walls at The Wilson House, 378 Village Street in downtown East Dorset, Vermont.

In 1938, Dr. Bob and Bill created The Alcoholic Foundation in New York, bringing in friends of John D. Rockefeller, Jr. as board members. Although they sought to raise significant funds, Rockefeller decided that large contributions might jeopardize the Fellowship. Despite this, the foundation opened a small office in New York to handle inquiries and distribute the Alcoholics Anonymous book, primarily funded by A.A. members. In 1940, Rockefeller organized a dinner to promote A.A., which further increased the number of inquiries.[34] The office became effective. Each request received a personal reply and a pamphlet, enhancing interest in the book. Consequently, many new groups were established, and by the end of 1940, A.A. membership had grown to 2,000.[25]

### Media coverage leads to expansion

[edit]

In 1939, media coverage, particularly from The Cleveland Plain Dealer, generated a surge of interest and requests for help.[35] The Cleveland group, although small, successfully assisted many alcoholics, quickly growing from twenty to around 500 members.[25] A subsequent article in Liberty magazine resulted in a flood of requests for assistance, further expanding A.A.'s reach.[36] 1941, AA had 2,000 members in 50 cities and towns. After the article in The Saturday Evening Post on AA, membership tripled over the next year.[37] Interviews on American radio and favorable articles in US magazines led to increased big book sales and membership.[38]

### Twelve traditions

[edit]

As the growing Fellowship faced disputes over structure, purpose, authority, and publicity, Wilson began promoting the Twelve Traditions.[39] Bill W. first introduced his ideas on the Twelve Traditions in an April 1946 article for The Grapevine, titled “Twelve Suggested Points for A.A. Tradition.”[39] Recognizing the need for guidance as A.A. expanded, he aimed to preserve the organization’s unity and purpose. Bill described the input he received as a "welter of exciting and fearsome experience," which greatly influenced the development of the Traditions.[39] From December 1947 to November 1948, The Grapevine published the Traditions individually, and in 1950, the First International Convention in Cleveland officially adopted them.[39]

The Twelve Traditions provide essential guidelines—not rules—that help A.A. groups navigate their relationships both internally and with the outside world. These traditions ensure that membership is open to anyone seeking to stop drinking, with no dues or fees required. These Traditions foster an altruistic, unaffiliated, non-coercive, and non-hierarchical organization, limiting A.A.'s mission to helping alcoholics at a non-professional level while avoiding publicity. To prioritize recovery, the traditions discourage hierarchies, dogma, public controversies, property acquisition, and outside contributions. Members are advised against using A.A. for personal gain or public prestige, and anonymity is emphasized, particularly in media, with no prescribed consequences for breaches.[40]

### Creation of General Service Conference (GSR)

[edit]

In 1951, A.A.'s New York office expanded its activities, including public relations, support for new groups, services to hospitals and prisons, and cooperation with agencies in the field of alcoholism. The headquarters also published standard A.A. literature and oversaw translations, while the AA Grapevine gained substantial circulation. Despite these essential services, they were managed by a disconnected board of trustees, primarily linked to Bill and Dr. Bob.[25]

Recognizing the need for accountability, delegates from across the U.S. and Canada were convened, leading to the first meeting of the A.A. General Service Conference in 1951.[41] This successful gathering established direct oversight of A.A.'s trusteeship by the Fellowship itself, ensuring the organization’s future governance. At the 1955 conference in St. Louis, Missouri, Wilson relinquished stewardship of AA to the General Service Conference,[42] as AA had grown to millions of members internationally.[43]

### International expansion

[edit]

An AA meeting

The World Service Meeting (WSM), established in 1969, is a biennial international forum where AA delegates from around the world exchange ideas and experiences on carrying the message of recovery. Held in various global cities, the WSM focuses on sharing strategies to help alcoholics in different countries and languages.[44]

Today, A.A. is present in approximately 180 nations worldwide. By 2018, AA had 2,087,840 members and 120,300 AA groups worldwide.[43] There are AA meetings in Beijing, China.[45]

In July 2024, AA launched its first UK-wide advertising campaign with a unique approach—no logos, phone numbers, or links—focusing on subtle messaging like "You Are not Alone" and "Alcohol isn’t the Answer." The campaign, created by The Raised Eyebrow Society, aims to attract people struggling with alcohol without violating AA’s principles of anonymity and non-promotion.[46]

AA will celebrate its 100th anniversary meeting in Indianapolis, Indiana in 2035. The international convention is anticipated to attract tens of thousands of attendees to the Indiana Convention Center and Lucas Oil Stadium.[47]

## AA literature

[edit]

Alcoholics Anonymous publishes several books, reports, pamphlets, and other media, including a periodical known as the AA Grapevine.[48] Two books are used primarily: Alcoholics Anonymous (the "Big Book") and Twelve Steps and Twelve Traditions, the latter explaining AA's fundamental principles in depth. The full text of each of these two books is available on the AA website at no charge.

### Big Book

[edit]

Plaque at site of Calumet Building in Newark where much of the text for the "Big Book" of Alcoholics Anonymous was written

In 1939, Wilson and other members wrote the book initially titled Alcoholics Anonymous: The Story of How More than One Hundred Men Have Recovered from Alcoholism,[49] from which AA drew its name. Informally known as "The Big Book." The second edition of the Big Book was released in 1955, the third in 1976, and the fourth in 2001. The first part of the book, which details the program, has remained largely intact since the 1939 edition, with minor statistical updates and edits. The second part contains personal stories that are updated with every edition to reflect current AA membership, resulting in earlier stories being removed - these were published separately in 2003 in the book Experience, Strength, and Hope.[50]

The Big Book suggests a twelve-step program in which members admit that they are powerless over alcohol and need help from a "higher power". It offers guidance and strength through prayer and meditation from God or a higher power of their own understanding; take a moral inventory with care to include resentments; list and become ready to remove character defects; list and make amends to those harmed; continue to take a moral inventory, pray, meditate, and try to help other alcoholics recover. The second half of the book, "Personal Stories" (subject to additions, removal, and retitling in subsequent editions), is made of AA members' redemptive autobiographical sketches.[51]

#### Illness and allergy terminology

[edit]

AA's Big Book calls alcoholism "an illness which only a spiritual experience will conquer." Ernest Kurtz says this is "The closest the book Alcoholics Anonymous comes to a definition of alcoholism."[52] Somewhat divergently in his introduction to The Big Book, non-member and early benefactor William Silkworth said those unable to moderate their drinking suffer from an allergy. In presenting the doctor's postulate, AA said "The doctor's theory that we have an allergy to alcohol interests us. As laymen, our opinion as to its soundness may, of course, mean little. But as ex-problem drinkers, we can say that his explanation makes good sense. It explains many things for which we cannot otherwise account."[53] AA later acknowledged that "alcoholism is not a true allergy, the experts now inform us."[54]

### Twelve Steps and Twelve Traditions

[edit]

The "Twelve Steps and Twelve Traditions" is a book published in 1953 that serves as a key text for AA. Written by AA co-founder Bill W., it provides detailed explanations of the Twelve Steps and the Twelve Traditions. The book is commonly used in AA meetings and individual study, offering a framework for understanding the organization’s approach to recovery and community. The story of Eddie Rickenbacker "and his courageous company" appears in the book. It pertains to when his plane crashed in the Pacific and is used in the closing remarks of Tradition One: "Our common welfare should come first; personal recovery depends upon A.A. unity."[55]

### Grapevine

[edit]

The Grapevine, established in June 1944 by six AA members in New York, became AA's national journal by 1945 and later its international journal.[56] Supported by Bill W., the magazine featured first-person stories, AA news, and discussions on key topics like women in AA and veterans returning from war.[56]

Initially intended as a resource for alcoholics worldwide, the Grapevine evolved into a unifying publication for the AA community, chronicling the Fellowship's growth, including the creation of the General Service Structure and publication of later editions of the Big Book. The Twelve Traditions were introduced to AA by Bill W. in April 1946 through an article titled "Twelve Suggested Points for A.A. Tradition." The AA Preamble, inspired by the Foreword of the book Alcoholics Anonymous, was written by one of the Grapevine’s early editors Tom. Y. and first appeared in the June 1947 issue.[57][58] In 1986, it was reaffirmed as AA's international journal by the General Service Conference.[56]

## The AA program

[edit]

### Twelve steps

[edit]

See also: Twelve-step program § Twelve Steps

Alcoholics Anonymous Twelve Steps exhibit at A.A. Intergroup in Akron, Ohio.

AA's program extends beyond abstaining from alcohol.[59] Its goal is to effect enough change in the alcoholic's thinking "to bring about recovery from alcoholism"[60] through "an entire psychic change," or spiritual awakening.[61] A spiritual awakening is meant to be achieved by taking the Twelve Steps,[62] and sobriety is furthered by volunteering for AA[63] and regular AA meeting attendance[64] or contact with AA members.[62]

#### Sponsorship

[edit]

Members are encouraged to find an experienced fellow alcoholic, called a sponsor, to help them understand and follow the AA program. The sponsor should preferably have experienced all twelve of the steps, be the same sex as the sponsored person, and refrain from imposing personal views on the sponsored person.[63] Following the helper therapy principle, sponsors in AA may benefit from their relationship with their charges, as "helping behaviors" correlate with increased abstinence and lower probabilities of binge drinking.[65]

### Meetings

[edit]

#### Overview

[edit]

AA meetings serve as a space where individuals discuss recovery from alcoholism, with flexibility in how meetings are conducted. While AA offers pamphlets suggesting formats,[66] groups have the autonomy to organize their meetings according to their preferences, as long as their decisions do not impact other groups or AA as a whole.[40] Despite cultural differences influencing certain rituals, many elements of AA meetings remain consistent worldwide.

#### Types

[edit]

AA meetings encompass a variety of formats, each designed to serve different needs. Open meetings are accessible to anyone, including non-alcoholics who can attend as observers. In contrast, closed meetings are reserved for individuals who identify as having a desire to stop drinking, a declaration that cannot be questioned by other members.[40] Speaker meetings feature one or more members who share their personal stories of recovery, fostering connection and understanding among participants.[67]

Big Book meetings focus on reading and discussing passages from AA’s foundational text, while sharing meetings provide an open platform for members to speak freely and share their experiences, with or without a predetermined topic.[68] AA meetings are gatherings where recovery from alcoholism is discussed. One perspective sees them as "quasi-ritualized therapeutic sessions run by and for, alcoholics".[69]

In recent years, online meetings have become popular, allowing members to connect virtually through platforms like Zoom. Offline or in-person meetings, often referred to as “brick and mortar” meetings, take place in physical locations, and some groups even host hybrid meetings, enabling participants to attend either in person or virtually.

