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Twelve-step program

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589:, though some patients did receive these medications. These medications are considered the standard of care in alcohol use disorder treatment among medical experts and have demonstrated efficacy in randomized-controlled trials in promoting alcohol abstinence. A systematic review published in 2017 found that twelve-step programs for reducing illicit drug use are neither better nor worse than other interventions, though the researchers behind the review noted the weakness of most of the studies analyzed, which may lead to interpretations of their results that did not accurately reflect the actual picture. 463:
the First Step of the life of the alcoholic or addict as "unmanageable" refers to the lack of choice that the mind of the addict or alcoholic affords concerning whether to drink or use again. The illness of the spiritual dimension, or "spiritual malady," is considered in all twelve-step groups to be self-centeredness. The process of working the steps is intended to replace self-centeredness with a growing moral consciousness and a willingness for self-sacrifice and unselfish constructive action. In twelve-step groups, this is known as a "spiritual awakening." This should not be confused with
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allergy-like bodily reaction resulting in the compulsion to continue using substances even when it's harmful or wanting to quit. The statement in the First Step that the individual is "powerless" over the substance-abuse related behavior at issue refers to the lack of control over this compulsion, which persists despite any negative consequences that may be endured as a result.
281:. In 1946 they formally established the twelve traditions to help deal with the issues of how various groups could relate and function as membership grew. The practice of remaining anonymous (using only one's first names) when interacting with the general public was published in the first edition of the AA Big Book. 553:
Alcoholics Anonymous is the largest of all of the twelve-step programs (from which all other twelve-step programs are derived), followed by Narcotics Anonymous; the majority of twelve-step members are recovering from addiction to alcohol or other drugs. The majority of twelve-step programs, however,
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In accordance with the First Step, twelve-step groups emphasize self-admission by members of the problem they are recovering from. It is in this spirit that members often identify themselves along with an admission of their problem, often as "Hi, I’m [first name only], and I’m an alcoholic".
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The mental obsession is described as the cognitive processes that cause the individual to repeat the compulsive behavior after some period of abstinence, either knowing that the result will be an inability to stop or operating under the delusion that the result will be different. The description in
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These observations would be academic and pointless if never took the first drink, thereby setting the terrible cycle in motion. Therefore, the main problem...centers in his mind....The fact is that most alcoholics...have lost the power of choice in drink...unable, at certain times, to bring into
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discussion and study, meditation, and writing. Completing the program usually implies competency to guide newcomers which is often encouraged. Sponsees typically do their Fifth Step, review their moral inventory written as part of the Fourth Step, with their sponsor. The Fifth Step, as well as the
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A study of sponsorship as practiced in Alcoholics Anonymous and Narcotics Anonymous found that providing direction and support to other alcoholics and addicts is associated with sustained abstinence for the sponsor, but suggested that there were few short-term benefits for the sponsee's one-year
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In the twelve-step program, the human structure is symbolically represented in three dimensions: physical, mental, and spiritual. The problems the groups deal with are understood to manifest themselves in each dimension. For addicts and alcoholics, the physical dimension is best described by the
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Sponsors share their experience, strength, and hope with their sponsees... A sponsor's role is not that of a legal adviser, a banker, a parent, a marriage counselor, or a social worker. Nor is a sponsor a therapist offering some sort of professional advice. A sponsor is simply another addict in
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A sponsor is a more experienced person in recovery who guides the less-experienced aspirant ("sponsee") through the program's twelve steps. New members in twelve-step programs are encouraged to secure a relationship with at least one sponsor who both has a sponsor and has taken the twelve steps
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The personal nature of the behavioral issues that lead to seeking help in twelve-step fellowships results in a strong relationship between sponsee and sponsor. As the relationship is based on spiritual principles, it is unique and not generally characterized as "friendship". Fundamentally, the
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As AA chapters were increasing in number during the 1930s and 1940s, the guiding principles were gradually defined as the Twelve Traditions. A singleness of purpose emerged as Tradition Five: "Each group has but one primary purpose—to carry its message to the alcoholic who still suffers".
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Where other twelve-step groups have adapted the AA steps as guiding principles, step one is generally updated to reflect the focus of recovery. For example, in Overeaters Anonymous, the first step reads, "We admitted we were powerless over compulsive overeating—that our lives had become
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Sponsors and sponsees participate in activities that lead to spiritual growth. Experiences in the program are often shared by outgoing members with incoming members. This rotation of experience is often considered to have a great spiritual reward. These may include practices such as
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The Twelve Traditions accompany the Twelve Steps. The Traditions provide guidelines for group governance. They were developed in AA in order to help resolve conflicts in the areas of publicity, politics, religion, and finances. Alcoholics Anonymous' Twelve Traditions are:
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Cheng, Hung-Yuan; McGuinness, Luke A; Elbers, Roy G; MacArthur, Georgina J; Taylor, Abigail; McAleenan, Alexandra; Dawson, Sarah; López-López, José A; Higgins, Julian P T; Cowlishaw, Sean; Lingford-Hughes, Anne; Hickman, Matthew; Kessler, David (November 25, 2020).
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studies have shown twelve-step programs provide similar benefit compared to motivational enhancement therapy (MET) and cognitive behavioral therapy (CBT), and were more effective in producing continuous abstinence and remission compared to these approaches.
