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- Addiction Alternatives or Alcoholics Anonymous
Addiction Alternatives or Alcoholics Anonymous
- By Marc F. Kern
- Published 01/18/2005
- What Are Your Recovery Options
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Marc F. Kern
Marc F. Kern, Ph.D., has over 30 years of clinical psychotherapy experience helping people overcome their self-defeating habits and acquire the insights and skills to live happier lives.
He has a deep personal understanding of the addictive process and continues his lifelong research of contemporary treatments for addiction and other destructive behaviors.
Site: http://www.habitdoc.com
Site: http://www.AAalternative.com
Also see Video Interviews with Dr. Kern.
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While A.A. with its 12-step approach has helped millions of people over the last 60-plus years, but there is no evidence that A.A. is better than other approaches for everyone.
Some people just don't find A.A. attractive or constructive for their particular situations.
Listening to my clients and based on recent research, people don't join A.A. or find it helpful because of many diverse reasons:
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"It's just a substitute dependency."
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"It's too religious."
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"There is too much dogma."
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"I don't feel I fit in."
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"My problem isn't as bad as theirs."
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"I haven't hit my bottom and I don't want to wait until then to make a change."
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"They say I am powerless, but I feel I'm not powerless."
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"It's like a cult."
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"I don't feel I am an alcoholic" "I don't have an addiction."
Regardless of the accuracy of these perceptions, Addiction Alternatives offers a different approach. Let's examine five major differences between Addiction Alternatives and beliefs commonly encountered at 12-step meetings. This comparison chart can help you see philosophical differences, but there is no right or wrong answer.
| Addiction Alternatives | Alcoholics Anonymous |
Addictions are a learned behaviors with biological influences and cause physical alteration and neurological changes in the way the brain functions. People vary on their degree of biological propensities. |
Addictions are caused by a disease, a genetic inheritance from birth. |
| Not everyone with an alcohol problem needs to stop drinking forever. |
Everyone who has ever had a drinking problem or drug abuse history must forever maintain completely abstinence from all mood/mind altering substances. |
| You can learn to empower yourself. | You are powerless over your addiction. |
| Belief in a higher power or anything spiritual is completely optional. | A spiritual approach, including belief in a higher power is essential to overcome your addiction. |
| You can learn how to overcome your addiction and move on to enjoy your life. | You must attend meetings for the rest of your life because you never overcome your addiction. |
Spread The Word
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40 Responses to "Addiction Alternatives or Alcoholics Anonymous" 
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said this on 15 Mar 2005 11:59:12 AM EDT
Because it clearly states the philosophical distinctions between empowerment & powerlessness.
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said this on 28 Jun 2005 7:09:15 AM EDT
Having been in AA for over 40 years, know that what is being said in this article is true.I would like to be in touch with DR. Kern.My phone # is 317-289-3881 / address is 6115 N. Winthrop Ave, Indianapolis, Indiana 46220. (John Claypool)I started a Smart Recovery meeting in Indianapolis, and found that a combination could, or would be more effective?
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said this on 14 Aug 2005 2:50:40 PM EDT
The article provides sensible alternatives to the AA cult, yet does not discount that spirtuality may be a solution for a given individual.
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said this on 06 Sep 2005 3:53:18 PM EDT
because I know that I have the option to do as I please. If I want to stop I will. I..have the power...
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said this on 21 Nov 2005 7:50:38 PM EDT
I am extemely interested because there is someone close to me who is an alcohol addict. However, he has tried AA many times, and it does not help him. He hates the sponsor system, the isolation you feel from the rest of the world by joining AA and the endless meetings that must be attended. There must be another way!
However, the idea that belief in a higher power is not essential is HOGWASH!! Spirituality is a definite must in my opinion.
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said this on 22 Apr 2008 12:59:15 AM EDT
I totally agree. awesome comment
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said this on 13 Feb 2006 10:33:21 AM EDT
The author misrepresents the AA program: While most AAs would accept the disease hypothecy, this is not a major aspect of the program, and certainly the position of alcoholism as a "genetic inheritance from birth" is nowhere to be found. Also, even though many AA members would recommend to keep attending meetings to sustain sobriety, again the AA program nowhere prescribes attending meetings for the rest of one's life. The author confuses the AA program with what individual AA members may sometimes recommend.
