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Getting on the Program

A Biocultural Analysis of Alcoholics Anonymous

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The American Experience with Alcohol

Abstract

Alcoholics Anonymous (AA) is a large, well-known self-help organization. A coherent set of beliefs forms the core of what AA members call “The Program.” These beliefs offer alcoholics a path to recovery. My purpose here is to examine the convergence of two aspects of recovery from alcoholism. The first aspect is the process by which alcoholics begin to restructure their identities and reinterpret their experiences in terms of the AA ideology. The second aspect is the physiological event occurring during the early stages of sobriety, when most AA members first come to the organization. My approach will be to show how the AA meeting constitutes a dramatic performance that is tailored to the biological state of alcoholics in early recovery.

This research was supported in part by an extramural research grant from the State of Illinois Department of Mental Health and Developmental Disabilities, Drs. D.B. Shimkin, M.B. Rodin, and J. Lowe co-principal investigators.

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References

  • Adler, H. M., & Hammett, V. B. O. Crisis, conversion, and cult formation: An examination of a common psychosocial sequence. American Journal of Psychiatry, 1973, 130, 861–864.

    PubMed  Google Scholar 

  • Alcoholics Anonymous. Alcoholics Anonymous, The story of how many thousands of men and women have recovered from alcoholism. New, Rev. Ed. New York: Alcoholics Anonymous World Services, 1955.

    Google Scholar 

  • Alcoholics Anonymous. Twelve steps and twelve traditions. New York: Alcoholics Anonymous World Services, 1957.

    Google Scholar 

  • Alibrandi, L. A. The recovery process in Alcoholics Anonymous: The sponsor as folk therapist. Dissertation, University of California, Irvine, 1977.

    Google Scholar 

  • Alford, G. S. Alcoholics Anonymous: An empirical outcome study. Addictive Behaviors, 1980, 5, 359–370.

    Article  PubMed  Google Scholar 

  • Bebbington, P. E. The efficacy of Alcoholics Anonymous: The elusiveness of hard data. British Journal of Psychiatry, 1976, 128, 572–580.

    Article  PubMed  Google Scholar 

  • Boscarino, J. Factors related to “stable” and “unstable” affiliation with Alcoholics Anonymous. International Journal of the Addictions, 1980, 15, 839–848.

    PubMed  Google Scholar 

  • Carlson, R. The recovery process in Alcoholics Anonymous: A comparison of two trajectories. Technical Report No. 10. Project on Community Dynamics, Social Competence and Alcoholism in Illinois. Illinois DMHDD Extramural Research Grant No. 8154-13. Department of Anthropology, University of Illinois, Urbana, 1982.

    Google Scholar 

  • Favazza, A. R. Modern Christian healing of mental illness. American Journal of Psychiatry, 1982, 139, 728–735.

    PubMed  Google Scholar 

  • Forrest, J. The ethnography of not drinking. Paper presented at the American Anthropological Association Annual Meeting, Washington, D. C, December, 1982.

    Google Scholar 

  • Fox, R. P., Graham, M. B., & Gill, M. J. The therapeutic revolving door. Archives of General Psychiatry, 1972, 26, 179–182.

    Article  PubMed  Google Scholar 

  • Galanter, M. Religious conversion: An experimental model for affecting alcoholic denial. In M. Galanter (Ed.), Currents in alcoholism, Vol. VI. Treatment, Rehabilitation and Epidemiology. New York: Grune & Stratton, 1980, 69–78.

    Google Scholar 

  • Galanter, M. Charismatic religious sects and psychiatry: An overview. American Journal of Psychiatry, 1982, 139, 1539–1548.

    PubMed  Google Scholar 

  • Jilek-Aill, L. Acculturation, alcoholism, and Indian-style Alcoholics Anonymous. Journal of Studies on Alcohol, 1981, (Suppl. 9), 143-158.

    Google Scholar 

  • Kurtz, E. Why A.A. works. The intellectual significance of Alcoholics Anonymous. Journal of Studies on Alcohol, 1982, 43, 38–80.