#### Inclusivity & language accessibility

[edit]

Inclusivity is a core principle of AA meetings, which welcome all alcoholics, though some are tailored to specific demographics such as gender, age, profession, or cultural background. Since the mid-1970s, several 'agnostic' or 'no-prayer' AA groups have begun across the US, Canada, and other parts of the world, which hold meetings that adhere to a tradition allowing alcoholics to freely express their doubts or disbelief that spirituality will help their recovery, and these meetings forgo the use of opening or closing prayers.[70][71]

Meetings in the United States are held in a variety of languages including Armenian, English, Farsi, Finnish, French, Japanese, Korean, Russian, and Spanish.[72]

Headquarters of Alcohólicos Anónimos in Montevideo, Uruguay

#### Donations and contributions

[edit]

At some point during the meeting a basket is passed around for voluntary donations. AA's 7th tradition requires that groups be self-supporting, "declining outside contributions".[40]

#### Serenity prayer

[edit]

The Serenity Prayer is commonly used in AA meetings as a tool for reflection and guidance. It was called the AA prayer in the 1940s.[73] Often recited at meetings, it emphasizes the concepts of acceptance, courage, and wisdom, which align with the principles of the AA program. The prayer encourages individuals to accept things they cannot change, to find the courage to make changes where possible, and to seek the wisdom to distinguish between the two.

Building for Spanish-speaking AA group in Westlake neighborhood, Los Angeles

### Sobriety anniversaries and coins

[edit]

Sobriety coins, also known as sobriety chips, are tokens given to members of AA to signify the duration of their sobriety. While the chip system is common, it is not universally adopted across all AA groups. The tradition began with Sister Ignatia in Akron, Ohio who distributed medallions to newly released patients as reminders to avoid drinking.[74] The actual sobriety chip as known today is believed to have originated in 1942 in Indianapolis, gaining popularity as various AA groups adopted the practice.[75] Typically, different colored chips represent milestones of sobriety within the first year, with tokens awarded for 24 hours, 30 days, 60 days, 90 days, and beyond, culminating in a bronze chip for one year of sobriety.

AA members celebrate Founders Day on the weekend closest to June 10, marking the anniversary of the organization with thousands of attendees engaging in tours of historical sites, sharing recovery stories, and participating in related activities in Akron, Ohio.[76]

### Organization and finances

[edit]

Main article: Twelve Traditions

A regional service center for Alcoholics Anonymous

#### Structure and governance

[edit]

AA describes itself as "not organized in the formal or political sense"[43] and has been referred to as a "benign anarchy," borrowing a phrase from anarchy theorist Peter Kropotkin.[77] The Twelve Traditions guide the functioning of individual AA groups, while the Twelve Concepts for World Service outline how the organization operates on a global scale.[78] Each AA group is self-governing, with AA World Services acting only in an advisory capacity. This "inverted pyramid" style of governance has been key to the organization's resilience and adaptability. In Ireland, Shane Butler noted that AA's lack of top-level leadership might make it seem unsustainable, but its structure has proven extremely robust since its establishment there in 1946.[79]

AA’s 21-member Board of Trustees includes seven "nonalcoholic friends of the fellowship," though the organization is primarily served and run by alcoholics. Members who accept service positions, termed "trusted servants," hold these roles for limited terms, typically ranging from three months to two years, depending on the position and group vote. This approach ensures regular rotation and participation from a broad spectrum of members, maintaining AA's commitment to shared responsibility and leadership.[43]

#### Financial structure

[edit]

AA is entirely self-supporting, relying on voluntary contributions from its members to cover expenses.[43] Contributions to the General Service Office (GSO) are limited to $5,000 per member per year.[80] In addition to these contributions, more than 50% of AA's income comes from the sale of AA literature, such as books and pamphlets.[81] This practice aligns with AA's Seventh Tradition, which emphasizes financial independence by not accepting donations from outside individuals or organizations. The Central Office is also fully self-supporting through the sale of literature and member contributions.

#### Employment and service roles

[edit]

The Eighth Tradition permits AA to employ "special workers" for roles that require specific expertise or full-time responsibilities, such as administrative tasks.[40] However, these paid roles do not involve working directly with alcoholics in need of help, a function known as the "12th Step." Calls from alcoholics seeking assistance are always passed on to sober AA members who have volunteered to handle them, ensuring the program remains grounded in its peer-to-peer support model.[82]

#### Organizational operations

[edit]

The AA Central Office coordinates activities such as printing literature, responding to public inquiries, and organizing conferences. It operates independently but ensures alignment with the core principles of the organization. Other International General Service Offices—such as those in Australia, Costa Rica, and Russia—function independently of AA World Services in New York, reflecting AA's decentralized and autonomous structure.[83]

### Hospitals & institutions

[edit]

Many AA meetings take place in treatment facilities. Carrying the message of AA into hospitals was how the co-founders of AA first remained sober. They discovered great value in working with alcoholics who are still suffering, and that even if the alcoholic they were working with did not stay sober, they did.[84][85][86] Bill Wilson wrote, "Practical experience shows that nothing will so much insure immunity from drinking as intensive work with other alcoholics".[87] Bill Wilson visited Towns Hospital in New York City in an attempt to help the alcoholics who were patients there in 1934. At St. Thomas Hospital in Akron, Ohio, Smith worked with still more alcoholics. In 1939, a New York mental institution, Rockland State Hospital, was one of the first institutions to allow AA hospital groups. Service to corrections and treatment facilities used to be combined until the General Service Conference, in 1977, voted to dissolve its Institutions Committee and form two separate committees, one for treatment facilities, and one for correctional facilities.[88]

In the United States and Canada, AA meetings are held in hundreds of correctional facilities. The AA General Service Office has published a workbook with detailed recommendations for methods of approaching correctional-facility officials with the intent of developing an in-prison AA program.[89] In addition, AA publishes a variety of pamphlets specifically for the incarcerated alcoholic.[90] Additionally, the AA General Service Office provides a pamphlet with guidelines for members working with incarcerated alcoholics.[91]

## Demographics

[edit]

AA group in Pátzcuaro, Michoacá, Mexico

### 2014 membership survey

[edit]

AA's New York General Service Office survey of over 6,000 members in Canada and the United States concluded that, in North America, AA members who responded to the survey were 62% male and 38% female. The survey found that 89% of AA members were white.[92] Average member sobriety is slightly under 10 years with 36% sober more than ten years, 13% sober from five to ten years, 24% sober from one to five years, and 27% sober less than one year.[92] Before coming to AA, 63% of members received some type of treatment or counseling, such as medical, psychological, or spiritual. After coming to AA, 59% received outside treatment or counseling. Of those members, 84% said that outside help played an important part in their recovery.[92]

The same survey showed that AA received 32% of its membership from other members, another 32% from treatment facilities, 30% were self-motivated to attend AA, 12% of its membership from court-ordered attendance, and only 1% of AA members decided to join based on information obtained from the Internet. People taking the survey were allowed to select multiple answers for what motivated them to join AA.[92]

### Diversity

[edit]

A 2024 study found that Black, Hispanic, and younger adults are less likely to attend AA meetings compared to white and older adults, with these disparities remaining consistent over time.[93]

## Effectiveness of AA

[edit]

### Measuring

[edit]

Several metrics are used to evaluate the success of AA, including abstinence, reduced drinking intensity, reduced alcohol-related consequences, addiction severity, and healthcare costs.[6] Because of the anonymous and voluntary nature of AA meetings, it has been difficult to perform random trials with them. However, environmental and quasi-experiment studies suggest that AA can help alcoholics make positive changes.[94][95][96] Until recently, ethical and operational issues had prevented robust randomized controlled trials from being conducted comparing 12-step programs directly to other approaches.[97]

### Reviews and studies

[edit]

#### Long-term recovery effectiveness

[edit]

There have been numerous studies on the effectiveness of AA. A 2006 study by Rudolf H. Moos and Bernice S. Moos saw a 67% success rate 16 years later for the 24.9% of alcoholics who ended up, on their own, undergoing a lot of AA treatment.[98][99] However, this may be influenced by self-selection bias.[100][101] Project MATCH, a 1990s multi-site study, found AA to be more effective than no treatment.[102] Other studies link increased AA attendance with higher spirituality and reduced alcohol consumption.[103][104][105]

#### Comparative effectiveness and cost effectiveness

[edit]

Meta-studies indicate that AA costs less and leads to higher abstinence rates.[6][106] Longitudinal studies suggest AA appears to be about as effective as other abstinence-based support groups.[107] More recent studies employing randomized and blinded trials have shown 12-step programs provide similar benefit compared to motivational enhancement therapy (MET) and cognitive behavioral therapy (CBT), and were more effective in producing continuous abstinence and remission compared to these approaches.[108]

#### Patterns of engagement and disengagement

[edit]

The 2001–2002 National Epidemiological Survey on Alcoholism and Related Conditions (NESARC) found that 3.4% of respondents had attended a 12-step meeting. Of those, 988 had ceased attending, 348 continued attending, and 105 were newcomers. These figures help to understand engagement and disengagement patterns within AA.[109]

#### Cochrane Review

[edit]

A 2020 Cochrane review concluded that AA is more effective than other treatments, such as MET and CBT, in terms of abstinence rates. It also noted similar success in reducing drinking and alcohol-related problems, though this conclusion was based on moderate-certainty evidence.[110][111] The review found that AA participation via AA twelve step facilitation (AA/TSF) had sustained remission rates 20-60% above other well-established treatments. Additionally, 4 of the 5 economic studies in the review found that AA/TSF lowered healthcare costs considerably.[a][6][113]

#### Criticism of Cochrane Review

[edit]

Nick Heather, an addiction researcher, critiqued the review, arguing it may have a sample bias and that it failed to measure outcomes like quality of life or alcohol dependence, which are important for evaluating recovery.[114][115] The authors responded, stating their review showed AA is at least as effective as other treatments and more cost-effective.[116][117] The authors also noted the lack of quality-of-life measures was due to the limitations of the reviewed studies.[115]

#### Mechanisms of Recovery

[edit]

Although AA claims that spirituality is the primary mechanism for achieving change and recovery, there is growing evidence that suggests this is only true for a minority of AA attendees with a high addiction severity. [118][119] Instead, AA's beneficial effects are carried predominantly by social, cognitive and affective mechanisms.[120] However, atheist and agnostic people are less likely to initiate and sustain AA attendance in comparison to spiritual and religious people.[119]

### Criticism

[edit]

