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Sunday 9 March 2014

AA Conference Questions 2014 (contd)



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Learning from the US experience of Twelve Step Facilitation continued…

Historian Ernst Kurtz, comes to a similar conclusion to Professor Zafiridis and Lainas in his paper “Whatever happened to twelve-step programs?”  “…In time, the core Twelve-Step insight of accepting limitation became attenuated not only in imitators but even within the A.A. fellowship itself, as the very decentralization that preserved it from professionalization became the avenue for its corruption by commodification. Many both within and outside of A.A. resist this trend, and so this part of the story continues, albeit differently in diverse Twelve-Step settings…” (p.26)

“…Under the umbrella afforded by civil rights legislation, the “Hughes Act” of 1970 and additional laws passed in 1973 and 1978 sought to aid alcoholics by moving public policy, if not attitudes, toward understanding alcoholism as a disability meriting the same consideration as others. These acts broadened and in some cases mandated opportunities for treatment, and a new industry soon sprang into being...” (p.16)

“…When the new laws broadened funding for treatment, a slow evolution in practice became a mad race for money. What had been largely a labor of love - and in some settings remained so - became in others mainly a way of making money, as wider cultural awareness and legislatively mandated insurance coverage combined to create a fruit ripe for plucking. Critics pointed out that the consistent bane of spirituality, greed, seemed to guide many who now clothed their projects in Twelve-Step language…” p.16

“…Before long also, some funders of care - governments, companies, insurers - began to suspect that they were being defrauded. Reacting against the abuses, some began to view all recovery programs as rip-offs, rejecting anything that smacked of the Twelve-Step programs with which they associated this experience.xxviii  (p.16)

“…The second significant 1970s occurrence was the recrudescence of American twentieth-century “reefer madness” - the discovery of apparently rampant use of psychoactive chemicals, or in the common shorthand, “drugs.” Medical historian David Musto has termed addiction “The American Disease…” (p.16)

“…Another new and different population arrived as judges increasingly began to sentence drunk driving offenders to attendance at Alcoholics Anonymous meetings. Individual groups in A.A.’s decentralized fellowship reacted variously. Some agreed, some refused, to sign (preferably initial) court attendance slips…” (p.17)

“…Some professionals who worked with alcoholics and addicts had entered the rapidly expanding field hastily and lacked real knowledge of Twelve-Step programs. Sometimes they made inappropriate referrals. To meet that problem, which increased as the multiplication of addictions and treatments swelled the number of Recovery Movement candidates, other professionals, as well as the victims themselves, formed new groups…” (pp.16-17)

“…By the 1990s, the situation seemed hopelessly confused. On the one hand, the term “Twelve-Step” came laden with connotations of self-pity, narcissism, and greed. On the other hand, many continued to find in various Twelve-Step programs vehicles for a spirituality that even outsiders recognized as real. A.A. applied the pragmatic phrase “whatever works” to staying away from the first drink. Some of the new treatment providers applied the maxim to developing new “products” and manipulating diagnoses...” (p.18)

“…Whether because of Wilson’s loss or, more likely, because of the impact of what have been termed the “Culture Wars,” mutual respect and balancing compromise between the transcendent and immanent spiritual approaches, as well as between therapeutic and spiritual emphases, began in the late 1970s to give way to increasing polarization among programs claiming the Twelve-Step mantle. These divisions, though, ignore the essence of Twelve-Step spirituality, which involves finding a way of living with incongruity, a way to embrace paradox.xxxiii (p.19)

“…When some imitators deviated from that Twelve-Step insight to become either a form of therapy or a mode of New Age religion, they lost respect not least because they lost effectiveness. There is nothing wrong - indeed, there is much right - with both therapy and religion accurately labeled, but it abuses both to present either as the other, or to recognize insufficiently their distinction from one another. The Twelve Traditions protect the Twelve Steps from such confusion of spirituality or religion with therapy. They do this by implanting an acceptance of limitation, which encourages respect for difference. These complementary attitudes clear a space within which the realities of paradox may be lived. Programs that ignore the Traditions tend to reject paradox; most seem also to slip away from first the vocabulary, and then the practice, of the Twelve Steps…” (p 20)

“… it is not true that Alcoholics Anonymous teaches that alcoholism is a disease, for such teaching would violate A.A.’s Tradition on “outside issues,..” (p 21)

“…The shift from the Twelve Steps to therapy can be seen as early as Charles Dederick’s founding of Synanon in 1958…” (p.22)

“…The reliance on a literature produced by quasi-professionals has led to preferring the vocabulary of therapy to the language of spirituality and to analyzing the past in ways more redolent of 1930s psychotherapies than of any recognizable tradition of spirituality…” (p.22) 

For pdf of full text follow above link.”


Note: Conference Questions  can be downloaded in pdf from the GSO (GB) website. They are on pages  5-11, AA Service News, Issue 157, Winter 2013 http://www.alcoholics-anonymous.org.uk/download/1/Library/Documents/AA%20Service%20News/157%20Winter%202013.pdf


Conference 2014 background material can be found on the GSO (GB) website. Follow the “Background Material for Conference 2014” link in the Document Library.  http://www.alcoholics-anonymous.org.uk/Members/Document-Library

Cheers

The Fellas (Friends of Alcoholics Anonymous)

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