BOOK
REVIEWS
OF
ALCOHOLICS
ANONYMOUS
A
COLLECTION OF TWENTY-EIGHT REVIEWS
OF
THE BASIC TEXT OF ALCOHOLICS ANONYMOUS
BOOK
REVIEW
NEW
YORK TIMES, June 25, 1939
ALCOHOLIC
EXPERIENCE
BY
Percy Hutchison
Alcoholics
Anonymous. 400 pp. New York: Works Publishing Company. $3.50
Lest
this title should arouse the risibles in any reader 1st me state
that the general thesis of "Alcoholics Anonymous" is more
soundly based psychologically than any other treatment of the
subject I have ever come upon. And it is a subject not to be
neglected, for, irrespective of whether we live under repeal or
prohibition, there will be alcohol addicts, precisely as there are
drug addicts. It is useless to argue that under one legal condition
or another the number will be less or more. When populations are to
be reckoned in the million, fractions cease to count. Under
prohibition alcohol will be manufactured and bootlegged, as it was
during our late "noble experiment," precisely as narcotics
are today smuggled and bootlegged. It is, consequently, the
individual only who has to be considered, not the problem of supply
and dissemination. Alcoholics Anonymous is unlike any other book
ever before published. No reviewer can say how many have contributed
to its pages. But the list of writers should include addicts and
doctors, psychiatrists and clergymen. Yet it is not a book of
personal experience, except in a limited sense, any more than it is
a book of rules and precepts. Whether the author of any given
chapter can be physician or addict, the argument comes hack to a
single fundamental; and that is that the patient is unable to master
the situation solely through what is termed "will power,"
or volition. One contributor, who thought he had "got by"
on a diet of milk, one day said to himself that he could safely add
a little whiskey to his lacteal nourishment. He did. And then a
little more, and then a little more. In the end, he was back to the
Sanitarium. His "will" was operating one hundred Per cent;
yet there was a fallacy somewhere. It is to root out this fallacy
and supplant it that this book has been compiled. The present
reviewer, since this is no ordinary publication, believes it only
fair that he should state that at one time he advanced fairly deeply
into the field of psychology and he is free to state that the entire
superstructure of "Alcoholics Anonymous" is based on a
psychology of volition that he himself once advanced but which was
never universally acceded to. And that is what we glibly call
"will," and usefully so in general practice, should for
scientific accuracy be reduced to more elemental terms. And, such an
effort made, what results? Just this. That volition, "will
power," tracked to its source, is the automatic and irrefutable
working of a dominating idea. Consider Napoleon, the man of
indomitable will. What does it, in this final psychological
analysis, came down to? It comes down to the fact that so
exclusively did Napoleon's mind contain the idea that he was the man
of destiny that there was no room for any other idea, so that every
act, every "willed" action, was the unconscious result of,
flowed from, that idea. Here,
then, is the key to "Alcoholics Anonymous," the great and
indisputable lesson this extraordinary book would convey. The
alcoholic addict, and why not change, should it seem we have become
too intense, to "the drug addict," cannot, by any effort
of what he calls his "will," insure himself against taking
his "first dose." We saw how the chap with his whiskey in
milk missed out. There is one way for our authors, and but one way.
The utter suffusion of the mind by an idea, which shall exclude any
idea of alcohol or of drugs. Better, let us say the usurpation of
the entire ideational tract by this idea. The idea itself may be,
perhaps, fairly trivial. Such as: I do not like alcoholic drinks. In
fact, my stomach revolts at their mention. Those who appear to
dominate these pages apparently would not subscribe to so simple a
formula as I have proposed. But my point is that it might be
sufficient; and I base this on the book itself, provided only that
their thesis flood, so to speak, the entire ideational tract. Yet
would that be possible? Or possible for long? That is the question.
And, as a matter of fact, those several authors give it short
shrift. I have advanced it solely to exhibit the stark psychological
trail on which we have walked.
The thesis of the book is, as we read it aright, that his
all-embracing and all-commanding idea must be religious. Yet here
again should the reader pause, for the writers are talking of what
William James celled "Varieties of Religious
Experience" rather than matters of individual faith. There is
no suggestion advanced in the book that an addict should embrace one
faith rather than another. He may fall back upon an
"absolute," or "A Power which makes for
righteousness" if he chooses. The point of the book is that he
is unlikely to win through unless he floods his mind with the idea
of a force outside himself. So doing, his individual problem
resolves into thin air. In last analysis, it is the resigning word:
Not my will, but Thine, he done, said in the full knowledge of the
fact that the decision will be against further addiction. Most
readers will pass this book by. Yet of such a
majority many might not be amiss in turning its pages.
There but for the grace of God, goes_____. A few will reach for it
furtively. It is a strange book. The argument, as we have said, has
a deep psychological foundation.
BOOK
REVIEW
JOURNAL-LANCET,
Vol.46, July, 1939
A
NEW APPROACH TO PSYCHOTHERAPY IN CHRONIC ALCOHOLISM
By
W.D. Silkworth, M.D. New
York, New York
The
beginning and subsequent development of a new approach to the
problem of permanent recovery for the chronic alcoholic has
already produced remarkable results and promises much for the
future this statement is based upon four years of close
observation. As this development is one, which has sprung up among
alcoholic patients themselves and has been largely conceived and
promoted by them, it is felt that this new treatment can be
reported freely and objectively.
