Tag: Big Book

  • Original Manuscript of AA’s Big Book Goes On Display In Indianapolis

    Original Manuscript of AA’s Big Book Goes On Display In Indianapolis

    Indianapolis Colts owner Jim Irsay, who is in recovery, purchased the manuscript for $2.4 million.

    The original manuscript of the Big Book of Alcoholics Anonymous, complete with the founders’ edits scrawled on the pages, went on display for public viewing for the first time on Thursday (April 18) in Indianapolis.

    The Big Book, the vessel for the 12-step program for getting and staying sober, was first published in 1939 and has since sparked a global movement.

    The 161-page manuscript—with the original markings made by the founders including Bill Wilson and Dr. Bob Smith as they passed the draft amongst themselves—went up for auction last May. Before then, it was the subject of some controversy as AA World Services fought for ownership of the document.

    Ultimately, the manuscript was purchased for $2.4 million by Jim Irsay, the owner of the Indianapolis Colts. Irsay himself is in recovery, as he detailed to the Indy Star in 2014 following a DUI arrest earlier that year.

    “It’s an unusual disease in the sense that the person has to diagnose himself,” Irsay said at the time. “He has to realize that there’s this genetic disease you have to deal with through treatment. My grandfather and father both died of the disease, and you realize you’ve spent a lot of time on this path.” He revealed that he struggled with his use of pain medication, like many Americans trying to manage pain.

    Irsay attended his first AA meeting 25 years ago, and still goes to meetings to this day. He said in his interview that he had remained alcohol-free for more than a decade.

    “It’s been a long path. I still have chronic pain… It’s an ongoing thing in one’s life when recovering from any disease,” he said. “There’s a lot of gratitude and spiritual growth. And it’s rewarding because it makes you more virtuous when you have success.”

    By putting the manuscript on display for all to see, Irsay “wants the book to be a beacon of hope for those afflicted with addiction issues” and to “help reduce the stigma of addiction,” said Larry Hall, vice president of special projects and historical affairs for the Colts.

    The manuscript was on display at Fairbanks Hospital’s annual fundraiser dinner at the Westin Indianapolis. Its next stop is Akron, Ohio, where it will be on display for the first weekend of June at the home of Dr. Bob Smith for Founders Day.

    View the original article at thefix.com

  • AA's "How It Works" for Everyone

    AA's "How It Works" for Everyone

    Women have had to endure a generic “He” for God all these years. I am not rewriting the Big Book. I am simply asking for a moment to honor my God as a She; for a moment of freedom to express my God as I understand God.

    After attending AA meetings for 12 years, I picked up a coin this month celebrating ten years of continuous sobriety. Throughout my sober years, when asked at meetings to read “How it Works” from the AA Big Book, I sometimes replace “He” with “She” for the word “God.” Recently, an old-timer in my AA home group became highly offended when he heard me read my “She” version of “How it Works.” My improvisation became such an issue that it was put on the agenda at our home group’s monthly business meeting. A motion was presented to place wording at the top of “How it Works” stating, “Please read as written, do not make changes.” After much discussion, members of my home group decided not to make this change to our meeting format. Whew! How interesting! 

    As with any issue in recovery, I learned from this experience. I learned that people get offended at meetings! Ha. We can’t please everyone. I mean, I get offended at meetings, but I just accept things and go on. If I do not like the way a meeting is held I move on to another one. “Attraction, not promotion.”

    Thanks to my messing with pronouns, I find that I am no longer asked to read at AA meetings very often. Yes, the whole Big Book is written in He/Him-antiquated-patriarchal-Bible-form and I accept this. I mean, I got sober underlining everything in red that pertained to me as I worked my first step not caring about the gender terms! I simply did what my sponsor asked me to do. The pronouns were not important at that point. What mattered was that I did and do identify with the men who shared their message. Yet still, today, when asked to read at a meeting, I feel it causes no harm to insert She/Her instead of He/Him for my God. Women have had to endure a generic “He” for God all these years. I am not rewriting the Big Book. I am simply asking for a moment to honor my God as a She; for a moment of freedom to express my God as I understand God. That is all.

