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2019 Spring Dean’s List

In an effort to up the activity on the StepUP blog, we figured we would start on a high note and give kudos to the SteUP students who made the Deans list spring semester of 2019. The Deans List recognizes full time students who achieved a cumulative GPA of 3.5 or higher. This past semester a number of our students achieved just that. We offer you all a wholehearted congratulations, keep up the hard work! If you’d like to see the list in its entirety, visit the 2019 Spring Dean’s List


The Dean’s List recognizes:

Maxwell B.

Alex C.

Jack D.

Simon E.

Colin G.

Rochfort K.

Thomas L.

Erin M.

Anne M.

Samuel M.

Alexa N.

Madeline R.

Tucker R.

Patrick R.

Tyler S.

Abbey U.

Joey W.

Chase W.

Tommy W.

Fall 2017 Dean’s List

Last semester, Fall 2017, 39 StepUP students made it on the Dean’s List. For full time students, that means that they earned a GPA of 3.5 or higher over the semester. Coming to college as a person in recovery is already worth celebrating, but getting noteworthy grades while you do it is impressive. Congratulations:

Alexa A. Katie D.
Annie M. Abby U.
Micah V. Tyler S.
Manford F. Jon M.
Jamie P. Michael R.
Ben S. Taylor S.
Chris B. Julia C.
Lindsay E. Sam E.
Connor F. Cole F.
Aaron H. Henry J.
Erin M. John M.
Mitch R. Tony S.
Phil S. Chase W.
Tommy W. Chad B.
Brien B. Matt C.
Sam G. Derek G.
Quinn H. Jamie H.
Neil K. Danny M.
Sam P. Arlo R.
Sam W.

A Reflection by StepUP Student Owen Harrison

One of the hardest things about being in recovery is when friends go back out or even die. Being in recovery for four years now has provided me the honor and privilege of getting to meet some amazing people. Every drug addict and alcoholic I have met has been incredibly smart, talented and passionate. Some are passionate about social justice issues, others in bodybuilding or basketball, but everyone has something. Every drug addict and alcoholic I have met who even briefly found recovery had dreams. I want to humanize what a drug addict or alcoholic looks like. We are people, we have families, and we have dreams.  All too often our lives are cut short. In 2018 I have already had two friends pass and it’s not even the end of January.


As a busy college student who is invested in a little bit of everything from classes and research, to friends and family, to preparing for the future and trying to remain socially engaged, it is easy to get caught up in the little things. It’s easy to get pulled into the drama and the fear around me.


The longer I spend in recovery and the more time I spend out in the “real world,” it’s not difficult to find examples of how destructive fear can be. Fear is divisive, it makes the spaces between us larger and more difficult to close. A personal example of this is when I wasn’t doing well in a class last semester I started telling myself that the professor doesn’t like me, or that they had it out to get me. When in reality, I was afraid that I couldn’t learn the material or that I wasn’t smart enough to succeed. Fear stopped me from asking for help and ultimately prevented me from receiving the grade I wanted. Luckily, with this being a two semester course I was presented the opportunity to try again and to break down the wall that fear had created for me and ask for help. I am pleased to report that I am doing significantly better in this class this semester.


Last night while sitting in my living room I was discussing the newest offshoot of drama with my roommate. By the end of our conversation we found out that a former StepUP student had passed. This served as a not so gentle reminder that I am lucky to be here, to be alive, and to be in StepUP. There are plenty of people who wish they had the opportunity of another chance at life. Around here we are in the business of saving lives. The drama and the fear doesn’t promote a recovery community, it will only continue to separate us. Without each other we have nothing. May we continue to grow and recover. May those of you out there struggling be reminded that help will always be here when you are ready for it. And to those we lost too soon, may you rest easy now that your demons are gone.

Student Spotlight: Emma S.


Hi Emma, tell us about yourself

My name is Emma S. and I am a Junior at Augsburg majoring in Psychology and minoring in Business Administration. I am originally from Colorado and I’ve been in StepUP for three years. I love playing intramural soccer, to paint and to draw. Also, I like green apples. Photo of Emma S

Why did you come to StepUP?

I came to StepUP because I wasn’t going to stay sober as a freshman in college without it. I first heard about StepUP from students that came to speak at the treatment center I was in. There were other schools I checked out, but StepUP had such a large sober community compared to the others, and Augsburg seemed really cool.

