Alcoholics Anonymous: Cult or Cure?

@article{Vaillant2005AlcoholicsAC,
  title={Alcoholics Anonymous: Cult or Cure?},
  author={George E. Vaillant},
  journal={Australian and New Zealand Journal of Psychiatry},
  year={2005},
  volume={39},
  pages={431 - 436}
}
  • G. Vaillant
  • Published 1 June 2005
  • Medicine
  • Australian and New Zealand Journal of Psychiatry
Objective: To discuss the mechanism of action, the efficacy and the safety of Alcoholics Anonymous (AA) in the treatment of alcoholism. Method: The published works on effective treatments for alcoholism is briefly reviewed and a prospective multidisciplinar y follow-up of recovery from alcoholism in two community cohorts of adolescent males followed from 1940 until the present day is reviewed. Conclusions: The suggested mechanism of action of AA is that it employs four factors widely shown to… 

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References

SHOWING 1-10 OF 51 REFERENCES

Social and community resources and long-term recovery from treated and untreated alcoholism.

It is not surprising that short-term interventions have little long-term impact, but social and community resources that are readily available for long periods are more likely to have a lasting influence on the course of alcoholism.

Controlled drinking by alcoholics? New findings and a reevaluation of a major affirmative study.

A review of the evidence, including official records and new interviews, reveals that most subjects trained to do controlled drinking failed from the outset to drink safely and were rehospitalized for alcoholism treatment within a year after their discharge from the research project.

Disulfiram for the treatment of alcoholism. An evaluation in 128 men.

It is found that complete abstinence correlated significantly with compliance and obtaining employment, and patients willing to take disulfiram are more likely to be abstinent if given the drug.

The Natural History of Alcoholism Revisited

In Natural History of Alcoholism Revisited Dr Vaillant adds data collected and literature reviewed since 1980 in new sections under headings marked revisited to underscore the relativity that time imposes.

Reduced substance-abuse-related health care costs among voluntary participants in Alcoholics Anonymous.

Voluntary AA participation may significantly reduce professional treatment costs and Clinicians, researchers, and policymakers should recognize the potential health care cost offsets offered by AA and other self-help organizations.

Alcoholics Anonymous: Cult or Cure?

This well researched, painstakingly documented book provides detailed information on the right-wing evangelical organisation (Oxford Group Movement) that gave birth to AA; the relation of AA and its

Youthful precursors of alcohol abuse in physicians.

What can long-term follow-up teach us about relapse and prevention of relapse in addiction?

  • G. Vaillant
  • Medicine, Psychology
    British journal of addiction
  • 1988
Premorbid social stability, especially stable employment history, proved a more effective predictor of long-term outcome than the severity or chronicity of addiction.

Spontaneous remission from the problematic use of substances: an inductive model derived from a comparative analysis of the alcohol, opiate, tobacco, and food/obesity literatures.

Common processes important to spontaneous remission from these four substances are identified and form the basis of an inductively derived model of spontaneous remission behavior, relevant to interactionist theory and offered for further, empirical testing.

Network support for drinking, Alcoholics Anonymous and long-term matching effects.

In the long-term TSF may be the treatment of choice for alcohol-dependent clients with networks supportive of drinking, irrespective of the therapy they will receive and involvement in AA should be given special consideration.
...