How much do you know about Alcoholics Anonymous and other 12 Step programs? It’s a support group, right? It’s safe to say it’s widely regarded as the most successful recovery program for addiction. Then again, accupuncture is widely regarded as a successful treatment for all kinds of illnesses but anyone familiar with science-based medicine knows it simply doesn’t work. So, why should 12 Step programs be treated with any less skepticism? After all, AA makes claims regarding the causes of and treatments for alcoholism. What evidence, if any, is there to support these claims?
“Undrunk: A Skeptic’s Guide to AA”, by A.J. Adams, seems anything but skeptical. That is, the word ’skeptic’ seems to be used in the “I was skeptical, at first” kind of way…rather than referring to a person who evaluates claims based on evidence and the scientific method. Has AA escaped the attention of the science and skepticism community? Certainly, the 12 Step industry must be one of the most successful quackery organizations out there–embedding themselves into the medical industry as successfully as any alternative medicine woo–and branding themselves as secular more successfully than intelligent designers.
AA and its counterparts (there’s a 12 step program for just about any addiction) are anything but secular. Of course, any program member will tell you that atheists and agnostics are welcome…but the program is chuck-full of religion; only about four of the twelves steps make no use of god or spirituality. Dr. Harriet Hall wrote a great article over at Science-Based Medicine about AA and the lack of evidence for it’s effectiveness: AA is Faith-Based, Not Evidence-Based. Another resource I found is a blog called Stinkin Thinkin:
…[W]hat we’re doing is muckraking, in the time-honored sense of the word. AA and 12-Step is has a monopoly. Sure there are some alternatives, but none of these alternatives are offered in your general addictions treatment facility. And none of these alternatives have the power to lobby in Washington the way that AA does…to get insurance money
There is a group called SOS (Secular Organizations for Sobriety, or Save Our Selves) which provides non-religious support for alcoholism and drug addiction. I found some interesting articles about AA by browsing their site:
AA, as a doctor once told me, is “an evangelical movement about saving souls”. At its core it has a good heart – it wants to save people from their demons. But, as with the death penalty, McCarthyism, the Conquistadors and other such crusades against evil, the pious ambitions of AA make the movement blind to its own hooliganism. As disinterested in individuality as the SS, and unaccountable for its actions as the KKK, AA preaches, bullies and lies to achieve its ends, and it does so with all the righteous impunity of a secret sect. Unlike other religious cults, however, AA’s victims are those who escape from its grip and return to society, their brains so laundered by fundamentalist claptrap that a glass of beer can take on the menace of a loaded pistol. That I eluded such a fate myself is thanks to nothing but sheer good luck – those not as fortunate as I can’t tell us about it, their stools at the bars and chairs in AA inhabited by new people entirely disinterested in tales of the dead ones who went before them.
I know there’s a lot of woo for skeptics to deal with, but I think the 12 Step industry deserves more criticism from the skeptical community. AA isn’t an effective treatment, never mind the most effective treatment for alcoholism, and those suffering due to substance abuse deserve treatments which are evaluated for their safety and efficacy.









The idea that the entire pharmaceutical industry is a giant get-rich-quick scheme that the general public is unaware of is, frankly, ridiculous. Huge investments in decades of research are required to get just one drug to the stage where it can be evaluated for its effectiveness and safety. This is not an easy way to make a quick buck. This is where alternative medicine quacks become most infuriatingly deceptive; it is the alternative and natural health product industry which is cheaply and easily making its investors rich. Regulations, certifications, and basic upfront cost to produce these products and services are nearly nonexistent. I could literally step outside to the nice little forested area across from my northern Ontario home, gather up random leafy-grassy-forest junk, put it through a blender and label it Aunt Sara’s All Natural Organic Energy Supplement and easily sell it. I don’t have to do any research, I don’t have to do expensive trials, and I don’t even have to prove it does anything. The same goes for most of the alternative service industry as well. No one is going to come arrest me if I practice reiki or homeopathy without a license. There is plenty of profit to be made in faith healing without the need to prove your product or service works.


