labrador
a month ago
> Although most people profess to want to change at least one aspect of their personality, those who will put the effort in are surely far fewer
Many people in Alcoholics Anonymous don't actually do the 12 steps as designed by Bill Wilson. They don't understand that it's a piece of spiritual technology designed to produce a spiritual awakening and a reorganization of personality. I've met many people who have become better people through the 12 steps.
I've rewritten them here to give a basic outline and remove any mention of a theistic god. I am not a professional so please forgive me if I've over-simplified or got something wrong. This is how it worked for me at a basic level.
1 - Take a look and see if you have a problem. Admit you have a problem if you have one. You can't fix a problem you refuse to recognize.
2 - Recognize you've tried to solve it by yourself and have failed. You need help from others.
3 - Humble yourself enough to ask for help and be ready to follow direction
4 - List all the complaints people have about you and analyze what you might be doing wrong
5 - Share your failings, no matter how embarrassing, with a trusted other on the principle that confession is good for the soul and sunlight is the best disinfectant
6 - Ask yourself if you're really willing to change. That's not a given. Maybe you aren't.
7 - If you are then do what it takes to change. This is going to be different for everyone.
8 - Look at step 4 and see who you need to apologize to
9 - When you feel you are ready and sufficiently reformed, apologize and make restitution to those on the list you made in step 8. To those that aren't willing to talk, let it go and don't bother them.
10 - Make it a practice to do steps 4 through 9 as needed. We believe in progress not perfection.
11 - We need to remind ourselves daily that we have a problem that we can't solve alone and that we may need the help of others on any given day. I've heard it called a disease of forgetfulness. We may need to wake up in the morning to read and pray if so inclined. As one person told me, "carve out a little piece of each day for the 12 steps"
12 - Carry this message to others who are still suffering
tejohnso
a month ago
Nice summary. Can you explain why someone who has "recovered" and is no longer suffering the ruinous effects of alcohol in their life still considered an alcoholic? I heard someone on the radio today say that they are an alcoholic, but in the same sentence said they were 30 years sober, which seemed like a massive contradiction to me. I don't think it was a mistaken use of present tense. I've heard similar statements from others.
texasbigdata
a month ago
Alcoholic here.
In my AA we say that alcoholism is a chronic disease. The same as (some forms) of diabetes, you don’t just get rid if it. Its something you can manage but not cure. It lies dormant inside of you the rest of your life.
My mentor (highly successful and 30 years sober) said it nicely: he has an angry tiger inside of him thats trapped inside a cage. One that will surely eat him if it gets out. His job is to keep the tiger in the cage.
Thats what it feels like. Every day. The cravings go down, the thoughts, etc. Self control improves. But the danger lies dormant for us.
nathanlied
a month ago
As someone who suffered from deep depression, but never alcoholism - the way alcoholism is described by alcoholics always rings true with how I experience (and hear described by others) depression. I am no longer suffering from depression actively; the symptoms of it are essentially gone. But there's life events, certain situations, certain moments of deeper vulnerability, that feel like I might slip back into it.
Surprisingly enough, although there seem to be parallels with how people experience 'life after' both things, I find it curious that alcoholics I talk to often use the "caged animal" metaphor, whereas depressives tend to describe it more as walking "a tight rope" or "at the edge of an abyss" metaphor.
jalapenos
a month ago
What do they consider the threshold for alcoholism?
I.e. how bad was your drinking before you realized you had a problem?
wilkommen
a month ago
You know that that "angry tiger inside you" feeling can go away completely right? That angry tiger is not biological part of who you are, it's a dissociated memory of how you felt when you were a child, which continues to live on in you in the present because you haven't fully processed your childhood feelings. All else being equal, keeping the tiger caged up is better than letting it loose, but you can also heal it so that it goes away completely, which will benefit your life in many ways, most of which are not even related to alcohol. Healing usually requires softening the cage that the tiger lives in bit by bit as you become increasingly able to metabolize him, or cutting the tiger up into pieces and dealing with a piece of him at a time.
kelnos
a month ago
I always found this a little odd, even though I understand the reasoning behind it. I think it would be more accurate to say that they're no longer an alcoholic, but "struggle with addiction", or "have addictive tendencies", or something like that. But that's a bit of a mouthful, and in part I think people continue to call themselves alcoholics even when they've been consistently sober is that it's a strong, shorthand reminder that even one drink can send them right back to where they started.