    Lately I have begun using a gender-neutral term for “God.” Instead of saying “He” or “She,” I simply say “God as we understand God.” For truly, I have experienced God as a spiritual man, as a spiritual woman, and most recently as pure divine spirit, with no gender identity at all. How could GOD be reduced to a He or a She, to a mere sexual form? Hence, my favorite definition of God is “Group Of Drunks.” Namaste: “The Drunk in me greets the Drunk in you” (the sober drunk, of course). I see GOD in all of you at meetings! It is my favorite vision! I love you all so much!

    I have to remember that “love and tolerance is our code.” If an old-timer is offended because I say that I have made a decision to turn “our will and our lives over to the care of God as we understand Her,” umm, hey, imagine what it took for me, a Hindu, and a lesbian, and a woman to read through the patriarchal (with Christian overtones) Big Book of Alcoholics Anonymous! I am so, so grateful that my homies love and tolerate me enough to let me be me and accept me for who I am! As the Third Tradition of AA says, “The only requirement for AA membership is a desire to stop drinking.” And Tradition One calls for UNITY. That means members are given the freedom to think, talk and act. No AA can compel another to do anything. Nobody can be punished or expelled. Our traditions repeatedly say, “we ought,” never “you must.”

    I have to remember that we are evolving. I believe the AA founders, Bill and Bob, left room for change when they wrote on page 164 of the Big Book: “Our book is meant to be suggestive only. We realize we know only a little. God will constantly disclose more to you and to us.”

    Today, there is a new updated version of “How it Works” created by Hillary J and the Sober Agnostics Group. That alternative to the Big Book text is used at their meeting in Vancouver, BC, Canada. There are also two gender-neutral versions of the Big Book available on Amazon: The EZ Big Book of Alcoholics Anonymous Same Message -Simple Language and A Simple Program: A Contemporary Translation of the Book, Alcoholics Anonymous. Neither book was created by AA so neither is designated as “Conference Approved Literature” by the AA General Service Office (GSO). It is important to remember that the term “Conference Approved” has no relation to material not published by GSO. AA does not tell any individual member what they may or may not read. Each group is autonomous and is free to decide what material is read at the group level.

    Offending someone at a meeting drove home the point that I’m a drunk, plain and simple. I just want to get and stay sober, that’s all. I learned that I am not the only one who replaces “He” with “She” when reading AA material. Many other people are doing this and changes are being made to the literature. Someday, we may see changes to the first 164 pages of our Big Book.

    I have learned that God is beyond gender – and it is comfortable to refer to GOD as simply “God” instead of a He or a She. For me, God is pure divine spirit. Close the eyes. Feel GOD now. Pure Divine Love! God is Love! I love loving God, plain and simple. I love feeling Shiva embracing his beloved Devi in divine union. Sigh, bliss. This breath, here, now. 

    I also learned that AA has evolved enough to publish a new pamphlet already approved in British AA called, “The God Word: Agnostics and Atheists in AA.” There is a quote in this pamphlet that Bill W. wrote in 1965 that says: “We have people of nearly every race, culture, and religion. In AA we are supposed to be bound together in the kinship of a common suffering. Consequently, the full individual liberty to practice any creed or principle or therapy whatever should be a first consideration for us all. Let us NOT, therefore, pressure anyone with our individual or even our collective views. Let us instead accord each other the RESPECT and LOVE that is due to every human being as he tries to make his way TOWARD THE LIGHT. Let us always try to be INCLUSIVE rather than EXCLUSIVE; let us remember that each alcoholic among us is a member of AA, so long as he or she declares.”

    I love the program of Alcoholics Anonymous. I love that we keep evolving and changing. I love that we get to ask questions. Here’s one more (ha ha): Why do we close some meetings with the Lord’s Prayer? I’ll have more to say about that topic later. That’s enough for today. Peace and love to one and all.

    View the original article at thefix.com

  • Using Love as a Drug

    Using Love as a Drug

    I used drugs and alcohol to control my feelings and gave up on relationships early on since people are harder to control than substances. As I felt the other person pull away, my urge to control increased.

    Recently I was sitting in a meeting with a little over two years sober, feeling completely insane. For a few months, my moods vacillated between elation and utter sadness, complete faith and deadbeat nihilism, raging excitement and total fear. I was leaning into the program of AA more than ever. I was attending meetings every day, sticking to my spiritual practice, sponsoring two women, and regularly checking in with my sponsor. Even so, I wasn’t able to find any middle ground. The emotional chaos raging inside me was very reminiscent of active addiction. I felt so twisted I asked myself: Am I even sober?

