In the following article by Paul Toth the disease theory and the AA recovery model is examined. He does a great job in evaluating the inconsistencies between the two.
Why would a disease which is of no fault of the infected be "treated" by acknowledging and discussing one's character defects?
Furthermore, Toth shows how step work and Alcoholics Anonymous further stigmatizes alcoholics by having them participate in the self analysis of one's wrong doings. When a member of the program is encouraged to "fake it" (recovery) and give all credit to AA (membership and God), they are actually claiming that step work has saved them from the disease. This therefore is an "admittance" that working on their character defects has relieved them of their symptoms, thus promoting the stigma of drinkers being "bad" and "irresponsible" drunks.
"While nearly every therapist, psychologist, psychiatrist, and physician in the United States accepts the disease model of alcoholism and other addictions, they almost-uniformly refer every one of their patients to AA as the one and only road to recovery. Remember that these professionals have, as part of their acceptance of the disease model, obviously concluded that diseases are not caused by “character defects.”
But at the same time, in its primary document (the Twelve Steps), AA members “must” (of course they can ignore it, but no reason to attend AA exists in that case) accept the 6th Step, i.e, being “entirely ready to have God remove all these defects of character”
This raises two points, the first being the most important.
(1) Because almost all therapists, psychologists, psychiatrists, and physicians accept the disease model of alcoholism, they also by default accept that a disease does not result from “character defects.” However, the only “treatment” they offer is referral to AA, which, while paying lip service to the disease model, clearly views alcoholism as the result of “character defects,” otherwise known as a “sinful nature.” Such “treatment” negates the very essence of the treatment community’s own diagnosis. That’s precisely parallel to a physician who knows the use of shark cartilage as a cancer treatment goes against everything he believes about the disease of cancer, but he still points every cancer patient to shark cartilage as the only treatment that “works.”
(2) Because AA accepts the disease theory of alcoholism, at least on the surface, its own 6th Step repudiates the definition of alcoholism as a disease and AA as a coherent “philosophy.” AA inculcates the idea of alcoholism as the result of “character defects,” the very idea Jellinek, the founder of the disease model, disputed. Thus, AA is entirely based upon a “sin and redemption” approach. While it may work for some, it is, without question, a faith-based organization, as both the Twelve Steps and the fact that, at least in my experience, every AA meeting ends with the specifically-Christian Lord’s Prayer and the Serenity Prayer (“God grant me the wisdom…”) attest.
In conclusion, given the treatment community’s ubiquitous acceptance of alcoholism as a disease and acceptance of AA as the sole recovery model for alcoholic patients despite AA’s insistence that alcohol is the result of “character defects,” the entire psychological, psychiatric and medical communities are not only complicit in the inevitable relapse of patients but engaging in nationwide malpractice."
Alcoholism, AA and the Medical Industry: Nationwide Malpractice
http://www.thenervousbreakdown.com/pato ... lpractice/
Comments
Pennywise
Sun, 07/08/2012 - 16:18
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Ironically, the author
Ironically, the author describes why the AA recovery model is NOT malpractice right here:
"However, the only “treatment” they offer is referral to AA..."
And right here:
"...given the treatment community’s ubiquitous acceptance of alcoholism as a disease and acceptance of AA as the sole recovery model for alcoholic patients"
"Hokey religions and ancient weapons are no match for a good blaster at your side, kid."
JR Harris
Sun, 07/08/2012 - 16:18
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Could this be considered the "catch 22" of the AA faith?
As people that have been studying the AA faith know, the apologetic evangelists of the AA faith built in a "catch 22" in all of their scripture. Is this another one of those "loopholes?"
"Tradition 10 - Alcoholics Anonymous has no opinion on outside issues; hence the AA name ought never be drawn into public controversy." Please follow orders from the Interchurch Center if you are an AA member and don't comment.
becket
Mon, 07/09/2012 - 12:44
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"AA’s insistence that alcohol
"AA’s insistence that alcohol is the result of 'character defects,' . . . " This is just wrong on multiple levels. AA does not insist that alcohol is the result of "character defects" - it fully acknowledges that alcohol is produced by breweries, wineries and distilleries through fermentation of fruits or grains. Anyone who believes alcohol comes from "character defects" should immediately seek help through a qualified mental health practitioner. The only thing I remember AA insisting on is that we enjoy life.
What else is goofy with this article?
“The essence of the independent mind lies not in what it thinks, but in how it thinks.”
― Christopher Hitchens, Letters to a Young Contrarian
DeConstructor
Sun, 07/08/2012 - 16:19
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I would disagree that these professionals actually support
the faulty 'disease' model.
I think it is another faith promoting rumor of AA and makes the recovery industry billable, yet I have seen at least one study that concludes the disease model has little support by practicing physicians.
avogadno
Sun, 07/08/2012 - 16:41
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I've also read that many
I've also read that many doctors don't support the disease theory. In fact, most don't have any training in addictions. That is optional in med school. In one of my rehab groups a future md was sitting in to help fullfil a requirement for this option. He told us that they can also use open AA meetings for the option too. Crazy that they are allowing AA to teach them about addiction. Same with future therapists.
