I have been involved in the 12 steps and a number of different recovery/growth methods for a good number of years. I have found that it is almost impossible to nail down a specific number when it comes to recovery stats. When I first got involved with A.A. I was told repeatedly that the only way to recover was thru the 12 steps and if you left the program there only 1 of 3 fates awaiting you: death, jail or insanity. Oo, boogey, boogey! I began to notice that at birthday meetings that when they would call out, “who’s got 30/6/90/ days, 1/yr./2yr.3yr., etc. that at each increment the number of people standing up was fewer and fewer until they got to 5yrs. and beyond and virtually nobody standing up. The obvious conclusion is that you’ve got a whole lot of dead, crazy convicts out there or maybe, just maybe…hmm?
A.A. works if you work it, but it doesn’t work as well for some as it does for others. In that sentence you can replace A.A. with CBT or SOS, or psychotherapy or spiritual pursuits of various kinds and it will still hold true.
I learned a long time ago that a magic wand was nothing more than a magician’s prop. It’s not a god, a group a guru or a any particular technique. In other words, there is no easy way out.
I have found that good spirituality begins with healthy emotionality. Before you go looking for high falooting, top end magical Gods, you need to get your psychological house in order. And that requires slugging it out in the trenches. Figuratively speaking “God helps those that help themselves, Faith without works is dead.”
There are two basic things that make A.A. work: group synergism and the process of ‘chipping away at the stone’.
Of all the groups and techniques out there, A.A. has the best synergism of all because of numbers of members and longest history. A beautiful analogy of this synergism is this:
http://www.evancarmichael.com/Management/3656/Just-Ask-the-Geese.html
1. Geese don't fly in a V-shaped formation just because it looks good. They do it because it protects the members of the flock, conserves energy and allows them to cover more distance.
2. As the bird in front flies forward, it leaves a gap behind it called a vortice. This means that its teammates have less air resistance to fly against. A great example of putting teammates first.
3. When the bird in front gets tired, it moves to the back of the V and all the other birds move up, so that everyone gets a turn at leading and others get to take on other roles. That's in-built versatility and flexibility.
4. The formation allows all the birds to keep an eye on each other and to cover up to 71% more flying distance than if they were on their own. A case of win-win all round.
5. Whenever a bird flies out of formation, it suddenly feels the drag of going it alone and quickly gets back into formation to take advantage of the lifting power of the birds in front.
6. The geese in formation honk from behind to encourage those up front to keep up their speed.
7. When a goose gets sick, wounded, or shot, two geese drop out of line and follow their fellow member to help and provide protection. They stay with their colleague until it recovers or dies. Then they launch out on their own with another formation or re-join their own flock.
As far as ‘chipping away at the stone’, any pursuit can be used in this process; either by repeatedly attempting the same process again and again or a number of techniques again and again because the underlying power and effectiveness comes from a generic sense of unbending intent and unflinching purpose. Think of Pale Rider with Clint Eastwood when the whole mining camp joined together to take turns chipping away at that big rock in the middle of the creek. I find diet fads also are a good example of this concept. Why does an overweight person try 50 different diets all to no avail but the 51st one work? It works because the person keeps trying and slowly gaining ground psychology and then when they are subconsciously ready, any program would probably work instead of the one that actually broke the camel’s back.
And lastly, a ‘Higher Power' is truly whatever you want it to be. When a new comer asks me for help I tell them a couple, three things:
1. if you are here with even a day’s worth of sobriety you are automatically working the first step which I phrase to them as
Don’t drink or drug no matter what.
2. take the first year of sobriety to explore different types of spirituality, religion, metaphysical pursuits, etc. Don’t just jump into some kind of God vision you had imprinted on you from childhood on because it obviously didn't work. For the first year think of the group as your high power.
G.O.D. Group Of drunks, druggers, etc. The group is a force/power that is outside of and greater than you. Collectively, they are doing something you can’t do alone. (Goose analogy goes here)
3. I tell them to read, in addition to the Big Book, a book by the new guru in recovery, Terrance Gorsky, The King of Recovery,
Staying Sober
(
http://www.amazon.com/Staying-Sober-Guide-Relapse-)Prevention/dp/083090459X/ref=ntt_at_ep_dpi_1
He takes a scientific approach and explains what happens physically and psychologically better than anything else I’ve ever read.
One quick side note: nothing personal, but one of the major ways that people set themselves up for a relapse is that they start developing resentment toward the program and the people in it; “the program is a bunch of **** and the people suck.” Of course, this means they are going to stop going, be all by their lonesome, which means they are going to be very vulnerable to the psychological and physical forces that drive the addiction and inevitable relapse.
Also, here are some quotes from an article linked from the Skeptics Dictionary:
http://www.skepdic.com/sat.html
http://www.wired.com/magazine/2010/06/ff_alcoholics_anonymous/
**“In my 20 years of treating addicts, I’ve never seen anything else that comes close to the 12 steps,” says Drew Pinsky, the addiction-medicine specialist who hosts VH1’s Celebrity Rehab. “In my world, if someone says they don’t want to do the 12 steps, I know they aren’t going to get better.” (Please, no ‘killing the messenger to not have to hear the message.)
…a big part of AA’s effectiveness may have nothing to do with the actual steps. (**It may derive from something more fundamental: the power of the group. Psychologists have long known that one of the best ways to change human behavior is to gather people with similar problems into groups, rather than treat them individually.
But how effective is AA? That seemingly simple question has proven maddeningly hard to answer...
…
But researchers are most stymied by the fact that AA’s efficacy cannot be tested in a randomized experiment, the scientific gold standard.
…AA research tends to come to wildly divergent conclusions, often depending on an investigator’s biases. The group’s “cure rate” has been estimated at anywhere **from 75 percent to 5 percent, extremes that seem far-fetched…
…Between 1989 and 1997, a multisite study called Project Match randomly assigned more than 1,700 alcoholics to one of three popular therapies used at professional treatment centers.
The first was called 12-step facilitation, in which a licensed therapist guides patients through Bill Wilson’s method. The second was
cognitive behavioral therapy, which trains alcoholics to identify the situations that spur them to drink, so they can avoid tempting circumstances. And the last was
motivational enhancement therapy, a one-on-one interviewing process designed to sharpen a person’s reasons for getting sober.
Project Match ultimately
concluded that all three of these therapies were more or less equally effective at reducing alcohol intake among subjects. But 12-step facilitation clearly beat the competition in two important respects: It was more effective for alcoholics without other psychiatric problems, and it did a better job of inspiring total abstinence as opposed to a mere reduction in drinking. The steps, in other words, actually worked slightly better than therapies of more recent vintage, which were devised by medical professionals rather than an alcoholic stockbroker.