• Powderhorn@beehaw.org
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      6 days ago

      That has no bearing on how meetings are conducted, though. Most are held in Protestant churches, and while AA claims to be agnostic, “Let go and let god” is shockingly frequent advice. The whole premise of the 12 Steps is that you can’t get out the other end without finding religion.

      Sure, they say “higher power” is individually defined, which looks great on paper. How it plays out is another story. Sponsors frequently insist on church attendance as a prerequisite for their assistance. AA plays a good game of pretending to be something it isn’t, which is easy enough to believe if you’ve never seen what the organization actually encourages on the ground.

      Then there’s the effectiveness … longitudinal studies have been all over the map on this for decades. AA itself and the for-profit treatment community that needs relapses to stay profitable cherry-pick the flattering ones (and from there, one needs to drill down to find out where funding for the study came from to ascertain bias), while those are far from the only ones.

      Given the current state of web search, those float to the top (even on DDG – I just did a search, and while one cited the 5%-12% success rate after a few years from a mid-aughts NIH study I remember, most cite somewhere on the order of 50%) while burying conflicting evidence.

      It is straight out a cult. I was told by several people that the only way to stay sober was to go to a meeting at least once a day, seven days a week. So now you have a meeting addiction instead of an alcohol one and immerse yourself in the belief that one missed meeting will find you dead in a ditch. “Do as told or die” isn’t a support network.