Twelve-Step and Mutual-Help Programs for Addictive Disorders

Chappel, John N.; DuPont, Robert L.

doi:10.1016/s0193-953x(05)70085-x

Cited by 68 publications

(49 citation statements)

References 31 publications

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“…This one seemed like the exploration of a territory where extraordinary people lived, the survivors of life after drunk. After doing 12 Step, now working on mental part of the disease Looks to HP, meditates, looks forward to future bigger picture As noted in the literature review, lasting recovery comes more from practicing the AA program than mere meetings attendance [33]. Most important AA recovery behaviours involve working the steps [34] in which the centrality of the HP, even of God, cannot be avoided.…”

Section: Discussionmentioning

confidence: 99%

“…"When we developed still more, we discovered the best possible source of emotional stability to be God Himself." [19].…”

Section: Literature Reviewmentioning

confidence: 99%

“…The Big Book does not try to avoid the subject with atheists and agnostics: "if an alcoholic failed to perfect… his spiritual life…, he could not survive" [19]. An entire chapter, "We Agnostics" (2001, Chapter 4), is devoted to them.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Other times those prayers were used as needed: Alex applied the Serenity Prayer [19] to things he could change and things he couldn't in order to find the things he could work on and the things he couldn't. Another form of prayer -to find and do God's will -is the second part of Step 11: "... praying only for knowledge of His will for us and the power to carry that out".…”

Section: Power Of Meetings Includes Categories Ofmentioning

confidence: 99%

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AA Members Understandings of the Higher Power (HP) A Qualitative Study

Arnaud¹

2015

J Addict Res Ther

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Section: Discussionmentioning

confidence: 99%

“…"When we developed still more, we discovered the best possible source of emotional stability to be God Himself." [19].…”

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Power Of Meetings Includes Categories Ofmentioning

confidence: 99%

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AA Members Understandings of the Higher Power (HP) A Qualitative Study

Arnaud¹

2015

J Addict Res Ther

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“…The spiritual dimension of 12-step recovery is among its most controversial aspects of and an obstacle to 12-step attendance for some (Chappel and DuPont, 1999;Klaw and Humphreys, 2000;Laudet, 2000); participants in the two study groups were compared on this dimension using the relevant subscale of the Addiction Treatment Questionnaire ( …”

Section: Embracement Of Higher Powermentioning

confidence: 99%

An Exploration of the Effect of On-Site 12-Step Meetings on Post-Treatment Outcomes among Polysubstance-Dependent Outpatient Clients

Laudet

Stanick²,

Sands

2007

Eval Rev

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Rates of return to active substance use after addiction treatment tend to be high; participation in 12-step fellowships (e.g., Alcoholics Anonymous) reduces relapse rates but many clients do not attend or attend for a short period only. This quasi-experimental study uses repeated measurement to explore the role of presence/absence of onsite 12-step meetings during treatment on post-treatment outcomes. Polysubstance-dependent clients (N = 219) recruited at a program with and one without 12-step onsite, were followed for one year post-treatment. Onsite 12-step enhanced 12-step attendance, especially during treatment, and predicted continuous abstinence for the post treatment year. Holding 12-step meetings onsite is a low-cost strategy that programs should consider to foster post-treatment remission maintenance. Keywords 12-step; treatment; recovery; self-helpSubstance use disorders (SUD) are conceptualized as chronic (e.g., McLellan, Lewis, O'Brien, C., and Kleber, 2000); the chronicity of SUD is empirically supported by findings on addiction and treatment 'career' indicating that most SUD-affected individuals, especially those with severe dependence, make multiple attempts at remission often involving several treatment episodes prior to resolving their alcohol or drug dependence (e.g., Dennis, Scott, Funk, and Foss, 2005;Hser, Anglin, Grella, Longshore and Prendergast, 1997; Laudet, Stanick, Carway, and Sands, 2004). Because of the multiple costs of long chronic addiction 'careers' that include the acquisition/transmission of infectious diseases (e.g., HIV, HepC), deterioration in mental and physical health and other functioning impairments (e.g., Smith and Larson, 2003), it is critical to identify strategies that contribute to sustaining remission, thus shortening addition careers and resulting nefarious effects to the individual and to society. A number of therapeutic modalities have proven effective at addressing drug and alcohol dependence and improving related functioning but treatment gains are often short lived (Hser, Grella, Hsieh and Anglin, 1999). Participation in post-treatment 'stepped down' continuing (or after) care is associated with sustained treatment gains (McKay, Alterman, Cacciola, Rutherford and O'Brien, 1997;Mckay 2001). In the currently austere fiscal context of health services provision, few drug and alcohol treatment programs offer continuing care, NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript especially following outpatient treatment, the most prevalent treatment modality in the US. Twelve-step fellowships such as Alcoholics and Narcotics Anonymous are the most frequently used form of aftercare in the United States (Tonigan, Toscova, and Miller, 1996). Twelve-step fellowships are particularly well-suited to provide ongoing recovery support from chronic substance abuse and dependence because, unlike formal services that are limited in time, these groups are widely and consistently available throughout the US and free of charge. As with treatment, 12-st...

