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A 2012 report by the National Center on Addiction and Substance Abuse at Columbia University compared the current state of addiction medicine to general medicine in the early 1900s, when quacks worked alongside graduates of leading medical schools.
And according to AA doctrine, the failure was his alone. G., Alcoholics Anonymous says that person must be deeply flawed.
(The Columbia report notes that there may be additional doctors who have a subspecialty in addiction.) Most treatment providers carry the credential of addiction counselor or substance-abuse counselor, for which many states require little more than a high-school diploma or a GED. The report stated: “The vast majority of people in need of addiction treatment do not receive anything that approximates evidence-based care.”Alcoholics Anonymous was established in 1935, when knowledge of the brain was in its infancy.
It offers a single path to recovery: lifelong abstinence from alcohol.
The program instructs members to surrender their ego, accept that they are “powerless” over booze, make amends to those they’ve wronged, and pray.
Alcoholics Anonymous is famously difficult to study.
By the time he was a practicing defense attorney, J. (who asked to be identified only by his initials) sometimes drank almost a liter of Jameson in a day. He lived in Minnesota—the Land of 10,000 Rehabs, people there like to say—and he knew what to do: check himself into a facility.