integralid
a month ago
Isn't "alcoholic" defined as a person who "struggles with addiction" to alcohol? I think that makes sense.
satvikpendem
a month ago
It's because they know even one casual drink can lead them down the same path they were on previously, so it's a reminder to themselves and others. It might also be something of an absolutionary statement, where they feel guilt for their past "sin" of drinking and feel the need to label themselves à la The Scarlet Letter to atone for their sin and obtain absolution.
musicale
a month ago
Maybe it is sometimes part of a person's identity. But people who have quit using tobacco or other drugs are typically called "ex-smokers" or "former users/addicts", respectively. (Even though "smoker" is still a somewhat "cool" identity in popular culture, with many movie villains - and some heroes - still smoking.)
dijksterhuis
a month ago
Plenty of people go out the door after X years then go back in worse states than when they first showed up. Once picking up a drink/drug/whatever, they're off and running again. 10 - 12 are "maintenance" to stave that sort of thing off. There's no end to working 10 - 12. They're a daily practice of continued growth. There's no end point (recovered), recovery continues on (recovering).
It's also a practice to keep everyone on the same level. Everyone is an alcoholic -- otherwise it'd just be a bunch of old farts telling new guys what to do (then hardly anyone would come back).
samsolomon
a month ago
Alcohol in AA is viewed as an allergy—a lifelong illness. Someone may have recovered and dealt with their fears and resentments. That doesn’t mean they won’t slip back into negative coping mechanisms though.
For an alcoholic, it takes vigilance every day.
alluro2
a month ago
I picked up "Atomic Habits" recently, tbh mostly because I've seen it being hyped all over - I was expecting it to be along the lines of "if you just do X for even 5 min every day...", but one of the early ideas that get introduced is that identity can play a big part in how we function with regards to our habits, which resonated with me, and I think is interesting in the context of your question.
The idea is that our sense of identity and image of self shapes our behaviour, subconsciously to a large extent. So if someone offers you a cigarette and you're trying to quit, it can make a difference if you frame it as "No thank you, I'm trying to quit" (I still identify as a smoker, but I'm trying to not do it), vs "no thank you, I'm not a smoker (anymore)".
Applied to defining goals vs parts of identity- not "I want to run every day and compete in a marathon", but "I 'd like to be a marathon runner". Because, in a lot of cases, we want to do something because of the qualities or traits we perceive the people doing it to have.
To me, it sounds good in this context as well - instead "I have to stop drinking" - "I want to be a sober man".
TRiG_Ireland
a month ago
It is AA orthodoxy that one never truly recovers from alcoholism. Many non-AA people disagree. Arguably, the debate is over semantics, not substance.
AbstractH24
a month ago
> Arguably, the debate is over semantics, not substance.
[insert joke about “substance” and abuse here]
rayiner
a month ago
Alcoholism is a genetic predisposition and addictive personalities in general probably are too.
colechristensen
a month ago
>Can you explain why someone who has "recovered" and is no longer suffering the ruinous effects of alcohol in their life still considered an alcoholic?
I've known people with substance abuse problems, some of them recovered and had healthy relationships with substances. Some of them stopped using for long periods but touching the substance again relit the problem just the same as before.
The latter group even sober for decades are still alcoholics (or whatever other substance). There are people for which the problem never goes away, they just manage not to indulge it.
mc3301
a month ago
There is a little book called "The Bottlehopper" by Bob Edwards. It provides a great understanding of what being an alcoholic is.
naryJane
a month ago
This is an extremely powerful rephrasing of the 12 steps, and I seriously appreciate you for sharing this with all of us.
labrador
a month ago
You're welcome. I had to suffer a lot before I figured it out. My purpose in rewriting them was to remove the most common objection that they presuppose a Christian God.
iberator
a month ago
Same here. i HEARD about 12 steps but never actually seen them pinpointed like that. Simple yet amazing post
satvikpendem
a month ago
The 12 step program is rooted in Christian theology and treats alcoholism more like a sin rather than a health problem so I can understand why some don't want to fully follow it.
mlyle
a month ago
> treats alcoholism more like a sin rather than a health problem
This is contrary to my understanding of 12 step. Silkworth's framing (which heavily influenced AA) was that alcoholism was the result of an individual's physical reaction to alcohol, not a moral failing.