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In the past, some medical professionals have criticized twelve-step programs as "a cult that relies on God as the mechanism of action" and as lacking any experimental evidence in favor of its efficacy. Ethical and operational issues had prevented robust
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Harris, J., Best, D., Gossop, M., Marshall, J., Man, L.-H., Manning, V.; et al. (March 2003). "Prior alcoholics anonymous (AA) affiliation and the acceptability of the twelve steps to patients entering UK statutory addiction treatment".
558:, assists family members and friends of people who have alcoholism and other addictions. About twenty percent of twelve-step programs are for substance addiction recovery, the other eighty percent address a variety of problems from 467:, which produces dramatic, but temporary, changes. As a rule, in twelve-step fellowships, spiritual awakening occurs slowly over a period of time, although there are exceptions where members experience a sudden spiritual awakening. 480:
themselves. Publications from twelve-step fellowships emphasize that sponsorship is a "one on one" nonhierarchical relationship of shared experiences focused on working the Twelve Steps. According to Narcotics Anonymous:
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An AA group ought never endorse, finance, or lend the AA name to any related facility or outside enterprise, lest problems of money, property, and prestige divert us from our primary purpose.
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sponsor has the single purpose of helping the sponsee recover from the behavioral problem that brought the sufferer into twelve-step work, which reflexively helps the sponsor recover.
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Morgenstern, J., Bux, D., Labouvie, E., Blanchard, K. A., & Morgan, T. J. (November 2002). "Examining mechanisms of action in 12-step treatment: The role of 12-step cognitions".
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For our group purpose there is but one ultimate authority—a loving God as He may express Himself in our group conscience. Our leaders are but trusted servants; they do not govern.
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who do not suffer from the specifics of alcoholism involved in AA hoping for recovery technically are not welcome in "closed" meetings unless they have a desire to stop drinking
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Crape, Byron L.; Latkin, Carl A.; Laris, Alexandra S.; Knowlton, Amy R. (February 2002). "The effects of sponsorship in 12-step treatment of injection drug users".
1731: 717:, replacing it with the deviant identity. Another study asserts that the prior cultural identity may not be replaced entirely, but rather members found adapted a 446:
Our public relations policy is based on attraction rather than promotion; we need always to maintain personal anonymity at the level of press, radio, and films.
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Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs.
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Coleman P (December 1, 2005). "Privilege and confidentiality in 12-step self-help programs. Believing the promises could be hazardous to an addict's freedom".
2373:"Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers" 1859: 3563: 1466:
consciousness with sufficient force the memory of the suffering and humiliation of a month or even a week ago. is without defense against the first drink.
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of Alcoholics Anonymous showed that participation in AA resulted in more alcoholics being abstinent from alcohol and for longer periods of time than
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Saulnier, Christine Flynn (1996). "Images of the Twelve-Step Model, and Sex and Love Addiction in an Alcohol Intervention Group for Black Women".
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Sias, S. M., & Goodwin, L. R. Jr. (April 2007). "Students' reactions to attending 12-step meetings: Implications for counselor education".
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Levinson, David (1983). "Current Status of the Field: An Anthropological Perspective on the Behavior Modification Treatment of Alcoholism".
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1953: ... this committee met regularly ... From the beginning ... 12 Steps ... 12 Traditions ... All Steps had 'We'
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problems, have been advised that they should alert their patients that, at any time, their statements made in meetings may be disclosed.
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from being conducted comparing twelve-step programs directly to other approaches. More recent studies employing non-randomized and
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AA, as such, ought never be organized; but we may create service boards or committees directly responsible to those they serve.
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The principles of AA have been used to form numerous other fellowships specifically designed for those recovering from various
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to improve our conscious contact with God, praying only for knowledge of His will for us and the power to carry that out.
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Anonymity is the spiritual foundation of all our traditions, ever reminding us to place principles before personalities.
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At some stage of his drinking career, he begins to lose all control of his liquor consumption, once he starts to drink.
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Levine, Betsy; Kellen, Bonnie (2000). "Chapter 18: Debtors Anonymous and Psychotherapy". In Benson, April Lane (ed.).
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Bøg, Martin; Filges, Trine; Brännström, Lars; Jørgensen, Anne-Marie Klint; Fredrikksson, Maja Karrman (January 2017).
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Alcoholics Anonymous has no opinion on outside issues; hence the AA name ought never be drawn into public controversy.
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Crnkovic, A. Elaine; DelCampo, Robert L. (March 1998). "A Systems Approach to the Treatment of Chemical Addiction".
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Alcoholics Anonymous should remain forever non-professional, but our service centers may employ special workers.
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Borman, P. D., & Dixon, D. N. (Fall 1998). "Spirituality and the 12 steps of substance abuse recovery".
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Ronel, Natti (2000). "From Self-Help to Professional Care: An Enhanced Application of the 12-Step Program".
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White, William L.; Kurtz, Ernest (2008). "Twelve Defining Moments in the History of Alcoholics Anonymous".
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The Efficacy of Overeaters Anonymous in Fostering Abstinence in Binge-Easting Disorder and Bulimia Nervosa
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Freimuth, M. (July 2000). "Integrating group psychotherapy and 12-step work: A collaborative approach".
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address illnesses other than substance addiction. For example, the third-largest twelve-step program,
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Made direct amends to such people wherever possible, except when to do so would injure them or others.