    I googled the word “sober” and found a source that defined it as “being unaffected by alcoholism.” Fuck! I’M NEVER GOING TO BE SOBER, I thought. Over two years without any mind-altering substance in my body and serenity felt that far out of reach.

    You hear about people feeling messed up and hitting bottoms all the time in sobriety. But there’s a flip side to that: you can feel just as good in sobriety as you did in active addiction when the drugs and alcohol were actually working. At its best, it’s what the Big Book calls “being rocketed into a fourth dimension.” In my experience, the highs in sobriety get higher and so do the bottoms. Even so, feelings can come as quite a shock in early sobriety since they’re no longer being regulated or masked with drugs or alcohol.

    They say that for real alcoholics, the problems really begin once the drink is removed. My obsession to drink and do drugs was removed through working the 12 steps in AA (a few times) and the idea of picking up a drink or drug rarely, if ever, crossed my mind. This in itself is the ultimate miracle.

    But alcoholism is a beast that will show up in many forms. Once the obsession is lifted, the addict/alcoholic mind will quickly move on to other things: coffee, cigarettes, shopping, gambling, sex, eating disorders, social media, take your pick. In my case, it shifted towards arguably the greatest drug of all time: love.

    “Love” can mean different things to different people and our understanding of love has been shaped by what we saw growing up and our past experiences. As a point of reference, I use renowned spiritual teacher and physician David R. Hawkins’ Map of the Scale of Consciousness, which categorizes every level of consciousness a person can experience into levels of falsehood and levels of truth. Shame is the lowest energy field in falsehood where one feels hateful towards themselves and views a Higher Power as despising, and Enlightenment is the highest in truth where one feels completely attuned and at one with a Higher Power.

    Based on this structure, I propose that love is an energy field in an array of consciousness that we can fall in and out of at any moment. In Hawkins’ scale, Love is sandwiched right above Reason and below Joy. So here, we see that love is literally beyond reason. According to Hawkins, it is here that a person experiences feelings of reverence and revelation before transcending into Joy where one views themselves as complete. Perhaps this helps explain why our culture is so fixated and obsessed with the idea that another person can “complete” us.

    The process of revelation may come to an addict easily since, for many of us, any human connection at all in early sobriety is unprecedented and revolutionary. For years I used drugs and alcohol to connect with people around me. As I continued to develop a sense of belonging with others in sobriety, and saw it was possible that I could feel emotions of such a loving nature, I felt as if I had been “rocketed” into that fourth dimension the Big Book referred to.

    In his excellent book Unsubscribe: Opt Out of Delusion, Tune in to Truth, recovered addict and Dharma teacher Josh Korda explains that feelings of attraction and infatuation create a neural surge of dopamine, the neurotransmitter that is related to our rewards state and motivation. The same neurotransmitter that floods your brain after two drinks, that thing that makes you go “Ahhhh.”

    As an addict, I was bound to chase that high. I was driven by an obsession of the mind and a phenomenon of craving. All I wanted was to feel that rush. Even a text message would send the dopamine levels up. It wasn’t long before this relationship dictated my every move, just like drugs and alcohol did. It was no different than when I chased one high to the next in active addiction, doing everything in my power to find relief and a sense of control. (For the sake of disclosure and to spare the theory of sex addiction, there was no sex involved.)

    Without realizing it, I’d become hooked. And with every high, there comes a crash.

    During the crashes, I found myself resorting to some lower-level behaviors I had not seen in a while. My behavior was extremely erratic, I couldn’t stay focused, and I was irritable unless my craving was satisfied. My addiction found its way into other areas of my life and unmanageability and insanity crept in once again.

    Once someone becomes addicted, they lose their free will and will do anything in their control to satisfy the craving. Referring back to Hawkins’ Map of Consciousness, the addict falls into another state entirely: Desire. Often confused with Love, Desire is actually one of the states of falsehood, along with Guilt, Shame, Fear, and Hatred. Desire itself can never truly be satisfied, because it’s based in an illusion. One wants what they can’t have. It is here that nothing is good enough, everything fails to hit the mark, and any other place and time is better than the present moment. This conjures the state of restlessness, irritability, and discontentedness. This internalized state eventually turns so wretched that drugs and alcohol appear to be the solution again. My alcoholic mind took all its evil twists and turns so that once I exhausted all other alternatives, I “all of a sudden” had the thought, A line of coke and a shot would make all of this go away.