The effectiveness of AA, compared to other methods and treatments, has been challenged over the years.[121] Lance Dodes, in The Sober Truth, claims only five to eight percent of the people who go to one or more AA meetings achieve sobriety.[122] Dodes opposes the idea that a social network is needed to overcome substance abuse.[123] Dodes assertion that AA is ineffective has been criticized.[124][125][126][127] Some other experts claim that the book's conclusion that "[12-step] approaches are almost completely ineffective and even harmful in treating substance use disorders" is wrong.[128][129] In a 2015 article for The Atlantic, Gabrielle Glaser criticized the dominance of AA in the treatment of addiction in the United States, citing Dodes's figures and a 2006 Cochrane report, to claim AA had a low success rate.[130] In the past, others have criticized 12-step programs as pseudoscientific[97][131] Her figures and assertions, however were criticized by other experts.[124][125][126][132]

## Philosophical and sociological dimensions

[edit]

AA shares the view that acceptance of one's inherent limitations is critical to finding one's proper place among other humans and God. Such ideas are described as "Counter-Enlightenment" because they are contrary to the Enlightenment's ideal that humans have the capacity to make their lives and societies a heaven on Earth using their own power and reason.[59]

After evaluating AA's literature and observing AA meetings for sixteen months, sociologists David R. Rudy and Arthur L. Greil found that for an AA member to remain sober, a high level of commitment is necessary. This commitment is facilitated by a change in the member's worldview. They argue that to help members stay sober, AA must provide an all-encompassing worldview while creating and sustaining an atmosphere of transcendence in the organization. To be all-encompassing, AA's ideology emphasizes tolerance rather than a narrow religious worldview that may make the organization unpalatable to potential members and thereby limit its effectiveness. AA's emphasis on the spiritual nature of its program, however, is necessary to institutionalize a feeling of transcendence. A tension results from the risk that the necessity of transcendence, if taken too literally, would compromise AA's efforts to maintain a broad appeal. As this tension is an integral part of AA, Rudy and Greil argue that AA is best described as a quasi-religious organization.[133]

## Criticism and controversy

[edit]

### Zoombombing

[edit]

Zoombombing emerged as a significant challenge for AA meetings during the COVID-19 pandemic, when many groups moved online.[134] Disruptive individuals often infiltrated these virtual meetings, harassing participants and sharing inappropriate content.[134] Some AA members experienced racial hatred.[135] This intrusion undermined the safe, supportive environment essential for recovery, raising concerns about privacy and security. In response, AA groups and Zoom implemented stricter access controls and guidelines to protect participants and maintain a welcoming atmosphere for those seeking help.[136]

### Disease model

[edit]

Though AA usually avoids the term disease, 1973 conference-approved literature said "we had the disease of alcoholism."[137] Regardless of official positions, since AA's inception, most members have believed alcoholism to be a disease.[52] Its association with AA, as well as a good deal of its broader acceptance, stems from many members propagating it.[138] However, AA has not formally endorsed it.[citation needed]

Bill Wilson explained in 1960 why AA had refrained from using the term disease:

> We AAs have never called alcoholism a disease because, technically speaking, it is not a disease entity. For example, there is no such thing as heart disease. Instead, there are many separate heart ailments or combinations of them. It is something like that with alcoholism. Therefore, we did not wish to get in wrong with the medical profession by pronouncing alcoholism a disease entity. Hence, we have always called it an illness or a malady—a far safer term for us to use.[139]

### 13th-step and sexual advances

[edit]

"Thirteenth-stepping" is a term used to describe a predatory behavior in AA where some individuals exploit vulnerable members for sexual relationships. This can involve unwanted advances and harassment, often targeting newer members who may be more susceptible due to their recovery status.[140]

In 2003, a study in the Journal of Addiction Nursing sampled 55 women in AA and found that 35% of these women had experienced a "pass" and 29% had felt seduced at least once in AA settings. This has also happened with new male members who received guidance from older female AA members pursuing sexual company. The authors suggest that both men and women must be prepared for this behavior or find male or female-only groups.[141]

#### Response

[edit]

As of 2010, women-only meetings are a very prevalent part of AA culture, and AA has become more welcoming for women.[142] AA's pamphlet on sponsorship suggests that men be sponsored by men and women be sponsored by women.[143] AA also has a safety flier which states that "Unwanted sexual advances and predatory behaviors are in conflict with carrying the A.A. message of recovery."[144]

### Criticism of culture

[edit]

See also: Alcoholism § Management

Stanton Peele argued that some AA groups apply the disease model to all problem drinkers, whether or not they are "full-blown" alcoholics.[145] Along with Nancy Shute, Peele has advocated that besides AA, other options should be readily available to those problem drinkers who can manage their drinking with the right treatment.[146] The Big Book says "moderate drinkers" and "a certain type of hard drinker" can stop or moderate their drinking. The Big Book suggests no program for these drinkers, but instead seeks to help drinkers without "power of choice in drink."[147]

In 1983, a review stated that the AA program's focus on admission of having a problem increases deviant stigma and strips members of their previous cultural identity, replacing it with the deviant identity.[148] A 1985 study based on observations of AA meetings warned of detrimental iatrogenic effects of the twelve-step philosophy and concluded that AA uses many methods that are also used by cults.[149] A later review disagreed, stating that AA's program bore little resemblance to religious cult practices.[150] In 2014, George Eman Vaillant published a paper making the case that Alcoholics Anonymous is not a cult.[151]

### Spirituality

[edit]

Some have criticized 12-step programs as "a cult that relies on God as the mechanism of action"[152] and as "overly theistic and outdated".[97] Others have cited the necessity of a "higher power" (an "HP") in formal AA as creating dependence on outside factors rather than internal efficacy.[97][153] Gabrielle Glaser criticized 12-step programs for being "faith-based",[130] but 12-step programs allow for a very wide diversity of spiritual beliefs, and there are a growing number of secular 12-step meetings.[154][155]

#### Secular meetings in Toronto controversy

[edit]

Reception to secular 12 step meetings from within AA has been mixed. In 2011, secular meetings in Toronto, where the 12 steps were altered to remove references to God and prayer, were delisted from the Toronto AA online and print directories, effectively removing them from the network of meetings. They appealed this decision, but were rejected, leading to a complaint to the Human Rights Tribunal of Ontario. The Toronto co-ordinating body, the Greater Toronto Area Intergroup of Alcoholics Anonymous, argued both that as a special interest group they have the right to restrict its membership, and that a belief in God is a requirement for groups in Toronto. Mediation between the two groups resulted in the delisted groups being listed again, however the secular groups would be required to not alter the 12 steps.[156][157]

### Lawsuits and court rulings

[edit]

See also: Rational Recovery § Court-mandated twelve-step program attendance

#### Privileged communication

[edit]

In the Fifth Step, AA members typically reveal their own past misconduct to their sponsors. US courts have not extended the status of privileged communication, such as physician-patient privilege or clergy–penitent privilege, to communications between an AA member and their sponsor.[158][159]

#### Court rulings on mandatory attendance

[edit]

United States courts have ruled that inmates, parolees, and probationers cannot be ordered to attend AA. Though AA itself was not deemed a religion, it was ruled that it contained enough religious components (variously described in Griffin v. Coughlin below as, inter alia, "religion", "religious activity", "religious exercise") to make coerced attendance at AA meetings a violation of the Establishment Clause of the First Amendment of the constitution.[160][161] In 2007, the Ninth Circuit of the U.S. Court of Appeals stated that a parolee who was ordered to attend AA had standing to sue his parole office.[162][163]

#### Family lawsuit

[edit]

The family of Karla Mendez, who was murdered in 2011 by a man she met at an AA meeting, filed a civil lawsuit in 2012 against AA asserting AA had a "reckless disregard for, and deliberate indifference…to the safety and security of victims attending AA meetings who are repeatedly preyed upon at those meetings by financial, violent, and sexual predators...".[164][165] The lawsuit against AA was dismissed in 2016.[166][167]

#### Big Book manuscript case

[edit]

In May 2017, Alcoholics Anonymous World Services Inc. filed a lawsuit in the Supreme Court of the State of New York seeking the return of the original manuscript of the Big Book from its then-owner. AAWS claimed that the manuscript had been given to them as a gift in 1979.[168] This action was criticized by many members of Alcoholics Anonymous since they didn't want their parent organization engaged in lawsuits.[169] Alcoholics Anonymous World Services Inc. asked the court to voluntarily discontinue the action in November 2017.[170]

## Notable people who have attended AA

[edit]

While AA emphasizes personal anonymity, many notable individuals have publicly acknowledged their participation in the program for various lengths of time.

Brad Pitt has openly discussed his sobriety journey, including his participation in Alcoholics Anonymous for a period of time,[171] despite some criticism from some people in AA regarding its anonymity guidelines.[172] Roger Ebert was a member of AA and had written some blog entries on the subject.[173] Eminem has posted pictures of AA Sobriety coins.[174][175] Anthony Hopkins has credited AA with saving him and marked 48 years of sobriety in 2023.[176][177] Others who have attended AA include James K. Baxter,[178] Art Carney,[179] Bonnie Raitt,[180] Mychal Judge,[181] Moby,[182] Hank Azaria,[183] Matthew Perry,[184] Jim Irsay,[185][186] Demi Lovato,[187][188] Elton John,[189] Tom Waits,[190] Capers Williamson,[191] among others.