157:—with a worldwide membership of millions have adopted and adapted AA’s 12 Steps and 12 Traditions for 3731: 3661: 3613: 3573: 3453: 3307: 2147:. National Institute for Health and Care Excellence: Guidelines. British Psychological Society (UK). 730: 618: 610: 598: 243:(ACA or ACOA) addresses the effects of growing up in an alcoholic or otherwise dysfunctional family. 3083: 300:; each emphasizes recovery from the specific malady which brought the sufferer into the fellowship. 3414: 661:, however, and not legally mandated; there are no legal consequences to discourage those attending 313: 1825: 1632: 3869: 3716: 3706: 3684: 3098: 1916: 1216: 602: 270: 244: 35: 2567:
Wright, Kevin B. (1997). "Shared ideology in Alcoholics Anonymous: a grounded theory approach".
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Hayes, Terrell (February 2000). "Stigmatizing Indebtedness: Implications for Labeling Theory".
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Each group has but one primary purpose—to carry its message to the alcoholic who still suffers.
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Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism
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unmanageable." The third step is also sometimes altered to remove gender-specific pronouns.
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Genetics Behavioral Treatment Social Mediators and Prevention Current Concepts in Diagnosis
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Each group should be autonomous except in matters affecting other groups or AA as a whole.
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Demographic preferences related to the addicts' drug of choice has led to the creation of
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Kurtz, L. F., & Fisher, M. (May 2003). "Twelve-step recovery and community service".
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Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
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Simkin, D. R. (January 1996). "Twelve-step treatment from a development perspective".
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Sheehan, T. (2004). "Twelve Step Facilitation: A Necessary Treatment for Offenders".
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Alcoholics Anonymous (AA), the first twelve-step fellowship, was founded in 1935 by
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Continued to take personal inventory, and when we were wrong, promptly admitted it.
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Every AA group ought to be fully self-supporting, declining outside contributions.
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We admitted we were powerless over alcohol—that our lives had become unmanageable.
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The following are the original twelve steps as published by Alcoholics Anonymous:
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was formed by addicts who did not relate to the specifics of alcohol dependency.
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Kelly, John F; Abry, Alexandra; Ferri, Marica; Humphreys, Keith (July 6, 2020).
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Kurtz LF, Chambon A (1987). "Comparison of self-help groups for mental health".
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Came to believe that a power greater than ourselves could restore us to sanity.
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helping others who suffer from the same alcoholism, addictions, or compulsions.
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Our common welfare should come first; personal recovery depends upon AA unity.
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Lilienfeld, Scott O.; Lynn, Steven Jay; Lohr, Jeffrey; Tavris, Carol (2015).
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recovery who is willing to share his or her journey through the Twelve Steps.
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admitting that one cannot control one's alcoholism, addiction, or compulsion;
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Alexander, F.; Rollins, M. (1985). "Alcoholics Anonymous: the unseen cult".
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Alcoholics Anonymous as a Mutual-help Movement: A Study in Eight Societies
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Governing Wayward Consumers: Self-Change and Recovery in Debtors Anonymous
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Alcoholic thinking: Language, culture, and belief in Alcoholics Anonymous
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in the public media and members are also asked to respect each other's
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examining past errors with the help of a sponsor (experienced member);
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have been derived from AA's approach to address problems as varied as
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to whom confidentiality and privilege might apply. Professionals and
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Made a list of all persons we had harmed, and became willing to make
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The only requirement for AA membership is a desire to stop drinking.
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effects of twelve-step philosophy and labeled the organizations as
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Made a decision to turn our will and our lives over to the care of
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Bill W.: A Biography of Alcoholics Anonymous Cofounder Bill Wilson
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Several terms ending in "step" redirect here. For other uses, see
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Twelve-step methods have been adapted to address a wide range of
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I shop, therefore I am: compulsive buying and search for shelf
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National Collaborating Centre for Mental Health (UK) (2011).
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do not encompass those associations that lack a professional
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Marmor J (April 1, 1980). "Recent trends in psychotherapy".
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Were entirely ready to have God remove all these defects of
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Made a searching and fearless moral inventory of ourselves.
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problems. Over 200 mutual aid organizations—often known as
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Child and Adolescent Psychiatric Clinics of North America
2219:"Alcoholics Anonymous Effectiveness: Faith Meets Science" 2074: 903:(1). Springer Science + Business Media: 25–36. 346: 60:. Developed in the 1930s, the first twelve-step program, 2284: 2011:
Kelly, John F.; Humphreys, Keith; Ferri, Marica (2020).
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Alcoholics Anonymous World Services, Inc. Archived from
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learning to live a new life with a new code of behavior;
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from revealing information disclosed during meetings.
827:(4th ed.). Alcoholics Anonymous World Services. 277:, known to AA members as "Bill W." and "Dr. Bob", in 3564:
Community reinforcement approach and family training
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Lile, B. (2003). "Twelve step programs: An update".
