The Science Behind AA

The Science Behind AA

Spirituality & Science…Together?

We all know that AA and other twelve-step fellowships work. Most women in long-term recovery are living, breathing, and awesome proof of it! What we don’t know, though, is why AA works.

science behind AA

Let me clarify, we don’t know scientifically why AA works. While it’s easy to say that the twelve-steps work because of God, that answer doesn’t satisfy most scientists, researchers, or academics.

The first question you may be asking yourself is who cares what scientists think? I know I certainly asked myself that more than once! My opinion, our opinion really, doesn’t matter in this case, though. After all, think of how many suffering addicts and alcoholics would flock to AA if it were better understood!

(I know, I know, recovery is for people who want it and do it, not for people who need it. That fact aside, we can all agree that a better understand of AA, NA, CA, etc. would benefit the public at large. Remember, our lives today are about how we can best help everyone!)

Well, a substance abuse and mental health counselor named Joe Nowinski set out to understand the how and why of Alcoholics Anonymous. Find out what he found out below!

A Surprising Introduction

 

In the 1980’s, Joe Nowinski worked in student health at the University of Connecticut. One day, he went to a training at Hazelden, one of the country’s oldest and most respected treatment centers.

Of his introduction to AA, Joe says,

“I looked up at a large poster on the wall. It was the 12 steps. My eye was immediately caught by the word God that appeared there a number of times, and my gut reaction was something like, “Oh no! I’m a cognitive-behavioral therapist! I don’t believe in God!” (The Fix).

Sounds like someone had a little contempt prior to investigation!

After spending a week at Hazelden, Joe soon changed his mind. He was able to experience firsthand the power of twelve-step recovery. He saw the change it brought over people. He saw the benefits of honesty, open mindedness, and willingness!

Research into 12-Step Recovery

 

Following his auspicious introduction to Alcoholics Anonymous, Joe participated in something called Project MATCH. This was a study that looked at the outcomes, or rates of abstinence, quality of life, etc., of various therapies. It was also, to date, the largest psychotherapy outcome study ever conducted.

The results were astounding to researchers and clinicians alike. It turns out that “Twelve-Step Facilitation Treatment,” aka becoming involved in a twelve-step fellowship, kept more people sober!

William R. Miller, a therapist involved in Project MATCH, wrote,

“On at least one time-honored outcome measure—the percentage of patients maintaining complete abstinence—those in the Twelve Step Facilitation treatment fared significantly better than did patients in the other two conditions—a substantial advantage of about 10 percentage points that endured across three years” (The Fix).

I’ll stick with something that gives me a 10% better shot at staying sober!

Various other studies have examined the effectiveness of twelve-step recovery. “Twelve-Step Facilitation Treatment” was compared to something called Motivational Enhancement Therapy. The results showed that those involved with “Twelve-Step Facilitation Treatment” (really, can we just call it working the steps!!) stayed sober for longer.

Another type of therapy that includes twelve-step principles is called MAAEZ (which stands for Making AA Easier). MAAEZ has been shown to lead to higher rates of abstinence than Cognitive Behavioral Therapy, long considered the gold standard of addiction treatment.

12 steps and science

So, it’s abundantly clear that twelve-step based therapies work! It’s obvious, beyond a shadow of a doubt, that twelve-step principles work. What Joe Nowinski also found out is that all self-help groups help people.

Organizations like SMART Recovery and Women for Sobriety (not to be confused with us, Sobriety for Women!) also help boost rates of abstinence and improve quality of life.

What Joe didn’t find out was exactly why AA and other twelve-step fellowships work. While that’s unfortunate, all he had to do to get an answer, however unscientific it might be, was ask a member of twelve-step recovery!

The twelve-steps work because they take me outside of myself. They allow me, through a God of my own understanding, to become selfless, honest, and strong. They allow all of us to experience real freedom for the first time!

How Do You Switch Sponsors?

How Do You Switch Sponsors?