## AA in media and arts

[edit]

### Film

[edit]

* My Name Is Bill W. – dramatized biography of co-founder Bill Wilson.[192][193]
* When Love Is Not Enough: The Lois Wilson Story – a 2010 film about the wife of founder Bill Wilson, and the beginnings of Alcoholics Anonymous and Al-Anon.[194][195]
* Bill W. – a 2011 biographical documentary film that tells the story of Bill Wilson using interviews, recreations, and rare archival material.[196][197]
* A Walk Among the Tombstones (2015), a mystery/suspense film based on Lawrence Block's books featuring Matthew Scudder, a recovering alcoholic detective whose AA membership is a central element of the plot.[198]
* When a Man Loves a Woman – a school counselor attends AA meetings in a residential treatment facility.[199]
* Clean and Sober – an addict (alcohol, cocaine) visits an AA meeting to get a sponsor.[200]
* Days of Wine and Roses – a 1962 film about a married couple struggling with alcoholism. Jack Lemmon's character attends an AA meeting in the film.[201]
* Drunks – a 1995 film starring Richard Lewis as an alcoholic who leaves an AA meeting and relapses. The film cuts back and forth between his eventual relapse and the other meeting attendees.[202]
* Come Back, Little Sheba – A 1952 film based on a play of the same title about a loveless marriage where the husband played by Burt Lancaster is an alcoholic who gets help from two members of the local AA chapter.[203] A 1977 TV drama was also based on the play.
* I'll Cry Tomorrow – A 1955 film about singer Lillian Roth played by Susan Hayward who goes to AA to help her stop drinking. The film was based on Roth's autobiography of the same name detailing her alcoholism and sobriety through AA.[204][205]
* You Kill Me – a 2007 crime-comedy film starring Ben Kingsley as a mob hit man with a drinking problem who is forced to accept a job at a mortuary and go to AA meetings.[206][207]
* Smashed – a 2012 drama film starring Mary Elizabeth Winstead. An elementary school teacher's drinking begins to interfere with her job, so she attempts to get sober in AA.[208]
* Don't Worry, He Won't Get Far on Foot – a 2018 biography/comedy/drama by Gus Van Sant, based on the life of cartoonist John Callahan.[209]
* Doctor Sleep – Released in 2019, Doctor Sleep is a sequel to The Shining, directed by Mike Flanagan and based on Stephen King's work. Ewan McGregor stars as a man who, after overcoming his own demons through AA, helps others do the same.[210]

### Television

[edit]

* In "Days of Wine and D'oh'ses" (The Simpsons) after watching a video of his drunken antics at his birthday party, Barney resolves to get sober. He attends Alcoholics Anonymous meetings, cleans up his appearance, and attends helicopter-flying lessons. He remains sober by the episode's end, though his alcoholism is replaced by an unhealthy dependence on coffee.[211]
* Bloody Mary - A 2005 episode of the animated TV series South Park where Randy Marsh must attend AA meetings after getting a DUI.
* In CBS' Elementary, Jonny Lee Miller plays an adaptation of Sherlock Holmes who is a recovering drug addict. Several episodes are centered around AA meetings and the process of recovery.[212]

### Music

[edit]

* Faithful (Macklemore song) released in October 2022
* AA (song) by American country music singer Walker Hayes
* In 2024, Jelly Roll revealed that an Alcoholics Anonymous meeting served as the inspiration for his new album track, "Winning Streak."[213]

### Theater

[edit]

* Bill W. and Dr. Bob is a play by Stephen Bergman and Janet Surrey that chronicles the lives of AA founders Bill Wilson and Dr. Robert Smith, and their wives, and has been produced Off-Broadway and in multiple countries since its debut in 2007.

## See also

[edit]

* Adult Children of Alcoholics
* Al-Anon/Alateen
* Calix Society
* Community reinforcement approach and family training (CRAFT)
* Drug addiction recovery groups
* Drug rehabilitation
* Group psychotherapy
* List of twelve-step groups
* Long-term effects of alcohol
* Recovery approach
* Short-term effects of alcohol consumption
* Stepping Stones (house), home of Bill W.
* Washingtonian movement

## Notes

[edit]

1. ^ "Twelve-Step Facilitation (TSF) interventions include extended counseling, adopting some of the techniques and principles of AA, as well as brief interventions designed to link individuals to community AA groups."[112]

## References

[edit]