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National Collaborating Centre for Mental Health (UK)
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Self-help groups for mental health § Criticism
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Effectiveness of self-help groups for mental health
1939: 1620: 1618: 857: 685:who refer patients to these groups, to avoid both 2294:(Second ed.). New York: The Guilford Press. 2280: 2278: 1110: 3841: 2288:Science and pseudoscience in clinical psychology 2178:"12-step programs for reducing illicit drug use" 2060:Frakt, Austin; Carroll, Aaron (March 11, 2020). 1547: 994: 992: 894: 3028:Journal of Addictions & Offender Counseling 2053: 2006: 2004: 2002: 1676: 1615: 248: 2484: 2482: 2275: 2132: 1650: 3099: 3061: 2839: 2525: 2434: 2432: 1834: 1724: 1702: 1059: 989: 849: 3053:: CS1 maint: multiple names: authors list ( 2985:: CS1 maint: multiple names: authors list ( 2911:: CS1 maint: multiple names: authors list ( 2831:: CS1 maint: multiple names: authors list ( 2760:International Journal of Group Psychotherapy 2756: 2725:: CS1 maint: multiple names: authors list ( 2595: 2471:: CS1 maint: multiple names: authors list ( 2210: 2059: 1999: 1335: 1333: 1331: 1295: 1293: 1176: 1150: 1085: 365:Humbly asked Him to remove our shortcomings. 48:programs supporting recovery from substance 2993: 2733: 2479: 1819: 1817: 1800:P-15 Questions & Answers on Sponsorship 1771:P-16 The A.A. Group ... where it all begins 931: 888: 109:(APA), the process involves the following: 3106: 3092: 2645:"Chapter 7: Language, Culture, and Belief" 2636: 2560: 2429: 2321: 1931: 1802:. Alcoholics Anonymous World Services, Inc 1773:. Alcoholics Anonymous World Services, Inc 1512: 1007:(6). Alcoholics Anonymous. November 1949. 2922:Addictive Disorders & Their Treatment 2857: 2681: 2488: 2412: 2364: 2315: 2258: 2193: 2115: 2036: 1874: 1840: 1588: 1495: 1471: 1342:The Journal of Applied Behavioral Science 1328: 1290: 1252: 1239:"The Twelve Steps of Marijuana Anonymous" 781: 27:Organizations for recovery from addiction 2919: 2601: 2216: 1970: 1964: 1814: 1793:"Questions & Answers on Sponsorship" 1518: 1205: 1104:About AA: A Newsletter for Professionals 1091: 1037:. Hazelden. February 2002. p. 150. 937: 607:Narcotics Anonymous § Controversies 2997:Journal of Forensic Psychology Practice 2655:: Greenwood Publishing Group. pp.  2017:Cochrane Database of Systematic Reviews 1562:. Alcoholics Anonymous World Services. 1258: 1231: 1116: 529:Effectiveness of Crystal Meth Anonymous 14: 3842: 2642: 2566: 1937: 1862:from the original on December 19, 2015 1027: 814: 792:: American Psychological Association. 325:List of Twelve Step alternate wordings 3087: 1594: 1554:Alcoholics Anonymous (June 1, 1976). 1477: 1434:Alcoholics Anonymous (June 1, 2001). 1391:Alcoholics Anonymous (June 1, 2001). 1339: 777: 775: 741:Effectiveness of Alcoholics Anonymous 713:and strips members of their previous 619:Sexaholics Anonymous § Criticism 611:Overeaters Anonymous § Criticism 599:Alcoholics Anonymous § Criticism 525:Effectiveness of Alcoholics Anonymous 208:are addressed in fellowships such as 2842:"The trials of Alcoholics Anonymous" 2692:Journal of Psychology & Theology 1824:Kriz, Kerri-Lynn Murphy (May 2002). 1823: 696: 541:Effectiveness of Neurotics Anonymous 537:Effectiveness of Narcotics Anonymous 400: 3777:Discrimination against drug addicts 2443:. Jason Aronson. pp. 431–454. 2217:Kaskutas, Lee Ann (April 2, 2009). 