    That is the insanity of drug addiction and alcoholism.

    Naturally, there is an impermanence to all things and all states; a simple fact of life I could never easily accept and consistently fought against. Feelings ebb and flow, usually without any sense or rationale behind them. Relationships are not guaranteed. As an addict who is obsessed with control and wants to feel good all the time, these truths are not easy pills to swallow. I used drugs and alcohol to control my feelings and gave up on relationships early on since people are harder to control than substances. As I felt the other person pull away, my urge to control increased.

    I tried to take control of my feelings back. I had no desire to pick up a drink or drug at the time, but my addiction manifested in my anorexia, chain smoking, excessive running, drinking too much caffeine. Meanwhile, I still attempted to control the course of the relationship. Even my participation in AA was extremely alcoholic in that I was using the tools to fix the way I felt, rather than simply living with it. (Yes, it is possible to do the 12 steps like a drug.)

    It was suggested to me that I was perhaps a love addict, to which I countered: Am I love addict or am I simply an addict who now participates in relationships? I did attempt to dive back into the 12 steps yet again, but this time in the area of relationships, so I could just figure it out and then just not be that way anymore. It didn’t work.

    One thing I’ve learned in recovery is that this is all super normal, human stuff. People meet other people, develop feelings and feel the adrenaline and dopamine rush of a crush and the heady feelings in the beginning of a relationship. Everyone experiences rejection and break-ups. However, my experience as an addict is that I did not thoroughly develop in these areas because I was never truly there for them. My emotional growth was stunted when I began to use drugs and alcohol, and sobriety is a big catching up game in terms of emotional intelligence. It’s how I cope with these normal life experiences that matters and what I found was that I was still living alcoholically, even without drugs or alcohol in my system.

    Is all of this to say that addicts should shy away from connecting with others, initiating new relationships, and striving for new, unadulterated levels of intimacy? Am I doomed in every relationship because I’m an addict and alcoholic? Absolutely not.

    One of the greatest things about recovery is its wide invitation to exist on this plane with other people, to feel things the way humans should. These developments can take years to even out. In recovery, we get to challenge our false belief systems and stumble around with everyone else learning how to care about each other effectively. Relationships are where we see our character defects in action, where we experience life, where we ultimately grow in the process. The longer I stay sober, the greater my capacity to connect with others and to be honest becomes. And it all boils down to this: There is no way to grow spiritually in isolation.

    All I needed to remember was one of the simplest things I heard when I first got sober: The unmanageability would cease as soon as I relinquished control. Just as it did with drinking and doing drugs.

    I was back at step one and had to get honest. With truth and reality can come a lot of pain and suffering, but it’s not the truth that causes it. It’s the extent to which and for how long someone lives in a false reality that perpetuates suffering. Not only was I driven by the same obsession of the mind and phenomenon of craving that drove me in active addiction, I was also driven by the false belief that people, places, and things are on this planet for me to prove my worthiness and to validate my experience.

    The old ideas and beliefs that drive us in our relationships were constructed by years and years of living in falsehood. Now, in active recovery, we chip away at those old ideas and free ourselves from those false beliefs.

    View the original article at thefix.com

  • I’m Open and Willing, Dear Sponsor, but Wait a Minute!

    I’m Open and Willing, Dear Sponsor, but Wait a Minute!

    We know “our best thinking got us here,” but that doesn’t mean we need to be open and willing to take abuse or be manipulated.

    When you first came into the program, you might have heard your “best thinking got you here.”

    You’re told since your way hasn’t been working, maybe it’s time to try something else.

    You’re told you need to surrender.

    You’re told you need to start listening and follow directions.

    Well, if you were like me (gung ho!), and made the decision to be “open and willing,” I’ll bet you gave the program your best shot: you took the suggestions readily; you went to 90 meetings in 90 days; you read the Big Book daily; you got a sponsor; you did the steps. And hopefully, you started to see some progress. Your life began to improve. You cleaned up the wreckage of your past, mended relationships, got involved in service work, and really started to feel better about yourself.

    If the “your best thinking got you here” aphorism played like an endless loop in your brain, you might have felt that you’d lost the ability to think rationally for yourself and that you needed guidance. Should I break up with my addict boyfriend who just happens to be violent?  Well, um, yea . . . but you might have been so enmeshed in codependence while simultaneously combatting your addiction that you honestly didn’t know what to do.