The
central idea is that of a fellowship of ex-alcoholic men and women
banded together for mutual help. Each member feels duty bound to
assist alcoholic newcomers to get upon their feet. These in turn
work with still others, in an endless chain. Hence there is a
large growth possibility. In one locality, for example, the
fellowship had but three members in September, 1935, eighteen
months later the three had succeeded with seven more These ten
have since expanded to ninety.
It
is much more than a sense of duty, however, which provides the
requisite driving power and harmony so necessary for success.
One powerful factor is that of self-preservation. These
ex-alcoholics frequently find that unless they spend time helping
others to health they cannot stay sober themselves. Strenuous,
almost sacrificial work for other sufferers is often imperative in
the early days of their recovery. This effort proceeds entirely on
a good will basis It is an avocation. There are no fees or dues of
any kind, nor do these people organize in the ordinary sense of
the word.
These
ex-alcoholic men and women number about one hundred and fifty. One
group is scattered along the Atlantic seaboard with New York as a
center. Another, and somewhat larger body, is locate in the Middle
West. Many walks of life are represented, though business and
professional types predominate. The unselfishness, the extremes to
which these men and women go to help each other, the spirit of
democracy, tolerance and sanity which prevails, are astonishing to
those who know something of the alcoholic personality But these
observations do not adequately explain why so many gravely
involved people are able to remain sober and face life again.
The
principle answer is each ex-alcoholic has had, and is able to
maintain, a vital spiritual or "religious" experience.
This so-called "experience" is accompanied, by marked
changes in personality There is always, in a successful case, a
radical change in outlook, attitude and habits of thought, which
sometimes occur with amazing rapidity, and in nearly all cases
these changes are evident within a few months, often less.
That
the chronic alcoholic has sometimes recovered by religious means
is a fact centuries old. But these recoveries have been sporadic,
insufficient in numbers or impressiveness to make headway with the
alcoholic problem as a whole.
The
conscious search of these ex-alcoholics for the right answer has
enabled them to find an approach, which has been effectual in
something like half of all the cases upon which it has been tried.
This is a truly remarkable record when it is remembered that most
of them were undoubtedly beyond the reach of other remedial
measures.
The
essential features of this new approach, without psychological
embellishment are:
1.
The ex-alcoholics capitalize upon a fact, which they have so well
demonstrated, namely: that one alcoholic can secure the confidence
of another in a way and to a degree almost impossible of
attainment by a non-alcoholic outsider.
2.
After having fully identified themselves with their
"prospect" by a recital of symptoms, behavior,
anecdotes, etc., these men allow the patient to draw the inference
that if he is seriously alcoholic, there may be no hope for him
save a spiritual experience. They cite their own cases and quote
medical opinion to prove their point. If the patient insists he is
not alcoholic to that degree, they recommend he try to stay sober
in his own way. Usually, however, the patient agrees at once.
If he does not, a few more painful relapses often convince
him.
3.
Once the patient agrees that he is powerless, he finds himself in
a serious dilemma. He sees clearly that he must have a spiritual
experience or be destroyed by alcohol.
4.
This dilemma brings about a crisis in the patient's life. He finds
himself in a position, which, he believes, cannot be untangled by
human means. He has been placed in this position by another
alcoholic who has recovered through a spiritual experience. This
peculiar ability, which an alcoholic who has recovered exercises
upon one who has not recovered, is the main secret of the
unprecedented success, which these men and women are having. They
can penetrate and carry conviction where the physician or the
clergyman cannot. Under these conditions, the patient turns to
religion with an entire willingness and readily accepts, without
reservation, a simple religious proposal. He is then able to
acquire much more than a set of religious beliefs; he undergoes
the profound mental and emotional change common to religious
"experience" (See William James' Varieties of Religious
Experience). Then too, the patient's hope is renewed and his
imagination is fired by the idea of membership in a group of
ex-alcoholics where he will be enabled to save the lives and homes
of those who have suffered as he has suffered.
5.
The fellowship is entirely indifferent concerning the individual
manner of spiritual approach so long as the patient is willing to
turn his life and his problems over to the care and direction of
his Creator. The patient may picture the Deity in any way he
likes. No effort whatever is made to convert him to some
particular faith or creed. Many creeds are represented among the
group and the greatest harmony prevails. It is emphasized that the
fellowship is non-sectarian and that the patient is entirely free
to follow his own inclination. Not a trace of aggressive
evangelism is exhibited.
6.
If the patient indicates a willingness to go on, a suggestion is
made that he do certain things which are obviously good
psychology, good morals and good religion, regardless of creed.
a.
That he make a moral appraisal of himself, and confidentially
discuss his findings with a competent person whom he trusts.
b.
That he try to adjust bad personal relationships, setting right,
so far as possible, such wrongs as he may have done in the past.
c.
That he recommit himself daily, or hourly if need be, to God's
care and direction, asking for strength.
d.
That, if possible, he attend weekly meetings of the fellowship and
actively lend a hand with alcoholic newcomers.
This
is the procedure in brief. The manner of presentation may vary
considerably, depending upon the individual approached, but the
essential ingredients of the process are always much the same.
When presented by an ex-alcoholic, the power of this approach is
remarkable. For a full appreciation one must have known these
patients before and after their change.
