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Alcoholics Anonymous vs. other approaches: the evidence is now in

nytimes.com

1–10 of 366 posts

Re: Alcoholics Anonymous vs. other approaches: the evidence is now in

#2
It's refreshing to see people helping people in programs like AA.

I'm curious to see if the success of these programs change in the coming decades, as younger generations seem to be moving away from social interaction in favor of social MEDIA interaction. Will this have an impact on the success of programs like AA? I hope not.

Re: Alcoholics Anonymous vs. other approaches: the evidence is now in

#3
> Keith Humphreys, Ph.D., professor of psychiatry and behavioral sciences, and his fellow investigators determined that AA was nearly always found to be more effective than psychotherapy in achieving abstinence.

This does not appear to include other programs like pharmacological extinction or the Sinclair method.

> We included randomized controlled trials (RCTs), quasi‐RCTs and non‐randomized studies that compared AA or TSF (AA/TSF) with other interventions, such as motivational enhancement therapy (MET) or cognitive behavioral therapy (CBT), TSF treatment variants, or no treatment.

Re: Alcoholics Anonymous vs. other approaches: the evidence is now in

#4
post #2

It's refreshing to see people helping people in programs like AA. I'm curious to see if the success of these programs change in the coming decades, as younger generations seem to be moving away from social interaction in favor of social MEDIA interaction. Will this have an impact on the success of programs like AA? I hope not.

You could always have an AA meeting in VR Chat. In fact, I'd be surprised if there isn't one.

Re: Alcoholics Anonymous vs. other approaches: the evidence is now in

#5
post #3

> Keith Humphreys, Ph.D., professor of psychiatry and behavioral sciences, and his fellow investigators determined that AA was nearly always found to be more effective than psychotherapy in achieving abstinence. This does not appear to include other programs like pharmacological extinction or the Sinclair method. > We included randomized controlled trials (RCTs), quasi‐RCTs and non‐randomized studies that compared AA…

Ok, I've edited the title to mention psychotherapy, since that's the alternative that the submitted article (at least) focuses on. Which is still an interesting finding.

Edit: we've since changed the URL and therefore also the title (see https://news.ycombinator.com/item?id=22550789)

Re: Alcoholics Anonymous vs. other approaches: the evidence is now in

#6
post #2

It's refreshing to see people helping people in programs like AA. I'm curious to see if the success of these programs change in the coming decades, as younger generations seem to be moving away from social interaction in favor of social MEDIA interaction. Will this have an impact on the success of programs like AA? I hope not.

AA may be the most effective of the options studied but that doesn't mean it is a successful program. It just means it is the most effective of what are generally non-successful programs.

Re: Alcoholics Anonymous vs. other approaches: the evidence is now in

#8
post #4
post #2

It's refreshing to see people helping people in programs like AA. I'm curious to see if the success of these programs change in the coming decades, as younger generations seem to be moving away from social interaction in favor of social MEDIA interaction. Will this have an impact on the success of programs like AA? I hope not.

You could always have an AA meeting in VR Chat. In fact, I'd be surprised if there isn't one.

With the recent virus concerns, I saw a number of posts about: "Hey don't forget there are online AA meetings".

Re: Alcoholics Anonymous vs. other approaches: the evidence is now in

#9
post #6
post #2

It's refreshing to see people helping people in programs like AA. I'm curious to see if the success of these programs change in the coming decades, as younger generations seem to be moving away from social interaction in favor of social MEDIA interaction. Will this have an impact on the success of programs like AA? I hope not.

AA may be the most effective of the options studied but that doesn't mean it is a successful program. It just means it is the most effective of what are generally non-successful programs.

> that doesn't mean it is a successful program

Chronic Alcoholics had limbs (hands) cut off during early history. It wasn't very successful comparatively or maybe it wasn't "the best". The best known behavioral solution is the best behavioral solution qualitatively (which is a mix of programs, statistically). But calling such a program (as AA) something non-successful means you've using different criterion than the bar of sustained sobriety and reduced frequency of relapse. It's not clear what differentiates successful from non-successful in your estimation?

Re: Alcoholics Anonymous vs. other approaches: the evidence is now in

#10
post #6

Earlier quoted context omitted.

AA may be the most effective of the options studied but that doesn't mean it is a successful program. It just means it is the most effective of what are generally non-successful programs.

> that doesn't mean it is a successful program Chronic Alcoholics had limbs (hands) cut off during early history. It wasn't very successful comparatively or maybe it wasn't "the best". The best known behavioral solution is the best behavioral solution qualitatively (which is a mix of programs, statistically). But calling such a program (as AA) something non-successful means you've using different criterion than the b…

The silent majority of sober people are those who quit drinking using self-help. Those people don't talk about their program.
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