What keeps you going?

My higher power is definitely number one, although it can be hard to stick to it and have faith during difficult times. I have found that when I have faith, I always turn out ok. I also go to meetings and have a sponsor. I don’t litter, because I used to litter a lot. It’s easy to tell when I’m not on the right track because I tend to think about littering more often, along with participating more in gossip and negative self talk. I know that when my recovery needs work, I’ll be able to tell by paying attention to what is going on in my thoughts or my school performance. If I need help, the StepUP community, wider recovery community and my family are always there to support me.

Advice to incoming students?

You need to come in wanting success, in school and recovery, for yourself. Doing it for someone else will not work. Get involved! Keep up momentum! These things will lead to happiness and continued sobriety. Connect with people, don’t isolate. StepUP is going to be what you make it, so putting in the work will pay off.

Speaking of getting involved, what is up with Leadership Team?

I’ve been a part of leadership team for a little over one year. We are a group of StepUP students who volunteer our time to help improve our community. There are three ways that we do this, and each has a “chair” on leadership team who is responsible for it. These are service, events and advocacy. Service chair was my position for most of my time on the team, it was my job to go out into the community and find opportunities for StepUP students to be helpful to others, especially to those in recovery. When I found service positions, we would announce them during StepUP’s Big Circle meeting so people could sign up to volunteer. Service is very important because you are essentially the face of StepUP to the city. That goes for the service chair and the students volunteering. Another position is Events Chair. They are responsible for organizing an event for StepUP students once a month, which has been very important for connecting the community. And finally there is Advocacy Chair. Their job is to hear students needs and to communicate them to staff.

I am now the Leadership Chair, so I “manage” the 3 chairs, and connect with the StepUP director, Tam, to update her on what we are up to. We are always taking applications for leadership team! You can attend one of our meetings the day you apply.

What music have you been listening to lately?

Angus & Julia Stone. And some G-Eazy because he is my husband. Some Billie Eilish. I’ve always listened to a lot of rap music but I’ve been slowing down on that because a lot of it has some really negative messages. Good vibes and positivity is what I need.

What has been your favorite class so far?

Abnormal Psych. I want to do clinical psychology so it’s exactly what I will be dealing with in my career.

Plans after graduation?

I want to go to graduate school for clinical psychology. There are a lot of possibilities still, so I am focusing on the semester for now.

Anything else?

Just remember to take it one day at a time. If we can just finish today sober, we’re golden. It’s important never to forget that.

Thanksgiving 2017

I’m not sure how we manage to pull off a full thanksgiving dinner for dozens of students every year, but somehow we did the impossible again: got a bunch of addicts and alcoholics to cooperate and organize a nice meal.  And it went off without a hitch!

StepUP students sitting at table

I honorably did my duty with my roommate Bryan and made about one and a half gallons of gravy. The ingredients included gravy powder, water and butter. Complexity of that recipe aside, Bryan looked very stressed watching the massive stockpot full of water barely budge in temperature with only 30 minutes to spare before dinner. I told him that a watched pot never boils but he didn’t seem consoled.

Each dish was assigned to one apartment or group of flat mates. Five turkeys in five ovens. Owen showed off his cutlery skills and carved up every one of them himself! I’ve heard reports that StepUP student and Thanksgiving enthusiast Ben founded the “clean plate club”, of which he was later denied membership due to not meeting its one qualification. Tragic.

StepUP students sitting for thanksgiving dinner

Although the subject is controversial, there has been some consensus about which dish was the best. The dish described to me as an “Oreo pudding thing” was a massive hit.  I would love to give my compliments to the chef, but it’s a bit of a mystery who brought it (according to the one person I asked about it). Maybe the Oreo pudding was always there?


StepUP students in the flat

The true heroes of this story are Daniel, Emma, Alexa, Sophie, Moses and Annie. They were the main people responsible for the cleanup. Thanks guys!

I’ll make a better gravy next time.

Trollhaugen 2017

It’s a StepUP tradition to take our new fall students to conquer the ropes courses at Trollhaugen in Dresser, WI. The goal of the ropes course is simple, get from point A to point B. Of course, most of the course is made up of wooden platforms anywhere from 12 to 48 feet in the air, connected by bridges made of zip lines, tires, ropes and wooden planks. Our new students, their mentors, StepUP Peer Advisors and some StepUP staff suited up in safety equipment and took to the trees to kick off the new school year!