> rooted in Christian theology
They were absolutely influenced early on by the Oxford Group, too, which did provide some of the context and language.
cess11
a month ago
[flagged]
labrador
a month ago
It's true that the 12 steps emerged from Christian thought. Bill Wilson and Dr. Bob were influenced by the Oxford Group. But similar frameworks exist in other traditions: Buddhism's Eightfold Path, for instance, offers a comparable structure for addressing suffering through right understanding, intention, and action.
It's not accurate to say AA treats alcoholism as a sin. The Big Book describes it as "cunning, baffling, and powerful." Something beyond ordinary willpower, which is precisely why Step 1 acknowledges powerlessness. The theological framing isn't about moral failing but about the need for what Carl Jung described a "vital spiritual experience." A psychic reorganization that ordinary self-will couldn't produce.
https://aaforagnostics.com/blog/carl-jung-letter-to-bill-wil...
robocat
a month ago
> rather than a health problem
What makes you define it is a health problem? Does that help?
Maybe calling booze a sin helps people.
Most importantly, you are answering someone who defined the steps without reference to sin or Christianity.
stuffn
a month ago
Many of the bodily sins in the Bible are really just common sense health advice. Some are period oriented, such as eating pork, which was notoriously hard to make sanitary. Others are to insure a society functions well, like for example not banging your neighbors wife or not causing harm to people.
So, in this light it makes sense to treat it like a sin. And to be fair, it is a sin in modern society as well. We even have “sin taxes” for such vices we determine can be used for tax gain.
I see no real problem with this. I am unaware of any large program that forces you to give yourself up to the Christian God, but most require you to give yourself up to a higher power. This is obviously designed to give you a release from things you can’t control so you can use that mental power to help yourself get better.
cess11
a month ago
"which was notoriously hard to make sanitary"
Why were the jews unable to handle pork? Didn't their neighbours manage it?
satvikpendem
a month ago
But the point is it shouldn't be considered a sin, as in a moral failing, when it's a biochemical change in the body causing a disorder, and the solution is abstention and medicine (for example, GLP-1 agonists have been shown to significantly cut down on cravings [0]). It's like saying getting sick is a sin, when there preventative and curative solutions unrelated to believing in a deity or higher power.
[0] https://jamanetwork.com/journals/jamapsychiatry/fullarticle/...
miki123211
a month ago
> Many of the bodily sins in the Bible are really just common sense health advice.
And yet others were designed to distinguish the ingroup from the outgroup. That distinction is worth keeping in mind.
xyzzy123
a month ago
I think because in the west, Christianity provides a common language and framework for expressing very strong feelings of guilt and redemption. Also what it means to have a spiritual crisis and have to reorganise your life and personality. These kinds of thoughts and feelings can be quite difficult to share with people or explain otherwise.
There are fundamental physiological and psychological reasons also that alcholics in particular feel in the ways they do; this is (IMHO) quite distinct from the religious experience, but "the tools are right there". It's a common language that insiders can quickly pick up and there's a loose mapping to things that outsiders would understand.
kelnos
a month ago
The thing that has always bothered me about the 12-step program is that the end goal seems to always be abstinence, at least in the context of alcoholism. It seems very strange to me that we treat the symptom, here, not the underlying disease. Abstaining from alcohol certainly does have positive affects on the life of an alcoholic, but the abuse of alcohol is a symptom, not the root issue.
Do we just not yet understand addiction enough to treat it properly? Are we able to treat addiction (so, for example, someone could successfully limit themselves to low levels of social drinking that don't cause them harm), but doing so is so difficult and hit-or-miss, that we give up and only promote full abstinence as the solution?
I also wonder if abstaining from alcohol can have negative affects on life for some people. Some people use alcohol as a social lubricant; abstaining might mean (detrimentally) less social interaction. In some cultures/environments, not drinking can be career-limiting (I think this is toxic, but fixing that can take generations). I think it's fair to say that, on balance, the pros of not drinking to excess all the time will (nearly?) always outweigh any cons of abstinence, but can we do better than either extreme?
I poked around at some studies, and what I found was interesting. It does seem that 12-step programs tend to outperform things like cognitive behavioral therapy (though there is some disagreement here). But also many of these studies are about whether or not a given treatment achieves abstinence from alcohol, not if it treats the underlying disorder. So I'm not sure what conclusions (if any) can be drawn.
