Anonymous Groups Effectiveness

I chose to visit an Alcoholics Anonymous group for my Understanding Group Dynamics project. I went on March 20th 2016, to an open discussion group titled Pass it On Group for Beginners that are Living Sober. It was held at the First Congregational Church at 14 Brookside Road in Darien, CT 06854 at 6:15 p.m.. I chose to go to this group as I felt it was a group that I could most strongly connect to, as I am a recovering alcoholic. I have been cold turkey for two years now. I choose to live a sober life as the hangovers, pain that myself and loved ones endured and the constant need to escape from reality was taking over my existence. Going to this group reminded me that I am not alone in this journey of recovery and in the journey of figuring out how to live life sober with my friends, family and strangers drinking around me. The group was friendly and one that when you first enter, they make sure that you are there for the right reasons as confidentiality is important. Then right after, they welcome you with open arms and if you choose to just sit and listen that is fine, but I am a vocal person and I spoke and applauded. I am glad that we got to do this assignment, for I think without I would have never gone to an AA group meeting. I would have kept on my journey by myself and just praying when times got hard, now I have people I can reach out to.

In an effort to aid in the proper treatment recommendations for individuals presenting with substance abuse or dependence issues, the ASI was created for study purposes through the Veteran’s Administration in 1977 (McLellan et Al., 2006). It is a multidimensional assessment tool that expands its focus outside of simply substance abuse, but into other key complex domains that that either directly impact the individual’s substance abuse, or their subsequent recovery efforts (Denis, et AL., 2012). The ASI is a semi-structured assessment tool, that while it utilizes direct answers, also allows for the expansion of certain questions and the ability for assessor notes outside of provided questions, in order to allow a clearer understanding within certain domains. While I have never personally used a precise ASI assessment professionally with a client, I did notice an undeniable, almost succinct, similarity with the biopsychosocial assessment I use with clients in my position.

Addictions is something that many people in the community face. Being able to have a support group in the community can help in the recovery process. This writer was able to attend two different support groups for different addictions. The first group this writer attended was an Alcohol Anonymous support group (AA). The second group attended was Over Eaters Anonymous support group (OA). It took this writer three tries before a meeting was found. When this writer looked online for a meeting, the first location visited, a gentleman stated there has not been an AA meeting held there in eight years. Another gentleman at the second location stated it has been five years since it was a meeting location; when it held meetings, it was for Hispanic

For the support group observation assignment, I attended the Gateway Group’s Alcoholic Anonymous (A.A.) meeting. The Gateway Group is part of a larger organization called the Tri-County Intergroup Association of Alcoholics Anonymous. The Tri-County Intergroup serves A.A. members in Franklin, Wake, and Warren Counties and is broken down into 113 separate groups. As the preamble states, the purpose of all A.A. group meetings are for A.A. members to share their experience strength and hope with each other that they may solve their common problem and help others to recover from alcoholism. There are no dues or fees for being an A.A. member, and the only requirement for membership is to have a desire to stop drinking ().

Narcotics Anonymous is a support group using the same principles as Alcoholics Anonymous but designed for individuals addicted to narcotics (Fortinash & Holoday Worret, 2012). The programs emphasize both personal responsibility and mutual accountability by means of a social model recovery program which is peer-driven. Recovery Kentucky utilizes care and change as their foundation for the peer-driven model. Participants are often reminded the program is not just a pit stop for drug and alcohol use but a commitment to change the whole body, mind and spirit. They are required to attend community meetings and complete a twelve step program where the client will acknowledge the problem, recognize a solution and develop a plan of action that will support the ultimate goal of sobriety (MIC Program Description, n.d.).

This paper will try to explain the different views of how and why Alcoholics Anonymous and other 12-step programs are accepted and rejected as effective tools in treating alcoholism and other addictions. The articles reviewed contradict the others’ opinion. First, we see that supporting the 12-step programs with a degree of involvement both the doctor and patient will see better results in treating the addiction. The second view will show that 12-step programs can be used as “self-help” treatment and must be used in conjunction with other forms of rehabilitation. When AA and other 12-step programs are not used with other forms of treatment, the patient tends to become codependent on the group.

According to the NIAAA (National Institute of Alcohol Abuse and Alcoholism), about how many previously diagnosable alcoholics matured out of their dependence? A. none B. only a fraction C. one third D. most ANS:C PG39 19. According to Hester and Miller’s empirical research, the highest treatment effectiveness scores were obtained for A. harsh confrontational techniques B. motivational enhancement. C psychoanalytical treatment D. treatment that focused on the underlying cause of the drinking or drug use. ANS:B PG39

In the article “Determining the Relative Importance of the Mechanisms of Behavior Change Within Alcoholics Anonymous: A Multiple Mediator Analysis” the authors conducted research to determine what techniques used in Alcoholics Anonymous (AA) aid in relapse prevention. According to the National Institute on Alcohol Abuse and Alcoholism (2016) alcohol is the fourth leading cause of death in the United States that is preventable. In 2014 alone, thirty-one percent of all traffic fatalities were alcohol related (NIAAA, 2016). The study participants suffered from Alcohol Use Disorder (AUD) and attended AA. NIAAA (2016) states the Diagnostic and Statistical Manual of Mental Disorders IV has integrated alcohol abuse and alcohol dependence into a single alcohol-related disorder, AUD with mild, moderate, and severe classifications. AUD is diagnosed when a client’s drinking causes themselves or others anguish or injury AA began in the 1930’s and is an informal organization of men/women who have a drinking problem (AA, 2016). AA is based upon anonymity along with twelve steps/principles and meetings for those seeking help with sobriety. Research has shown that participating in AA reduces risk of relapse and this article aims to understand the techniques that empowers those to remain sober.