    PubMed  Google Scholar 

  • Leach, B. Does Alcoholics Anonymous really work? In P. Bourne & R. Fox (Eds.), Alcoholism: Progress in research and treatment. New York: Academic Press, 1973, 245–284.

    Google Scholar 

  • Leach, B., & Norris, J. L. Factors in the development of Alcoholics Anonymous (A.A.). In B. Kissin & H. Begleiter (Eds.), The Biology of alcoholism, Vol. 5. Treatment and rehabilitation of the chronic alcoholic. New York: Plenum Press, 1977, 441–519.

    Google Scholar 

  • Madsen, W. Alcoholics Anonymous as a crisis cult. In M. Marshall (Ed.), Beliefs, behaviors and alcoholic beverages: A cross-cultural survey. Ann Arbor: University of Michigan Press, 1979, 382–388.

    Google Scholar 

  • Norris, J. L. Alcoholics Anonymous and other self-help groups. In R. E. Tarter & A. A. Sugarman (Eds.), Alcoholism. Cambridge, MA: Addison-Wesley, 1976, 735–776.

    Google Scholar 

  • Ogborn, A. C., & Glaser, F. B. Characteristics of affiliates of Alcoholics Anonymous: A review of the literature. Journal of Studies on Alcohol, 1981, 42, 661–675.

    Google Scholar 

  • Rudy, D. R. Becoming alcoholic: Accounts of Alcoholics Anonymous members. Dissertation, Syracuse University, 1977.

    Google Scholar 

  • Sadler, P. O. The “crisis cult” as a voluntary association: An interactional approach to Alcoholics Anonymous. Human Organization, 1977, 36, 207–210.

    PubMed  Google Scholar 

  • Singer, M. Christian Science healing and alcoholism: An anthropological perspective. Journal of Operational Psychiatry, 1982, 13, 2–12.

    Google Scholar 

  • Sorenson, A. A., & Cutter, H. S. G. Mystical experience, drinking behavior and reasons for drinking. Journal of Studies on Alcohol, 1982, 43, 588–592.

    Google Scholar 

  • Taylor, M. C. Alcoholics Anonymous: How it works. Recovery processes in a self-help group. Dissertation. University of California, San Francisco, 1977.

    Google Scholar 

  • Tabakoff, B., & Rothstein, J. D. The biology of tolerance and dependence. In B. Tabakoff, P. M. Sutker, & C. L. Randall (Eds.), Medical and social aspects of alcohol abuse. New York: Plenum Press, 1983, 187–220.

    Chapter  Google Scholar 

  • Tiebout, H. M. Therapeutic mechanisms of Alcoholics Anonymous. American Journal of Psychiatry, 1943, 100, 468–473.

    Google Scholar 

  • Trice, H. M. A study of the process of affiliation with Alcoholics Anonymous. Quarterly Journal of Studies on Alcohol, 1957, 18, 39–54.

    PubMed  Google Scholar 

  • Trice, H. M. The affiliation motive and readiness to join Alcoholics Anonymous. Quarterly Journal of Studies on Alcohol, 1959, 20, 313–320.

    PubMed  Google Scholar 

  • Trice, H. M., & Roman, P. M. Sociopsychological predictors of affiliation with Alcoholics Anonymous. A longitudinal study of “treatment success.” Social Psychiatry, 1970, 5, 51–59.

    Article  Google Scholar 

  • Whitley, O. R. Life with Alcoholics Anonymous: The Methodist class meeting as a paradigm. Journal of Studies on Alcohol, 1977, 38, 831–848.

    PubMed  Google Scholar 

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© 1985 Springer Science+Business Media New York

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Rodin, M.B. (1985). Getting on the Program. In: Bennett, L.A., Ames, G.M. (eds) The American Experience with Alcohol. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0530-7_4

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  • DOI: https://doi.org/10.1007/978-1-4899-0530-7_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0532-1

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