1. ^ a b AA Grapevine (15 May 2013), A.A. Preamble (PDF), AA General Service Office, archived (PDF) from the original on 9 October 2022, retrieved 13 May 2017
2. ^ Michael Gross (1 December 2010). "Alcoholics Anonymous: Still Sober After 75 Years". American Journal of Public Health. 100 (12): 2361–2363. doi:10.2105/ajph.2010.199349. PMC 2978172. PMID 21068418.
3. ^ "Information on AA". aa.org. Retrieved 18 April 2019.
4. ^ "Estimated Worldwide A.A. Individual and Group Membership | Alcoholics Anonymous". www.aa.org. Retrieved 28 September 2024.
5. ^ "Estimates of A.A. Groups and Members | Alcoholics Anonymous". www.aa.org. Retrieved 28 September 2024.
6. ^ a b c d Kelly, John F.; Humphreys, Keith; Ferri, Marica (2020). "Alcoholics Anonymous and other 12-step programs for alcohol use disorder". Cochrane Database of Systematic Reviews. 3 (3): CD012880. doi:10.1002/14651858.CD012880.pub2. PMC 7065341. PMID 32159228.
7. ^ Erickson, Mandy (1 October 2015). "Alcoholics Anonymous most effective path to alcohol abstinence". Stanford Medicine. Retrieved 8 September 2024.
8. ^ Chappel, JN; Dupont, RL (1999). "Twelve-Step and Mutual-Help Programs for Addictive Disorders". Psychiatric Clinics of North America. 22 (2): 425–46. doi:10.1016/S0193-953X(05)70085-X. PMID 10385942.
9. ^ "How Carl Jung Inspired the Creation of Alcoholics Anonymous | Open Culture". Retrieved 21 September 2024.
10. ^ Pass It On, p. 114
11. ^ 1961 letter from Carl Jung to Bill Wilson concerning Rowland Hazard III Archived July 15, 2012, at archive.today – photographic image
12. ^ Jung, C.G., Retrospective 1961 letter from C.G. Jung to Bill Wilson about Rowland Hazard III Archived December 15, 2000, at the Wayback Machine with commentary by the Big Book Bunch.
13. ^ Schaberg, William H. (2019). Writing The big book : the creation of A.A. Las Vegas, NV. ISBN 9781949481297.`{{cite book}}`: CS1 maint: location missing publisher (link)
14. ^ Pass It On, pp. 113–114
15. ^ Finlay, Steven W. (March 2000). "Influence of Carl Jung and William James on the Origin of Alcoholics Anonymous". Review of General Psychology. 4 (1): 3–12. doi:10.1037/1089-2680.4.1.3. S2CID 197652178. Retrieved 1 July 2022.
16. ^ Pass It On, p. 127.
17. ^ Pass It On, p. 117.
18. ^ Walter HA, Soul Surgery p. 44 Oxford: The Oxford Group
19. ^ Pass It On, 1984, p 117.
20. ^ Kurtz 1991, p. 17.
21. ^ Pittman, Bill "AA the Way it Began" 1988, Glenn Abbey Books
22. ^ Kurtz 1991, p. 19–20.
23. ^ Pittman, Bill AA the Way it Began Glen Abbey Books, 1988
24. ^ Mercadante, Linda A, Victims and Sinners: p. 55. Westminster John Knox Press: 1996 ISBN 978-0664255084
25. ^ a b c d e f g h i j "The Start and Growth of A.A. | Alcoholics Anonymous". www.aa.org. Retrieved 8 September 2024.
26. ^ Kurtz 1991, p. 33.
27. ^ This first sentence has been revised to reflect conclusions drawn by William Schaberg's exhaustive research into 1930s AA documents. The results published in Writing the Big Book (2019) clarify many details, rewriting history. Many statements made online, and in earlier books, including Susan Cheever's book referenced next, need to be reconsidered.
28. ^ Cheever, Susan (2004). My name is Bill: Bill Wilson: his life and the creation of Alcoholics Anonymous. New York: Simon & Schuster. p. 127-136. ISBN 978-0-7432-0154-4.
29. ^ Anonymous (1939). Alcoholics Anonymous. New York: Works Publishing Company. p. Original Manuscript p. 217.
30. ^ Bamuhigire, Oscar Bamwebaze (2009). Healing power of self love: enhance your chances of recovery from addiction through the. [S.l.]: Iuniverse Inc. p. x. ISBN 978-1-44010-137-3.
31. ^ Kurtz 1991, p. 47.
32. ^ Alcoholics Anonymous (3rd ed.). New York: AA World Services. 1976. p. 483.
33. ^ Mustikhan, Ahmar (13 April 2015). "First black AA group to celebrate 70th anniversary today in Washington DC". CNN. Archived from the original on 1 December 2017. Retrieved 28 May 2017.
34. ^ Steinmetz, Katy (2 July 2010). "Top 10 Things You Didn't Know About Alcoholics Anonymous - TIME". Time. ISSN 0040-781X. Retrieved 20 September 2024.
35. ^ "Alcoholics Anonymous: Series of 1939 Plain Dealer articles - AA History". Alcoholics Anonymous Cleveland. 14 September 2016. Retrieved 20 September 2024.
36. ^ Mackie, Ed. "The Impact on Early A.A. of the 1939 Liberty Magazine Article".
37. ^ Jack Alexander (March 1, 1941). "Alcoholics Anonymous." Saturday Evening Post, December 22, 2015, Post Perspective. Retrieved December 10, 2022
38. ^ Jack Alexander (1 March 1941). "Alcoholics Anonymous" (PDF). Saturday Evening Post (Reprinted in booklet form ed.). Alcoholics Anonymous World Services. ISBN 978-0-89638-199-5. Archived from the original (PDF) on 2 December 2008. Retrieved 12 December 2009.
39. ^ a b c d "The Beginnings of The Twelve Traditions | Alcoholics Anonymous". www.aa.org. Retrieved 20 September 2024.
40. ^ a b c d e "The Twelve Traditions". The AA Grapevine. 6 (6). Alcoholics Anonymous. November 1949. ISSN 0362-2584. OCLC 50379271.
41. ^ "The Rocky Road to the First General Service Conference of A.A." (PDF).
42. ^ Pass It On, 1984, p. 359
43. ^ a b c d e "AA Fact File" (PDF). General Service Office of Alcoholics Anonymous. 2007. Archived (PDF) from the original on 9 October 2022.
44. ^ "A.A. Around the World | Alcoholics Anonymous". www.aa.org. Retrieved 8 September 2024.
45. ^ vincithevin (7 September 2024). "A Solution to Addiction in Beijing: Alcoholics Anonymous". www.thebeijinger.com. Retrieved 21 September 2024.
46. ^ "Inside the unusual brief for Alcoholics Anonymous' first nation-wide campaign". The Drum. Retrieved 21 September 2024.
47. ^ Huang, Binghui. "Alcoholics Anonymous to meet for its 100th year anniversary in Indianapolis in 2035". The Indianapolis Star. Retrieved 21 September 2024.
48. ^ A WorldCat search for materials authored by Alcoholics Anonymous and more specific divisions of the organization (AA Grapevine, World Services, General Service Conference, World Service Meeting) yields well over 500 results.
49. ^ "Copyright of AA Book". gsowatch.aamo.info. Archived from the original on 24 February 2021. Retrieved 26 June 2010.
50. ^ Experience, Strength and Hope: Stories from the First Three Editions of Alcoholics Anonymous, New York: Alcoholics Anonymous, 2003, ISBN 978-1893007307.
51. ^ Anonymous, Alcoholics. "AA Big Book, preface" (PDF). Alcoholics Anonymous. Anonymous Press. Archived (PDF) from the original on 9 October 2022. Retrieved 25 December 2016.
52. ^ a b Kurtz, Ernest (2002). "Alcoholics Anonymous and the disease concept of alcoholism" (PDF). Alcoholism Treatment Quarterly. 20 (3–4): 5–39. doi:10.1300/j020v20n03_02. S2CID 144972034. Archived (PDF) from the original on 9 October 2022. Retrieved 13 May 2017.
53. ^ Alcoholics Anonymous page xxx
54. ^ Living Sober. 1975. p. 68.
55. ^ Alcoholics Anonymous (2002-02-10). Twelve Steps and Twelve Traditions. Hazelden. ISBN 0-916856-01-1. OCLC 13572433.
56. ^ a b c "History of the AA Grapevine | AA Grapevine". www.aagrapevine.org. Retrieved 20 September 2024.
57. ^ "A.A. Grapevine and La Viña | Alcoholics Anonymous". www.aa.org. Retrieved 20 September 2024.
58. ^ "A History of the Grapevine Magazine". Road To Recovery Group Plymouth. Retrieved 20 September 2024.
59. ^ a b Humphreys, Keith; Kaskutas, Lee Ann (1995). "World Views of Alcoholics Anonymous, Women for Sobriety, and Adult Children of Alcoholics/Al-Anon Mutual Help Groups". Addiction Research & Theory. 3 (3): 231–243. doi:10.3109/16066359509005240.
60. ^ Bill W. 2002, p. Appendix II, p. 567.
61. ^ Alcoholics Anonymous (4th ed.). New York: AA World Services. 2002. pp. xxix. ISBN 9781893007178.
62. ^ a b "This is AA" (PDF). Alcoholics Anonymous Work Services, Inc. 1984. Archived (PDF) from the original on 25 March 2009. Retrieved 12 December 2009.
63. ^ a b Questions & Answers on Sponsorship
64. ^ "A Newcomer Asks." (PDF). Alcoholics Anonymous World Services, Inc. 1980. Archived (PDF) from the original on 15 March 2009. Retrieved 12 December 2009.
65. ^ Zemore, S. E.; Kaskutas, L. A. & Ammon, L. N. (August 2004). "In 12-step groups, helping helps the helper". Addiction. 99 (8): 1015–1023. doi:10.1111/j.1360-0443.2004.00782.x. PMID 15265098.
66. ^ "Suggestions For Leading Beginners Meetings" (PDF). Alcoholics Anonymous World Services, Inc. Archived from the original (PDF) on 25 March 2009. Retrieved 12 December 2009.
67. ^ "What to Expect at an A.A. Meeting | Alcoholics Anonymous". www.aa.org.
68. ^ Anonymous, Alcoholics. "SMF-177: Information on Alcoholics Anonymous" (PDF). Alcoholics Anonymous. AA World Services Inc. Archived (PDF) from the original on 9 October 2022. Retrieved 25 December 2016.
69. ^ Leach, Barry; Norris, John L.; Dancey, Travis; Bissell, Leclair (1969). "Dimensions of Alcoholics Anonymous: 1935–1965". Substance Use & Misuse. 4 (4): 509. doi:10.3109/10826086909062033.
70. ^ C., Roger (November 2011). "A History of Agnostic Groups in Alcoholics Anonymous: Part 1". Humanist Network News. Archived from the original on 21 February 2014. Retrieved 12 February 2014.
71. ^ Freedman, Samuel (21 February 2014). "Alcoholics Anonymous, Without the Religion". The New York Times. Archived from the original on 1 January 2022. Retrieved 26 February 2014.
72. ^ "Alcoholics Anonymous (A. A.) Meetings in Los Angeles County, California". Alcoholics Anonymous in Staten Island, N. Y. Archived from the original on 9 June 2017. Retrieved 29 May 2017.
73. ^ "Origin of the Serenity Prayer: A Historical Paper | Alcoholics Anonymous". www.aa.org. Retrieved 21 September 2024.
74. ^ "Origin of AA coins, chips, tokens or medallions – AA FAQ". Anonpress.org. Retrieved 12 April 2014.
75. ^ "Alcoholics Anonymous : Frequently Asked Questions About A.A.'s History". Aa.org. Retrieved 12 April 2014.
76. ^ Webb, Craig. "Founders Day 2024: Thousands expected in Akron to mark founding of Alcoholics Anonymous". Akron Beacon Journal. Retrieved 21 September 2024.
77. ^ Bill W. (1957). "benign+anarchy" Alcoholics Anonymous Comes of Age: A Brief History of A.A. Harper, and Brothers. p. 224.
78. ^ Wilson, Bill. "The A.A. Service Manual Combined with Twelve Concepts for World Services" (PDF). Alcoholics Anonymous World Services, Inc. Archived from the original (PDF) on 25 March 2009. Retrieved 12 December 2009.
79. ^ Carroll, Steven (26 March 2010). "Group avoids politics of alcohol". The Irish Times. Retrieved 17 December 2016.
80. ^ "A.A. GSO Guidelines: Finances" (PDF). Alcoholics Anonymous General Service Office. Archived (PDF) from the original on 18 June 2010. Retrieved 12 December 2009.
81. ^ "GSO 2007 Operating Results". Alcoholics Anonymous General Services Office. Archived from the original on 27 November 2008. Retrieved 12 December 2009. "Gross Profit from Literature ≈8,6M (57%), Contributions ~$6.5M (43%)"
82. ^ "Frequently Asked Financial Questions". Fort Worth central office of Alcoholics Anonymous. Retrieved 13 May 2017.
83. ^ "Alcoholics Anonymous : International General Service Offices". Alcoholics Anonymous website. Archived from the original on 10 October 2010. Retrieved 8 October 2009.
84. ^ Cheever, Susan (14 June 1999). "Bill W.: The Healer". Time. p. 201\. Archived from the original on 6 March 2008. Retrieved 12 June 2013. "by helping another alcoholic, he could save himself"
85. ^ B., Dick (1997). "Turning point". Turning Point: A History of Early A.A.'s Spiritual Roots and Successes (Volume 10 ed.). Good Book Publishing Company. p. 110. ISBN 9781885803078. Retrieved 13 May 2017. "Bill went back to Towns constantly to work on alcoholics there, simply trying to help others had kept him from even thinking of drinking"
86. ^ Lois (1979). Lois remembers: memoirs of the co-founder of Al-Anon and wife of the co-founder of Alcoholics Anonymous (illustrated, reprint ed.). Al-Anon Family Group Headquarters. p. 95\. ISBN 9780910034234. Retrieved 12 June 2013. "simply trying to help other had kept him from even thinking of drinking"
87. ^ Alcoholics Anonymous (3rd ed.). Alcoholics Anonymous World Services. 1976. p. 89.
88. ^ "Treatment Committee". AA Area 62 (South Carolina). n.d. Retrieved 17 December 2016.
89. ^ "Corrections Workbook" (PDF). New York: Alcoholics Anonymous Word Services, Inc. 1995. Archived from the original (PDF) on 25 October 2010. Retrieved 12 December 2009.
90. ^ "Corrections Catalog". Archived from the original on 28 November 2008. Retrieved 12 December 2009. "The titles include: Carrying the Message into Correctional Facilities, Where Do I Go From Here?, A.A. in Prison: Inmate to Inmate, A.A. in Correctional Facilities, It Sure Beats Sitting in a Cell, Memo to an Inmate Who May be an Alcoholic, A Message to Corrections Administrators"
