A guide to understanging the twelve steps to counseling for counselors, therapists and recovering people
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Chapter 1
WHAT IS A TWELVE STEP PROGRAM?
This book describes the single, most effective program for the treatment of alcoholism. That program, of course, is Alcoholics Anonymous, best known as A.A. Alcoholics Anonymous is a worldwide fellowship of men and women who share their experience, strength, and hope with each other in an effort to recover from alcoholism. It is a voluntary fellowship. No one is forced to belong, but millions of voluntary members benefit greatly from their involvement. If you want to make Twelve Step programs work for you, you need to understand the fellowship of A.A. and how to work with it. This book is intended to help you do just that.
Many people find the miracle of sobriety by working the Twelve Steps. Since nothing else has worked for them, many believe that the Steps are mystical and magical, and, as a result, these same persons fail to search for and identify the underlying principles that make them work. Working the Steps can create the miracle of sobriety, but the miracle isn't magic. The miracle occurs because working the Twelve Steps allows people to use powerful principles of recovery. Those who are willing to dig beneath the surface and truly understand the principles upon which the Steps are based are better able to use the principles in their lives.
The primary purpose of A.A. is to help alcoholics stop drinking. It was never intended to be all things to all people; however, A.A. recognizes that the Twelve Steps can help people with other problems. Thus, it allows organizations such as Narcotics Anonymous, Cocaine Anonymous, Marijuana Anonymous, Overeaters Anonymous, and others to use its Steps and principles. These related fellowships are developing as separate organizations so that A.A. can keep its primary focus on helping alcoholics to stop drinking.
A.A. is based upon a program of Twelve Steps to recovery that act as a personal guide to sobriety, and Twelve Traditions that act as guiding principles or bylaws for A.A. as a whole. Knowledge of the Twelve Steps is of critical importance to all recovering people for two reasons: (1) The Steps work if you work them, and (2) Twelve Step programs are inexpensive and readily available in most communities. As a result, they are the most widely used lifeline for people recovering from chemical dependence, codependence, and other compulsive or addictive disorders.
A.A. AS A NONPROFESSIONAL GROUP
As a result of the Traditions, A.A. is and shall forever remain nonprofessional. There are no medical professionals, as such, involved in designing or running A.A. or other Twelve Step programs. Although medical professionals do join as members, they have no more or no less influence on the organization than other members. Twelve Step programs do not provide medical or psychiatric treatment or psychotherapy. If you are involved in any Twelve Step program that has a psychotherapist in charge who runs it like a therapy group, be cautious. You are probably not at a Twelve Step meeting. This situation rarely, if ever, occurs in A.A.; however, it does happen in some of the newer Twelve Step programs.
If you are attending a Twelve Step meeting that is run by a psychotherapist who individually counsels the members, it is not a Twelve Step meeting; it is a therapy group. It is important to learn the difference, because Twelve Step meetings are based on the Twelve Steps of A.A. and the leaders act in a nonprofessional role.
A.A. members help themselves and others to stay sober. Members can be assured that they are not going to be solicited for donations or asked to get involved in anything else. Individual members of A.A. do have the right to participate in any religion, political forum, or cause that they wish. There are no restrictions. But they are not allowed to present themselves as A.A. members or to bring the name of A.A. into any controversy.
LEVELS OF TWELVE STEP INVOLVEMENT
Nobody is forced to do anything in A.A. It is one of the few organizations I know that supports the inherent constitutional right to do what we want. There is no coercion to participate on any level. If you want to belong, that's fine. You are welcome to attend meetings and work the Steps. If you don't want to belong, that's also fine.
For most members, however, their involvement progresses through a number of levels. At the first level, they attend meetings. At the second, they read Twelve Step literature and discuss it with other members of the program. At the third level, they get a sponsor who can show them how the program works. At the fourth level, they start working the Twelve Steps. As members start to grow and change -- a result of attending meetings and working the Steps -- they are ready to move to a fifth level of involvement and begin sponsoring others. After they gain experience as sponsors, they are then ready for the sixth level of involvement, general service work, guided by A.A.'s Twelve Traditions, the set of principles that act as bylaws. General service work is designed to benefit A.A. as a whole. Notice the progression: Individuals help themselves first, then they help other people in the program, then they help the program as a whole. In summary, the levels of involvement are as follows:
1. Attending meetings
2. Reading and discussing A.A. literature
3. Getting a sponsor
4. Working the Twelve Steps
5. Sponsoring others
6. Service guided by the Traditions
Attending Meetings
You start working a Twelve Step program by regularly attending meetings. In A.A. it is said, "If you bring the body, the mind will follow," because the Twelve Step program rubs off on people if they hang around long enough. Attending meetings isn't a passive process. Working a program means you need to get actively involved, participating at the meetings you attend. The easiest way to take part is to say, "I pass" -- a perfectly acceptable remark. No one in a Twelve Step program is obligated to say more. Most people, however, want to say more because they find it both enjoyable and beneficial. The more open and honest your comments, the faster you get well.
There is a joke that asks, "What is the difference between a drunk and an alcoholic?" Answer: "A drunk doesn't have to go to meetings; an alcoholic does!" A.A. stresses the importance of attending meetings, especially during the first three months of sobriety. Many members suggest attending ninety meetings in ninety days. By doing "ninety in ninety," beginners receive an intense exposure to the Twelve Step program and the people who use it. The principle that underlies doing "ninety in ninety" is a simple one -- the more meetings you attend early on, the greater your chances of long-term recovery. There is no rule, of course, that you have to attend exactly ninety meetings in the first ninety days; go as often as your lifestyle allows. But keep in mind that the more meetings you attend, the faster you will get well.
Many members complain about having to attend meetings, but those who recover keep going even when they don't feel like it. You don't have to like going to meetings, you just have to keep going. Meetings are the lifeline to sobriety. When you attend meetings, you take a needed time-out from an alcohol- and drug-centered world and remind yourself that you are an alcoholic, cannot safely use alcohol and other drugs, and...
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