Considering
the presence of the religious factor, one might expect to find
unhealthy emotionalism and prejudice. This is not the case
however; on the contrary, there is an instant readiness to discard
old methods for new ones, which produce better results. For
instance, it was early found that usually the weakest approach to
an alcoholic is directly through his family or friends, especially
if the patient is drinking heavily at the time. The ex-alcoholics
frequently insist, therefore, that a physician first take the
patient in hand, placing him in a hospital whenever possible If
proper hospitalization and medical care is not carried out, this
patient faces the danger of delirium tremens, "wet
brain" or other complications After a few days' stay, during
which time the patient has been thoroughly detoxicated, the
physician brings up the question of permanent sobriety and,' if
the patient is interested, tactfully introduces a member of the
ex-alcoholics group. By this time the prospect has self-control,
can think straight, and the approach to him can be made casually,
with no intervention by family or friends. More than half of this
fellowship has been so treated. The group is unanimous in its
belief that hospitalization is desirable, even imperative, in most
cases.
What
has happened to these men and women? For years, physicians have
pursued methods, which bear same similarity to those outlined
above. An effort is being made to procure a frank discussion with
the patient, leading to self-understanding. It is indicated that
he must make the necessary re-adjustment to his environment. His
cooperation and confidence must be secured. The objectives are to
bring about extraversion and to provide someone to whom the
alcoholic can transfer his dilemma.
In
a large number of cases, this alcoholic group is now attaining
these very objectives because their simple but powerful devices
appear to cut deeper than do other methods of treatment because of
the following reasons:
1.
Because of their alcoholic experiences and successful recoveries
they secure a high degree of confidence from the prospects.
2.
Because of this initial confidence, identical experience, and the
fact that the discussion is pitched on moral and religious
grounds, the patient tells his story and makes his self-appraisal
with extreme thoroughness and honesty. He stops living alone and
finds himself within reach of a fellowship with whom he can
discuss his problems as they arise.
3.
Because of the ex-alcoholic brotherhood, the patient, too, is able
to save other alcoholics from destruction. At one and the same
time, the patient acquires an ideal, a hobby, a strenuous
avocation, and a social life, which he enjoys among other
ex-alcoholics and their families. These factors make powerfully
for his extraversion.
4.
Because of objects aplenty in whom to vest his confidence, the
patient can turn to the individuals to whom he first gave his
confidence, the ex-alcoholic group as a whole, or the Deity. It is
paramount to note that the religious factor is all-important even
from the beginning. Newcomers have been unable to stay sober when
they have tried the program minus the Deity.
The
mental attitude of the people toward alcohol is interesting. Most
of them report that they are seldom tempted to drink. If tempted,
their defense against the first drink is emphatic and adequate. To
quote from one of their number, once a serious case at this
hospital, but who has had no relapse since his
"experience" four and one-half years ago: "Soon
after I had my experience, I realized I had the answer to my
problem. For about three years prior to December 1934 I had been
taking two and sometimes three bottles of gin a day. Even in my
brief periods of sobriety, my mind was much on liquor, especially
if my thoughts turned toward home, where I had bottles hidden on
every floor of the house. Soon after leaving the hospital, I
commenced to work with other alcoholics. With reference to them, I
thought much about alcohol, even to the point of carrying a bottle
in my pocket to help them through the severe hangovers. But from
the first moment of my experience, the thought of taking a drink
myself hardly ever occurred. I had the feeling of being in a
position of neutrality. I was not fighting to stay on the water
wagon. The problem was removed; it simply ceased to exist for me.
This new state of mind came about in my case at once and
automatically. About six weeks after leaving the hospital my wife
asked me to fetch a small utensil, which stood on a shelf in our
kitchen. As I fumbled
for it, my hand grasped a bottle, still partly full. With a start
of surprise and gratitude, it flashed upon me that not once during
the past weeks had the thought of liquor being in my home occurred
to me. Considering the extent to which alcohol had dominated my
thinking, I call this no less than a miracle.
During the past your pears of sobriety I have seriously
considered drinking only a few times. On each occasion, my
reaction was one of fear, followed by the reassurance, which came
with my new found ability to think the matter through, to work
with another alcoholic, or to enter upon a brief period of prayer
and meditation. I now have a defense against alcoholism which is
positive so long as I keep myself spiritually fit and active,
which t am only too glad to do."
Another
interesting example of reaction to temptation comes from a former
patient; now sober three and one-half years. Like most of these
people, he was beyond the reach of psychiatric methods. He relates
the following incident:
"Though
sober now for several pears, I am still bothered by periods of
deep depression and resentment. I live on a farm, and weeks
sometimes pass in which I have no contact with the ex-alcoholic
group. During one of my spells I became violently angry over a
trifling domestic matter. I deliberately decided to get drunk,
going so far as to stock my guesthouse with food, thinking to lock
myself in when I had returned from town with a case of liquor. I
got in my car and started down the drive; still furious.
As I reached the gate I stopped the car, suddenly feeling
unable to carry out my plan. I said to myself, at least I have to
be honest with my wife. I returned to the house and announced I
was on my way to town to get drunk. She looked at me calmly, never
saying a word. The absurdity of the whole thing burst upon me and
I laughed and so the matter passed. Yes, I now have a defense that
works. Prior to my spiritual experience I would never have reacted
that way."
The
testimony of the membership as a whole sums up to this: For the
most part, these men and women are now indifferent to alcohol, but
when the thought of taking a drink does come, they react sanely
and vigorously.
