Friday, March 20, 2015

The Irrationality of Alcoholics Anonymous


The Irrationality of Alcoholics Anonymous

Alcoholics Anonymous was established in 1935, when knowledge of the brain was in its infancy. It offers a single path to recovery: lifelong abstinence from alcohol. The debate over the efficacy of 12-step programs has been quietly bubbling for decades among addiction specialists, researchers have debunked central tenets of AA doctrine and found dozens of other treatments more effective. It has taken on new urgency with the passage of the Affordable Care Act, which requires all insurers and state Medicaid programs to pay for alcohol- and substance-abuse treatment. The 12 steps are so deeply ingrained in the United States that many people, including doctors and therapists, believe attending meetings, earning one’s sobriety chips, surrender their ego, accept that they are “powerless” over booze, never taking another sip of alcohol, make amends to those they’ve wronged, and pray is the only way to get better.


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