91. ^ "AA Guidelines from GSO: Cooperating with Court, DWI and Similar Programs" (PDF). Archived (PDF) from the original on 28 November 2008. Retrieved 12 December 2009.
92. ^ a b c d "Alcoholics Anonymous 2014 Membership Survey" (PDF). AA World Services. 2014. Archived (PDF) from the original on 9 October 2022.
93. ^ Thompson, Dennis (24 January 2024). "AA Programs Turn Lives Around, But Most Members Are White: Study". U.S. News.
94. ^ "Frequently Asked Questions: Searching for Alcohol Treatment". NIAAA. 29 November 2018. "the free and flexible support provided by mutual help groups can help people make and sustain beneficial changes and thus promote recovery"
95. ^ https://addiction.surgeongeneral.gov/sites/default/files/chapter-5-recovery.pdf Page 5-2
96. ^ Recovery: The Many Paths to Wellness. US Department of Health and Human Services. November 2016.
97. ^ a b c d Lilienfeld, Scott O.; Lynn, Steven Jay; Lohr, Jeffrey; Tavris, Carol (2015). Science and pseudoscience in clinical psychology (PDF) (Second ed.). New York: The Guilford Press. ISBN 9781462505814. Retrieved 27 January 2023.
98. ^ Moos, Rudolf H.; Moos, BS (June 2006). "Participation in Treatment and Alcoholics Anonymous: A 16-Year Follow-Up of Initially Untreated Individuals". Journal of Clinical Psychology. 62 (6): 735–750. doi:10.1002/jclp.20259. PMC 2220012. PMID 16538654.
99. ^ Humphreys; Blodgett; Wagner (2014). "Estimating the efficacy of Alcoholics Anonymous without self-selection bias: an instrumental variables re-analysis of randomized clinical trials". Alcoholism: Clinical and Experimental Research. 38 (11): 2688–94. doi:10.1111/acer.12557. PMC 4285560. PMID 25421504.
100. ^ Kaskutas, Lee Ann (2009). "Alcoholics Anonymous Effectiveness: Faith Meets Science". Journal of Addictive Diseases. 28 (2): 145–157. doi:10.1080/10550880902772464. PMC 2746426. PMID 19340677.
101. ^ Szalavitz, Maia (2016). Unbroken Brain: A Revolutionary New Way of Understanding Addiction. "the research that does show AA to be effective is overwhelmingly flawed by what is known as selection bias."
102. ^ Keith Humphreys. "Here's proof that Alcoholics Anonymous is just as effective as professional psychotherapies". The Washington Post. Archived from the original on 31 May 2016. Retrieved 29 May 2018. "AA skeptics were confident that by putting AA up against the best professional psychotherapies in a highly rigorous study, Project MATCH would prove beyond doubt that the 12-steps were mumbo jumbo. The skeptics were humbled: Twelve-step facilitation was as effective as the best psychotherapies professionals had developed."
103. ^ Kelly, John F.; Eddie, David (February 2020). "The role of spirituality and religiousness in aiding recovery from alcohol and other drug problems: An investigation in a national U.S. sample". Psychology of Religion and Spirituality. 12 (1): 116–123. doi:10.1037/rel0000295. eISSN 1943-1562. ISSN 1941-1022. PMC 7989793. PMID 33767804.
104. ^ Sánchez-Iglesias, Iván; Saiz, Jesús; Molina, Antonio J.; Goldsby, Tamara L. (31 December 2022). "Reporting and Interpreting Effect Sizes in Applied Health-Related Settings: The Case of Spirituality and Substance Abuse". Healthcare. 11 (1): 133. doi:10.3390/healthcare11010133. eISSN 2227-9032. PMC 9818974. PMID 36611592.
105. ^ Brandsma, Jeffery M; Maultsby, Maxie C; Welsh, Richard J (1980). Outpatient Treatment of Alcoholism: a review and comparative study. Baltimore, MD: University Park Press. ISBN 978-0-8391-1393-5. OCLC 5219646. Brandsma 1980 is paywalled, but is summarized in the Wikipedia
106. ^ Becker, Deborah. "New Review Finds Alcoholics Anonymous Is Effective, But Not For Everyone". NPR.
107. ^ Zemore, Sarah E; Lui, Camillia; Mericle, Amy; Hemberg, Jordana; Kaskutas, Lee Ann (2018). "A longitudinal study of the comparative efficacy of Women for Sobriety, LifeRing, SMART Recovery, and 12-step groups for those with AUD". Journal of Substance Abuse Treatment. 88: 18–26. doi:10.1016/j.jsat.2018.02.004. PMC 5884451. PMID 29606223.
* Lay summary in: German Lopez (5 March 2018). "Alcoholics Anonymous works for some people. A new study suggests the alternatives do too". Vox.
108. ^ Kelly, John F; Abry, Alexandra; Ferri, Marica; Humphreys, Keith (6 July 2020). "Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers". Alcohol and Alcoholism. 55 (6): 641–651. doi:10.1093/alcalc/agaa050. eISSN 1464-3502. ISSN 0735-0414. PMC 8060988. PMID 32628263.
109. ^ Kaskutas, Lee Ann; Ye, Yu; Greenfield, Thomas K.; Witbrodt, Jane; Bond, Jason (30 June 2008). "Epidemiology of Alcoholics Anonymous Participation". Recent Developments in Alcoholism. Vol. 18\. pp. 261–282. doi:10.1007/978-0-387-77725-2_15. ISBN 978-0-387-77724-5. PMID 19115774.
110. ^ Kelly, John F.; Abry, Alexandra; Ferri, Marica; Humphreys, Keith (2020). "Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers". Alcohol and Alcoholism. 55 (6): 641–651. doi:10.1093/alcalc/agaa050. PMC 8060988. PMID 32628263.
111. ^ Frakt, Austin; Carroll, Aaron (11 March 2020). "Alcoholics Anonymous vs. Other Approaches: The Evidence Is Now In". The New York Times.
112. ^ Kelly, John F.; Humphreys, Keith; Ferri, Marica (2020). "Alcoholics Anonymous and other 12-step programs for alcohol use disorder". Cochrane Database of Systematic Reviews. 3 (CD012880): 15. doi:10.1002/14651858.CD012880.pub2. PMC 7065341. PMID 32159228.
113. ^ "How Effective is Alcoholics Anonymous?".
114. ^ Ferri M, Amato L, Davoli M (2006). "Alcoholics Anonymous and other 12-step programmes for alcohol dependence". Cochrane Database Syst Rev (3): CD005032. doi:10.1002/14651858.CD005032.pub2. PMID 16856072.`{{cite journal}}`: CS1 maint: multiple names: authors list (link)
115. ^ a b Heather, Nick (2020). "Let's not turn back the clock: Comments on Kelly et al., "Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers"". Alcohol and Alcoholism. 56 (4): 377–379. doi:10.1093/alcalc/agaa137. PMID 33316028.
116. ^ Heather, Nick (2020). "Let's not turn back the clock: Comments on Kelly et al., "Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers"". Alcohol and Alcoholism. 56 (4): 377–379. doi:10.1093/alcalc/agaa137. PMID 33316028.
117. ^ Kelly, John F.; Humphreys, Keith; Ferri, Marica (2020). "Alcoholics Anonymous and other 12-step programs for alcohol use disorder". Cochrane Database of Systematic Reviews. 3 (CD012880): 35. doi:10.1002/14651858.CD012880.pub2. PMC 7065341. PMID 32159228.
118. ^ F Kelly, John; Abry, Alexandra; G Bergman, Brandon. "Addiction Recovery Mutual-Aid Organisations". In Day, Ed (ed.). Seminars in Addiction. Cambridge University Press. p. 270\. ISBN 978-1-911-62318-2.
119. ^ a b Tonigan JS, Miller WR, Schermer C (2002). "Atheists, agnostics and Alcoholics Anonymous". J Stud Alcohol. 63 (5): 534–41. doi:10.15288/jsa.2002.63.534. PMID 12380849.`{{cite journal}}`: CS1 maint: multiple names: authors list (link)
120. ^ Kelly JF (2017). "Is Alcoholics Anonymous religious, spiritual, neither? Findings from 25 years of mechanisms of behavior change research". Addiction. 112 (6): 929–936. doi:10.1111/add.13590. PMC 5385165. PMID 27718303.
121. ^ Ferri, Marcia; Amato, Laura; Davoli, Marina (19 July 2006). "Alcoholics Anonymous and other twelve-step programmes for alcohol dependence". Cochrane Database of Systematic Reviews (3): CD005032. doi:10.1002/14651858.CD005032.pub2. PMID 16856072. "no experimental studies unequivocally demonstrated the effectiveness of AA or [12-step] approaches for reducing alcohol dependence or problems"
122. ^ Lance Dodes, M.D.; Zachary Dodes (2014). The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and the Rehab Industry. ISBN 978-0-8070-3315-9. "University of California professor Herbert Fingarette cited two [...] statistics: at eighteen months, 25 percent of people still attended AA, and of those who did attend, 22 percent consistently maintained sobriety. [Reference: H. Fingarette, Heavy Drinking: The Myth of Alcoholism as a Disease (Berkeley: University of California Press, 1988)] Taken together, these numbers show that about 5.5 percent of all those who started with AA became sober members."
123. ^ Becker, Deborah (11 March 2020). "AA Keeps People From Drinking Alcohol Longer Than Other Tools, Cochrane Review Finds". WBUR-FM. "Dodes hadn't yet read the new Cochrane Review, but said in an interview that he is opposed to the fundamental idea of AA -- that fellowship and social connections are needed to deal with substance use disorders"
124. ^ a b Singal, Jesse (17 March 2015). "Why Alcoholics Anonymous Works". The Cut. Retrieved 25 December 2017. "[Lance Dodes] has estimated, as Glaser puts it, that "AA's actual success rate [is] somewhere between 5 and 8 percent," but this is a very controversial figure among addiction researchers."
125. ^ a b Beresford, Thomas (2016), Alcoholics Anonymous and The Atlantic: A Call For Better Science, National Council on Alcoholism and Drug Dependence, archived from the original on 15 July 2019, retrieved 16 July 2019, "[Herbert Fingarette used] two publications from the Rand Corporation [...] At 4-year follow-up the Rand group identified patients with at least one year abstinence who had been regular members of AA 18 months after the start of treatment: 42% of the regular AA members were abstinent, not the "calculated" 5.5% figure."
126. ^ a b Emrick, Chad; Beresford, Thomas (2016). "Contemporary Negative Assessments of Alcoholics Anonymous: A Response". Alcoholism Treatment Quarterly. 34 (4): 463–471. doi:10.1080/07347324.2016.1217713. S2CID 151393200.
127. ^ Roth, Jeffrey D; Khantzian, Edward J (2015). "Book Review: The Sober Truth: Debunking the Bad Science behind 12-step Programs and the Rehab Industry". Journal of the American Psychoanalytic Association. 63: 197–202. doi:10.1177/0003065114565235. S2CID 145764030.
128. ^ Kelly, John F.; Beresin, Gene (7 April 2014). "In Defense of 12 Steps: What Science Really Tells Us about Addiction". WBUR's Common Health: Reform and Reality. Archived from the original on 11 April 2014. Retrieved 5 January 2018.
129. ^ Humphreys, Keith; Moos, Rudolf (May 2001). "Can encouraging substance abuse patients to participate in self-help groups reduce demand for health care? A quasi-experimental study". Alcoholism: Clinical and Experimental Research. 25 (5): 711–716. doi:10.1111/j.1530-0277.2001.tb02271.x. PMID 11371720. "12-step patients had higher rates of abstinence at follow-up (45.7% versus 36.2% for patients from CB [cognitive-behavioral] programs, p < 0.001)"
130. ^ a b Glaser, Gabrielle. "The Irrationality of Alcoholics Anonymous". The Atlantic. Retrieved 15 April 2016.
131. ^ Gorman DM (2010). "Understanding prevention research as a form of pseudoscience". Addiction. 105 (4): 582–583. doi:10.1111/j.1360-0443.2009.02804.x. PMID 20403008.
132. ^ Mendola, A.; Gibson, R. L. (2016). "Addiction, 12-Step Programs, and Evidentiary Standards for Ethically and Clinically Sound Treatment Recommendations: What Should Clinicians Do?". AMA Journal of Ethics. 18 (6): 646–655. doi:10.1001/journalofethics.2016.18.6.sect1-1606. PMID 27322999. "A related point is that some critiques of TS [Twelve steps] do not maintain a clear distinction between TS groups and rehabilitation programs and facilities that use TS groups, principles, or TSF [Twelve step facilitation]"
133. ^ Rudy, David R.; Greil, Arthur L. (1989). "Is Alcoholics Anonymous a Religious Organization?: Meditations on Marginality". Sociological Analysis. 50 (1): 41–51. doi:10.2307/3710917. JSTOR 3710917.
134. ^ a b O'Kane, Caitlin (1 April 2020). "Now that AA meetings have to be held digitally, people are breaking in and harassing recovering alcoholics - CBS News". www.cbsnews.com. Retrieved 21 September 2024.
135. ^ Richard-Craven, Maya. "Racism triggers me to drink, but Zoom-bombers won't let me be Black in AA meetings". USA TODAY. Retrieved 21 September 2024.
136. ^ Ovide, Shira (30 January 2023). "Remember Zoom-bombing? This is how Zoom tamed meeting intrusions". Washington Post. ISSN 0190-8286. Retrieved 21 September 2024.
137. ^ Is A.A. for You? (PDF), New York: Alcoholics Anonymous World Services, 11 January 2017, archived (PDF) from the original on 9 October 2022, retrieved 14 May 2017[better source needed]
138. ^ Kurtz, Ernest (2002). "Alcoholics Anonymous and the Disease Concept of Alcoholism" (PDF). Alcoholism Treatment Quarterly. 20 (3–4). Informa UK Limited: 5–39. doi:10.1300/j020v20n03_02. ISSN 0734-7324. S2CID 144972034. Archived from the original (PDF) on 26 January 2012.
139. ^ Gately, Iain (2008). Drink: A Cultural History of Alcohol. Penguin Group. p. 417. ISBN 9781592403035.
140. ^ "After the 12-Step Program, Avoid the Dangerous Step 13 | Psychology Today". www.psychologytoday.com. Retrieved 21 September 2024.