(Ultimately, though, if the 12-step program worked for you, and you're happy with the results and with your life now, that's all that matters! I don't mean to demean what you've accomplished or throw shade on the life you have now. I just think this is a very high-profile societal/health issue that we seem to deal with in a very different way than we deal with others, and that seems strange to me.)
jonahx
a month ago
I am not saying this to be mean, because these feel like good faith questions. But they also sound like questions rooted in a purely logical view of the world, divorced of experience.
That is, I don't believe it is possible that you've had real world experience with alcoholics, because if you had, it would be obvious why it doesn't work the way you are asking about. Some addictions are just too powerful. It is not a matter of having failed to treat the root cause. It's a matter of acknowledging that, for some people, the only solution to alcohol is not to consume any. It doesn't mean they don't also try to treat and understand deeper emotional reasons for their drinking.
magicalhippo
a month ago
There's lots of research that points to that the brain after addiction just isn't the same as before addiction[1][2]. So while there might have been a root cause before, the effects of addiction is still present even if the root cause isn't an issue anymore.
[1]: https://med.stanford.edu/news/insights/2025/08/addiction-sci...
[2]: https://www.rockefeller.edu/news/35742-newly-discovered-brai...
colechristensen
a month ago
>The thing that has always bothered me about the 12-step program is that the end goal seems to always be abstinence, at least in the context of alcoholism. It seems very strange to me that we treat the symptom, here, not the underlying disease. Abstaining from alcohol certainly does have positive affects on the life of an alcoholic, but the abuse of alcohol is a symptom, not the root issue.
For some people the root problem is simply that their biological reward/motivation system with regards to a substance is just too much. If they drink they can't stop drinking and there's no deeper issue to solve and no cure besides abstinence.
Very few people can get high on heroin or meth and not have it be a permanent problem. When you do it you get addicted and when you get addicted there's no deeper problem than using the substance and needing to stop. The only advice for people is to never touch these things.
Different people have different reactions to different substances. For many, they just need to never do things and that's that. Alcohol is a "never touch" substance for some people.
fragmede
a month ago
> Very few people can get high on heroin or meth and not have it be a permanent problem.
Why do you think that's true?
rayiner
a month ago
> The thing that has always bothered me about the 12-step program is that the end goal seems to always be abstinence, at least in the context of alcoholism.
This is where religion reflects cultural technology that gets lost in the secular translation.
Secularists vastly overestimate man’s control over himself and his world. Most people lack the impulse control to partake in their vices responsibly. That’s why most Americans are fat. We have a world surrounded by temptation—snacks available everywhere—and we tell people to partake responsibly but they can’t do that. Most people don’t have that same relationship with alcohol or cigarettes, but for the many people who do it’s unrealistic for them to think they can just drink responsibly.
PaulDavisThe1st
a month ago
> Secularists vastly overestimate man’s control over himself and his world.
I'd prefer if you didn't generalize here, especially since there is no "secularist bible" that lays out what "secularists" believe (or do not believe).
rainsford
a month ago
The ubiquity of fat religious Americans with no impulse control suggests that religious vs secular is perhaps not the right reference frame to examine this particular issue. Your argument about abstinence being the most practical solution for some people is a reasonable one, no need to join the bandwagon and also make it a pointless culture war issue.
jalapenos
a month ago
Pretty much. Even to the non-religious, when you look comparatively at secular (which heavily overlaps with: leftist) cultures vs religious ones, one can't help but surmise that the goal was to open the gates to being as degenerate as a creative mind can come up with.
celeries
a month ago
If you've ever tried to stop doing something, going 90% of the way (e.g "I'll drink one soda per week") is often much harder than quitting entirely. This is particularly true with addiction where neural pathways need to be changed.
samsolomon
a month ago
12-step programs do treat the underlying illness—fear, resentment and negative coping mechanisms for dealing with those things. That’s why basically all 12-step and addiction-recovery programs are the same.
Life is hard. People fall back on bad habits and many won’t even realize that it’s happening until it their life is in ruins. If that has happened to you there are often no more second chances.
So for some they may be able to recover and have a drink every now and then. However, if your life has become upside down enough to enter a 12-step program, it’s often because there were no other options.
chiefalchemist
a month ago
I recently exited an LTR with someone who was in The Program and 6 - 9 yrs sober. The daily meetings routine was certainly help but, to your point, it never addressed the root problem. Tho to be fair, I’m not sure AA was designed for that as the spectrum of underlying problems is many.
In short, my key takeaway (as an outsider) is that with AA it’s helpful to get people sober and there’s value and comfort in that. Unfortunately that comfort has diminishing return. People (e.g., my ex) put in the time (in a comfortable sorta way), but then don’t put in the work (read: progress to address the root problem).
