AA MINORITY REPORT 2017 (revised)

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Friday, 5 August 2011

Medications and Recovery

(excerpt from the Dual Recovery Anonymous website)

DRA members often go to Alcoholics Anonymous and Narcotics Anonymous meetings for additional support and fellowship. Often men and women who have been diagnosed with a dual disorder say that they have received misguided advice about their diagnosis and the use of medication at other Twelve Step meetings. Some have been told that they do not have an emotional or psychiatric illness, and that they are experiencing merely self-pity or some other character defect "You don't need those pills. They'll cause you more problems" and "If you're taking pills, then you're in relapse and not really sober". Individuals who have followed such advice have experienced relapse: some have been hospitalized; some have returned to alcohol or drug use; some have attempted or even completed suicide. To say the least, it can be very confusing. Though we can not speak for other organizations, their literature makes clear that these types of statements are not the official position of A.A., N.A., or any other Twelve Step recovery groups that we are aware of.

On page 133 of the Big Book of A.A. it says in part:

Now about health: A body badly burned by alcohol does not often recover overnight nor do twisted thinking and depression vanish in a twinkling. We are convinced that a spiritual mode of living is a most powerful health restorative. We, who have recovered from serious drinking, are miracles of mental health. But we have seen remarkable transformations in our bodies. Hardly one of our crowd now shows any dissipation.

But this does not mean that we disregard human health measures. God has abundantly supplied this world with fine doctors, psychologists, and practitioners of various kinds. Do not hesitated to take your health problems to such persons. Most of them give freely of themselves, that their fellows may enjoy sound minds and bodies. Try to remember that though God has wrought miracles among us, we should never belittle a good doctor or psychiatrist. Their services are often indispensable in treating a newcomer and in following his case afterward.

Reprinted from Alcoholics Anonymous, with permission of A.A. World Services, Inc.

There is also an important piece of A.A. conference approved literature called "The A.A. Member - Medications and Other Drugs" that addresses these issues specifically plus issues of cross addiction. Some D.R.A. members carry copies of this pamphlet with them to help educate others when this issue is brought up. Here are a few excerpts:

...A.A. members and many of their physicians have described situations in which depressed patients have been told by A.A.s to throw away the pills, only to have depression return with all its difficulties, sometimes resulting in suicide. We have heard, too, from schizophrenics, manic depressives, epileptics, and others requiring medication that well-meaning A.A. friends often discourage them from taking prescribed medication, Unfortunately, by following a layman's advice, the sufferers find that their conditions can return with all their previous intensity..."

"It becomes clear that just as it is wrong to enable or support any alcoholic to become readdicted to any drug, it's equally wrong to deprive any alcoholic of medication which can alleviate or control other disabling physical and/or emotional problems.

Reprinted from The A.A. Member - Medications & Other Drugs, with permission of A.A. World Services, Inc.


We also must keep in mind that few recovering alcoholics and addicts in these groups are mental health and treatment professionals. Almost all are certainly well-meaning. Many don't fully understand the difference between the usual depressions and anxieties most recovering folks go through in early sobriety and our psychiatric illnesses--nor should they be expected to. Some people may falsely think that antidepressants are "mood elevators" much like the street drugs they may be familiar with. These are understandable misconceptions, but can lead to poor advice even from some of the "old-timers".

It is clear that no one should play the role of doctor but a licensed physician or psychiatrist. Sponsors and other well-meaning Twelfth Steppers should not give medical advice. DRA members who seek sponsors in other 12 Step groups must weigh carefully the potential sponsor's attitude and understanding concerning medications and psychiatric illnesses. We can not expect them to fully understand, but an attitude of acceptance toward the the nature of our dual disorder and the place properly prescribed medications play in our dual recovery is key. Experience has shown us that honesty is the basis for successful sponsorships.”

(our emphases)

Comment: It is interesting to note here that an outside organisation seems better acquainted with our basic text and guidelines than some of the so-called “AA” groups operating in our midst ie. those collectives whose sole aim and purpose is to transmit dogma rather than recovery, partiality instead of rationality, and seem entirely content to sacrifice whomsoever in pursuit of their particularly obtuse and perverse agenda, all claiming moreover to carry the 'One, True Message' albeit under different guises viz. Primary Purpose, Back to Basics, Visions etc. DRA generously describes this conduct as being essentially “well meaning” or deriving from good intentions. We, however, would ascribe to it rather those essential “cult” qualities of stupidity and prejudice. Here we recall to you the words of Saint Bernard of Clairvaux: "L'enfer est plein de bonnes volontés et désirs" (hell is full of good wishes and desires) or: “The road to hell is paved with good....”

Cheerio

The Fellas (Friends of Alcoholics Anonymous)