Pro Empowerment!
Truth about AA: http://orange-papers.org/menu1.html
Expose AA: http://www.expaa.org/
Pennywise
Sun, 07/08/2012 - 16:51
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In conclusion, given the
In conclusion, given the treatment community’s ubiquitous acceptance of alcoholism as a disease and acceptance of AA as the sole recovery model for alcoholic patients despite AA’s insistence that alcohol is the result of “character defects,” the entire psychological, psychiatric and medical communities are not only complicit in the inevitable relapse of patients but engaging in nationwide malpractice."
From a legal perspective, this whole sentence is contradictory. Specifically, if sending patients to AA is a widely accepted custom in the profession, then it is going to be incredibly difficult to show that the professional failed to meet the professional standard of care in the medical community.
"Hokey religions and ancient weapons are no match for a good blaster at your side, kid."
JR Harris
Sun, 07/08/2012 - 16:34
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Maybe we are trying to tackle the problem wrong, loopholes
Maybe we are trying to tackle the problem of Alcoholics Anonymous wrong, maybe we should be focusing on exposing the loopholes that the AA faith uses? There are more than enough verifiable stories of how AA escaped liability by the loopholes in the "literature" of Bill Wilson.
"Tradition 10 - Alcoholics Anonymous has no opinion on outside issues; hence the AA name ought never be drawn into public controversy." Please follow orders from the Interchurch Center if you are an AA member and don't comment.
Pennywise
Sun, 07/08/2012 - 16:58
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There are more than enough
There are more than enough verifiable stories of how AA escaped liability by the loopholes in the "literature" of Bill Wilson.
J.R., do you have an example of this? I'm not sure how the literature of Bill Wilson could be used to escape legal liablity, unless perhaps if it was some type of intellectual property case.
"Hokey religions and ancient weapons are no match for a good blaster at your side, kid."
JR Harris
Sun, 07/08/2012 - 17:11
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The suggestion loophole, make everything a suggestion to avoid..
The suggestion loophole, make everything a suggestion to avoid accountability. The difference between "De Jure" and "De facto" in legal terms.....
"these are only suggestions", "Rarely have we seen a person fail who has thoroughly followed our path", "We suggest you draw the book to the attention of the doctor who is to attend your patient during treatment", "We intend the foregoing as a helpful suggestion only","Yet, we believe we can make some definite and valuable suggestions", "There is every evidence that women regain their health as readily as men if they try our suggestions.","To return to the subject matter of this book: It contains full suggestions by which the employee may solve his problem."
"Tradition 10 - Alcoholics Anonymous has no opinion on outside issues; hence the AA name ought never be drawn into public controversy." Please follow orders from the Interchurch Center if you are an AA member and don't comment.
Pennywise
Sun, 07/08/2012 - 17:15
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But if the suggestions in the
But if the suggestions in the Big Book (Book of Shadows) were couched as commands, how would that affect legal liability? Has a case ever been brought against AA where a judge denied liability on the ground that the statements in the Big Book are mere suggestions?
"Hokey religions and ancient weapons are no match for a good blaster at your side, kid."
Pennywise
Sun, 07/08/2012 - 17:20
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Or perhaps you are not
Or perhaps you are not talking about legal liablity, but rather some other type of liability (e.g. moral culpability)?
"Hokey religions and ancient weapons are no match for a good blaster at your side, kid."
JR Harris
Sun, 07/08/2012 - 17:24
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Call the members of the AA faith on every loophole they have
The Alcoholics Anonymous "it's only a suggestion" loophole
The Alcoholics Anonymous "try another meeting" loophole
The Alcoholics Anonymous "you didn't try hard enough" loophole
The Alcoholics Anonymous "it doesn't happen in my group" loophole
The Alcoholics Anonymous "your not a REAL Alcoholic" loophole
The Alcoholics Anonymous " You're a dry drunk" loophole
etc.....
True it might not get into the court systems right away, but call the AA evangelists on every loophole they attempt online. Get the word out so that everyone identifies the tactics as a loophole and change public opinion. Perception is reality, change the perception of these loopholes and reality is soon to follow. It won't happen overnight, we have 75+ years of having these loopholes pulled on us to erase.
"Tradition 10 - Alcoholics Anonymous has no opinion on outside issues; hence the AA name ought never be drawn into public controversy." Please follow orders from the Interchurch Center if you are an AA member and don't comment.
Pennywise
Sun, 07/08/2012 - 17:32
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Agreed! As they say n the
Agreed! As they say in the rooms, if you are skydiving, it is only a suggestion that you pull the parachute chord!
"Hokey religions and ancient weapons are no match for a good blaster at your side, kid."
Clara
Mon, 07/09/2012 - 08:43
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Perhaps you should ask Patti,
Perhaps you should ask Patti, whose initial posts were all about how easy it is to bring a suit against AA and WIN because they don't want publicity.