Two StepUP Counselors standing on a wooden platform attatched to a pole.

On the bus ride there, emotions were varied. Among the attendees we had hikers, mountain climbers, and people with a serious fear of heights (and everything in-between). “Not every fear needs to be conquered”, new student Tommy told me as the coach bus pulled into the parking lot. I told him that conquering a fear with no significance in your daily life may seem pointless, but it’s a good workout nonetheless. I say that now, but when I came to Trollhaugen last year as a new student, I convinced myself that we hadn’t enough time left to try one of the more difficult courses (we did), and that I wasn’t skipping it because I was scared (I was). This time I was on a mission: successfully complete the most difficult route.

A photo of the ropes course from below

After a quick run through the intermediate blue courses, another student and I approached the elevated platform that led to either the secondary blue course, or the black. We both decided to just hop up the ladder to the black before we could talk ourselves out of it. The first obstacle was a short set of monkey bars, 48 feet in the air. Even with the nearly fool-proof safety equipment, dangling from that height by our fingers was quite the barrier to entry. Ahead of me were two new students, Foster and Sophie, and behind me was another new student named Moses. While waiting for Foster to swing over to the next structure,  I was able to divert some of my own anxiety by delivering a pep talk to my apprehensive new friends. The four of us all made it over and we were on our way.

About halfway through the course, Sophie had her first anxiety inducing moment. She wasn’t particularly afraid of heights, but bees were a different story. The two of us were sharing a tiny platform on a nearly 50 foot pole when a wasp took a keen interest in her. The only escape was to zip line across about 25 feet to the next platform, but she would have to wait until Foster was finished clipping to the next “element” of the course. After a couple tense minutes of buzzing, she finally launched off of the platform under siege, and on to the wasp-free one.

Two people climbing on the ropes course

After the four of us completed the course, I met back up with Tommy, the new student with a serious fear of heights. He told me that yes, he had completed the course. When I asked him if it felt great to conquer his fears, he chuckled and told me no, it didn’t feel that great. I suppose that is the reality of pushing your boundaries of fear and proficiency. Sometimes you don’t get a pleasant rush as a reward. But it does often make it easier to approach something threatening next time, even in a completely different domain, like applying for a high status job, or being honest and vulnerable in a relationship. When I came to Trollhaugen as a new student, I thought I already knew my own competence and ability. My experience shows, however, that I have absolutely no idea what I’m capable of until I’ve measured my expectations against reality. That is- just try it. It risks sounding like a platitude, but most of the students I talked to had a similar experience on the ropes course. All of us had some expectation of what it would be like, and how we would perform. And to some degree, we were proven wrong. Here’s to carrying that memory into our recovery and our educations.


How Media Hype Can Hurt Addicts

We are once again falling into the trap of waging war against inanimate substances. And we will continue to lose.

It was about three months after I had a major surgery, and I had just stumbled upon the surplus Percocet tucked away in my parent’s bathroom closet. The surgery was called the Nuss procedure, which necessitates the controlled fracturing of the entire sternum and most of the upper ribs. Pain management is a serious concern. Oddly enough, my pediatric surgeon sent me home from the ICU with exactly double the amount of oxycodone that my painkiller regimen actually called for. He also made a cheeky joke about “being careful” because these “sell for a lot on the street”.

I imagine it was just a miscalculation of the sense of humor a 15 year old might have. But I knew the truth behind the quip. I had already experimented with numerous drugs at that age, but never an opiate. Opiates were the forbidden fruit. I fancied myself an “educated” drug consumer, and all of the others like me that I had met online repeatedly said never to play around with benzodiazepines, methamphetamine, or opiates. Too risky. When I found the bottle of 30 five-milligram oxycodone tablets in that closet, my first thought was “well, I better just be very careful”.

That is how I found myself googling the proper dose for a first time recreational user of oxycodone. You see, I was very methodical about it all. I was certain that addiction was a consequence of carelessness, and could be avoided with the prerequisite knowledge and planning. Two friends of mine and I took 15 milligrams of oxycodone that summer before high school, and I ate the fruit.