Finally, as an unrelated / random side note, my theory is that if you evaluated late in life alcoholics (read: 30 yo and up) most would test positive for NPD. In the hands of someone suffering from NPD, alcoholism is one hell of a weapon (e.g., manipulation, avoid accountability, etc). Also, within the context of The Program you will never be encouraged to seek help for your NPD.
fn-mote
a month ago
> test positive for NPD
NPD = Narcissistic Personality Disorder ?
>> overblown levels of self-importance, arrogance, and selfishness, as well as a lack of empathy for others.
Googled the term, but couldn't exactly see the connection. Fortunately, I currently only interact with a few people I consider alcoholics. AA definitely addressed the lack of empathy, at least.
PaulDavisThe1st
a month ago
I've read articles that suggest that the GLP-1 (Ozempic et al.) drug class tends to drastically diminish addictive desire. The problem is that is reduces all desire (including that for food), which can be a bit of an issue.
I would imagine that if there was a drug that removed the addictive desire for alcohol (and/or some other drugs, perhaps), all of us would know its name.
We certainly have drugs that can almost immediately terminate the effect of, for example, opiates, but that has nothing to do with ending addiction to them.
kelipso
a month ago
Naltrexone reduces cravings by blocking the reward effect of drugs. Pretty well known I think.
jalapenos
a month ago
I think there are treatments too though. I think there's some drug that can be prescribed that blunts the pleasure of it for those predisposed.
BurningFrog
a month ago
> the abuse of alcohol is a symptom, not the root issue
You say that as if it's obviously true. Not even a hint at an argument for it. Nor a mention of what you consider the actual root issue.
hahahahhaah
a month ago
I think Naltrexone can help.
emmelaich
a month ago
Katy Herzog has written a book about her successful experience: https://www.drinkyourwaysober.com/
chiefalchemist
a month ago
Interesting fun fact: There was a time early in AA history where Bill W wanted to integrate psychedelics into The Program. But was overruled by others within the organization.
I learned about this from Pollan’s “How to Change Your Mind.” I’m sure it’s documented elsewhere.
coldtea
a month ago
>Many people in Alcoholics Anonymous don't actually do the 12 steps as designed by Bill Wilson. They don't understand that it's a piece of spiritual technology designed to produce a spiritual awakening and a reorganization of personality.
That can still be OK, as what it is is a mix of empirical and arbitrary man-made alcoholism recovery program, not a God-given spiritual practice or a scientifically necessary one.
People have succesfully recovered with less, as well as more, as well as different steps taken. And inversely, people have failed even though they followed all 12 for a long time.
thoughtpeddler
a month ago
This makes me curious about adopting the 12 Steps (per @labrador's adaptation above) for chronic procrastination, ADHD-caused issues, etc. Any fellow HN-ers have experience with this?
ajam1507
a month ago
My personal experience is that it does more harm than good by having meetings constantly remind people that they can easily relapse. It can be good to have structure at the beginning, but at some point the best way to stay sober is just to change your routine, do your best to stay away from triggers, and never pretend that you have an incurable disease.
labrador
a month ago
The evidence on the ground is the exact opposite. Going to meetings reduces the chance of relapse. I've been to meetings all over the country and this is a constant refrain. We are most at danger when we isolate from sober people and forget that we have a problem or think it's cured. There is no cure for a real alcoholic.
ajam1507
a month ago
Because people become reliant on the system to stay sober. Not to mention the only info on the ground you're getting is from people in the cult.
Rendello
a month ago
AA also has the Serenity Prayer (namesake of SerenityOS):
> God grant me the serenity to accept the things I cannot change, Courage to change the things I can, and Wisdom to know the difference.
Every time I think of it, I also think of the Man's Prayer recited at the end of every episode of the Red Green Show:
> I am a man. But I can change. If I have to. I guess. Amen!
snarf_br
a month ago
Sounds very cultish..
fragmede
a month ago
It is! If your life is in shambles because you're suffering from alcoholism and you don't want it to be anymore, join the cult who's only requirement is a desire to quit drinking. There's no kool-aid laced with poison in a sucide death pact going on, just a desire to help people live better lives.
hexbin010
a month ago
Are you a Jordan Peterson fan by any chance? It reads a bit like how he talks (not a criticism just curious)
user
a month ago
NedF
a month ago
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