IMO, everything about AA is free will and "suggestive" so I would imagine that nothing would get very far...
Remember Christopher Stevens when you vote.
steve cochrane
Sun, 07/08/2012 - 19:45
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You know Penny
I really dig your posts most times. But FUCK the legal perspective. For once will ya?? You must understand by now that sending 'patients' to any AA based facility or AA groups is just a holding pen for them. They do not understand this behaviour AND do not much care because they see too many of us. A ll that they DO know is that they have a steady supply of income. Don't think for one minute that behind closed doors,coupled with a few drinks that they don't realize how fortunate they are. The problem with the recovery industry is that along with most things in our society we do not have any moral compass. The standards that our society sets. What is important? Materialism,fame, perfect looks, not too fat, not too skinny, whitest teeth, no wrinkles, big butt, little butt, too tall, too short etc. Always tell the truth. Till death do us part, respect your elders, don't steal, turn the other cheek. I'm sure that everyone could add a few more. WE are the cause of these behaviours. All of us. WE judge. Constantly. To what end? And who is it that is judging? Are the same standards applied today as they were 100 years ago? 200 years ago? etc. Human beings try to live up to these standards but we ,or others cannot. Why? Why not? Human beings have been shifting their realities for eons. Apparently the bar is set too high because nobody can adhere to these rules of conduct. It is no surprise that people want to get fucked up. NOW its a sickness,a disease something abhorrent. Something to be treated by a 'professional' and under his or her direction. Someone with a PhD,MD attached to their names. That is their profession not who they are. They are human beings just like you and me .Studying does not guarantee wisdom only rote experience within a certain discipline. The abuse of alcohol is NOT a disease!!!! Neither is nose picking, Go ahead gang add a few. Seriously Penny. I mean seriously. As soon as we treat each other better,love each other more,we will see less and less of the issues that we discuss on this forum. Please Penny don't pick 'everything' apart. Have pity on this po boy. Peace my Brother :)
becket
Mon, 07/09/2012 - 12:25
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"As soon as we treat each
"As soon as we treat each other better,love each other more,we will see less and less of the issues that we discuss on this forum."
Yes, steve, I've certainly experienced excellent treatment from you, and genuine love . . .
“The essence of the independent mind lies not in what it thinks, but in how it thinks.”
― Christopher Hitchens, Letters to a Young Contrarian
Conan
Sun, 07/08/2012 - 16:32
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Conan paging Koonan!!! Come
Conan paging Koonan!!! Come back to are fellowship! Gotta go I need to put the trace on!!! Ect. ect.
Danny is currently "Rachel" - watch out folks, he's learned how to use a spell checker...lol
DeConstructor
Sun, 07/08/2012 - 16:34
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I think malpractice could only be achieved
after a predatory incident, after a health care professional was verifiably informed of the dangers of predators hunting in the rooms and failing to warn the patient of such dangers.
I do not think it is malpractice for the medical industry to recommend AA, I think it is actually the common practice.
Hopefully our actions will start to change sociey's view of that.
Pennywise
Sun, 07/08/2012 - 19:48
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I do not think it is
I do not think it is malpractice for the medical industry to recommend AA, I think it is actually the common practice.
EXACTLY! And therein lies the problem of proving medical malpractice. If the professional can show that he adhered to standard custom in the field, it is highly unlikely that a plaintiff can show malpractice. Regrettably, as you and the author of the article said, sending patients to AA seems to be standard practice.
"Hokey religions and ancient weapons are no match for a good blaster at your side, kid."
DeConstructor
Sun, 07/08/2012 - 16:50
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Here is a really good article on the subject
http://www.baldwinresearch.com/alcoholism.cfm
istj04
Sun, 07/08/2012 - 17:17
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Getting the "disease" endorsement REPEALED?
Anyone have any idea what it would take to get REPEALED the "endorsement" from the 1960's that the AMA made of "alcoholism" being a "disease"? THAT would be a good start. Getting the AMA to say what a damned "disease" IS, would help also (and thus PROVE how this bullshit condition called "alcoholism" DOES NOT MEET "disease" criteria!).
Persephone In Exile
Sun, 07/08/2012 - 17:21
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Not sure, but please tack
Not sure, but please tack addiction onto that as well.
http://badrecovery.blogspot.com/
Pennywise
Sun, 07/08/2012 - 17:34
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Istjo4,
Istjo4,
If you could find a way for the political hacks on the medical boards to cash in on it, I'm sure you could get them to repeal the disease classification.
"Hokey religions and ancient weapons are no match for a good blaster at your side, kid."
DeConstructor
Sun, 07/08/2012 - 17:49
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the disease declaration is the basis for billing
for a 20 billion dollar a year industry. (to put that in perspective Hollywood box office receipts last year were 16 billion) the disease declaration will stay.
I think a better route is to be confrontational with the evangelists of the world. Watch some Hitchens videos on youtube and learn.
alkieanon
Sun, 07/08/2012 - 20:38
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http://www.thenervousbreakdown.com/pato