    If you were like me—with some crazy, delusional thinking going on—and you were put on a six-month waiting list by your insurance to see a therapist, you’d need some help, and fast, and that help might have come by way of a sponsor. And if she was a good one, she’d listen, be empathetic, and gently suggest healthier ways of coping with your problems.

    Some people will say that a sponsor’s job is solely to lead a newcomer through the steps—not be a counselor, therapist or life coach. And while some sponsors may stick to this definition, most of the ones I’ve met take a much more involved role. My peers in recovery say they call their sponsors when they want to drink, when their ass is falling off, when they need help! The many times I discussed a problem with a fellow member after the meeting, I invariably heard, “Have you run this by your sponsor?” Or “Call your sponsor, that what she’s there for.”

    Sponsors can be unquestionable lifesavers. Through the years, I’ve had sponsors who have really saved my ass. One time, I was dealing with a relative who had a meth addiction and bipolar disorder. She was delusional but also cruel and selfish. But because she was “blood,” I enabled her. After one particularly trying event with her, I remember calling my sponsor and telling her I didn’t know what to do. She told me to do nothing—walk away. And not feel guilty. It ended up being the smartest thing: my relative got much better learning how to cope and take care of her problems herself instead of manipulating me into doing her bidding.

    But be careful. Not all sponsors should be sponsors. They may only recruit potential sponsees because their sponsor told them it was their turn to get one, not because they are qualified. And if you get with one who isn’t right for you, she could cause you some damage. As a newcomer, you’re incredibly, nakedly vulnerable—and impressionable. So can you see the conundrum here? You want to be open and willing, you want to start following suggestions and take direction—but you still have to listen to your gut and not confuse vulnerability with gullibility.

    When I first met this particular sponsor, I was blown away by her enthusiasm for the program. She was very bright, seemed very together, articulate, funny, educated, empathetic, kind, the whole enchilada. She told me she had tried myriad ways to recover because she’d always been searching for that thing that would fill her up that wasn’t drink drugs food men money or status, and after searching far and wide, she finally surrendered to AA. She claimed it was the best decision she’d ever made. Since she seemed to have what I wanted, I asked her to be my sponsor. I was sure she’d say she was way too busy, because at the time she had six sponsees and was working. But to my delighted surprise, she said “Oh, my of course I can.”

    I was wildly excited and hopeful. I was not working at the time and was willing to do just about anything asked of me. She could see I was clearly broken, my life practically in ruins, and assured me she would help me get through these very trying times of early sobriety.

    We dived right into the steps. She also instructed me to do 90 meetings in 90 days and get a coffee commitment. But gradually—almost imperceptibly—I discovered something else: She wanted to mold me. At first there were mild corrections of my speech or attitude, but it got to the point that I felt oppressively censored. If I ever said “should” or “have to” she’d immediately correct me and say, “not ‘should,’ not ‘have to’” it’s “I ‘get to’” do blah blah blah. In hindsight, I would have told her “Look, ‘should’ is an intrinsic word of the English language, it means something needs to be done. I think I know the difference of when I ‘get to’ do something and when I ‘should’ do something.”

    Another thing she’d do when I told her of a problem I was having with someone, was immediately cut me offbefore I could even finish. She’d interrupt and say, “I want you to think of three good things about this person. Remember, they are doing the best they know how. Find your compassion.” Which is good spiritual advice, but when the shoe was on the other foot and she was pissed at someone, she’d get downright eviscerating, nary mentioning three good qualities of the victim of her rant.

    But her all time fave platitude was: “If you spot it you got it!” said immediately to moi every time I complained to her about a person I felt was being unfair, selfish or mean. And she did have a point: sometimes, when we see something we don’t like in a person it’s because we recognize it in ourselves. But not always! For example, do we renounce the bully because we are bullies ourselves? Maybe, but usually not. Then she’d get into mystical stuff and go on about karma and say, “Everybody gets what they deserve because it’s all karma.” When I asked, “So the old lady that gets raped by a stranger, how did her karma cause that?” Her reply, “Well maybe she did something to deserve it. Now, personally, I’ve never been raped.” Whaaatt?