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said this on 22 Feb 2006 1:58:38 PM EDT
Has not read the Big Book of AA and has no uindersatnding of what the book really say's about the differecnces in drinking problems.To ofer a quate from the book Alcoholics Annoymonus If you can drink like a gentleman our hats are off to you. This is not saying anyone with a drinking problem can never drink again.
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said this on 21 Apr 2006 2:33:44 PM EDT
we need more of this amd more of it on national media
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said this on 22 Apr 2006 9:45:15 AM EDT
Highlights the essential differences very clearly.
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said this on 23 Aug 2006 12:38:26 PM EDT
"rarely have we seen a person fail who throughly follows our path..." From their book. Last year the Big AA in the sky said at best they have an 8% success rate (that was in USA today)...but they keep no records. It has been a general consensus it was not more than 10%. The court systems offer little to no choice. Most after care is centered around AA. The real question is who is "bs'ing" who! For the real doubters read Dr. Jeffrey Schaler's Book "Addiction is a Choice." Those promoting alternatives are in fact saying "if this or that works for you then I am happy for you." AA sees no other way. AA fits the medical profession perfectly in that they both promote "diagnosis and not cure."
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said this on 11 Sep 2006 10:20:37 PM EDT
I live in a rural area. It is also a very religious area. I believe in God and an afterlife, but I am not a religious person. My belief is that AA will be the only alternative i have in this area.
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said this on 15 Sep 2006 5:03:45 PM EDT
Right on target. Addiction alternatives are real. Addiction is a mental illness. The battle for recovery takes place in the mind. Once a healthy state is achieved, any relapse is then a conscious choice with full awareness of the consequences and a willingness to pay the price.
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said this on 17 Nov 2006 4:08:32 PM EDT
12-step addiction programs represent a multi-billion dollar industry supported by government and insurance companies. Programs that are not based on 12-step models have trouble finding financial support.AA serves as a virtual advertisement for the promotion of 12-step programs. If you want the truth....follow the money.
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said this on 15 Jan 2007 5:01:51 PM EDT
You just scratched the surface. Should decide if it's an essay or an article or maybe a short story.
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said this on 24 Jan 2007 3:07:19 PM EDT
Possibly looking for a counselor for emotional instability and dealing with troublesome co-workers. Been clean and sober about 2 months. My problem was with marijuana, not alcohol. Would like to know if I have to stop drinking forever.
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said this on 31 Jan 2007 11:15:29 PM EDT
goo, very good info
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said this on 01 Feb 2007 12:05:25 PM EDT
I would like to learn more about the alternatives to AA
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said this on 08 Feb 2007 9:49:53 AM EDT
Very good article. The author clearly shows the difference between the disease model(AA and NA) and behavior and medical model(cognitive therapy). I suffered through a serious drinking and substance abuse period of my life. When i went to get help, the only help out there that my insurance would pay for was AA based rehab's. I tried AA and NA for 2 years. It left me thinking hopeless because i did not believe in a higher power and or a god. It was only through good fortune that i discovered cognitive therapy and rational recovery. I have learned that alcoholism and addiction are a choice. They where learned behaviors that i used to cope, deal, and hide from things. It is a shame that AA and NA so dominate the rehab industry when there methods so clearly do not work for over 90% of the people using that approach. They have there tentacles in the court system as well. For those who read this and have seen what i have seen through years of meetings, that AA is a religious program, that they teach one dependency for another, that quieting is not a MIRACLE but simple learning to deal with issues w/ out alchol or drugs, do not give up hope. There are alternatives out there because AA does more harm than good!
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said this on 11 Feb 2007 11:48:03 AM EDT
Thanks for posting this. I agree wholeheartedly that the so-called "fellowship" groups are borderline cults and infantilize people under the guise of "recovery"
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said this on 13 Feb 2007 8:06:07 AM EDT
great idea. I always aspired tot he anti-AA theories. I hate the powerless ideals, plus religion.