Those three white tablets were the final handshake I made with the devil. When I felt the first wave of euphoric bliss pass over me, I had the keen sense of making a secret agreement. The feeling of relief from existential angst, depression, soreness, embarrassment, and insufficiency was so profound that my barely developed brain absolutely folded in submission.

I tell stories like this to other addicts seeking recovery, because it highlights a type of powerlessness over substances that I have found crucial to recognize in my own recovery. In the wrong hands however, stories like this throw gasoline on to a media-hype inferno that can contribute to policy decisions that hurt addicts. I spend a lot of time reading news and editorials on the opioid epidemic, and I am continually unimpressed. There is something about the narrative surrounding it that is eerily familiar. I’m just old enough to remember the last drug epidemic: crystal meth. There was a blueprint for writing about it:

  1. A (not-so) new drug- crystal methamphetamine
  2. A new demographic being ravaged- rural Midwestern communities (which is supposed to be shocking because it is not the inner city)
  3. Someone to blame – first clandestine meth labs, then imported Mexican cartel meth.
  4. Subtle support for the status quo – “crack downs”, raids, new laws.

If you have read any reporting on the opioid epidemic, you might recognize that pattern. We have a not-so new group of drugs being pitched as a new scourge on society, a new demographic being effected, an evil cabal of pharmaceutical companies fueling the epidemic, and some status quo interventions being marketed as revolutionary.

So I ask myself, is this a case of an evil drug, or just a continuation of a general addiction epidemic that responds to demands for different substances from decade to decade? I think it is almost certainly the latter. Dr. Joseph Lee of the Hazelden Betty Ford Foundation agrees. In an interview with MinnPost he says “Addiction has never really been about drugs. Addiction is about the people who are at high risk for becoming addicted to those drugs.” Dr. Lee, a psychiatrist and expert on addiction, thinks the focus on specific drugs or classes of drugs is completely misguided and will lead to more panicked tail chasing while people continue to die. “If we invested in people as opposed to focusing on drugs, I think we’d have a much, much smaller problem on our hands”, Lee explains.

The focus on opioids in isolation is not exclusively the product of ignorance and hype. The fact is, someone that becomes addicted to heroin is at a much higher risk of an early death than someone addicted to cocaine. This is just a function of the physiological effects of opiates (overdose, combining with other respiratory depressants). Despite my concerns, the urgency of watching a rising death toll has been put to good use. As far as I can tell, there has never been so much media and political attention on recovery and addiction treatment. Public acceptance of Narcan distribution is incredible. There have also been real crimes and failures of foresight in the medical industry that needed to be brought to light. But along with the good, there is some bad. Besides addicts, many people get caught in the crossfire. Legitimate pain patients have a harder time getting effective medication and impoverished neighborhoods get more dangerous as the drug war increases in intensity. We are once again falling into the trap of waging war against inanimate substances. And we will continue to lose.

When I took those three tablets, and felt all of my teenage discontent vanish, I was having an entirely different experience than my two friends. My brain was primed for addiction long before that day and no single person or entity is to blame. We can do better when engaging in public discourse about addiction. Well known recovery writer and researcher William White recently published a piece spelling out just how we can do that. To him, the one-at-a-time method of talking about drug addiction does not work, never has worked, and never will work. The blind spots we produce when talking about addiction that way turns drug policy into a game of whack-a-mole. Bill says “As the opioid epidemic evolves, all of us involved in the front lines of policy responses and clinical or recovery support interventions should remain aware that it is more than an opioid epidemic and that we must be prepared to respond as it continues to evolve in ways not yet clear. “

When the media subtly anthropomorphizes heroin and other opiates as predatory agents in society, it props up the narrative which justifies the draconian, misinformed and (most importantly) failing policies of the war on drugs. Nobody has been more thoroughly failed by these policies than the addicts themselves. Approaching addiction this way is myopic, and will once again catch us by surprise in the next decade when a different drug becomes popular. Whether we are using the framework of hereditary predisposal, economic despair, corrupt pharmaceutical giants, or spiritual maladies, we must never forget what we are actually talking about when we talk about addiction: human beings.


ARHE/ARS Conference 2017

I became convinced that recovery schools and collegiate recovery programs were the future of substance use disorder treatment and stigma reduction.