    But what put me over the edge was something she said that I knew, even with my broken brain, was incontestably wrong. I didn’t have to chide myself this time for thinking that I wasn’t being open and willing enough to learn, or was being controlled by my ego.

    While we were taking a walk, I confided in her about a doctor who had sexually assaulted me when I went in for a pelvic exam.

    She responded: “Well, you aren’t going to like this, but can I say something to you?”

    “Well, sure, I guess.”

    She took a dramatic big breath, squared her shoulders and said, “Okay here goes. I think, that maybe you asked for it.”

    I was dumbfounded. At the time, I explained to her, I was 19 and alone in New York City. I’d gotten my first bladder infection, couldn’t pee and could barely walk straight I was in so much pain. All I wanted was some antibiotics.

    “What do you mean I was asking for it?” I asked, frightfully confused.

    “Well, I didn’t want to bring this up, but now is as good of time as any. I see the way you talk to the men in the meetings. You’re very sexual, you know.”

    “What?” I boomed. “Are you fucking kidding me? I try to treat everyone, men and women alike, with respect, and hopefully, kindness.”

    “Well that is not how it is being perceived. People talk you know. I’m hearing all kinds of things, like ‘God, I can’t believe Margaret is married! The way she talks to the guys.’”

    Now I was pissed. I am an incredibly happily married woman. I adore my husband dearly. I would never, ever, go out on him. I am not even remotely attracted to other men.

    I realized then that her thinking was irrevocably off and I had to cut bait. I finally got the courage to fire her but it took time; she wielded a lot of power at the meetings and she intimidated me. It was an incredibly painful experience. I was already so vulnerable and sensitive, and totally confused. To have my sponsor, the one I’d done my steps with, the one who knew my deepest darkest secrets, become something slightly resembling, well, delusional, was demoralizing to say the least!

    It took me a while to get back to my homegroup. I was so shattered. I really thought of everyone as family there: they were so nice and kind, it was easy to be friendly back. But . . . but, what if my sponsor was right? Could I have been so wrong, so delusional? Was I flirting and were dudes coming on to me and I just didn’t see it? Eventually I went back and shared what she told me to a couple of trusted AA pals. They told me they’d never heard or seen any of the behavior she was reporting about me. 

    The reason I’m sharing this story is not to criticize AA, or gossip about members, or diss sponsors. I’m sharing my story because I don’t want the same thing to happen to another vulnerable newcomer, a newcomer who knows her thinking is off and is willing and open to change, but may be confused about the accuracy and validity of some of her sponsor’s suggestions, opinions, or directions.

    Listen to your intuitions, and your higher power. If you’re having problems with your sponsor, share your experiences—without using names—with other trusted members in order to get some perspective. Because we are scared and alone when we come into the rooms. We know “our best thinking got us here,” but that doesn’t mean we need to be open and willing to take abuse or be manipulated.

    Most of the time, sponsorship is a wonderful example of people helping other people. Sponsors can help talk you out of a drink, and because they’re drunks like you, they usually get where you’re coming from. But just because someone is a sponsor or old-timer doesn’t mean they are perfect.

    Face it, we are all deeply flawed in some way. But sponsors have a very serious job to do, and they should be doing it out of altruism, not as way to assuage their own ego by lording over vulnerable newcomers who they can control, manipulate or abuse. So be careful. Be open and willing but keep your boundaries firmly in place. And if things get creepy, don’t spend too much time being resentful (like I did!). Instead, break it off with him/her before you develop another codependent, dysfunctional relationship, and chalk it up as an invaluable learning experience.

    View the original article at thefix.com

  • More Than One Way to Recover: A Guide of Pathways

    More Than One Way to Recover: A Guide of Pathways

    Regardless of how we achieved recovery, it is our responsibility as members of the recovery community to better inform ourselves (and others) of the other options out there rather than suggesting that our way is the only way.

    We live in a country where 45 million American families are affected by addiction. The statistics are frightening: over 20 million adults have substance use disorder and 17 million people have alcohol use disorder. 64,000 Americans die from drug overdoses each year and over 88,000 die from alcohol related causes. Sadly, less than 10 percent of people suffering with substance use disorder, and less than 7 percent of those with alcohol use disorder, get the help that they need.