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said this on 22 Mar 2007 2:44:41 AM EDT
The info provided makes me want to read more. I'm not sure this is the entire article but will now go to the other articles published by Dr. Kern.
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said this on 25 Mar 2007 10:04:45 AM EDT
I am a recovering alcoholic of 13 years. I heard that there were alternatives to AA but never checked because AA worked for me.I am checking now because my wife can't stay sober after being sober for 8 years. AA is not her cup of coffee. We share a lot of the same views of recovery, and I think AA has been taken over by socialist and liberals. I can think for myself and I do think that I am in control of my behaviours. I believe that people in AA mean well when they say the things that they say.It makes them feel like they are helping, but when it comes to real life problems like the death of a son,and how alcoholics deal with these issues, they just are not qualified to give advise,so they say things like this too shall pass,He is in a better place,or how are you feeling,are you OK. Then there are the hard core who say we have had many loses and stayed sober because we practised the principals of AA. and never lost sight of the meetings,and sponsorship.They too mean well, but sometimes tough love is a little harsh when your son was shot to death by a friend, and then that friend says your son killed himself. The State police find that her son was shot in the head from a distance of no greater than 8 ft.with a 22 cal.rifle. Then the rifle was wiped clean of all prints and put back were the boys found it.The judge droped all charges against the two boy that were their, at the time of the shooting, and are walking our streets free as the day they were born. My wife started drinking again and AA is not for her. She needs alternative help. We tried counceling,and she does have a shrink that she sees.She now has one week of soberity to date. The death of her son was over two years ago.People in AA are praying for her.Thanks for listining or reading this. From A (loving husband)
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said this on 01 Apr 2007 5:49:06 PM EDT
Good Information. Options in perspective are empowering.
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said this on 18 Apr 2007 3:02:41 PM EDT
This is what AAs believe:
“Sobriety—the freedom from alcohol—through the teaching and practicing of the twelve steps is the sole purpose of an AA group.”
It was voted by group conscience that the purpose of this meeting is to help alcoholics achieve sobriety by the studying, discussing, and practicing of the twelve steps as they are laid out in the Big Book.
It has been our hard-learned experience that other methods did not work with us. Some of us have tried other methods and our results were disastrous, until we looked at the basic and simple approach the Big Book offers.
We ask only that discussion be limited to the step being studied tonight. It has become apparent to us that when we stopped blaming people, places, and things for our problems, and decided to take an honest and fearless look at ourselves as the root cause of our alcoholism, and decided to apply these twelve principles in our lives, we got better.
If discussion strays from the step being studied, the chairperson will remind you of the purpose of this meeting. It is not the group's intention to be intimidating or insulting to anyone. We only know that if you are talking about the problem, you cannot possibly be talking about the solution. We reserve the right of the chairperson to limit discussion to he step being studied tonight.
*If you have done this step as it is laid out in the Big Book, please share your experience with us. If you haven't, we ask that you be open minded enough to listen. If you have a question pertaining to the step, please feel free to ask. Group conscience has voted a five-minute limit on comments.
All of our members are more than willing to talk to you about other things. If you have a situation, feel free to discuss it with someone after the meeting.
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said this on 19 Apr 2007 5:12:19 PM EDT
Though I am a member of AA and ACA I have to agree with your alternatives, though just to avoid argument I keep this to myself. Most of the stuff I hear is usually dogmatic crap, but at my age 59 there aren't alot of social alternatives. I have spent most of my life sober and only a few years of that attending AA meetings. I had to return to AA after some severe emotional difficulties as the result of old childhood issues and found ACA to better meet my needs. I do see a time when I will need to replace this with better social alternatives as I did before.
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said this on 20 Apr 2007 10:41:47 AM EDT
I feel the same way about AA, I want to control my life and I don't feel that I should have to check in with a sponsor before making any decisions in my life. I can control my life.
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said this on 20 Apr 2007 11:14:19 AM EDT
This article sucks it wont help me ever.
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said this on 06 May 2007 7:53:35 PM EDT
Even Aa would say they don't have a monopoly on sobriety. I can only sahre that it works for me and has so for nearly 7 years. Not only have I stayed clean and sober but my life has gotten full. Thank you AA!