This
alcoholic fellowship hopes to extend its work to all parts of the
country and to make its methods and answers known to every
alcoholic who wishes to recover as a first step, they have
prepared a book called Alcoholics
Anonymous*. A large volume of 400 pages, it sets forth
their methods and experience exhaustively, and with much clarity
and force. The first half of the book is a text aimed to show an
alcoholic the attitude he ought to take and precisely the steps he
may follow to affect his own recovery. He then finds full
directions for approaching and working with other alcoholics. Two
chapters are devoted to working with family relations and one to
employers for the guidance of those who surround the sick man.
There is a powerful chapter addressed to the agnostic, as the
majority of the present members were of that description. Of
particular interest to the physician is the chapter on alcoholism
dealing mostly with its mental phenomena, as these men see it.
By
contacting personally those who are getting results from the book,
these ex-alcoholics expect to establish new centers. Experience
has shown that as soon as any community contains three or four
active members, growth is inevitable, for the good reason that
each member feels he must work with other alcoholics or perhaps
perish himself.
Will
the movement spread? Will all of these recoveries be permanent? No
one can say. Yet, we at this hospital, from our observation of
many cases, are willing to record our present opinion as a strong
"Yes" to both questions.
*EDITOR'S
NOTE. The book, Alcoholics Anonymous ($3.50) may be secured
from The Alcoholic foundation, Post Box 658, Church Street Annex,
New York City.
BOOK
REVIEW
ALCOHOLICS
ANONYMOUS
Works
Publishing Company
Church
Street P.0. Box 657
New
York City...400pp....
$3.50
Reviewed
by - DR. HARRY EMERSON FOSDICK
This
extraordinary book deserves the careful attention of anyone
interested in the problem of alcoholism. Whether as victims,
friends of victims, physicians, clergymen, psychiatrists or social
workers there are many such, and this book will give them, as no
other treatise known to this reviewer will, an inside view of the
problem which the alcoholic faces. Gothic cathedral windows are
not the only things, which can be truly seen only from within.
Alcoholism is another. All outside views are clouded and unsure.
Only one who has been an alcoholic and who has escaped the
thralldom can interpret the experience.
This
book represents the pooled experience of one hundred men and women
who have been victims of alcoholism -- many of them declared
hopeless by the experts -- and who have won their freedom and
recovered their sanity and self-control. Their stories are
detailed and circumstantial, packed with human interest. In
America today the disease of alcoholism is increasing. Liquor has
been an easy escape from depression. As an English officer in
India, reproved for his excessive drinking, lifting his glass and
said, "This is the swiftest road out of India," so many
Americans have been using hard liquor as a means of flight from
their troubles until to their dismay they discover that, free to
begin, they are not free to stop. One hundred men and women in
this volume, report their experience of enslavement and then of
liberation.
The
book is not in the least sensational. It is notable for its
sanity, restraint, and freedom from over-emphasis and fanaticism.
It is a sober, careful, tolerant, sympathetic treatment of the
alcoholic's problem and of the successful techniques by which its
co-authors have won their freedom. The group sponsoring the book
began with two or three ex-alcoholics, who discovered one another
through a kindred experience. From this personal kinship a
movement started, ex-alcoholic working for alcoholic without
fanfare or advertisement, and the movement has spread from one
city to another. This book presents the practical experience of
this group and describes the methods they employ.
The
core of their whole procedure is religious. They are convinced
that for the hopeless alcoholic there is only one way out - the
expulsion of his obsession by a Power greater than himself. Let it
be said at once that there is nothing partisan or sectarian about
this religious experience. Agnostics and atheists, along with
Catholics, Jews and Protestants, tell their story of discovering
the Power Greater Than Themselves. "WHO ARE YOU TO SAY THAT
THERE IS N0 GOD," one atheist in this group heard a voice say
when, hospitalized for alcoholism, he faced the utter hopelessness
of his condition. Nowhere is the tolerance and open-mindedness of
the book more evident than in its treatment of this central matter
on which the cure of all these men and women has depended.
They
are not partisans of and particular form of organized religion,
although they strongly recommend that some religious fellowship be
found by their participants. By religion they mean an experience
which they personally know and which has saved them from their
slavery, when psychiatry and medicine had failed They agree that
each man must have his own way of conceiving God, but of God
Himself they are utterly sure, and their stories of victory in
consequence are a notable addition to William James'
"Varieties of Religious Experience."
Although
the book has the accent of reality and is written with unusual
intelligence and skill, humor and modesty mitigating what could
easily have been a strident and harrowing tale. -
Harry Emerson Fosdick
BOOK
REVIEW
THE
CHRISTIAN SCIENCE MONITOR
Boston,
August 17, 1939
BREAKING
THE DRINK HABIT
In
view of the extent of liquor consumption in the United States
since the repeal of national Prohibition, a book recently
published on the subject of liquor addiction and its remedy
seems designed for a wide usefulness. This volume is entitled
"Alcoholics Anonymous," issued by the Works Publishing
Company in New York and contributed to by authors with
experience in the overcoming of the drink habit.
The
thesis of this book, as summarized by one reviewer, is that will
power is not enough to enable the patient to break the hold of
alcoholism, that he is more likely to win through if he suffuses
his consciousness completely with some commanding idea which
excludes the thought of alcohol or stimulants, and that for the
surest prospect of success this overwhelming interest should be
religion - "the idea of a force outside of himself."