    In spite of this public health crisis and the tragic and very preventable deaths, the recovery community is divided in its efforts. While on the one hand we are making great strides by publicly speaking up to put a face and a voice to recovery in order to fight stigma and boost efforts to gain greater resources and access to treatment, there is still some infighting within the community about the best way to recover. If we’re fighting to eliminate the stigma that marks us as “less than” to the general public, we should also be fighting the stigma within our more insular community. How can we effectively tackle this crisis if we’re not helping each other?

    There are many people in 12-step recovery who bicker in online forums and sit in church basements purporting to know the only way to recover and anyone who disagrees must be wrong. I have lost count of the times I’ve heard of someone relapsing or expressing their discomfort with the 12-step program, only to be told that the problem is actually them and their lack of willingness. As evidenced in the Big Book:

    “Rarely have we seen a person fail who has thoroughly followed our path. Those who do not recover are people who cannot or will not completely give themselves to this simple program, usually men and women who are constitutionally incapable of being honest with themselves.”

    This passage simply isn’t true. According to Zachary Dodes, who co-wrote The Sober Truth: Debunking the Bad Science Behind 12 Step Programs and the Rehab Industry, the success rate of AA is actually somewhere between five and 10 percent, with only one in every 15 people entering the rooms achieving and maintaining sobriety. This is in stark contrast to AA’s self-reported figures in 2007 of 33 percent of members having 10 or more years of sobriety. A 2012 survey revealed 24 percent of members were between one and five years sober, 13 percent of members were sober between five and ten years, 14 percent between 10 and 20 years, and 22 percent beyond 20 years sober. 

    In fact, of the people who are fortunate to recover—22.35 million—half of those do so in various mutual aid groups. A recent study was conducted to determine the difference in attendance, participation, and recovery outcomes of 12-step groups versus alternatives of SMART, Women for Sobriety, and LifeRing. The study concluded that the alternatives were just as effective, if not more so, than 12-step programs. Study author Dr Sara Zemore recommended that professionals refer patients to these 12-step alternatives—especially when patients are atheist, or when they are unsure of whether they wish to pursue complete abstinence or a method of harm reduction.

    I’m not the first person to say that 12-step groups didn’t work for me. And I did throw myself into the program for four years, completing the steps in both AA and NA. I reached a point where I could no longer ignore my feelings: I did not believe in the program—I found it positively disempowering and I found it self-limiting to refer to myself as something I used to be, a person with alcohol use disorder. And I’m not alone, there are articles published every day that echo my point of view, offering experiences of people who have successfully found recovery through alternative pathways.

    As the recovery community expands and gains traction in fighting stigma and making resources more accessible—although we still need significantly more if we’re to end the crisis—we are starting to see greater emphasis on alternative pathways. What’s more, we are seeing that these pathways are presented on an equal footing as more and more research becomes available to support their efficacy. Just this week, Facing Addiction brought out a comprehensive guide, Multiple Pathways of Recovery: A Guide for Individuals and Families. Facing Addiction’s view is that just as substance use disorders are unique, so too is recovery—it’s dynamic and evolving, utilizing a collection of resources, or recovery capital.

    The different pathways of recovery are:

    1. Inpatient or outpatient treatment
    2. Therapy
    3. Holistic therapies
    4. Natural recovery
    5. Recovery housing
    6. Recovery mutual aid groups. These include:
      1. Refuge Recovery,
      2. Celebrate Recovery,
      3. Women for Sobriety,
      4. LifeRing,
      5. Phoenix Multisport,
      6. Moderation Management,
      7. SMART Recovery,
      8. 12 Step groups.
    7. Faith-based recovery services
    8. Medication-assisted recovery, including MAT groups
    9. Peer-based recovery supports
    10. Family recovery
    11. Technology based recovery
    12. Alternative recovery supports
    13. Harm reduction.

    There are a wide variety of pathways and resources that can be used to recover in a way that suits the unique needs of the person recovering. Whether we subscribe to one or more of these methods or pathways, it is our responsibility as members of the recovery community to better inform ourselves (and others) of the other options out there rather than suggesting that our way is the only way. Just because something worked for us does not mean that it must work for everyone. If a person doesn’t find success with the 12-steps, it doesn’t mean that they are just not willing enough or “constitutionally incapable” of being honest with themselves. Perhaps if we stopped judging, became more informed, and met people where they are in their individual recovery journey, we might have a fighting chance at ending this epidemic.

    For more information on all of these pathways, click here.

    View the original article at thefix.com