Having pretty limited experience with airline travel, I was a bit nervous on my way to the Minneapolis-St. Paul International airport. “I feel like something will go wrong”, I confessed to my girlfriend on the way to the terminal. I was on my way to Washington D.C. for the Association for Collegiate Recovery in Higher Education’s annual conference. The opportunity to travel for work and school was an exciting prospect, not to mention being able to leave Minnesota for once without bleeding out my bank account. So despite my apprehensions I was in good spirits as I was herded through security.

Everything went perfectly fine until my flight got delayed twelve hours. Attempting to sleep on the floor of the terminal was completely futile. It was a rough night (Shout out to the old man that brought me a blanket and pillow). Eventually I made it back on the plane and left for D.C. I wasn’t exactly bright eyed and bushy tailed, but my excitement for the conference was not completely crushed.

Once I was all checked in and got my little name badge with the bright red “first timer” ribbon adhered to it, I checked the conference schedule to see where I ought to be. I was somewhat anxious that I would fall through the cracks and miss something important, fueled by the fact that I was there by myself and everyone in this city walked with a sense of purpose and had somewhere to go. The schedule said that there was a recovery meeting ten minutes out and I was already in the right building. Perfect. Of course I should have been looking for a meeting already. Staying in an airport full of bars, stressed out, by myself for 12 hours wasn’t tempting exactly- but it was spiritually exhausting.

There I met Abby Foster of Heroes in Recovery, an organization that interviews people in long term recovery about their experiences, and hopes to reduce stigma surrounding substance use disorders. We had already been in brief contact about doing an interview for the website. Abby was one of the many people I met at the conference that exemplified the hard work behind the nationwide recovery advocacy and collegiate recovery movement. After the meeting and being interviewed, my exhaustion subsided a bit and I became more aware of the big picture of what we were doing here in D.C. Here were hundreds of clinicians, professionals, students and professors all with the express goal of placing a collegiate recovery program in every school in the country.

It didn’t take long to get swept up in the excitement. I started to make plans for next year. StepUP ought to bring more students, we ought to host a presentation on student leadership in a CRP etc. In the swampy July heat of Washington D.C. at George Washington University, I became convinced that recovery schools and collegiate recovery programs were the future of substance use disorder treatment and stigma reduction.

This conference was the first time I had seen so many intelligent, capable and passionate people all working towards a common goal. That could be due to my limited experience in the professional and academic world, but I do think the ARHE and the schools involved are special. The ARHE and Hazelden Betty Ford sponsored town hall on the opioid epidemic was a powerful thing to be present for (video link below).  If you ever have the chance to be a part of recovery advocacy on this level, please do. My involvement in StepUP has a new significance in my mind now. This isn’t just about Augsburg, this is about recovering young adults all over the world getting the same chance at an education that I did.

Opioid Townhall Video – Live from George Washington University – can be found on our Facebook page.

ARHE Website
ARS Website
Heroes in Recovery

A Strange Alliance

black metal folding chair photo

We take for granted the alliance between the present day treatment establishment and the grassroots, barely organized twelve step groups like Alcoholics Anonymous and Narcotics Anonymous, but in fact their cooperation is a bit more perplexing than it may seem at first glance. Compared to modern medical and psychological science, the twelve steps seems antiquated. The language of the Alcoholics Anonymous text is sentimental and romantic when compared to the Diagnostic and Statistical Manual’s or APA’s description of substance dependence. I would like to explore some of these contradictions, and the ways they might play out in the future. Can a philosophy centered on transcendence and “fourth dimensions of existence” play nice with treatments grounded in the material world?

The popular image of substance use recovery is the circle of metal folding chairs in a musty church basement. The chairs are filled with sympathetic (if slightly pathetic) characters who say “Hi I’m Jane, and I am an alcoholic/addict”, and everyone responds “Hi Jane”. Media representations will sometimes include the concept of salvation from the given vice through belief in a higher power, while some may lean toward a general group therapy model. This image is borrowed from Alcoholics Anonymous (AA). AA, and the twelve steps in general, is by far the most common approach to treating alcoholism and addiction. It is an abstinence model, and is founded on the principles of a Christian fraternity called the Oxford Group. Founded in the 1930’s, AA is an early sort of “moral psychology”, which attracted the interest of people like Carl Jung. The description of what chemical dependency is in the Alcoholics Anonymous text, is beyond simply a physical or mental illness. Its authors describe what they call a “spiritual malady”. Generally, they see alcoholism’s symptoms as so far reaching and totally consuming, that only quasi-religious terminology can accurately conceptualize it. The book raises some strange paradoxes. They assert that alcoholism is not a moral failing- but a disease; paradoxically, alcoholism can only be cured by a complete moral renovation. It is not a moral pathology to start with, but its treatment is moral in nature. The idea of alcoholism being a disease was very progressive for its time.