My Experience Switching Sponsors

My first sponsor had around six months when she started taking me through the twelve-steps. Despite not having a ton of time, she’d been through her steps, had a spiritual experience, and was ready to spread a message of hope and recovery.

switching sponsors

We didn’t have that much in common, aside from both being alcoholics. She was much older than I was, although at nineteen almost everyone was much older than I was! She taught Social Studies and coached baseball at a local high school. She was married. She had money in the bank.

I could continue this list, but I think you all get the idea. We were brought together by the twelve-steps and the need to live our lives on spiritual principles. She began to take me through the steps. Six months later, I’d finished my steps and she’d picked up her one-year medallion.

It was around this time, when I started sponsoring women, that I began to think about switching sponsors. Don’t get me wrong, my original sponsor saved my life. I’m going to spend the rest of my days working off that debt by helping other women.

Still, we didn’t have much in common. I wanted a sponsor that was closer to my age and had similar experiences, both in active addiction and recovery. So I started “shopping around” as my friends call it.

On the Hunt for a New Sponsor

All of a sudden, meetings took on a whole new meaning. Not only was I going to spread the message of recovery, I was also going to see what other women had to say. Of course, that’d always been one reason for meetings, but now it took on a new importance.

I reached out, got a ton of phone numbers, and put together a list of potential sponsors. I prayed, meditated, and asked God for guidance. I also ran some of my potential ideas by another alcoholic.

God works in mysterious ways, my friends! Guess who I ended up asking to sponsor me? The woman I ran my list by! I’m getting ahead of myself though.

I called this woman up and we talked for a couple of hours. She gave me a piece of advice that’s stuck with my ever since. This is also the advice that made me realize she was the perfect sponsor for me.

She said, “Whoever you pick, make sure they’re someone who’s always been there for you in the past.” That was God talking to me through another alcoholic! That was what I’d been praying and meditating for. Those were the words I’d been waiting to hear.

Actually Switching Sponsors

After we got off the phone, I said another prayer. I then called the woman who’d taken my through the steps. I was so nervous! I thought she was going to be angry and never talk to me again!

how do I switch sponsors

It turns out, like most things in sobriety, that I was up in my head for nothing. She completely understood and even acknowledged some of what I’d been thinking. We ended the phone call closer than we’d been previously! God certainly does work in mysterious ways.

I then called my new sponsor (though she didn’t know it yet!) and asked her to sponsor me. She said yes and the rest, as they say, was history. That was almost six years ago and I haven’t looked back since.

I heard a simple and profound saying early in my recovery. It went something like “if you don’t think you have the best sponsor in the world, you picked the wrong woman.”

I’ve been blessed in my sobriety with two amazing sponsors. What more can a girl ask for?

Faith Facts Friday With Fiona

Written By: Fiona Stockard

The Big Book Broken Down – Part Fifteen

Alcoholics Anonymous is a fellowship of men and women who help each other to recover from alcohol and drug addiction. It was founded in June of 1935, just celebrated its seventy-ninth anniversary, and boasts over two million members.

AA’s central text is the Big Book. With a sponsor and a Big Book, AA members work the twelve steps, and “recover from a seemingly hopeless state of mind and body” (title page).

Big Book

Today, I’ll be finishing the chapter Working With Others.

Working With Others

Picking up from last week, Working With Others goes on to offer advice on how we can act when we’re someplace where people are drinking. It says, “Do not think of what you will get out of the occasion. Think of what you can bring to it” (p. 102).

The idea of contributing to an occasion, rather than simply trying to have a good time, touches upon a central theme of Alcoholics Anonymous. I was a taker my entire life. I was selfish to the extreme. After getting sober, it was time for me to start giving!

Say I’m at a friend’s birthday party. People are drinking and having a good time. I can have a good time and try my best to make the birthday gal have an even better time!

In fact, Working With Others says as much. The chapter reads, “If it is a happy occasion, try to increase the pleasure of those there; if a business occasion, go and attend to your business enthusiastically” (p. 102).

