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Review Sees No Advantage in 12-Step Programs
The Treasonous NY Times ^ | July 25, 2006 | NICHOLAS BAKALAR

Posted on 07/25/2006 10:52:10 PM PDT by neverdem

When Alcoholics Anonymous and other 12-step programs are examined in controlled studies, a new review reports, scientists find no proof that they are superior to any other intervention in reducing alcohol dependence or alcohol-related problems.

The researchers, led by Marica Ferri of the Italian Agency for Public Health in Rome, found little to suggest that 12-step programs reduced the severity of addiction any more than any other intervention. And no data showed that 12-step interventions were any more — or any less — successful in increasing the number of people who stayed in treatment or reducing the number who relapsed after being sober.

Alcoholics Anonymous is a self-help group that offers emotional support for alcohol abstinence and holds that alcoholism is a spiritual and a medical disease.

In some of the studies reviewed, A.A. was compared with other psychological treatments including cognitive-behavioral therapy, which encourages the conscious identification of high-risk situations for alcohol use; motivational enhancement therapy, based on principles of social and cognitive psychology; and relapse prevention therapy, a variation on the cognitive-behavioral approach. It was also compared with other spiritual and nonspiritual 12-step programs.

One study compared brief advice to attend A.A. meetings to motivational methods for encouraging 12-step involvement. Another evaluated the effectiveness of hospital-based 12-step programs, compared with community-based 12-step efforts.

The paper was published last week in The Cochrane Library, a journal devoted to systematic reviews of health care interventions. In all, the researchers examined eight trials involving 3,417 men and women ages 18 and older.

None of the studies compared A.A. with no treatment at all, and the researchers said that made it more difficult to draw conclusions about effectiveness. About one-fifth of alcoholics achieve long-term sobriety without treatment.

There is no single known cause of alcoholism, but the researchers wrote that...

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Extended News; News/Current Events
KEYWORDS: aa; alcohol; alcoholabuse; alcoholaddiction; health; mentalhealth; recovery; rehabilitation; theophobia; therapy
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To: wolf24
Why should abstinence by the goal? Why not moderation?

Why should moderation be the goal? People have a great life without alcohol.

81 posted on 07/26/2006 4:10:12 AM PDT by bkepley
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To: neverdem
No Offense people, but the nonsense I am reading in these replies tells me we have a lot drinkers here who aren't dealing with it and don't want to, people who don't have the problem and have NO idea what the problem is like, and folks who have so little understanding of what AA does that they fail to see the study compared AA with similar types of programs....AA is one approach but the others used many of the same principles

I really had come to expect a more educated view from my fellow FReeper, maybe the MTV crowd is taking over

82 posted on 07/26/2006 4:13:25 AM PDT by The Wizard (DemonRATS: enemies of America)
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To: Myrddin
A 23 oz glass of beer went just fine with the apple walnut chicken salad. I was driving toward the house when I realized the air was clear and calm. A rare, perfect day for some precision target shooting. A rare opportunity that I had just squandered with a glass of beer. Not only was shooting out of the question, so was any other productive use of time debugging my embedded systems boards. What a damn waste. All for a glass of tasty, fattening beer.

But you drove home. Begging a DUI, no?

83 posted on 07/26/2006 4:26:43 AM PDT by decimon
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To: wildcatf4f3
Jugging by your screen name, I predict your interaction with AA is not over. In my drinking days I used to scoff that maybe if I kept drinking long enough and lost enough brain cells I'd be able to believe that AA crap...

You'd be wrong to 'judge' anything by my screen name. It has much more to do with the dog hair I live with than drinking which I only do occasionally any more. I am not near an alchoholic. I played one in college, but so did many.

Mine was an observation of AA from someone who should never have been there.

84 posted on 07/26/2006 4:34:30 AM PDT by HairOfTheDog
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To: M. Thatcher

not quite true....look at 7,11, & 12


85 posted on 07/26/2006 4:37:20 AM PDT by stylin19a
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To: neverdem

AA works, AA don't work...AA no better than....

I really don't give a spit.

It's about life or an early death.

If a hopeless, helpless drunk can quit drinking wearing underwear on his head, God Bless him !


86 posted on 07/26/2006 4:39:55 AM PDT by stylin19a
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To: stylin19a

Yeah, I can see the vast difference.


87 posted on 07/26/2006 4:54:40 AM PDT by M. Thatcher
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To: jiggyboy
I've always thought that complete abstinence is begging the question in a matter of speaking. It seems to me that it's like saying you've cured your fear of flying by not going flying any more.

Flying is a bad example. It's more like, If you are allergic to peanut butter, and you get sick from eating it, you are much better off leaving it alone. The problem would arise when peanut butter also had the effect (like alcohol does with an alcoholic)of making you crave it physically and obsess over it mentally, any time you took even the smallest taste. Would you also posit that not eating a substance that makes you ill is "begging the question"?