1556:"Appendix II. Spiritual Experience" 603:Gamblers Anonymous § Criticism 545:Effectiveness of Nicotine Anonymous 533:Effectiveness of Gamblers Anonymous 72:, aided its membership to overcome 24: 3639:Tobacco cessation clinics in India 3041:10.1002/j.2161-1874.2007.tb00025.x 2676: 1521:The American Journal of Psychiatry 1186:. January 13, 2006. Archived from 1035:Twelve Steps and Twelve Traditions 772: 756:Self-help groups for mental health 645:encourage members to practice the 636: 495:Ninth Step, have been compared to 107:American Psychological Association 25: 3881: 2324:Recent Developments in Alcoholism 1690:from the original on June 8, 2015 701:One review warned of detrimental 3824: 3823: 3702:Low-threshold treatment programs 3569:Motivational enhancement therapy 2934:10.1097/00132576-200302010-00004 2859:10.1111/j.1360-0443.2006.01447.x 1626:"Sponsorship Q&A (pamphlet)" 1436:"Chapter 2: There Is a Solution" 1393:"Chapter 2: There Is a Solution" 579:motivational enhancement therapy 518: 3782:Dopamine dysregulation syndrome 3772:Category:Vaccines against drugs 2569:Journal of Health Communication 2169: 1909: 1785: 1756: 1497:10.1590/S1413-73722004000300008 1427: 1384: 942:. Macmillan. pp. 161–162. 303: 265:History of Alcoholics Anonymous 126:making amends for these errors; 2773:10.1080/00207284.2000.11491011 2737:Alcoholism Treatment Quarterly 2029:10.1002/14651858.CD012880.pub2 964: 474: 13: 1: 3405:Adverse childhood experiences 3076:10.1016/S1056-4993(18)30391-2 2952:Journal of Studies on Alcohol 2799:Journal of Studies on Alcohol 2491:The Journal of Legal Medicine 2223:Journal of Addictive Diseases 1948:University of Wisconsin Press 1919:. Ncjrs.gov. February 1, 2002 1895:10.1016/S0376-8716(01)00175-2 1841:Morenberg, Adam (July 2004). 766: 78:dozens of other organizations 34:. For the hip hop album, see 3634:Nicotine replacement therapy 3619:Intensive outpatient program 3607:Residential treatment center 3547:Cognitive behavioral therapy 2612:10.1007/978-1-4613-3617-4_14 1270:(11). Alcoholics Anonymous. 856:Narcotics Anonymous (1987). 820: 785:APA dictionary of psychology 626:randomized controlled trials 592: 575:cognitive behavioral therapy 241:Adult Children of Alcoholics 7: 3232:Internet addiction disorder 2332:10.1007/978-0-387-77725-2_3 2182:Campbell Systematic Reviews 1883:Drug and Alcohol Dependence 1658:"NYCMA: What is a Sponsor?" 897:Contemporary Family Therapy 782:VandenBos, Gary R. (2007). 724: 515:sustained abstinence rate. 136: 10: 3886: 3667:List of twelve-step groups 2840:Humphreys, K. (May 2006). 2705:10.1177/009164719802600306 1985:10.1177/002204269602600107 1478:Roehe, Marcelo V. (2004). 1213:"The 12 Steps of Recovery" 938:Hartigan, Francis (2001). 859:"Chapter 8: We Do Recover" 751:List of twelve-step groups 596: 522: 453: 404: 328: 322: 307: 262: 258: 29: 3819: 3749: 3732:Supervised injection site 3675: 3662:Addiction recovery groups 3654: 3614:Heroin-assisted treatment 3592: 3574:Motivational interviewing 3537: 3516: 3503: 3428: 3397: 3388: 3257: 3184: 3138: 3129: 2503:10.1080/01947640500364713 2235:10.1080/10550880902772464 1119:"Chapter 5: How It Works" 999:"The Twelve Traditions". 731:Addiction recovery groups 275:Dr. Robert Holbrook Smith 237:enabled by family systems 227:Auxiliary groups such as 3415:Psychological dependence 3249:Digital media addictions 2965:10.15288/jsa.2002.63.665 2878:Health & Social Work 2811:10.15288/jsa.2003.64.257 1354:10.1177/0021886300361006 1302:Health & Social Work 314:Eighth Step Coffee House 3717:Needle exchange program 3707:Managed alcohol program 3685:Category:Harm reduction 2581:10.1080/108107397127806 1609:10.1525/si.2000.23.1.29 1184:"NA History Chronology" 1097:"Singleness of Purpose" 909:10.1023/A:1025084516633 245:Co-Dependents Anonymous 120:that can give strength; 116:coming to believe in a 36:12 Step Program (album) 3737:Tobacco harm reduction 3557:Contingency management 3524:Alcohol detoxification 3237:Internet sex addiction 2682:Scholarly publications 2534:California Sociologist 2389:10.1093/alcalc/agaa050 2377:Alcohol and Alcoholism 1973:Journal of Drug Issues 1938:Makela, Klaus (1996). 487: 174:Crystal Meth Anonymous 3799:Motivational salience 3727:Stimulant maintenance 3712:Moderation Management 3624:Methadone maintenance 3010:10.1300/J158v04n03_05 2750:10.1300/J020V14N03_08 2643:Wilcox, D.M. (1998). 1533:10.1176/ajp.137.4.409 1117:Bill W. (June 2001). 821:Bill W. (June 2001). 