The 12-step recovery is based
on a 12-step program which was proposed by the group Alcoholic Anonymous (AA).
The program was proposed as a method of addiction recovery from alcoholism with
a significant measure of aftercare monitoring. In general, the program is
considered as a set of (spiritual) guiding principles which outline and
regulate the course of action (and measures) for addiction recovery from the
earliest stage of addiction, compulsion (and impulsive indulgences) and any
associated behavioral problems. The 12-step program is originally derived from
the work, Alcoholics Anonymous: The Story
of How More Than One Hundred Men Have Recovered from Alcoholism which was
published in 1939. It was the method described in this work that the group AA
would adapt and modify; and eventually found the 12-step program.
APA (American Psychological
Association) considers the 12-step recovery to involve the following. First of
all, one has to admit that he or she cannot control his or her addictions
and/or compulsions. Secondly, one has to recognize that there is a higher power
which provides strength. Thirdly, one has to examine the past and present
errors with the assistance of experienced members, and then make amends for the
identified errors. Moreover, one has to learn to accept and strive to change
his life by accepting another set of behavior. Lastly, one must help other
people who are suffering from similar addictions and compulsions.
The 12 step program has also
been used to adapt other 12 step methods which have been used to address
substance abuse dependency. The 12 step recovery has been adopted and is
currently being used by over 200 fellowships which have a collective membership
of millions. An example where the 12-step recovery has been used to manage an
alcohol-nonrelated substance abuse is Narcotics Anonymous which was created by
addicts who were dependent on drugs other than alcohol. Other similar drug
rehab fellowships include cocaine anonymous, marijuana anonymous, crystal meth
anonymous and pills anonymous. All these fellowships are characterized by the
unique principle of singleness of purpose.
Behavioral concerns such as
addictions or compulsions for sex, debting, food, hoarding, work and crime are
addressed in 12-step recovery fellowships such as overeaters anonymous, sexual
compulsives anonymous, gamblers anonymous, sex and love addicts anonymous,
clutterers anonymous, sexaholics anonymous, food addicts in recovery anonymous,
workaholics anonymous and debtors anonymous. Auxiliary groups for family
members and friends of people suffering from substance addiction include
fellowships such as Nar-Anon and Al-Anon. These auxiliary groups also act as
effective aftercare monitoring for the 12-step rehab that is enabled by working
family systems. CoDependents Anonymous is a unique fellowship which deals with
codependency and the related compulsions associated with relationships.
The original 12-steps that were
published by AA are described hereafter. First, the addicts admit that they are
powerless against alcohol addiction, and that this has made their lives
unmanageable. Secondly, the addicts accept that there is a supreme power that
can restore them to sanity (in this case, the supreme power is God). Thirdly,
the addicts decide to turn their wills and lives over to God, and live
according to the laws of God. Also, the addicts have to search for a fearless
moral inventory. Additionally, the addicts also admit to God, themselves and other
people the exact nature of their wrongs.
Other steps for the addicts
include being ready to seek the assistance of God, and also allow God to remove
all their character defects in their lives. The addicts should also ask God to
remove all their other shortcomings. The addicts are also required to make a
list of the names of all the people they have harmed, and also vow that they
are willing to make the necessary and appropriate amends to them. As such, the
addicts are required to make direct and necessary amends to those people they
have harmed whenever possible, with the exception being that such a person
would harm or injure the addict.
The other three steps involve
continued taking of personal inventory, and subsequent evaluation of such
inventory by the addict, and when he or she is on the wrong, he or she should
promptly admit it. The addicts should also seek conscious contact with the
Supreme Being through meditation and prayer as per His laws, with the focus
being praying for knowledge and understanding of His Will for their lives, and
also power to carry them through the drug rehab or addiction recovery. At the
end of all the aforementioned steps, the addict would have had a profound
spiritual awakening, and this point, the former addict is required to preach
this message to other addicts, and more importantly, practice the principles
learned in their lives.
Fellowships that have adopted
the 12-step program as their guiding principles have altered them, for
instance, to remove gender-biased language. Conventionally, the 12-step program
is accompanied by 12-traditions which provide guidelines for group governance
during the 12-step rehab, 12-step treatment and the 12-step recovery. The
traditions were developed by AA in order to avert or resolve conflicts in areas
of finance, publicity and religion. Most 12-step fellowships for addiction
recovery have adopted and also adapted the principles of the 12-traditions in
their structural governance framework for their addiction treatment or
addiction rehab center. The original 12-traditions that were developed by AA
are described below.
First of all, the common
welfare of the addicts is given supreme priority since personal recovery
depends on the unity of the fellowship. For the sake of group cohesion, there
is one ultimate authority, God, who can express Himself in the group
conscience, and as such the leaders are but only God’s trusted servants.
Thirdly, the sole requirement for membership into AA is the desire to quit
drinking alcohol. Additionally, each group is autonomous except in issues that
affect the whole AA fraternity. The group should also be totally neutral to
outside issues. Also, the public relations policy should be based on attraction
and not promotions in order to assure personal anonymity is maintained.
The purpose of a group
fellowship is to convey its message to the suffering addict. Also, the group
should never finance, endorse or lend their name or the fellowship’s name or
facility to unrelated outside parties as this is bound to create conflicts or
divert their attention. Each group must be self-sufficient, and it should also
decline outside contributions. Also, AA is and should be a non-professional
body though it is allowed to employ special workers in its facilities. A should
also never be organized though service committees and boards can be created as
appropriate. Finally, the spiritual foundation of anonymity is there to remind
the addicts of their principles, and the non-importance of personalities.
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