141. ^ Bogart, Cathy J.; Bogart, Cathy J. (2003). "'13th-Stepping:' Why Alcoholics Anonymous Is Not Always a Safe Place for Women". Journal of Addictions Nursing: A Journal for the Prevention and Management of Addictions. 14 (1): 43–47. doi:10.1080/10884600305373. ISSN 1548-7148. OCLC 34618968. S2CID 144935254.
142. ^ Sanders, Jolene M. (2010). "Acknowledging Gender in Women-Only Meetings of Alcoholics Anonymous". Journal of Groups in Addiction & Recovery. 5: 17–33. doi:10.1080/15560350903543766. S2CID 144776540. "AA has evolved in a dialectical fashion to become more accommodating to women"
143. ^ Questions and Answers on Sponsorship, page 10. 2005.
144. ^ "Safety and A.A. Flyer". Alcoholics Anonymous World Services.
145. ^ Peele 1999.
146. ^ Shute, Nancy (September 1997). "The drinking dilemma: by calling abstinence the only cure, we ensure that the nation's $100 billion alcohol problem won't be solved". U.S. News & World Report. 123 (9): 54–64.
147. ^ Alcoholics Anonymous page 20-1,24
148. ^ Levinson, D (1983). "Current Status of the Field: An Anthropological Perspective on the Behavior Modification Treatment of Alcoholism". In Galanter, Marc (ed.). Genetics Behavioral Treatment Social Mediators and Prevention Current Concepts in Diagnosis. Recent Developments in Alcoholism. Vol. 1\. New York: Plenum Press. pp. 55–261. doi:10.1007/978-1-4613-3617-4_14. ISBN 978-1-4613-3619-8. ISSN 0738-422X. PMID 6680227.
149. ^ Alexander, F; Rollins, M (1985). "Alcoholics Anonymous: the unseen cult" (PDF). California Sociologist. 17 (1). Los Angeles: California State University: 33–48. ISSN 0162-8712. OCLC 4025459. Archived (PDF) from the original on 1 December 2010. Retrieved 12 December 2009.
150. ^ Right, KB (1997). "Shared Ideology in Alcoholics Anonymous: A Grounded Theory Approach". Journal of Health Communication. 2 (2): 83–99. doi:10.1080/108107397127806. PMID 10977242.
151. ^ Vaillant, George (2014). "Positive Emotions and the Success of Alcoholics Anonymous". Alcoholism Treatment Quarterly. 32 (2–3): 214–224. doi:10.1080/07347324.2014.907032. S2CID 144153785. "What differentiates AA from universities, religions, and, of course, cults, is that AA, by experimentation during its first few years and perhaps guided by the outcomes of the alcoholics whom it was trying to heal, evolved along the lines of biological spirituality, not superstitious religion or institutional greed."
152. ^ Kaskutas, Lee Ann (2 April 2009). "Alcoholics Anonymous Effectiveness: Faith Meets Science". Journal of Addictive Diseases. 28 (2): 145–157. doi:10.1080/10550880902772464. eISSN 1545-0848. ISSN 1055-0887. PMC 2746426. PMID 19340677.
153. ^ Marshall, Shelly (26 May 2010) [1978]. "We've All Been Hung Up on God". Young Sober and Free: Experience, Strength, and Hope for Young Adults (2 ed.). Center City, Minnesota: Hazelden Publishing. ISBN 9781592859283. Retrieved 27 August 2024. "We believe that for every hardship, every temptation, the Creative Forces of the Universe have provided a way out. For us, it is Twelve Step programs. [...] Osmosis won't work, neither will another person's concept of Higher Power (HP) necessarily work for you for any length of time. In the beginning, you might try using your sponsor's HP."
154. ^ Galanter, Marc; White, William L.; Ziegler, Penelope P.; Hunter, Brooke (2020). "An empirical study on the construct of "God" in the Twelve Step process". The American Journal of Drug and Alcohol Abuse. 46 (6): 731–738. doi:10.1080/00952990.2020.1789870. PMID 32870030. S2CID 221403749.
155. ^ "The "God" Word: Agnostic and Atheist Members in A.A." Alcoholics Anonymous World Services.
156. ^ Kassam, Ashifa (8 November 2016). "Secular groups fight exclusion from AA: 'The best support system in the world'". The Guardian. Retrieved 25 September 2024.
157. ^ White, Patrick (7 February 2017). "After 3-year fight, AA body backs down on 'God or gone' stance". The Globe And Mail. Archived from the original on 9 February 2017. Retrieved 25 September 2024.
158. ^ Coleman, Phyllis (December 2005). "Privilege and Confidentiality in 12-Step Self-Help Programs: Believing The Promises Could Be Hazardous to an Addict's Freedom". The Journal of Legal Medicine. 26 (4): 435–474. doi:10.1080/01947640500364713. ISSN 0194-7648. OCLC 4997813. PMID 16303734. S2CID 31742544.
159. ^ Hoffman, Jan (15 June 1994). "Faith in Confidentiality of Therapy Is Shaken". The New York Times. Retrieved 23 October 2008.
160. ^ Judge Levine (11 June 1996). "In the Matter of David Griffin, Appellant, v. Thomas A. Coughlin III, As Commissioner of the New York State Department of Correctional Services, et al., Respondents". Legal Information Institute. Retrieved 17 December 2016.
161. ^ Honeymar (1997). "Alcoholics Anonymous As a Condition of Drunk Driving Probation: When Does It Amount to Establishment of Religion". Columbia Law Review. 97 (2): 437–472. doi:10.2307/1123367. JSTOR 1123367.
162. ^ Egelko, Bob (8 September 2007). "Appeals court says requirement to attend AA unconstitutional". San Francisco Chronicle. Archived from the original on 4 October 2009. Retrieved 8 October 2007.
163. ^ Inouye v. Kemna, 504 F.3d 705, 714 n.9 (9th Cir. 2007) ("[T]he AA/NA program involved here has such substantial religious components that governmentally compelled participation in it violated the Establishment Clause."), archived from the original on 2022-10-09.
164. ^ ProPublica (29 November 2014). "Twelve Steps to Danger: How Alcoholics Anonymous Can Be a Playground for Violence-Prone Members". ProPublica. Retrieved 13 March 2024.
165. ^ "The Sober Truth - CBS News". www.cbsnews.com. 29 November 2014. Retrieved 13 March 2024.
166. ^ Marino, Enzo (15 January 2016). "Judge Dismisses Alcoholics Anonymous In Saugus Wrongful Death Lawsuit". KHTS Radio. Retrieved 13 March 2024.
167. ^ "Case BC492735 Hector Mendez Et Al Vs Eric Allen Earle Et Al - Trellis: Legal Intelligence + Judicial Analytics". Trellis.Law. Retrieved 13 March 2024.
168. ^ "Alcoholics Anonymous sues to recover original manuscript". Reuters. 22 May 2017. Retrieved 15 August 2023.
169. ^ Michael Levin “Alcoholics Anonymous goes to court (and its members are livid)” Fox News Opinion, June 7, 2017
170. ^ “PLAINTIFF’S MEMORANDUM OF LAW IN SUPPORT OF ITS MOTION TO VOLUNTARILY DISCONTINUE THIS ACTION PURSUANT TO CPLR 3217(b)” filed November 27, 2017
171. ^ Zach, Baron (13 August 2024). "George Clooney and Brad Pitt Are Hollywood's BFFs". GQ. Retrieved 21 September 2024.
172. ^ "Brad Pitt Has No Regrets After Alcoholics Anonymous 'Came Down' on Him for Revealing His Involvement". Yahoo Entertainment. 13 August 2024. Retrieved 21 September 2024.
173. ^ Ebert, Roger (25 August 2009). "My Name is Roger, and I'm an alcoholic". Archived from the original on 27 April 2021. Retrieved 25 August 2009.
174. ^ Trepany, Charles. "Eminem is 'not afraid' as he celebrates 12 years of sobriety: 'Clean dozen in the books!'". USA TODAY. Retrieved 21 September 2024.
175. ^ Zogbi, Emily (20 April 2024). "Eminem Celebrates 16 Years Sober With New AA Chip". Us Weekly. Retrieved 21 September 2024.
176. ^ "Anthony Hopkins Marks 48 Years Of Sobriety With Motivational Video: 'Wishing Everyone A Healthy' 2024". Yahoo Entertainment. 30 December 2023. Retrieved 21 September 2024.
177. ^ "Sir Anthony Hopkins opens up on alcohol battle". 27 July 2018. Retrieved 21 September 2024.
178. ^ Millar, Paul. "Baxter, James Keir". Dictionary of New Zealand Biography. Ministry for Culture and Heritage. Retrieved 4 November 2020.
179. ^ Wilkins, Barbara. Art Carney Wins in a Film—and Over Alcoholism. People magazine, Vol. 2, Issue 17 via Internet Archive. Published October 21, 1974. Retrieved June 18, 2020.
180. ^ "Bonnie Raitt talks new album,' 25 years of sobriety and Whitney Houston – 04/11/2012 | Entertainment News from". OnTheRedCarpet.com. Archived from the original on December 18, 2013. Retrieved April 19, 2014.
181. ^ Daly, Michael (2009). The Book of Mychal: The Surprising Life and Heroic Death of Father Mychal Judge. Macmillan. p. 62\. ISBN 978-0-312-58744-4.
182. ^ Lester, Paul. "Moby: 'Going to AA is the only chance in LA you get to see fellow musicians' | Music". theguardian.com. Archived from the original on 26 April 2014. Retrieved 2 February 2014.
183. ^ "Hank Azaria recalls how his 'brother' Matthew Perry helped him get sober". EW.com. Retrieved 21 September 2024.
184. ^ Stevenson, Gabi. "Matthew Perry said he attended 6,000 Alcoholics Anonymous meetings, went to rehab 15 times, and underwent 14 surgeries over the course of his drug addiction". Business Insider. Retrieved 21 September 2024.
185. ^ Kravitz, Bob. "Colts' Jim Irsay opens up about alcoholism, addiction". USA TODAY. Retrieved 21 September 2024.
186. ^ Conway, Tyler. "Colts Owner Jim Irsay Pays $2.4M at Auction for Alcoholics Anonymous Document". Bleacher Report. Retrieved 21 September 2024.
187. ^ Nelson, Jeff. "Demi Lovato Left the Met Gala Early to Go to AA: I Was 'So Uncomfortable That I Wanted to Drink'". Peoplemag. Retrieved 21 September 2024.
188. ^ Elizabeth, De (16 March 2019). "Demi Lovato Shared a Powerful Message About Her Sobriety Journey". Teen Vogue. Retrieved 21 September 2024.
189. ^ "Elton John Says Zoom Alcoholics Anonymous Meetings Have 'Been a Lifesaver' During the Pandemic". Peoplemag. Retrieved 21 September 2024.
190. ^ Dawe, TJ. "Why Tom Waits Quit Drinking". Archived from the original on 19 February 2015. Retrieved 24 August 2016.
191. ^ "'I should be in prison or dead': Wade Hampton grad takes sobering journey to the top in javelin throwing". Greenville News.
192. ^ Turner, Adrian. "Review: My Name Is Bill W". Radio Times. Archived from the original on 21 August 2017. Retrieved 9 June 2017.
193. ^ Jarvis, Jeff (1 May 1989). "Picks and Pans Review: My Name Is Bill W". People. Retrieved 9 June 2017.
194. ^ Dawn, Randee (14 October 2010). "When Love Is Not Enough: The Lois Wilson Story – TV Review". The Hollywood Reporter. US. Retrieved 9 June 2017.
195. ^ Lowry, Brian (23 April 2010). "Review: 'When Love Is Not Enough: The Lois Wilson Story'". Variety. US. Retrieved 9 June 2017.
196. ^ Urycki, Mark (27 March 2012). "Bill W. documentary at CIFF". Kent, Ohio: WKSU. Retrieved 21 May 2012.
197. ^ Linden, Sheri (18 May 2012). "'Bill W.' cuts through the anonymity". Los Angeles Times. Los Angeles. Retrieved 22 May 2012. "Laudatory but never simplistic, "Bill W." is a thoroughly engrossing portrait of Wilson, his times and the visionary fellowship that is his legacy."
198. ^ Macnab, Geoffrey (18 September 2015). "A Walk Among The Tombstones, film review: Neeson could sleepwalk down these mean streets". The Independent. UK. Archived from the original on 18 September 2014. Retrieved 9 June 2017.
199. ^ Maslin, Janet (29 April 1994). "Review/Film: When a Man Loves a Woman; A Woman Under the Influence". The New York Times. US. Retrieved 9 June 2017.
200. ^ Ebert, Roger (10 August 1988). "Review: Clean and Sober". Chicago Sun-Times/rogerebert.com. US. Retrieved 9 June 2017.
201. ^ Crowther, Bosley (18 January 1963). "Movie Review: Days of Wine and Roses". The New York Times. US. Retrieved 9 June 2017.
202. ^ "Review: 'Drunks'". Variety. US. 11 September 1995. Retrieved 9 June 2017.
203. ^ Crowther, Bosley (24 December 1952). "Come Back, Little Sheba". The New York Times. US. Retrieved 9 June 2017.
204. ^ Crowther, Bosley (13 January 1956). "Screen: Return From Alcoholism; 'I'll Cry Tomorrow' Is Film at Music Hall Susan Hayward Seen in Lillian Roth Story Lana Turner as 'Diane'". The New York Times. US. Retrieved 9 June 2017.
205. ^ "Review: 'I'll Cry Tomorrow'". Variety. US. 31 December 1954. Retrieved 9 June 2017.
206. ^ Macdonald, Moira (6 July 2007). "Hi, I'm Frank and I'm an alcoholic hitman in "You Kill Me"". The Seattle Times. US. Retrieved 9 June 2017.
207. ^ Howell, Peter (6 July 2007). "Rehab for the reaper". Toronto Star. Canada. Retrieved 9 June 2017.
208. ^ Holden, Stephen (11 October 2012). "A Relationship's Glue Is Made of Alcohol". The New York Times. US. Archived from the original on 1 January 2022. Retrieved 9 June 2017.
209. ^ "Don't Worry, He Won't Get Far on Foot review – Van Sant's disability drama misses the mark". Retrieved 25 January 2021.
210. ^ "The Drink Takes The Man: Alcoholism And Recovery In THE SHINING And DOCTOR SLEEP". Fangoria. 30 April 2021. Retrieved 22 August 2023.
211. ^ Lacusta, Deb and Dan Castellaneta; Affleck, Neil (9 April 2000). "Days of Wine and D'oh'ses". The Simpsons. Fox.
212. ^ "CBS' 'Elementary' deduces the painful truth at the heart of sobriety". Los Angeles Times. 24 April 2014. Retrieved 26 April 2020.
213. ^ Iasimone, Ashley (18 August 2024). "Jelly Roll Says Alcoholics Anonymous Meeting Inspired New Album Track 'Winning Streak'". Billboard. Retrieved 21 September 2024.

