Feb 8

Alternative medicine is a major public health risk. Untested and discredited treatments are promoted for just about any health problem you can imagine. Those who are most desperate are often the target of alt-med treatments, swooping in to provide an “alternative” or “complimentary” cure when real medicine, unfortunately, has been unsuccessful. There is one area, however, where the quack alternative treatment has established itself as the standard treatment: 12-step programs in the area of addiction.

Alcoholics Anonymous is the original 12 Step program, which has spawn a whole industry of recovery programs that basically copy-paste the 12 steps to deal with any addictive behaviour—-Narcotics Anonymous, Overeaters Anonymous, Workaholics Anonymous, Clutterers Anonymous, Sex and Love Addicts Anonymous, Online Gamers Anonymous, Smokers Anonymous, Emotions Anonymous—-the list goes on. There are also groups like Al-anon, where you don’t have to be an addict yourself, only someone being affected by one.

AA has been extremely successful in promoting itself as the most successful treatment for alcoholism. It markets itself as a non-denominational support group for alcohol abuse. Once inside the walls of its meetings, however, it’s clear that members are to understand that AA is the only treatment for alcoholism. It isn’t officially stated (in fact, the opening remarks are careful to say that the program is “widely regarded” as the most successful treatment), but if it isn’t implied in nearly every member’s ’share’—-their anecdotal evidence that life without AA means relapse and death—-it is certainly the message of the AA bible “Alcoholics Anonymous”, referred to as The Big Book.

What is often said in the meetings and what is written in The Big Book contradict the public image of AA as a support group for those who wish to quite drinking. What the general public doesn’t know about AA is that it is a religious group which teaches its members that alcoholism is a spiritual disease with no cure and only by giving yourself up to God can one stay sober.

“Unless each A.A. member follows to the best of his ability our suggested Twelve Steps to recovery, he almost certainly signs his own death warrant.”
Twelve Steps and Twelve Traditions, William G. Wilson, page 174.

Though it is argued that the Twelve Steps refer to a “power great than ourselves” and that ‘power’ can be anything you want, it is clear in the reading material that you are supposed to want that power to be God.

We found that as soon as we were able to lay aside prejudice and express even a willingness to believe in a Power greater than ourselves, we commenced to get results, even though it was impossible for any of us to fully define or comprehend that Power, which is God.
The Big Book, 3rd & 4th Editions, William G. Wilson, Page 46.

It is also clear that the goal of AA isn’t to stop abusing alcohol, but to serve God.

“At the moment we are trying to put our lives in order. But this is not an end in itself. Our real purpose is to fit ourselves to be of maximum service to God…”
The Big Book, William G. Wilson, page 77.

(My bold)

The magical thinking in AA is no different than that found in other alternative medicine. Like any typical spiritual healer, who will tell you that ‘negative energy’ is the cause of your cancer, AA attributes alcoholism to sins and moral shortcomings instead of alcohol consumption. In AA, being sober doesn’t mean simply not drinking. You are only sober if you have turned your will over to a power greater than yourself. Those who haven’t done this are labelled “dry drunks”. When their quack treatments don’t work, alternative medicine proponents will blame the patient. In the world of AA, if you overcome your addiction without the program (especially if you learn to drink in moderation), you were never an alcoholic in the first place.

But the most important feature of AA, true of any other alternative medicine, is that it doesn’t work. Those of us who advocate science based medicine make evidence of efficacy a requirement. The 12 Step industry deserves the same skepticism that we would apply to any other faith healing group…and people suffering from substance abuse and addiction deserve more than the “support” of a spiritual cult.

Sep 7

aa-titleHow 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.

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.
Mar 30
knowing-drunken-numerology

Hmm, hopefully I’ve mentioned here before that something I want to accomplish in my work is to create characters who are good role models as scientists and critical thinkers and to promote the use of reality-based reasoning and good skepticism. The movie “Knowing”, with Nicolas Cage, accomplishes the complete opposite. Scientists are drunken, miserable, lonely cranks that need to learn how to be happy from those who have blind faith in magic sky people.