It
has indeed been proved true in case after case that something
more than individual will power - or "won't" power -
is necessary in order to heal what at least one special
sanitarium recognizes in its advertising as "a disease
"What indeed could be more effective than an absorbing
conviction that, in the words of David, "God is my strength
and power and he maketh my way perfect." fortunately
thousands are finding this knowledge a sure and gratifying
defense.
BOOK
REVIEW
JOURNAL
OF THE AMERICAN OSTEOPATHIC ASSOCIATION
September
1939
ALCOHOLICS
ANONYMOUS: By
various writers. Cloth price $3.50. Works Publishing Co., 17
William St., Newark, N.J.
Over
one hundred men and women who have recovered from a seemingly
hopeless state of mind and body have contributed to this book.
The stories of these individuals in their struggles physically
and mentally to overcome alcoholic addiction are gripping. A
physician writes in the introduction that the action of alcohol
in chronic alcoholism is a manifestation of allergy. Therefore,
hospitalization and proper treatment is often necessary to free
the patient from his craving for liquor. When the mind is clear
he is a candidate for psychological measures. This book deals
principally with such measures as exemplified in the stories of
alcoholics.
BOOK
REVIEW
NEW
ENGLAND JOURNAL OF MEDICINE
Vol.
221(15), October 12, 1939
ALCOHOLICS
ANONYMOUS: The
story of how more than one hundred men have recovered from
alcoholism. 400 pp. New York Works Publishing Co., 1939, $3.50.
The
psychological aspect of alcoholism taxes the entire skill and
intuition of the therapist, and the authors of this book claim
that in the long run the ex-alcoholic patient who is properly
trained in psychological method is an extremely effective person
to bring about the cure of the neurotic alcoholic individual.
The
first part of the book discusses methods, with particular stress
on twelve steps in the recovery program. This program includes
the general principles of psychotherapy found in such books as
those by Durfee and Peabody. There is, however, an essentially
new note, namely, that the alcoholic individual should be helped
to admit to God, to himself and to another human being
(preferably an ex-alcoholic patient) the exact nature of his
personality deficit Some will perhaps shy from the emphasis on
God and religion until it is realized that the alcoholic patient
is asked in this relation to believe sincerely in a power
greater than himself. He then sees that his life is really
unmanageable without this power.
The
second part contains the stories of twenty-nine individuals who
were cured by the method of working out their character problems
in relation to God, themselves and another human being. All
these individuals were "convinced by an ex-alcoholic
therapist" Those who at some time must deal with the
problem of alcoholism are urged to read this stimulating account
The
authors have presented their case well, in fact, in such good
style that it map be of considerable influence when read by
alcoholic patients.
BOOK
REVIEW
JOURNAL
OF THE AMERICAN MEDICAL ASSOCIATION
Vol.
113(16), October 14, 1939
ALCOHOLICS
ANONYMOUS. The
story of how more than one hundred men have recovered from
alcoholism. Cloth. Price $3.50. 400 pp.. New York: Works
Publishing Company. 1939.
The
seriousness of the psychiatric and social problem represented
by addiction to alcohol is generally underestimated by those
not immediately familiar with the tragedies in the families of
victims or the resistance addicts offer to any effective
treatment. Many psychiatrists regard addiction to alcohol as
having a more pessimistic prognosis than schizophrenia. For
many pears the public was beguiled into believing that short
courses of enforced abstinence and catharsis in
"institutes" and "rest homes" would do the
trick, and now that the failure of such temporizing has become
common knowledge, a considerable number of other forms of
quack treatment have sprung up. The book under review is a
curious combination of organizing propaganda and religious
exhortation. It is in no sense a scientific book, although it
is introduced by a letter from a physician who claims to know
some of the anonymous contributors who have been
"cured" of addiction to alcohol and have joined
together in an organization, which would save other addicts by
a kind of religious conversion. The book contains instructions
as to how to intrigue the alcoholic addict into the acceptance
of divine guidance in place of alcohol in terms strongly
reminiscent of Dale Carnegie and the adherents of the Buchman
("Oxford") movement. The one valid thing in the book
is the recognition of the seriousness of addiction to alcohol
Other than this; the book has no scientific merit or interest.
BOOK
REVIEW
ILLINOIS
MEDICAL JOURNAL
January
20, 1940
TO
THE EDITOR: Of great interest to the medical profession is the
new approach to a cure for chronic alcoholism developed by
alcoholics themselves.
Every
physician has been confronted with the problem of the
incurable alcoholic. He who although sobered and apparently
sane as a result of medical aid suffers the usual and expected
relapse and returns to the physician or to the sanitarium for
another round of treatment. In his remorse he solemnly rejects
alcohol in any form. He then endures a short period of
sobriety and again returns to drunkenness.
Alcoholics
are the last to admit their ability to "drink like
gentlemen," and therefore are prone to devise ways and
means, or systems for indulgence, which although inaugurated
with sincere intent at the time seem never to serve their
purpose. They act only as the forerunners to bigger and better
sprees.
The
chronic alcoholic seldom can be cured until he reaches a point
at which he admits his inability to cope with his problem and
has in addition a sincere desire to achieve complete and
lasting sobriety.
The
chronic alcoholic resents the efforts made by his relatives
and friends to help him. He feels they do not understand him
nor his problem. But when he talks to people who themselves
have been drunkards he realizes that these people do
understand for they have had the same personal experiences.
