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With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

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41–50 of 92 posts

Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#41
post #2

Sigh. As someone who’s had success in 12-step recovery since 1998, I find these sorts of “debunkings” incredibly disappointing. Firstly the measurement of success rate entirely misses the point. The 12-step view is that there isn’t a “once and done” cure. If I were to use an analogy it’s more like having lifelong diabetes. You gotta keep taking that insulin. It’s the continuity that forestalls the disease/ keeps you…

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Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#43
post #2

Sigh. As someone who’s had success in 12-step recovery since 1998, I find these sorts of “debunkings” incredibly disappointing. Firstly the measurement of success rate entirely misses the point. The 12-step view is that there isn’t a “once and done” cure. If I were to use an analogy it’s more like having lifelong diabetes. You gotta keep taking that insulin. It’s the continuity that forestalls the disease/ keeps you…

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Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#44
post #2

Sigh. As someone who’s had success in 12-step recovery since 1998, I find these sorts of “debunkings” incredibly disappointing. Firstly the measurement of success rate entirely misses the point. The 12-step view is that there isn’t a “once and done” cure. If I were to use an analogy it’s more like having lifelong diabetes. You gotta keep taking that insulin. It’s the continuity that forestalls the disease/ keeps you…

Yeah...been hearing this stuff for 42 years. I could probably make an entirely convincing argument as to why you shouldn't try it. That's because I've heard it all. If you don't want what we have ... no worries. You won't get it. The problem is when we make decisions for other people. Things look very, very different, when it's our own butt on the line.

> The problem is when we make decisions for other people. Things look very, very different, when it's our own butt on the line.

Which is precisely what this article is complaining about. AA both as a program and as cultural push "abstinence first" is harming addicts for which the AA method is not successful. Which is most people. For instance drug therapies are slow to be given approval, people are sent to AA programs through court orders, etc.

As an individual if it works for you that's wonderful. But governmental policy and cultural norms should be based on what's effective.

Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#45

Doctor sells vulnerable people a dependence on his brand of snake oil, “debunks” one of the valid, well-studied, and free paths to recovery; NPR unquestionably parrots hot air on their weekly hot air power hour.

I am always fascinated by how "scientific" people use language.

Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#46
post #39

Oh, let me hear the psychiatrist who has a new plan to overcome addiction with his bag of tricks. People worship modern psychiatry/psychology as this scientific insight into the human mind that has finally done away with superstition and religion, and can accurately (and repeatably) tell us what's happening with people suffering from various mental ailments, and how to fix it. But for some reason, every time a shooti…

>... and bury the fact that the majority of the shooters are on SSRI's and a host of other medication. Can you please cite a source for this? >It's because when you peek behind the curtain, you find they're just a form of culturally acceptable medicine men. "Here, take these pills and it will solve all your issues! No we don't have any idea what 'chemical imbalance' is happening, or even if it's happening, but that's…

> Can you please cite a source for this?

Besides, even if true, it seems a lot like "people on blood pressure medication disproportionately likely to have heart attacks".

Like... duh? That doesn't (necessarily!) mean the medicine's not helping.

Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#47
As the article says, the core problem here is that the AA/12 step step definition of success and failure basically means that it is close to impossible for 12 step programs to ever fail. They definitionally treat any reversion/falling off as being a failure of the patient not the treatment. This is the same as saying “this chemo isn’t working due to your personal failures” and then reporting a near 100% success rate for said drug. The resultant “high” success rate then leads to courts imposing generally religiously affiliated “programs” that claim to not require god, but sure as heck make it difficult to avoid. While I’m sure many aren’t making use of this system to gain coercive power over people who aren’t in a great place it’s very clear that many do.

Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#48
post #3

I'm a recovering alcoholic who has worked the 12 steps. To get this out the way, I agree that courts should not be sending people to AA. It's no good for anyone. The reason that the 5 to 10 percent do well in AA actually doesn't have to do with the 12 steps themselves; it has to do with the camaraderie. I agree with the second half of the that sentence, but the reason the reason many people including researchers don'…

However none of that addresses or even attempts to discover the underlying cause(s) of the addiction - instead it assumes it's 'all your fault' and you just need to 'change' to fix it. Perhaps it is external factors that created and continue to drive the addiction (e.g. bad relationships, too much responsibility, unfulfilling work, feeling trapped, boredom, loneliness). Addiction often starts as self medication, befo…

> instead it assumes it's 'all your fault'

Actually, that assumption is very much not part of AA, and very much not part of the 12 steps as they're usually understood.

For example, take step 1. "Admit you have a problem." You seem to be saying that admitting a problem is the same as blaming oneself. NOT TRUE.

In fact, one of the most important things to acknowledge is that it's not your fault. It's just a disease. And, like any disease, there are idiosyncrasies to treating it that will be different from other diseases.

Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#49
I've been in recovery for a long, long time. AA/NA was the only option when I started. I had my problems with the program - no cross talk, the depressing nature of each meeting, the sponsorship piece of the program. I ended up trying a different program called SMART recovery. It fit me much better. Just throwing this out there for anyone looking for options. There are different recovery programs that might work better if you're turned off to AA/NA.

Re: With Sobering Science, Doctor Debunks 12-Step Recovery (2014)

#50
Disclosure: not an alcoholic, not married to one, either.

This is not a debunking. There are "support groups" for almost everything (watch Fight Club to see examples of that).

>The reason that the 5 to 10 percent do well in AA actually doesn't have to do with the 12 steps themselves; it has to do with the camaraderie. It's a supportive organization with people who are on the whole kind to you, and it gives you a structure. Some people can make a lot of use of that. And to its credit, AA describes itself as a brotherhood rather than a treatment.

I don't know about the 5-10% figure; let's assume that's valid. But saying the other 90% are harmed is a big overstep. The only way that would be true is if there were some other treatment that's more effective, and the 90% could have gone to that instead of AA. But he doesn't claim there is.

I'd propose that someone who goes to AA and doesn't like it probably then tries drugs, psychotherapy, and anything else. Or just continues on his own.

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