The director, Alex Proyas, was quoted saying he wanted the movie to explore different viewpoints, “the scientific viewpoint of the logical construct of the universe and the one of faith, where people see this incredibly complex place we live in and go, ‘Well, how could this have all just happened randomly?’“ (my bold) This is one major annoyance with the film; it doesn’t even know what science is and what viewpoint it has. Again, audiences are getting the misguided message that science claims everything is random and stuff just happens by accident.

The irony is, unlike new age garbage like numerology, scientific theories actually do make accurate predictions for the world around us. Real predictions…not just after-the-fact pattern matching that happens with divination games like astrology, tarot, and psychic readings. You can use scientific theories to accurately launch a small rover into space and have it travel to another freakin’ planet and predict where it should land on that planet, hundreds of millions of kilometers away! Or you can have a theory like evolution, which predicted, about a hundred years before the discovery of genetics, that such a system should exist–it predicted the existence of an entirely new field of science!

Science is all about discovering how the world works and the cause behind the things we see and experience. It is faith that gives empty answers for why the world is the way it is; it’s faith that tells us that the big questions about the universe are infinitely mysterious and beyond our grasp.

And, frankly, it’s a little tiring to see the happy religious characters lecturing to grumpy miserable scientist characters in films and TV. The happiest people I know are scientifically minded and lead their lives free of faith and the supernatural. All the religious and new age people I know are quite unhappy, worry-full people, who always seem to be lost and unsure. Anecdotal, I know…

It’s not hard to see why such a horrible movie is doing so well at the box office. A lot of people are full of doubt, fear, and uncertainty about the future. It’s a comforting idea that there’s a magic solution that can warn us of danger and protect us against the unknown…and the only thing you have to do is keep believing, no matter what the facts tell you.

Just keep listening to the little voices inside your head–they know a lot more than the objective voice of reason coming from your MIT colleague.

Cage, you and your pseudoscience crapfest are forcing me to quote again:

For me, it is far better to understand the universe as it really is, than to persist in delusion, however satisfying or reassuring.

-Carl Sagan

Mar 18

If you’ve read any of this blog, you’ve probably guessed I’m an atheist–that gross word people use to describe us non-believers. But I think I’ve said before that atheism isn’t what’s important to me; I’m more concerned about skepticism in general (rather than just being skeptical about gods)…because atheism alone can lead to those annoying people who say “I’m not religious, but I’m spiritual”. I know because I used to be one of those annoying people…

And spirituality still involves faith: believing something to be true without evidence, despite evidence to the contrary, or even believing something for which there can be no evidence. There seems to be only one reason why we would give in to this type of thinking; because it feels good. People only have faith in things they want to be true. And so, when you use faith you fall into a dangerous mode of thought where you let your emotions get in the way of seeing objective truth.

This is where I found what’s important to me (and why I love Carl Sagan so much)…I realized that I’m far more concerned about what’s true than what feels good. This takes much more discipline than faith, though the spiritual gurus would have you think different. Spirituality is constantly trying to convince people that faith is a virtue and that it takes a disciplined mind to make faith work.

I have never known anyone, not one person, either religious or spiritual who is happy…truly content, and content because of their faith. What I see is people constantly needing to remind themselves of their faith; day in and day out they need to repeat to themselves what they believe…as if they are deeply unsure if it really is true. They need to gather in large groups with others of similar faith to reassure one another that this is what they all believe. Not only do I find this deeply unsatisfying, but doesn’t that also seem like a ritual of self-denial?

This is why I want truth. Truth isn’t something you need to recite. The truth simply is…whether you want it to be or not…good or bad. The truth about the world around you is there whether you choose to accept it or not, whether it hurts you or not, whether you want it or you don’t. Truth doesn’t promise to always makes you happy–but isn’t there something so very selfish about wanting only what makes you happy to be real? What the truth will always offer you is understanding and that is something that stays with you.