We are told at the beginning of “Alcoholics Anonymous” (“The Big Book”) that alcoholism is an illness and, by implication, nothing to be ashamed of. This idea is not supported with any evidence, only with a brief piece by Dr William D Silkworth, who treated AA’s co-founder Bill Wilson for alcoholism. Silkworth speculates that alcoholism may have something in common with allergies,but offers no evidence, and the idea is not explored in any depth.
There is no further discussion of alcoholism as a medical problem. Instead, the discourse shifts abruptly to discussing alcoholism as a matter of alcoholics’ supposed lack of contact with God, and of their moral shortcomings. Thus it is, by definition, presented as a cause for shame after all.
There is then a blatant attempt to convince the alcoholic reader of the need to develop a spiritual orientation, with the odd proviso that the nature of the spiritual power believed in remains so undefined that it may take any form which appeals to the individual, from some personal conception of a supernatural “power greater than himself” to AA itself.
The thinking behind this idea may be summarised as follows:
because alcoholics are supposedly powerless to do anything about their problem themselves, they must develop a belief in, and reliance on, a “power greater than themselves, which can and will do for them what they cannot do for themselves. What is implied, though not explicitly stated, is that this “higher power” must be amenable to entreaties to solve alcoholics’ drink problems, being somehow crucially interested in their welfare in this specific respect.
When the book goes into detail about how the “higher power” is to be approached by alcoholics, it becomes clear that what is really required of them is belief in a God who must intervene at their request to relieve them of their alcoholism, and who is bound to remove their “defects of character” on demand. Thus not only has the supposed need to believe in God been intruded into what was at first presented as the discussion of an illness, but the nature of the belief required, involving God having to perform miracles on demand, is seriously at variance with all mainstream religious faiths. It really constitutes a peculiar occult religion in its own right.
The subject of this book shifts far from its original ostensible theme, rendering it not only logically inconsistent and self-contradicory, but disingenuous. The pretence that the “recovery” doctrine offered does not ultimately entail a very specific (albeit religiously heretical) conception of God is downright deceptive. Under the guise of offering a plan of recovery from a medical problem, this book introduces a superstitious form of religion by stealth.


February 1, 2008 at 11:37 pm
i am skeptical about the disease concept of alcoholism. no it’s not like diabetes that requires insulin(treatment)the only “cure” is abstinence. to me there is no spiritual cure for a physical and mental illness. if AA is not a religious program then why is God mentioned in 6 of the twelve steps and only 2 of the 10 commandments?
February 17, 2008 at 4:35 am
I no longer consider addiction a disease.I certainly don’t believe aa has the answer for most people.Most people can and will stop on their own with out attending dreary meetings for life
March 12, 2008 at 3:01 pm
I think the addiction part has a physical component. Anyone detoxixing from alcohol or a stronger drug like heroin surely has this physical need for the drug. After a few weeks, the need is psychological. A person used this to feel good or ease their mind.
Probably the last thing that would help a person after that is to tell them that all of their problems will be solved by going to a meeting. When they say that hey feel nothing, they are invariable told to come back for the magic to happen. Invariably, they still have psychological issues to deal with, some of which were created by going to these phoney meetings and looking for help there.
March 26, 2008 at 12:39 am
This is one of the most obvious faults with aa, isn’t it Astro? It insists that alcoholism is a medical problem, but shows no real interest in any idea that there might be a possible medical treatment. I don’t think aa is genuinely interested in finding out about medical aspects of addiction. It is stuck in a strange magical fantasy world where such things as “spiritual diseases” exist.
July 22, 2008 at 2:47 am
Wow, i love that line about “religion by stealth”.
you know, as i was reading a sociology text last night, i came across a paper on convicted rapists and their reasoning, in relation to their crimes, particularly the excuse of “sickness”. when i read the following, i was struck by it’s relevance to the first step principle. says the researcher: “sick people are usually blamed for neither the the cause of their illness nor for acts committed in that state of diminished capacity. thus, adopting the ’sick’ role removes responsibility by excusing behavior as being beyong the individual’s ability to control”.
i am not saying that i was always in control, but rather, that addiction is not a traditional disease and that when i wanted to badly enough, i certainly had enough control to cease the behavior.
aa tells me that “it wasn’t me, it was my addiction” and while that might be a convienent and soothing little fairy-tale, it isn’t true. i was a asshole, i did horrible things and i take responsibilty for that.