BOOK
REVIEW
CHRISTIAN
HERALD
August
1940
WITNESS:
There is a book on alcohol you should read. It is published by
The Alcoholic Foundation of New York (P.0. Box 658, Church
Street Annex, New York). It's title: "Alcoholics
Anonymous "The unnamed alcoholics write their own
stories, and those stories are dynamite.
Two-thirds
of them, they claim, have laid the foundation for permanent
recovery. "More than half of us have had no relapse at
all (after treatment) despite the fact that we have often been
pronounced incurable "How were they cured? The method is
simple: first of all they admitted they were powerless to
overcome alcohol by themselves; second, they came to believe
that "a Power greater than ourselves could restore us to
sanity;" third, they made a decision to "turn our
will and our lives over to the care of God as we understood
Him"
There
is more to the cure, but that's the heart of it. There may be
some confirmed drinkers who will sneer at the method and the
procedures, but they can't laugh off the fact that it has
worked where other methods and procedures have failed.
BOOK
REVIEW
JOURNAL
OF NERVOUS AND MENTAL DISEASE
Vol.
42(3), September 1940.
ALCOHOLICS
ANONYMOUS: How
more than one hundred men have recovered from alcoholism. (New
York: Works Publishing Company, Church St. Annex P.C., $3.50.)
As
a youth we attended many "experience" meetings more
as an onlooker than as a participant. We never could work
ourselves up into a lather and burst forth in soapy bubbly
phrases about our intimate states of feeling. That was our own
business rather than something to brag about to the neighbors.
Neither then nor now do we lean to the autobiographical, save
occasionally by allusion to point a moral or adorn a tale, as
the ancient adage put it.
This
big book, i.e. big in words, is a rambling sort of camp
meeting confession of experiences, told in the form of
biographies of various alcoholics who had been to a certain
institution and have provisionally recovered, chiefly under
the influence of the "big brothers get together
spirit." Of the inner meaning of alcoholism there is
hardly a word. It is all on the surface material.
Inasmuch
as the alcoholic, speaking generally, lives a wish-fulfilling
infantile regression to the omnipotent delusional state,
perhaps he is best handled for the time being at least by
regressive mass psychological methods, in which, as is
realized, religious fervors belong, hence the religious trend
of the book. Billy Sunday and similar orators had their
successes but we think the methods of Forel and of Bleuler
infinitely superior.
BOOK
REVIEW
THE
NEWS-LETTER
AMERICAN
ASSOCIATION OP PSYCHIATRIC SOCIAL WORKERS
Fall,
1940
ALCOHOLIC
ANONYMOUS
(The
story of how more than one hundred men have recovered from
alcoholism.)
Publishing
Company; 400 pages
This
review covers the book, a discussion with the authors, and
attendance at the meetings of the New York City group of
Alcoholics Anonymous. Contact with this group increases one
s respect for their work. To the layman, the book is very
clear. To the professional person it is as first a bit
misleading in that the spiritual aspect gives the impression
that this is another revival movement. The book is simply
and clearly written. It gives a vivid picture of the
emotional predicament of the person suffering from serious
alcoholism. It presents the disorder as a disease; a fatal
disease in the social and physical sense. People who have
benefited from the treatment tell their story in simple,
compelling language. There are excellent descriptions of
what happens to the family of an alcoholic. There is a
sincerity and enthusiasm about the writing of this work that
commands attention.
ALCOHOLICS
ANONYMOUS seems to have succeeded in cases where the
physician, the clergyman, the psychiatrist, or the social
worker have failed. The method works only with the patient
who really wants to get well; who is willing to face the
truth about himself - his prejudices, his infantilism, his
evasions. It effects its most phenomenal results with the
patient who has gone so far that unless he does something
drastic he will either become insane, kill himself in drink,
or commit suicide. The patient must be willing to admit that
he has failed, that he has no power over his drinking, that
the "wet-nursing" of his family only makes him
worse, that he must do this thing alone. In this frame of
mind he selects someone to listen to his story but for the
first time in his life he is being really honest with
himself and admitting that he is responsible for the mess he
has made of his life. When he must prove that he is willing
to face reality by trying to patch up some of the
antagonisms he has created around him. Then he is ready for
some deeper reorganization of patterns. It is a sink or swim
psychology; there is no pampering by the group and no
protection. The group accepts the newcomer as an adult who
really wants to get well; they will show him how but they
won't do it for him. Having admitted he has no power over
his drinking, he must be willing to allow a higher power to
help him. This is no ready-made spiritual formula; it is not
a church religion. It is a spiritual experience that somehow
even extreme atheists seem to have been able to achieve.
(One can watch the process of this change at the meetings of
the group). The last step in the cure, the part that keeps
the patient from slipping back into drink, is that he
devotes himself to helping other alcoholics. The movement is
kept alive by this type of work.
It
is more impressive to the professional person to watch the
technique in action than to read the book. The New York City
group is made up of intelligent people, many college
graduates, and many professional people. There is no
holier-than-thou spirit prevailing, there is good
fellowship, gaiety, fun, and a real desire to stay sober.
The
work is organized under an Alcoholic Foundation, which
prevents and alcoholic from obtaining a salary for doing the
work. One or two of the group tried using the approach on a
fee basis, but the spiritual aspect which keeps these people
sober seemed to have died when the patient tried earning
money this way; these few people found themselves drinking
again and so returned to the volunteer relationship.