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said this on 09 May 2007 1:12:12 PM EDT
I want to quit and don't know if anything will work. I need help badly.
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said this on 22 May 2007 2:55:27 PM EDT
I personally am interested in Moderation Management instead of AA. It seems that AA people like to say that everyone who has ever gone through a period of too much drinking is now a full blown alcoholic in denial. Growing up in a religious cult, I was never taught to drink responsibly and always taught that drinking is too tempting. Well, I think that is BS, and I want to learn to drink responsibly. I already have been doing so for about a year but might like to explore moderation management.
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said this on 16 Jul 2007 8:12:26 PM EDT
I am glad to see this article. I am glad that AA works for some people but it did not work for me. RET and SMART recovery have helped. If AA didn't work it doesn't matter to me if I am right or wrong, in denial, whatever. What matters is that we continue to seek recovery options. Why do they say that A.A. is our only option. Might have been true 100 years ago, not any more.
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said this on 19 Jul 2007 3:21:03 PM EDT
ambivalent AA member nearly 5 years. check your big book, guys: there is straight line from 'resentment' as the 'number one' destroyer of alcoholics to the state of 'spiritual disease' (chap. 5, p. 64). so the author is incorrect in describing the 12 step understanding of 'disease' to be purely (or even mostly) in physical terms, and a lot of the AA commenters are being disingenuous by pointing to the big book as 'proof' that the author is wrong or 'has no idea what he is talking about'.
AA's preamble suggests an 'open-arms' support group, while 'the program' encountered in meetings can be oppressively dogmatic & fatalist. that doesn't mean it doesn't work; it just suggests that the low 'success' rates (documented by AA itself) might have a little more to do with a lion's share of the organizations' members cleaving too closely to the religiosity (if non-denominational) of the early 'program' then in potential members' willingness to 'go to any lengths'. belief or faith in the supernatural is a pre-requisite for 'working' the 12 steps ("no human power could have relieved our alcoholism" -- suggesting that even the 'Group-Of-Drunks' or 'Good-Orderly-Direction' paradigms for god/higher power are, in the end, faulty and doomed to fail). being scientifically-minded, agnostic, or simply just interested in engaging the program as a simple support group can often be a very trying experience.
i have felt this discomfort personally. it is neither pleasant nor is it conducive to helping me stay sober a day at a time.
truly helping another alcoholic is helping another flesh and blood human being. it is not a matter of saving another's soul or bringing another's spirit in line with a higher power.
the whole initial point of the silkworth 'allergy' model was as a corrective to the widely held public belief that alcoholism was an individual moral failing -- a failure to exercise god-given 'free will' properly. cleaving to tightly to the strident religiosity inherent in the 12 step model sends the pendulum swinging in the other direction for far too many alcoholics (and drug addicts) if they politely refuse the 12 step model while remaining within AA. having been freed of the stigma of moral failing, they find themselves now implicitly carrying the label of 'spiritually' failing.
how on earth is that helping a fellow sufferer?
those who have found success and satisfaction using the 12 step model within AA need to open themselves to the idea that there is a virtual infinite space worth of solution between sobriety through step-work and "jails, institutions, and death" or the "hat's off" experiment.
just one man's opinion, but helping another alcoholic means being first and foremost another's friend. and friends allow each other to believe or disbelieve according to their own sense of 'rigorous honesty'. AA would do itself a world of good by embracing new methods, encouraging true openness to all things that might be of help.
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said this on 27 Jul 2007 10:04:27 PM EDT
I am hopeless. I am restless irittable and discontent unless i have a the feeling i get immediatly following a few drinks. I have a compulision of the body that i cannot control when i put alcohol into my body. I obsess about alcohol all the time when im not drinking. Psychic Change baby. IM not drinking. preettty werid word up brother hope it works.
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said this on 06 Aug 2007 11:22:36 AM EDT
"liquor is but a symptom" It has been through AA, and only through AA, that I have been able to identify the problem and then, address the problem. Sure, alternatives exist, but at just $1.00 per meeting, this is by far the best deal in town. But, if something else works for you, then go for it!