88 posted on 07/26/2006 4:56:08 AM PDT by trebb ("I am the way... no one comes to the Father, but by me..." - Jesus in John 14:6 (RSV))
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To: HairOfTheDog
I just don't think that's healthy

But DUI is?

89 posted on 07/26/2006 5:00:35 AM PDT by csvset ("It was like the hand of G_d slapping down and smashing everything." ~ JDAM strikes Taliban)
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To: wildcatf4f3
Never heard of a successful "social heroin user".

Actually there are many. The "one hit and you're an addict" is 1980s-era "War on Drugs" propaganda.

For sure, there are many addicts, but there are many who shoot up on occasion or smoke a rock now and then and still lead functioning, productive lives. We just don't hear about them until they get busted (or overdose).

90 posted on 07/26/2006 5:08:44 AM PDT by Drew68
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To: neverdem

Without getting into a debate as to whether AA works or not, here is a program that is faith based and has been proven to work. And it's mostly for adults, not teens. http://www.teenchallengeusa.com/


91 posted on 07/26/2006 5:09:42 AM PDT by Drango (A liberal's compassion is limited only by the size of someone else's wallet.)
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To: patton
No, they teach about the physiology of addiction, and then you have to make up your mind, what to do about it.

This really is the crux of AA, it seems to me.

My father was an alcoholic. Went to AA. Went to Hazelden. He could never get beyond alcohol. Ended up with two broken marriages, estranged children and extended family, and what could best be described as perhaps an emptiness in his life.

Not that he was not self-aware. After he died a few years ago, my sister and I were putting his personal belongings in order and found some notes from his time at Hazelden. He knew what the problem was - he was unable/unwilling to do what it took to correct the problem.

I believe he felt he could never shake alcohol and conceding that, gradually became isolated and withdrawn, rarely seeing family and visitors. My brother and half-sister would run errands for him that were of import. But he died young (66) and never was able (IMHO) to realize his full potential as a father, husband, member of society.

If AA is what it takes for folks to not engage in the non-destructive behavior that alcoholism leads to, I fully support AA, or any other program that leads to success, even if measured day by day.

92 posted on 07/26/2006 5:22:12 AM PDT by Fury
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To: Fury
non-destructive behavior that alcoholism leads to

should be:

destructive behavior that alcoholism leads to

93 posted on 07/26/2006 5:23:50 AM PDT by Fury
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To: M. Thatcher
your words

"They are, word-for-word, exactly the same as AA's

check out Step 10.
94 posted on 07/26/2006 5:51:00 AM PDT by stylin19a
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To: stylin19a

Look, they're virtually the same. The article is about 12-Step programs, and I went to the 12-Step website. This isn't Holy Writ here, ace.


95 posted on 07/26/2006 5:53:06 AM PDT by M. Thatcher
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To: M. Thatcher

you really don't know what you are talking about, do you...


96 posted on 07/26/2006 6:00:53 AM PDT by stylin19a
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To: wildcatf4f3
<> Believe it or not, there are PLENTY of them. So long as one has a secure and clean supply, one can function very normally. People forget that before the enactment of anti-narcotic laws, a significant minority of the population was regularly using laudanum (a strong tincture of opium) and largely carrying on normal lives.
97 posted on 07/26/2006 6:11:55 AM PDT by LN2Campy
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To: tina07
Also in my brother-in-law's case, he was taught by AA to blame everyone in his life that he's an alcoholic rather than to take responsibility for it himself.

They tell me that you are not responsible for your disease of addiction -- but you are responsible for your recovery!

98 posted on 07/26/2006 6:16:47 AM PDT by Lazamataz (Islam is a perversion of faith, a lie against human spirit, an obscenity shouted in the face of G_d)
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To: LN2Campy
<> Believe it or not, there are PLENTY of them. So long as one has a secure and clean supply, one can function very normally. People forget that before the enactment of anti-narcotic laws, a significant minority of the population was regularly using laudanum (a strong tincture of opium) and largely carrying on normal lives.

My observation of other people's experience is that heroin stops functioning as a 'high' quickly and is then required to feel normal. Those people can function -- but they are no longer getting high.

99 posted on 07/26/2006 6:18:31 AM PDT by Lazamataz (Islam is a perversion of faith, a lie against human spirit, an obscenity shouted in the face of G_d)
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To: wildcatf4f3
the article is more atheistic european crap.

Agreed.

100 posted on 07/26/2006 6:19:53 AM PDT by Lazamataz (Islam is a perversion of faith, a lie against human spirit, an obscenity shouted in the face of G_d)
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