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A 28-Year-Old Man Addicted to Cocaine

Hyman¹

2001

JAMA

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DR REYNOLDS: Mr R is a healthy 28-year-old man with a 4-year history of cocaine addiction. He lives in Boston with his girlfriend. He has Massachusetts free care insurance coverage and sees his primary care physician, Dr B, at Beth Israel Deaconess Medical Center.About 4 years ago at a party, Mr R first tried cocaine intranasally. Although he did not seek out more cocaine, about 6 months later, he smoked some cocaine. He has been pursuing smoked cocaine, or crack, ever since. He began using crack several times a day, subsequently losing jobs, apartments, and relationships. He stole a car from his family and money from his friends.Family and friends have tried to help Mr R. He has been in 2 inpatient treatment programs, first referred by his brother and then by his parents. He stayed for 5 months of a 6-month program, finding its 12-step approach helpful. For about 6 weeks after leaving the program he stayed clean, but one evening gave in to a craving and again started smoking crack. His family disowned him, and he and his girlfriend, who worked at the inpatient treatment center, moved to Boston.In Boston, Mr R initially was sober for 6 weeks, but has since continued to smoke crack. In the summer of 2000, he came to Beth Israel Deaconess Medical Center requesting treatment. Mr R is enrolled in individual counseling with a social worker and in a weekly group for patients with substance abuse. He has also seen a psychiatrist in consultation. Mr R goes on a "binge" about once every 7 to 10 days, using crack for approximately 24 straight hours. Although his girlfriend holds most of his money, he retains some and panhandles for cash during binges.Recently, Mr R was admitted to the hospital for cocainerelated chest pain; he had not had a myocardial infarction (MI). In the past, he fractured his right femur and left clavicle in a motor vehicle crash. He once had a kidney stone. Tests for antibodies to human immunodeficiency virus and hepatitis C were negative.His family history is significant for cancer of unknown type in his father. His mother is an alcoholic who has been sober for the past 20 years.Mr R does not take medications. His psychiatrist recommended that he try gabapentin to curb his cravings, but this medication is not covered by Massachusetts free care insurance. He has applied for further medical assistance, which would make him eligible for a more intensive, outpatient, nightly treatment program and for gabapentin.Mr R wonders if any medications or other treatments might help him achieve his goal of abstinence, marriage, and financial security.

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Twelve-Step and Mutual-Help Programs for Addictive Disorders

Cited by 68 publications

References 31 publications

AA Members Understandings of the Higher Power (HP) A Qualitative Study

AA Members Understandings of the Higher Power (HP) A Qualitative Study

An Exploration of the Effect of On-Site 12-Step Meetings on Post-Treatment Outcomes among Polysubstance-Dependent Outpatient Clients

A 28-Year-Old Man Addicted to Cocaine

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