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said this on 28 Aug 2007 6:22:18 PM EDT
Family of 5 children, all under 4 when alcoholic father stopped drinking. Of those children- 3 are alcoholic and 1 is dry through choice because he's so scared of alcohol. How can you think it's not genetic? To encourage alcoholics to believe they can drink again seems misguided to the point of immorality. Would you suggest that an ex- heroin addict could "overcome his addiction" and take heroin again? Or that a person with nut allergy could wait a while and then eat nuts again? of course not. maybe a few of Dr Kern's patients were NOT actually alcoholic &7 so were able to drink again. I hope he is cautious in recommending this.
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said this on 26 Oct 2007 3:43:38 PM EDT
This is B.S. In my opinion, after being in AA for several years, I know how they feel. But the reasons they don't like AA is because they don't want to be an alcoholic, they think they can handle it. Of the hundreds of people I've met at meetings, the ones who work the program find that AA does work when you work it. If they're afraid or skeptical or they think it's a cult or they'll be brainwashed, they don't realize that nobody is going to MAKE THEM DO ANYTHING. AA changed my life; all kinds of people with high bottoms to low bottoms start identifying w/each other because we find there are others just like us. And it's really a lot of fun. You just have to keep going, or go to another group if you need to.
Thanks for letting me share. Rosharon B.
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said this on 29 Oct 2007 3:50:12 PM EDT
I am wondering the amount of time that Dr. Kern spent in the rooms of AA because there seems to be a lack of knowledge and understanding of the 12 step program. It is interesting because there are atheist and agnostic AA meetings. Thus, it is optional to believe in a higher power in AA. Furthermore, a belief in a higher power can be as simple as trusting another person or other people to help you to recover. The interesting thing is that Dr. Kern's clients are essentially putting their trust or "faith" into Dr. Kern. Perhaps, they do have some type of belief in a higher power??? Moreover, members of AA learn to empower themselves by recognizing one's powerlessness over their drinking (after all they probably wouldn't be in "AA meeting" if they could control it.) It is rather unfortunate that Dr. Kern misrepresents AA in this inaccurate and ill fashioned way.
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said this on 02 Feb 2008 3:38:54 AM EDT
It seems like everything is so black and white with AA. Either you're and alcoholic and this disease WILL KILL YOU, or you were never really a 'true alcoholic.' Either you 'completely give yourself to this simple spiritual, not religious, program' or this disease WILL KILL YOU. You have to completely surrender yourself, turning your will and your life over to the care of God as you understand him, or you're still in denial and you're going to die! You have to abstain from ALL mood/mind altering chemicals, and at some meetings they even argue that includes coffee and cigarettes (ridiculous) and if you don't, you're not working a solid program and you have to start back at step one. The hypocrisy bothers me too. They claim there is no requirement in any religion, and then they dedicate a whole damn chapter to say that only a vital spiritual experience can save a true alcoholic. And i haven't bothered counting how many times you'll find the word GOD in the book.
Its very frustrating, but there is a reason AA is the most accepted addiction treatment. It has its pros. Its really hard to find a place other than AA or NA where the room is full of people that know what you're going through, and are willing to do just about anything to help you (that is, if you find a good meeting). And the steps do help one grow spiritually, mentally, and emotionally, all the BS aside.
The main thing that bothers is that if you relapse, in the eyes of a hardcore AA, you just threw it all away. All your growth and all the sober days you've been counting (one at a time) is all out the window and you're back at day one and step one. I believe some people are problem users because of some specific tragic event or events, and run away from dealing with their problems with drinks and drugs. I believe that if those issues are dealt with through professional help, and new healthy coping mechanisms are learned, and there is some serious growth and change, that person might be able to have a couple beers during the game. But in the eyes of AA this is unacceptable, and the support is gone, and thats where the problem lies. In the extremeness. I would not say someone allergic to peanuts might be able to eat them after taking a break for a while, or that a heroine user might be able to use responsibly, but I think different people have different degrees of severity in their drug/drink problems, and the AA/NA way fails to see that in their 'our way or the highway TO HELL' approach. Its comforting to know there are other options.
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