Recovery is the process of participating in a group or program providing treatment and support for a longstanding psychological or behavioral problem, such as abuse, addiction, grief, or trauma (Melemis, Steven, 2015). As a non-addict it seems easy enough to make a decision to stop drinking and follow through with that decision when temptation presents itself, but for an alcoholic it is not the simple. However, an alcoholic struggles with the temptation on a daily bases. Relapse prevention begins with addressing social interactions, emotional triggers, and developing positive coping mechanisms. Recovery and relapse requires is a process that should be done with others around to support each step and each phase of the

The 12-step program gives the impression that it has the capability of helping clients through alcohol abuse in its systematic, recovery-focused, and empathetic approach. AA’s 12 steps, from having “admitted we were powerless over alcohol…” to “having a spiritual awakening as a result of these steps” helps guide a person from alcoholism to sobriety (Alcoholics Anonymous [AA], 2001, pp. 59-60). The steps are easy-to-follow ‘checkpoints’ in the steps to sobriety, and because they are verbalized at every meeting, they reinforce a recovery mindset from alcoholism. This recovery approach emphasized in AA minimizes any particular focus on past struggles and magnifies progress, and as a member described, the group’s positivity and numerous success stories encouraged them to continue being sober (Personal communication, November 15,

Bering the uniqueness of each individual, people seek psychotherapy propelled by unique problems and conditions. Generally, many people will look for therapy because of sense of dissatisfaction with emotional pain or life. Sometimes it can be from immediate distress that is related to a definite crisis like addiction, separation or a loss, maybe on ongoing difficulty in part of their lives like work or relationship. For some people it might be due to suffering strong sadness, worry or fear. To some extent individuals might not have a clear external problem, but having inner sense of emptiness, dissatisfaction, or missing something. Screening and assessment play a critical role in psychotherapy. Extend of collecting details during assessment always differ depending on the settings of treatment as well as circumstances. For example, within primary settings like hospitals and medical practices, the aim of screening tends to be for determining hazardous or dependent drinkers.

Although the main goal of the assessment is to refer clients to treatment, many clients refuse treatment. However, they are willing to accept referrals to non-addiction agencies to resolve problems that have either been caused by addiction or that led to the problems. This assessment may be an intervention that the client needs. You will want to use the appropriate research-based screening tools that may be applicable to the client’s individual circumstances.

The third and final stage of recovery is known as late recovery, and involves a client finding growth and meaning in life. In this stage, relapse may be less frequent as a sense of purpose is found. As this stage is found only by enduring great challenges, a client may not be as tempted by relapse and the act of back tracking in their recovery may seem tiresome and unworthy of their time. However, though a deep awareness of the consequences of substance abuse is profound, relapse is still possible if an addict forgets that he or she has a disease that is incurable and succumbs to the enticement of “just this one time can’t hurt” or has the thought that “I have been clean for so long. I am cured.” Bill W. stated in his book Alcoholics Anonymous that “This is the baffling feature of alcoholism as we know it-this utter inability to leave it alone, no matter how great the necessity or the wish” (pg. 34). Complete abstinence is the only choice for those with the disease of addiction, and so many recovering addicts forget this simple realization in the late recovery stage.

Despite the higher cost, a high-end substance abuse treatment center does not constitute better treatment. The support of therapists, counselors, family, friends, and peers can all be important factors in the recovery process. The most significant factor for an individual in the recovery process is a desire and a willingness to change. Many options exist for individuals that want to recover from addiction. These options include substance abuse rehabilitation centers and support groups such as Alcoholics Anonymous and SMART Recovery. These programs all have the same goal but use different techniques that at times even contradict other programs. Although the approach of the programs may vary, they have all been proven to work for certain

This goes back to the theory that most women turn to substances for self-medicating purposes due to unresolved traumas or events in their lives. Women’s addiction is also different because women not only self-medicate because of traumatic events, but also to function as a working mother/woman in a fast paced world. According to, “The DASIS Report (May 2005)” women were less likely than men to detoxify. One reason is because they are in denial and try to rationalize their substance abuse. So they are less likely to seek help unless it is court ordered because children were involved. SAMSHA, stated that as of 2008, 1/3 of the population being treated for substance abuse were women. According to SAMSHA’s November/December 2008 Newsletter, 6.9 million women are not receiving treatment. Approximately, 94% feel they do not need treatment. This has been a drastic increase over the past 10years. SAMSHA also revealed that women have more barriers when seeking treatment such as, young children, poverty, low-income, stigmatization and have the inability to pay for treatment. This goes back to pay in-equality and the Equal Rights Amendment.