482: 323:Further information: 263:Further information: 105:As summarized by the 54:behavioral addictions 3850:Twelve-step programs 3722:Responsible drug use 3579:Motivational therapy 3244:Video game addiction 2891:10.1093/hsw/28.2.137 1712:. September 19, 2007 1686:. February 5, 2007. 1597:Symbolic Interaction 1584:on December 5, 2008. 1560:Alcoholics Anonymous 1484:Psicologia Em Estudo 1443:Alcoholics Anonymous 1400:Alcoholics Anonymous 1314:10.1093/hsw/12.4.275 1126:Alcoholics Anonymous 824:Alcoholics Anonymous 218:Sexaholics Anonymous 214:Overeaters Anonymous 62:Alcoholics Anonymous 42:Twelve-step programs 3860:Drug rehabilitation 3646:Twelve-step program 3529:Drug detoxification 3410:Physical dependence 1219:on November 5, 2012 1093:Vaillant, George E. 1073:on January 17, 2008 864:Narcotics Anonymous 746:Group psychotherapy 736:Drug rehabilitation 178:Marijuana Anonymous 163:Narcotics Anonymous 86:compulsive gambling 3804:Incentive salience 3792:Inhibitory control 3767:Category:Addiction 3757:Addiction medicine 3552:Relapse prevention 3489:Tanning dependence 2195:10.4073/csr.2017.2 2067:The New York Times 1264:The A.A. Grapevine 1164:on October 6, 2007 1001:The A.A. Grapevine 976:barefootsworld.net 972:"Barefoot's World" 663:twelve-step groups 657:. This is a group 630:quasi-experimental 318:Ninth Step Station 316:, and 210:Gamblers Anonymous 76:. Since that time 44:are international 3837: 3836: 3787:Cognitive control 3745: 3744: 3629:Smoking cessation 3584:Physical exercise 3499: 3498: 3485:Non-drug stimuli 3384: 3383: 3228:Internet-related 2621:978-1-4613-3619-8 2341:978-0-387-77724-5 2154:978-1-904671-26-8 2100:10.1136/bmj.m3934 1486:(in Portuguese). 1452:978-1-893007-16-1 1409:978-1-893007-16-1 1135:978-1-893007-16-1 1044:978-0-916856-01-4 834:978-1-893007-16-1 799:978-1-59147-380-0 715:cultural identity 697:Cultural identity 683:paraprofessionals 643:Twelve Traditions 407:Twelve Traditions 401:Twelve Traditions 222:Debtors Anonymous 170:Cocaine Anonymous 64:(AA), founded by 16:(Redirected from 3877: 3827: 3826: 3514: 3513: 3395: 3394: 3320:G9a-like protein 3136: 3135: 3108: 3101: 3094: 3085: 3084: 3079: 3058: 3052: 3044: 3021: 2990: 2984: 2976: 2945: 2916: 2910: 2902: 2871: 2861: 2836: 2830: 2822: 2792: 2753: 2730: 2724: 2716: 2671: 2670: 2640: 2634: 2633: 2599: 2593: 2592: 2564: 2558: 2557: 2529: 2523: 2522: 2486: 2477: 2476: 2470: 2462: 2436: 2427: 2426: 2416: 2368: 2362: 2361: 2319: 2313: 2312: 2310: 2308: 2293: 2282: 2273: 2272: 2262: 2214: 2208: 2207: 2197: 2173: 2167: 2166: 2136: 2130: 2129: 2119: 2078: 2072: 2071: 2057: 2051: 2050: 2040: 2008: 1997: 1996: 1968: 1962: 1961: 1945: 1935: 1929: 1928: 1926: 1924: 1913: 1907: 1906: 1878: 1872: 1871: 1869: 1867: 1849: 1838: 1832: 1831: 1821: 1812: 1811: 1809: 1807: 1797: 1789: 1783: 1782: 1780: 1778: 1768: 1760: 1754: 1753: 1751: 1749: 1743: 1736: 1728: 1722: 1721: 1719: 1717: 1706: 1700: 1699: 1697: 1695: 1680: 1674: 1673: 1671: 1669: 1664:on March 3, 2016 1654: 1648: 1647: 1645: 1643: 1637: 1630: 1622: 1613: 1612: 1592: 1586: 1585: 1580:. Archived from 1551: 1545: 1544: 1516: 1510: 1509: 1499: 1475: 1469: 1468: 1440: 1431: 1425: 1424: 1397: 1388: 1382: 1381: 1337: 1326: 1325: 1297: 1288: 1287: 1256: 1250: 1249: 1247: 1245: 1235: 1229: 1228: 1226: 1224: 1215:. Archived from 1209: 1203: 1202: 1197: 1195: 1190:on March 3, 2009 1180: 1174: 1173: 1171: 1169: 1154: 1148: 1147: 1123: 1114: 1108: 1107: 1101: 1089: 1083: 1082: 1080: 1078: 1063: 1057: 1056: 1031: 1025: 1024: 996: 987: 986: 984: 982: 968: 962: 961: 935: 929: 928: 892: 886: 885: 861: 853: 847: 846: 818: 812: 811: 788:(1st ed.). 779: 250: 21: 3885: 3884: 3880: 3879: 3878: 3876: 3875: 3874: 3840: 3839: 3838: 3833: 3815: 3811:Sober companion 3741: 3695:Reagent testing 3671: 3650: 3594: 3588: 3539: 3533: 3508: 3506: 3495: 3424: 3380: 3267:Transcriptional 3259: 3253: 3180: 3166:Methylphenidate 3161:Methamphetamine 3125: 3112: 3082: 3046: 3045: 2978: 2977: 2904: 2903: 2824: 2823: 2718: 2717: 2684: 2679: 2677:Further reading 2674: 2667: 2641: 2637: 2622: 2600: 2596: 2565: 2561: 2530: 2526: 2487: 2480: 2464: 2463: 2451: 2437: 2430: 2369: 2365: 2342: 2320: 2316: 2306: 2304: 2302: 2291: 2283: 2276: 2215: 2211: 2174: 2170: 2155: 2137: 2133: 2079: 2075: 2058: 2054: 2023:(3): CD012880. 