This
new resource is developing groups all over the country.
Social workers will find them of great help with the extreme
cases of alcoholism. The book describes the method in detail
- it is a layman s approach, a layman's book. It needs no
explanation for the patient and should certainly be read by
every alcoholic.
Lee
R Stainer
New
York City
BOOK
REVIEW
CHURCH
SCHOOL MAGAZINE
December
1940
ALCOHOLICS
ANONYMOUS:
Works Publishing Company. 1939. $3.50.
Here
is an impressive story of the achievement of more than one
hundred men in gaining freedom from alcoholism. Evidence in
this volume seems to indicate that medicine and psychiatry
are powerless to cure many cases of alcoholism: heretofore
there was no end in sight except death or insanity. But here
is factual evidence that the worst alcoholic can gain
mastery over this temptation if he admits that he is
powerless and turns himself completely over to God. This
spiritual technique demands genuine humility, sincere
efforts to make amends for all wrongs done, continued
fellowship with God through prayer and meditation, and
efforts to help other alcoholics who are ready to relinquish
the belief that they can resist alcohol through their own
will power. The experience of these men seems to offer real
hope that an effective technique has been discovered for
conquering an enemy that has baffled doctors, psychiatrists,
pastors and thousands of distressed families.
BOOK
REVIEW
SOCIAL
PROGRESS
March
1941
ALCOHOLICS
ANONYMOUS:
Works Publishing Company, New York, $3.50
Here
is an unusual book. It is the dramatic recital of the
experience of more than a hundred men and women in their
fight against alcoholism, their victory, and their desire
and determination to pass on to others the secret of their
release. The group who has contributed to this book began
with two or three alcoholics whose similar experiences drew
them together. "To show other alcoholics precisely how
we have recovered from a seemingly hopeless state of mind
and body," says the introduction, "is the main
purpose of this book."
Let
it be said at the outset that there is nothing sensational
in these stories, although they are filled with the drama of
conflict, failure and final release. These writers believe
that there is but one cure for the alcoholic. That is the
realization of his own inability to cope with his repeated
failures and the recognition of the reality of that Power
greater than himself, whom we call God, to drive out his
obsession. The head of one of the nation's great hospitals
for the treatment of alcoholism and drug addiction
contributes a statement to the introductory pages declaring
that here is the working out of the principles of a sound
"moral psychology."
The
discussion of these principles is free of emotionalism. It
is neither sectarian nor partisan, for men and women of all
religions and of none, have contributed to the book "In
our personal stories," says one writer, "you will
find wide variation in the way in which each teller
approaches and conceives of the Power greater than himself.
One proposition, however, these men and women are strikingly
agreed. Every one of them has gained access to, and believes
in, a power greater than himself. This power has in each
case accomplished the miraculous, the humanly
impossible."
The
movement has grown and spread without formal organization
and groups are widely scattered over the country. Its
members, mostly business and professional folk, go about
their usual work, their avocation being to help others
through their friendship and moral concern to find release.
For
ministers, social workers, psychiatrists, and all others who
are concerned with the rescue of those sick in mind and
body, from the possession of the liquor habit, this book is
a source of suggestion and inspiration.
E.G.R.
BOOK
REVIEW
MENTAL
HYGIENE
Vol.
25(2), April 1941.
ALCOHOLICS
ANONYMOUS:
New York: Works Publishing Company, 1939. 400pp.
TWELVE
AGAINST ALCOHOL:
By Herbert Ludwig Nossen, M.D, New York:
Harrison-Hilton
Books, 1940. 246pp.
These
two books are similar in that both present in great detail
case histories of patients who are suffering from
alcoholism. In this way many old established facts about
alcoholism are brought again to our attention, such as the
individual's early resort to alcohol as a means of solving
his problems or temporizing his major adjustments in life,
and the tragic and dramatic way in which the alcoholic
drags down his entire family with him, to say nothing of
the other social and economic repercussions. Reading these
case histories, one becomes more than ever convinced that
the excessive drinking of alcohol is one of the relatively
minor phases of the individual's whole problem,
particularly when one considers the faulty psychosexual
adjustments and general immaturity and infantile
characteristic of the alcoholic
For
the successful treatment of a person who has become
addicted to alcohol, there must of necessity be a
revolutionary change in the patient's personality. The
achievement of more adult attitudes and the marked turning
away from older selfish, infantile patterns of behavior
must involve an emotional upheaval. We are all aware that
this inner emotional change is more necessary than a
merely intellectual appreciation of one s difficulty, or
what is called intellectual insight.
It
will be interesting to see how the religious program set
forth by Alcoholics Anonymous will work. It is not
entirely new; it has been tried before.
James
H Wall
The
New York Hospital, Westchester Division,
White
Plains, New York.
BOOK
REVIEW
WORLD
CALL
June
1941
One
of the most significant redemptive movements of our time
is expressed in a large book of testimonies called
Alcoholics Anonymous. It is written with the enthusiastic
flair of discovery though its main thesis is as old as the
history of Christian redemption.