Sounds simple. Of course, like most of AA’s principles, it’s much easier said than done! After all, it takes time to break habits we’ve had for years or decades.

The chapter then goes on to talk about how we interact with “normies.” It advises us not to infringe upon our nonalcoholic friends’ right to drink. It says, “Let your friends know they are not to change their habits on your account” (p. 102).

It would be pretty selfish of us to impose on someone who wants to drink (who doesn’t have a problem with booze). Remember, we’re trying to get rid of this selfishness! We’re growing as women from selfish to selfless.

What about keeping booze in our house, though? Maybe we have a boyfriend or husband who likes a beer with dinner. Maybe we live with our parents and they like a cocktail before bed. What do we do?

Once again, the Big Book has us covered! Working With Others says,

“Many of us keep liquor in our homes…some of us still serve it to our friends provided they are not alcoholic…we feel that each family, in the light of their own circumstances, ought to decide for themselves” (pp. 102-103).

Thanks AA! You have an answer to every question that crosses my mind! This chapter ends with two key ideas. First it advises us recovering alcoholics to avoid prejudice. It says, “We are careful never to show intolerance or hatred of drinking as an institution” (p. 103).

Sounds good to me. There’s no reason for me, as a sober woman of grace and dignity, to hate on people who drink. Of course, if someone is struggling with alcoholism or addiction, I’ll be quick to share my story with them.

Working With Others ends with a quote I hear repeated often in the rooms of recovery. It goes a little something like,

After all, our problems were of our own making. Bottles were only a symbol. Besides, we have stopped fighting anybody or anything. We have to!” (p. 103).

Sounds about right to me!

Faith Facts Friday With Fiona

Written By: Fiona Stockard

The Big Book Broken Down – Part Fourteen

Alcoholics Anonymous is a fellowship of men and women who help each other to recover from alcohol and drug addiction. It was founded in June of 1935, just celebrated its seventy-ninth anniversary, and boasts over two million members.

AA’s central text is the Big Book. With a sponsor and a Big Book, AA members work the twelve steps, and “recover from a seemingly hopeless state of mind and body” (title page).

Big Book

Today, I’ll be breaking down a section of the chapter Working With Others.

Working With Others

These final few pages of Working With Others start off with a bang! Have you ever been told to avoid drugs and booze at all costs? Well, A.A. doesn’t think you have to do this! They say,

“Assuming we are spiritually fit, we can do all sorts of things alcoholics are not supposed to do. People have said we must not go where liquor is served; we must not have it in our homes; we must shun friends who drink; we must avoid moving pictures which show drinking scenes; we must not go into bars; our friends must hide their bottles if we go to their houses; we mustn’t think or be reminded about alcohol at all” (pp. 100-101).

Okay, sounds pretty standard, right? Wrong. The next sentence goes a little something like this – “Our experience shows that this is not necessarily so…we meet these conditions every day. An alcoholic who cannot meet them, still has an alcoholic mind…” (p 101).

We recover from alcoholism. Now, don’t get me wrong, we’re always going to be an alcoholics. We can never safely drink. Them’s the facts, honey. We do recover from the spiritual malady and the mental obsession, though. Our minds and souls heal!

Working With Others echoes this very idea. It reads,

“In our belief any scheme of combating alcoholism which proposes to shield the sick man from temptation is doomed to failure. If the alcohol tries to shield himself he may succeed for a time, but he usually winds up with a bigger explosion than ever…These attempts to do the impossible have always failed” (p. 101).

We work the steps and have a spiritual experience. We recover from a seemingly hopeless state of mind and body. And then, we can go anywhere in the world. We can eat at bars. We can see concerts in clubs. We can do anything!

Now, it’s important to note that just because we can go to bars, doesn’t mean we always should. The Big Book says, “So our rule is not to avoid a place where there is drinking, if we have a legitimate reason for being there” (p. 101).