2009: 2000: 1969: 1965: 1958: 1936: 1932: 1922: 1920: 1915: 1914: 1910: 1879: 1875: 1865: 1863: 1847: 1839: 1835: 1822: 1815: 1805: 1803: 1795: 1791: 1790: 1786: 1776: 1774: 1766: 1762: 1761: 1757: 1747: 1745: 1744:on June 8, 2009 1741: 1734: 1730: 1729: 1725: 1715: 1713: 1708: 1707: 1703: 1693: 1691: 1682: 1681: 1677: 1667: 1665: 1656: 1655: 1651: 1641: 1639: 1638:on May 15, 2024 1635: 1628: 1624: 1623: 1616: 1593: 1589: 1570: 1552: 1548: 1517: 1513: 1476: 1472: 1453: 1438: 1432: 1428: 1410: 1395: 1389: 1385: 1338: 1329: 1298: 1291: 1257: 1253: 1243: 1241: 1237: 1236: 1232: 1222: 1220: 1211: 1210: 1206: 1193: 1191: 1182: 1181: 1177: 1167: 1165: 1156: 1155: 1151: 1136: 1121: 1115: 1111: 1099: 1090: 1086: 1076: 1074: 1065: 1064: 1060: 1045: 1033: 1032: 1028: 998: 997: 990: 980: 978: 970: 969: 965: 950: 936: 932: 893: 889: 874: 854: 850: 835: 819: 815: 800: 780: 773: 769: 727: 699: 687:civil liability 655:confidentiality 639: 637:Confidentiality 621: 595: 571:Cochrane review 551: 521: 505:Michel Foucault 477: 456: 409: 403: 381:Sought through 333: 327: 321: 306: 267: 261: 200:, getting into 147:substance abuse 139: 39: 28: 23: 22: 15: 12: 11: 5: 3883: 3873: 3872: 3870:Support groups 3867: 3862: 3857: 3852: 3835: 3834: 3832: 3831: 3820: 3817: 3816: 3814: 3813: 3808: 3807: 3806: 3796: 3795: 3794: 3784: 3779: 3774: 3769: 3764: 3759: 3753: 3751: 3747: 3746: 3743: 3742: 3740: 3739: 3734: 3729: 3724: 3719: 3714: 3709: 3704: 3699: 3698: 3697: 3687: 3681: 3679: 3677:Harm reduction 3673: 3672: 3670: 3669: 3664: 3658: 3656: 3655:Support groups 3652: 3651: 3649: 3648: 3643: 3642: 3641: 3636: 3626: 3621: 3616: 3611: 3610: 3609: 3598: 3596: 3590: 3589: 3587: 3586: 3581: 3576: 3571: 3566: 3561: 3560: 3559: 3554: 3543: 3541: 3535: 3534: 3532: 3531: 3526: 3520: 3518: 3517:Detoxification 3511: 3501: 3500: 3497: 3496: 3494: 3493: 3492: 3491: 3483: 3482: 3481: 3476: 3471: 3466: 3461: 3456: 3454:Benzodiazepine 3451: 3446: 3441: 3432: 3430: 3426: 3425: 3423: 3422: 3417: 3412: 3407: 3401: 3399: 3392: 3386: 3385: 3382: 3381: 3379: 3378: 3377: 3376: 3373: 3368: 3363: 3358: 3353: 3348: 3343: 3336: 3329: 3322: 3317: 3304: 3303: 3302: 3301: 3296: 3291: 3286: 3281: 3276: 3263: 3261: 3255: 3254: 3252: 3251: 3246: 3241: 3240: 3239: 3234: 3226: 3225: 3224: 3219: 3211: 3209:Palatable food 3206: 3205: 3204: 3199: 3190: 3188: 3182: 3181: 3179: 3178: 3173: 3168: 3163: 3158: 3153: 3148: 3142: 3140: 3133: 3127: 3126: 3111: 3110: 3103: 3096: 3088: 3081: 3080: 3070:(1): 165–175. 3059: 3035:(2): 113–126. 3022: 2991: 2959:(6): 665–672. 2946: 2917: 2885:(2): 137–145. 2872: 2852:(5): 617–618. 2837: 2805:(2): 257–261. 2793: 2767:(3): 297–314. 2754: 2731: 2699:(3): 287–291. 2685: 2683: 2680: 2678: 2675: 2673: 2672: 2665: 2635: 2620: 2594: 2559: 2524: 2478: 2449: 2428: 2383:(6): 641–651. 2363: 2340: 2314: 2300: 2274: 2229:(2): 145–157. 2209: 2168: 2153: 2131: 2073: 2052: 1998: 1963: 1956: 1930: 1908: 1889:(3): 291–301. 1873: 1833: 1813: 1784: 1755: 1723: 1701: 1675: 1649: 1614: 1587: 1568: 1546: 1511: 1490:(3): 399–407. 1470: 1451: 1426: 1408: 1383: 1348:(1): 108–122. 1327: 1289: 1251: 1230: 1204: 1175: 1149: 1134: 1109: 1106:(Fall/Winter). 