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Alcoholics Anonymous, alcoholism counseling, and social work treatment.

The authors suggest that the misunderstanding by many social workers of the particular values of Alcoholics Anonymous and the skills of alcoholism counselors can involve alcoholic patients themselves in the stress of reconciling different approaches to treatment. They call upon all who treat alcoholics to build mutual trust and cooperation on two assumptions basic to all forms of treatment-that alcoholism is a disease and abstinence is essential to recovery.

Alcoholics Anonymous

A sociocultural history of Alcoholics Anonymous.

Alcoholics Anonymous (AA) has not only helped numerous alcoholics, it has also influenced the current generation's view of, and response to, the alcoholic. This chapter describes the emergence of AA and analyzes its successful growth. During the period of reduced alternatives for helping the alcoholic, AA began and soon flourished, helped by favorable publicity, committed members, and AA publications. We argue that its founder, Bill W., played a crucial role as a charismatic leader and that AA found a unique organizational solution to the problem of charismatic succession, a solution that helped AA maintain growth and stability beyond the life of its founder. This chapter also reviews the social response to AA including early research on AA, the generally favorable response to AA, criticism of AA, and the widespread imitation of AA by other problem area groups.

Alcoholics Anonymous

The relationship between relapse and involvement in alcoholics anonymous.

Recovering alcoholic members (N = 59) of Alcoholics Anonymous (A.A.) were asked to complete a questionnaire to assess the occurrence of relapse and its correlation to their level of involvement in the A.A. program. The questionnaire was distributed to five different A.A. groups. Subjects were asked to rate themselves, using a Likert scale, on their level of involvement in the A.A. program and were also asked to state if they had relapsed during the course of their involvement with A.A. and if so, to indicate their most recent relapse. Depending on their answers to the relapse question, subjects were placed in either a relapse or a no relapse group. The level of involvement in A.A. was found to be related to whether relapse occurred. Those in the relapse group rated themselves lower in every area of involvement listed on the questionnaire than those in the no relapse group. The most significant area of involvement, where the greatest differences between subjects in each group were found, was in reaching out to other members of A.A. for help and in the use of a sponsor.

Adult

A descriptive study of alcohol-dependent women attending Alcoholics Anonymous, a regional council on alcoholism and an alcohol treatment unit.

A total of 86 women, attending three different agencies, were interviewed on their help-seeking behaviours for problem drinking. Each agency represented a different type of help available in the community. Self-help was represented by Alcoholics Anonymous; the non-statutory sector by a regional council on alcoholism's offices; and the statutory sector by an alcohol treatment unit's out-patient department. Differences between the groups in terms of demography and drinking history are explored in this paper. It was found that the regional council group resembled the female problem drinkers in other alcohol treatment agencies in terms of alcohol dependency, pattern of alcohol consumption and drinking styles, but differed in age and abstinence behaviour.

Adolescent

[Alcoholics Anonymous. A society which greatly helps alcoholics].

Alcoholics Anonymous is a society of men and women who share their experience, strength and hope with each other in order to solve common problems and help others to recover from alcoholism. The only requirement for membership is a desire to stop drinking. There are no dues or fees for a AA membership. The organization is self-supporting through its own contributions from members. AA is not allied to any sect, denomination, politics, organization or institution. It does not wish to become involved in any controversy, nor endorse or oppose any cause. The primary purpose is to stay sober and help other alcoholics to achieve sobriety. (The AA Preamble). This often quoted introductory statement of AA sets out the primary purpose, the requirement for membership and the general operational policy of an organization that has just recently celebrated its 50th anniversary, and has enjoyed a hegemony in the field of treatment of alcoholism for several decades. AA members seem to achieve a higher rate of abstinence than persons treated professionally.

Alcoholics Anonymous

Life-stress events, depression and purpose-in-life in first-admission alcoholics and members of Alcoholics Anonymous.

The relationship between alcoholism, depression, life-stress events and purpose-in-life is a very complex one. Thirty-five first admission alcoholics and an equal number of members of Alcoholics Anonymous were assessed, using objective measures of alcoholism, depression, stress and purpose-in-life. The results indicate that there were significant differences between the two groups on drinking behaviour, depression and purpose-in-life. No differences were found between the groups on the stress questionnaire. Positive correlations were found between drinking behaviour and depression, life events and purpose-in-life.

Adult

Relationship between alcohol expectancies and length of abstinence among Alcoholics Anonymous members.

Previous research has demonstrated a consistent relationship between alcohol expectancies (i.e., cognitive expectancies concerning the reinforcing effects of alcohol) and alcohol consumption patterns. To date, no study has examined the expectancies of recovering alcoholics who have attained extended abstinence. One hundred and fourteen Alcoholics Anonymous members were examined. Significant negative correlations were found between the recovering alcoholic's length of sobriety and many of the alcohol expectancy scales. In addition, 11 items from the Customary Drinking Record-Revised and 2 items from the Demographic Data Sheet were factor analyzed resulting in the retention of two factors, Quality of Life and Desire to Drink. These factors seemed to be tapping important dimensions in the alcoholic's recovery. Two alcohol expectancy scales were found to be significantly predictive of the Desire to Drink and Quality of Life factors that were used as criteria in multiple regression equations.

Adult

Talking out of alcoholism: results from a survey of Alcoholics Anonymous in England and Wales.

A national survey of Alcoholics Anonymous (AA) produced data on the way AA members talk about their experiences and the role this plays in achieving and maintaining sobriety. The survey was based on self-completion questionnaires given to one in four members attending meetings of a one in ten random sample of AA groups operating in England and Wales. Only 1.8 per cent of current members had never spoken at a meeting, while 62.5 per cent spoke regularly. Hearing other people's personal stories was felt by members to be the most useful part of AA meetings. At some time 81.9 per cent of members had told their own story and there was some relationship between dropping out and not telling personal stories. The great majority of those who had told stories reported changes in their content over time; 58.0 per cent of these changes involved a shift of emphasis from drinking to recovery. The results suggest that AA enables people to change the way they perceive and evaluate themselves. It enables them to talk themselves out of alcoholism.

Alcoholics Anonymous

Decreases in alcohol problems and increased Alcoholics Anonymous membership.

In this study, the impact of changes in rates of Alcoholics Anonymous (AA) membership and per capita consumption of alcohol on changes in rates of cirrhosis, drinking-driving charges and liquor act charges are examined for the 10 provinces of Canada over the period 1974-1983. Neither measure was significantly related to changes in cirrhosis rates. However, AA membership and consumption changes were associated, in an interactive manner, with changes in drinking-driving and liquor act charges.

Alcoholics Anonymous

Alcoholics Anonymous in a Western U.S. city.

Description of two groups of Alcoholics Anonymous includes data on the relationship between attendance during a 4-month period and abstinence at 6-month and 30-month follow-up studies.

Adult