## Bibliography

[edit]

* Bill W. (1955). "Alcoholics Anonymous: the story of how many thousands of men and women have recovered from alcoholism" (2nd ed.). New York City: Alcoholics Anonymous World Services. OCLC 269381.
* Bill W. (2002). Alcoholics Anonymous: the story of how many thousands of men and women have recovered from alcoholism (4th ed.). New York City: Alcoholics Anonymous World Services. ISBN 978-1-893007-16-1. OCLC 408888189.
* Edwards, Griffith (April 2002). Alcohol: The World's Favorite Drug (1st ed.). Thomas Dunne Books. ISBN 978-0-312-28387-2. OCLC 48176740.
* Mäkelä, Klaus; et al. (1996). Alcoholics Anonymous as a mutual-help movement: a study in eight societies. World Health Organization. Regional Office for Europe. Madison, WI: University of Wisconsin Press. ISBN 978-0-299-15000-6. OCLC 33242907.
* Mitchel, Dale (2002). Silkworth: the little doctor who loved drunks. Center City, Minn: Hazelden. ISBN 978-1-56838-794-9. OCLC 51063745.
* Pass It on: The Story of Bill Wilson and how the A.A. Message Reached the World. New York: Alcoholics Anonymous World Services. December 1984. ISBN 978-0-916856-12-0. OCLC 12308065.
* Peele, Stanton (1999). The Diseasing of America: how we allowed recovery zealots and the treatment industry to convince us we are out of control. San Francisco: Jossey-Bass. ISBN 978-0-7879-4643-2. OCLC 39605271.
* Questions & Answers on Sponsorship (PDF), Alcoholics Anonymous World Services, Inc, 16 June 2016, archived (PDF) from the original on 25 March 2009, retrieved 13 May 2017
* Robertson, Nan (1988). Getting Better: Inside Alcoholics Anonymous. New York: Morrow. ISBN 978-0-688-06869-1. LCCN 87031153. OCLC 17260252. OL 4127115W.
* Vaillant, George E. (1995). The Natural History of Alcoholism Revisited. Cambridge, Mass: Harvard University Press. ISBN 978-0-674-60377-6. OCLC 31605790.
* Wilcox, D.M. (1998). Alcoholic thinking: Language, culture, and belief in Alcoholics Anonymous. Westport, CT: Greenwood Publishing Group. ISBN 978-0-275-96049-0.
* Kurtz, Ernest (1991). Not-God: a history of Alcoholics Anonymous. Center City, Minn: Hazelden Pittman. ISBN 978-0894860652.

## External links

[edit]

Wikimedia Commons has media related to Alcoholics Anonymous.

* German Lopez (2 January 2018). "Why some people swear by Alcoholics Anonymous — and others despise it".
* Scott Alexander (24 October 2014). "Alcoholics Anonymous: Much More Than You Wanted To Know". Archived from the original on 24 June 2020.
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* Whiskey Rebellion

General|

* Alcoholic beverage
* Beer
* Beer mile
* International Beer Day
* International Women's Collaboration Brew Day
* Women in brewing
* Drinking culture
* Apéritif and digestif
* Hangover remedies
* Health effects of wine
* Wine and food pairing
* Drunken monkey hypothesis
* Ladies' night
* List of countries by alcohol consumption per capita
* Alcohol consumption by youth in the United States
* Ritual use of alcohol
* Whiskey
* International whisk(e)y day

Alcohol
control|

| Alcohol law|

* Administrative License Suspension (ALS)
* Alcohol (Minimum Pricing) (Scotland) Act 2012
* Alcohol exclusion laws
* Alcohol monopoly
* Alcoholic beverage control state
* Alcohol packaging warning messages
* Ban on caffeinated alcoholic drinks in the United States
* Drunk driving law by country
* DWI court
* Field sobriety testing
* Hip flask defence
* Ignition interlock device
* Dry county
* List of dry communities by U.S. state
* Last call
* Legal drinking age
* Legal drinking age in the United States
* Shoulder tap
* List of alcohol laws of US

|

Alcohol prohibition|

* List of countries with alcohol prohibition
* Neo-prohibitionism
* Temperance movement

Sobriety|

* Alcohol detoxification
* Alcohol-free zone
* Dry campus
* Open-container law
* Brief intervention
* Designated driver
* Alcohol rehabilitation
* Drunk tank
* Managed alcohol program
* Non-alcoholic drink
* List of cocktails
* List of mixed drinks
* Spritzer
* Malt drinks
* Teetotalism
* Temperance bar
* Temperance and Good Citizenship Day
* Twelve-step groups
* Al-Anon/Alateen
* Alcoholics Anonymous (AA):
* Adult Children of Alcoholics (ACA)
* Sober companion
* Sober curious
* Sober living house
* Sobering center
* Sobrietol
* Quit lit

Alcohol limitation|

* 0-0-1-3
* Alcohol consumption recommendations
* Alcohol education
* Alcohol server training
* Monitoring
* Breathalyzer
* Sweat alcohol content monitor
* FRAMES
* Foundation for Advancing Alcohol Responsibility
* Campaigns
* Dry January
* Dry July
* Get Your Sexy Back
* Ocsober
* Liquor license
* Low-alcohol drinks
* Fermented tea
* Low-alcohol beer
* Low-alcoholic malt drinks
* Small beer
* Measurement
* Alcoholic spirits measure
* Standard drink

Addiction medicine|

* Benzodiazepines
* Chlordiazepoxide
* Disulfiram-like drugs
* Disulfiram
* Calcium carbimide
* Cyanamide
* General anaesthetics
* Nitrous oxide
* Sulfonic acids
* Acamprosate
* Homotaurine

Religion and alcohol|

* Christian views on alcohol
* Alcohol in the Bible
* Islam and alcohol

History|

* Beer Street and Gin Lane
* Bratt System
* Dry state
* Gin Act 1751
* Medicinal Liquor Prescriptions Act of 1933

Related|

* Index of alcohol-related articles
* Alcohol and spaceflight
* Gateway drug effect
* Mood disorder
* Non-alcoholic fatty liver disease
* Self-medication
* Spins
* Town drunk
* French paradox

* Category

Authority control databases

International|

* ISNI
* VIAF
* 2
* FAST

National|

* Germany
* United States
* France
* BnF data
* Japan
* 2
* Czech Republic
* Portugal
* Sweden
* Israel

People|

* Trove

Other|

* IdRef
* SNAC

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