Of course, the problem with that is constitutes a legitimate reason? Fear not, ladies! Once again, the Big Book has us covered. It goes on to read,

“Therefore, ask yourself on each occasion, ‘Have I any good social, business, or personal reason for going to this place? Or am I expecting to steal a little vicarious pleasure from the atmosphere of such places’” (pp. 101-102).

If you can answer yes to that question, then by all means go to a bar or club. If you’re only looking to get a thrill from being around booze, though, stay away. Remember, hanging out with a cute guy isn’t always a good reason!

Tune in next week for the conclusion of Working With Others!

Faith Facts Friday With Fiona

Written By: Fiona Stockard

The Big Book Broken Down – Part Thirteen

Alcoholics Anonymous is a fellowship of men and women who help each other to recover from alcohol and drug addiction. It was founded in June of 1935, just celebrated its seventy-ninth anniversary, and boasts over two million members.

AA’s central text is the Big Book. With a sponsor and a Big Book, AA members work the twelve steps, and “recover from a seemingly hopeless state of mind and body” (title page).

Big Book

Today, I’ll be breaking down a section of the chapter Working With Others.

Working With Others

Part of getting sober is learning how to deal with our families. By deal, I don’t mean begrudgingly exist with them! No, I’m talking about being helpful, kind, patient, and loving.

That’s new for most of us! It was for me anyway. Prior to sobering up, I was nothing but a drain on my family and loved ones. It was hard to start giving instead of taking. It was hard to start comforting instead of being comforted.

My new relationship with my family began after I’d made amends and shown them that I meant business. Working With Others echoes this idea. It reads,

“When your prospect has made such reparation as [s]he can to his [or her!] family, and has thoroughly explained to them the new principals by which [s]he is living, [s]he should proceed to put those principals into action at home” (p 98).

Before I cleared away the wreckage of my past, I wasn’t able to live on spiritual principals. Once I’d made amends and, more importantly, incorporated the ideas behind my amends into my life, well, that’s when things began to change. That’s when I stopped blaming my dad for all my mistakes. That’s when I stopped arguing with my mom about every little thing.

Again, Working With Others emphasis this. It says, “[S]he should concentrate on his own spiritual demonstration. Argument and fault-finding are to be avoided like the plague” (p 98).

That’s much easier said than done! For me, learning how to live in harmony, peace, and usefulness with my family was a trial and error process. After enough errors, I started to get it right!

Then there’s the idea of continued sobriety and spiritual growth. Simply telling my parents and brother I was sorry, then continuing to act on old behavior, wasn’t going to cut it. Nope. I had to live a completely new way of life. A.A. puts it like this,

“…the alcoholic continues to demonstrate that [s]he can be sober, considerate, and helpful, regardless of what anyone says or does. Of course, we all fall much below this standard many times. But we must try to repair the damage immediately…” (p 99).

What happens if we don’t get our family back, though? What happens if our drinking and drugging was so bad, took us to such a dark place, that our family wants nothing to do with us? Well, we can still get better!

Getting sober with the support and love of family is the easier path. Just because they may not want a relationship, though, doesn’t mean we can’t still heal. The only person we need a relationship with is God. Working With Others reads,

“Let no alcohol say [s]he cannot recover unless [s]he has his [or her!] family back. This just isn’t so…Remind the prospect that his [or her] recovery is not dependent upon people. It is dependent upon his [or her] relationship with God” (pp 99-100).

That’s the truth. I was lucky because, despite hurting them time and time again, my family gave me another chance. That’s not always the case. If they hadn’t wanted me in their life, I’d still have been okay as long as I had God in my life.

It’s that simple. God is or God isn’t. God is everything or God is nothing. You choose.

So, what happens once we have God in our lives? Well, A.A. says, “Both you and the new [wo]man must walk day by day in the path of spiritual progress. If you persist, remarkable things will happen” (p 100).

Remarkable things? Sounds good to me. Where do I sign up?

Tune in next week for another installment of Faith Facts Friday with Fiona!