PubMed · 76248
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1978-04-01. Alcoholics Anonymous.. https://pubmed.ncbi.nlm.nih.gov/76248/
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Quantum change-the subject of this issue of In Session-refers to sudden, dramatic, and enduring transformations that affect a broad range of personal emotion, cognition, and behavior. This phenomenon has been described since the beginnings of psychology, most notably by William James in Varieties of Religious Experience. Quantum changes occur both within and (mostly) outside the context of psychotherapy and show certain common features in both process and content. This introduction provides an overview of the phenomenon of quantum change, describing its essential features, two qualitative subtypes, antecedents, course, and the nature of the enduring changes that ensue.
The mechanism of change in Alcoholics Anonymous is described as "spiritual transformation." A.A. acknowledges that such transformation can occur gradually; however, nearly all of the examples presented in the Big Book of A.A. involve discrete and sudden experiences that resemble the phenomenon of quantum change. The sequence offered describes how spiritual transformations transpire. The sequence begins with hitting bottom, recognition of inability to control the problem. A feeling of contrition follows, describing not only sorrow for the present state, but also desire for a new way. The final step is the act of surrendering one's will to a higher power. The de profundis sequence sets the process of spiritual transformation in motion, offering stabilization to sobriety.
Influences on seeking help from professional alcohol treatment and from Alcoholics Anonymous (AA) were investigated using problem drinkers (N = 167) with different help-seeking experiences (no assistance, AA only, or treatment plus AA) and current drinking statuses (sustained abstinence for > 2 years or active problem drinking). Depending on their help-seeking experiences, participants rated barriers to or reasons for seeking help from treatment and AA, which were factor analyzed. Common impediments to help-seeking included privacy concerns and participants' beliefs that they could solve their problem on their own and that it was not serious enough to seek help. Common reasons for help-seeking included social and other functional problems related to drinking. There were also influences unique to treatment (e.g., cost) and to AA (e.g., group format). Help-seeking factors did not vary by drinking status. The implications for increasing help-seeking among problem drinkers are discussed.