1084: 1058: 1043: 1026: 988: 963: 948: 930: 887: 872: 848: 833: 813: 798: 790:Washington, DC 770: 768: 765: 764: 763: 761:Recovery model 758: 753: 748: 743: 738: 733: 726: 723: 698: 695: 638: 635: 594: 591: 520: 517: 476: 473: 455: 452: 451: 450: 447: 444: 441: 438: 435: 432: 429: 426: 423: 420: 417: 405:Main article: 402: 399: 394: 393: 390: 379: 376: 373: 366: 363: 356: 353: 350: 343: 340: 331:The Fifth Step 305: 302: 285:Consequently, 260: 257: 138: 135: 134: 133: 130: 127: 124: 121: 114: 82:drug addiction 26: 9: 6: 4: 3: 2: 3882: 3871: 3868: 3866: 3863: 3861: 3858: 3856: 3855:Alcohol abuse 3853: 3851: 3848: 3847: 3845: 3830: 3822: 3821: 3818: 3812: 3809: 3805: 3802: 3801: 3800: 3797: 3793: 3790: 3789: 3788: 3785: 3783: 3780: 3778: 3775: 3773: 3770: 3768: 3765: 3763: 3760: 3758: 3755: 3754: 3752: 3748: 3738: 3735: 3733: 3730: 3728: 3725: 3723: 3720: 3718: 3715: 3713: 3710: 3708: 3705: 3703: 3700: 3696: 3693: 3692: 3691: 3690:Drug checking 3688: 3686: 3683: 3682: 3680: 3678: 3674: 3668: 3665: 3663: 3660: 3659: 3657: 3653: 3647: 3644: 3640: 3637: 3635: 3632: 3631: 3630: 3627: 3625: 3622: 3620: 3617: 3615: 3612: 3608: 3605: 3604: 3603: 3600: 3599: 3597: 3591: 3585: 3582: 3580: 3577: 3575: 3572: 3570: 3567: 3565: 3562: 3558: 3555: 3553: 3550: 3549: 3548: 3545: 3544: 3542: 3536: 3530: 3527: 3525: 3522: 3521: 3519: 3515: 3512: 3510: 3502: 3490: 3487: 3486: 3484: 3480: 3477: 3475: 3472: 3470: 3467: 3465: 3462: 3460: 3457: 3455: 3452: 3450: 3447: 3445: 3442: 3440: 3437: 3436: 3434: 3433: 3431: 3427: 3421: 3418: 3416: 3413: 3411: 3408: 3406: 3403: 3402: 3400: 3396: 3393: 3391: 3387: 3374: 3372: 3369: 3367: 3364: 3362: 3359: 3357: 3354: 3352: 3349: 3347: 3344: 3342: 3341: 3337: 3335: 3334: 3330: 3328: 3327: 3323: 3321: 3318: 3316: 3315: 3311: 3310: 3309: 3306: 3305: 3300: 3297: 3295: 3292: 3290: 3287: 3285: 3282: 3280: 3277: 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2668: 2666:0-275-96049-8 2662: 2658: 2654: 2650: 2646: 2639: 2631: 2627: 2623: 2617: 2613: 2609: 2605: 2598: 2590: 2586: 2582: 2578: 2574: 2570: 2563: 2555: 2551: 2547: 2543: 2539: 2535: 2528: 2520: 2516: 2512: 2508: 2504: 2500: 2497:(4): 435–74. 2496: 2492: 2485: 2483: 2474: 2468: 2460: 2456: 2452: 2446: 2442: 2435: 2433: 2424: 2420: 2415: 2410: 2406: 2402: 2398: 2394: 2390: 2386: 2382: 2378: 2374: 2367: 2359: 2355: 2351: 2347: 2343: 2337: 2333: 2329: 2325: 2318: 2303: 2301:9781462505814 2297: 2290: 2289: 2281: 2279: 2270: 2266: 2261: 2256: 2252: 2248: 2244: 2240: 2236: 2232: 2228: 2224: 2220: 2213: 2205: 2201: 2196: 2191: 2187: 2183: 2179: 2172: 2164: 2160: 2156: 2150: 2146: 2142: 2135: 2127: 2123: 2118: 2113: 2109: 2105: 2101: 2097: 2093: 2089: 2085: 2077: 2069: 2068: 2063: 2056: 2048: 2044: 2039: 2034: 2030: 2026: 2022: 2018: 2014: 2007: 2005: 2003: 1994: 1990: 1986: 1982: 1979:(1): 95–123. 1978: 1974: 1967: 1959: 1957:0-299-15004-6 1953: 1949: 1944: 1943: 1934: 1918: 1912: 1904: 1900: 1896: 1892: 1888: 1884: 1877: 1861: 1857: 1853: 1846: 1845: 1837: 1829: 1828: 1820: 1818: 1806:September 26, 1801: 1794: 1788: 1777:September 26, 1772: 1765: 1759: 1740: 1733: 1727: 1711: 1705: 1689: 1685: 1679: 1663: 1659: 1653: 1634: 1627: 1621: 1619: 1610: 1606: 1602: 1598: 1591: 1583: 1579: 1575: 1571: 1569:0-916856-59-3 1565: 1561: 1557: 1550: 1542: 1538: 1534: 1530: 1527:(4): 409–16. 1526: 1522: 1515: 1507: 1503: 1498: 1493: 1489: 1485: 1481: 1474: 1467: 1462: 1458: 1454: 1448: 1444: 1437: 1430: 1423: 1419: 1415: 1411: 1405: 1401: 1394: 1387: 1379: 1375: 1371: 1367: 1363: 1359: 1355: 1351: 1347: 1343: 1336: 1334: 1332: 1323: 1319: 1315: 1311: 1308:(4): 275–83. 1307: 1303: 1296: 1294: 1285: 1281: 1277: 1273: 1269: 1265: 1261: 1255: 1244:September 28, 1240: 1234: 1218: 1214: 1208: 1201: 1189: 1185: 1179: 1163: 1159: 1153: 1145: 1141: 1137: 1131: 1127: 1120: 1113: 1105: 1098: 1094: 1088: 1072: 1068: 1062: 1054: 1050: 1046: 1040: 1036: 1030: 1022: 1018: 1014: 1010: 1006: 1002: 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Index

Twelve Steps
Cxloe
12 Step Program (album)
mutual aid
addictions
behavioral addictions
compulsions
Alcoholics Anonymous
Bill Wilson
Bob Smith
alcoholism
dozens of other organizations
drug addiction
compulsive gambling
sex
overeating
Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism
American Psychological Association
Higher Power
alcoholism
substance abuse
dependency
fellowships
recovery
Narcotics Anonymous
Cocaine Anonymous
Crystal Meth Anonymous
Marijuana Anonymous
gambling
crime

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