Alcoholism
is a disease. Physicians and psychiatrists have been
working on it for years. It is a disease with an
increasing prevalence. Many practicing physicians write it
off as incurable. The present movement began with an
individual who had been given up by the practitioners as
hopeless. He was converted to religion and began to work
out the practical effects of his conversion by trying to
help other alcoholics. This method was found amazingly
successful and has some of the professional physicians
mystified. These alcoholics find that they need spiritual
support and that their own cures are best secured by
helping others with like affliction. They are forming an
informal group of the saved. It is a movement worth
encouraging.
BOOK
REVIEW
SOME
FACTS ABOUT THE BIG BOOK
THE
A.A. GRAPEVINE
July
1955
The
new edition has 612 pages, as against 400 pages in the
old. In terms of cost it is the best non-fiction buy in
the country. No other commercial publisher in America
could match the book, in size and format alone, at its
retail price.
The
first edition runs to 100,000 words, the edition just off
the press is 168,869.
The
old edition contained 29 stories, about 1,800 words each,
the new edition has 37 -- 24 of them brand new -- and all
of them running to twice the length (or about 3,300 words)
of the earlier work. The new stories are more detailed and
more explicit, more revealing, and of more useful contrast
and variety.
The
geographical spread, in the new book, is far greater: 15
cities, 10 states, and two foreign countries.
The
vocational range is immense: buyer, industrial executive,
surgeon, banker, writer, educator, soldier, insurance
agent, advertising executive, furniture dealer, stock
farmer, beautician, charwoman, truck driver, insurance
investigator, salesman, real estate agent, promoter,
accountant, sculptor, journalist, upholsterer,
organizational executive, patent expert, lawyer, doctor,
and housewife. The most numerous in this list is the
housewife -- with six stories.
There
are 110,000 words of absolutely new material, yet the
practical, therapeutical, and expository first 175 pages
of the original work are here intact. These pages have
already gone into the American legend as the
"greatest redemptive force of the twentieth
century." And these pages will remain there, through
the full history of man's pursuit of maturity.
BOOK
REVIEW
BEST
SELLERS
Vol.
15: 96, August 15, 1955
ALCOHOLICS
ANONYMOUS (Second Edition)
Alcoholics
Anonymous Publishing Co., July 16, 1955.
This
book is a revision of the first edition originally
published in 1939, which has gone through 300,000
copies. Not only does it tell the appalling story of
alcoholism, but it also serves to give a deep insight
into the philosophy and functioning of A.A.
Five
chapters devoted to the relationship of the alcoholic to
his wife and family contain many instances of marital
and domestic difficulties, their meaning and methods of
handling them. Spouses and families that have been
spared the presence of an alcoholic can never fully
appreciate what it means to have a family member a
victim. These chapters dispel many of the misconceptions
and false notions of how the alcoholic should be
treated, and they offer many sound suggestions in this
area.
The
second part of the book contains thirty-seven case
histories of alcoholics. Twelve of these relate to
pioneers of A. A.; twelve tell about people who stopped
drinking in time. The remainder are inspirational in
nature.
At
the present time A.A. numbers more than 150,000 members.
In view of its short history, less than twenty years,
this is a phenomenal growth. Since we have over 800,000
problem drinkers in the U.S. it is immediately obvious
that hospitalization is impossible even if it were
feasible. Because of this fact, efforts like A.A. take
on a practical urgency. As the book well indicates, A.A.
does not seek to supplant the psychiatrist or medical
man. However, the group experiences of A.A. have
evidently been sufficiently strong to help chronic
alcoholics take the steps necessary for their
rehabilitation.
This
book is a welcome addition to the literature on
alcoholism. It has value for the alcoholic who is
seeking help, his family and friends and even the
persons professionally concerned with his treatment and
recovery.
BOOK
REVIEW
SATURDAY
REVIEW
Vol.
38, August 27, 1955
"THE
BIG BOOK" BIBLE FOR ALCOHOLICS
There
was a time when the organization known as Alcoholics
Anonymous, which has become one of the greatest boons
to the drunkards of the world, had a membership, which
was a little lopsided. On its rolls the Bowery was
better represented than Park Avenue, a fact deplored
by the organization's leaders. So, recognizing that
the rich can become just as alcoholic as the poor, the
organization decided to do something about it. Acting
on its long-held tenet that only a sober ex-drunk can
cure a down-and-out drunk, the A.A. leaders looked
around for an ex-drunk with glamour and the ability to
speak the Park Avenue language. They found it in an
ex-drunk countess. The result: Park Avenue became as
well represented as the Bowery on the rolls of A.A.
Now,
in the past few years, another change has taken place
in the membership of A.A. -- a change that has proved
even more important than that accomplished by the
countess, but which was comparatively unnoticed by the
public-at-large until last month. At that time A.A.
held its bone-dry twentieth-anniversary convention
and, in conjunction with the ceremonies, issued a
revised, second edition of an oversized, ocean-blue
volume, which is familiarly known to all A.A members
as "The Big Book." The new edition, like its
predecessors, is jacketed in a reversible dust cover,
one side of which is blank, which allows it to be read
in trains and buses without attracting the eyes of the
curious. But, unlike its predecessor, the new edition
is not intended solely for alcoholics of the last-gasp
variety. Right in the middle of it lies a whole
section devoted to drinkers who have not yet lost
their businesses or broken up their homes or, as most
of A.A.'s original members seem to have done, landed
in jail. Says ex-A.A. president Bill W. (who still
keeps his last name anonymous, though he has now
stepped down from his executive position): "Now
we're getting cases whose drinking has merely become a
menacing nuisance, and we're glad for them"
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