Compelling evidence exists that spirituality is an important contributor to success in recovery, and so far, no competing treatment has come anywhere close to achieving the institutional credibility that the 12 steps have. I often wonder about whether this credibility is based on merit and treatment efficacy, or historical inertia and lack of worthy competition. To be fully transparent, my own recovery from addiction has been primarily through the twelve steps, and I generally have a high opinion of them.

There is a peculiar contradiction that becomes apparent when integrating modern mental health care techniques and the twelve steps. Modern mental health care relies mostly on strict diagnostic criteria, with evidence based treatments based on that diagnosis. Often times the treatments are multi-faceted: psychological, pharmacological, spiritual, and physiological. You may receive a diagnosis for major depressive disorder based on some agreed-upon criteria, and be recommended cognitive behavioral therapy, psychiatric medication, mindfulness practice and regular exercise- all as part of a holistic treatment plan. The twelve steps, as far as I can tell, fall almost exclusively under the spiritual category (with some prescriptive behaviors that are similar to therapy techniques, e.g., the fourth step). The stated goal of twelve step programs is to facilitate a spiritual awakening through reliance on a higher power that will relieve you of the selfishness that would inevitably return you to your vice.

Furthermore, many twelve step group members see behaviors and mental states that some might consider co-morbid mental health issues as just additional symptoms of alcoholism and addiction (as in, unfinished step work). I do not mean to misrepresent AA as such, the actual Big Book of AA fully recognizes the importance of mental health care:

“though God has wrought miracles among us, we should never belittle a good doctor or psychiatrist.” (Alcoholics Anonymous 4th edition, p.133)

But often times the unorganized content of AA or other 12 step meetings does not reflect this. Therese J. Borchard discusses this in her article Competing Models: When Mental Health Recovery Clashes with Twelve-Step Programs. She quotes from her book Beyond Blue

“[Because] complaining is considered whining to most twelve-steppers — “poor me, poor me, pour me a drink” — but as a smart disclosure of symptoms to mental-health professionals. Because many recovering alcoholics and drug addicts are not educated about mental illness, a lot of bad advice is doled out at meetings and/or social hours.”

I wouldn’t paint with such a broad brush as “most twelve steppers”, but I am familiar with the scenario. To its credit, AA has released pamphlets making their stance on mental health very clear, and dissuades AA members from dishing out unqualified medical advice. The APA defines addiction as “a maladaptive pattern of substance use leading to clinically significant impairment or distress”, and goes on to describe the ways in which that may manifest itself. Parts of the AA criteria for an alcoholic aligns neatly with this, but in the process of describing its treatment, the definition takes on a different shape. Through describing how alcoholism ought to be dealt with, the malady is defined as one that encompasses the whole being, which is ultimately impervious to medical interventions or management by self-will.

If it isn’t apparent from the preceding paragraph, the contradiction is this: modern mental healthcare is almost entirely secular, holistic and individualized, but when it comes to addiction, its best tool is an almost 80 year old spiritual movement that purports itself to be the only effective solution for alcoholism and addiction. This creates a strange situation where two entities working as partners have fundamentally different definitions of the problem they are trying to solve. To the world of medical science, addiction is basically a pathology of our reward circuitry- something makes us feel good and we want to repeat it. For some people this becomes so powerful and self-perpetuating that their personality and behavior changes to facilitate further use. So it follows that treatment for addiction will be based on breaking cognitive patterns, forming new habits, and treating the mental and physical damage from the use. This, on the surface at least, seems to be quite a departure from the Alcoholics Anonymous description of alcoholism. I say on the surface because it is possible to extract a blueprint for cognitive restructuring from the steps, but I would argue that many twelve step group members would object to that and consider it reductionist (although not in those words). AA’s description seems to be more akin to the idea of original sin than a medical diagnosis. Basically, we alcoholics are spiritually bankrupt- broken to our very core. Our problem is not necessarily an addiction to alcohol, but an addiction to ourselves. We are self-seeking, afraid and self-pitying- this is the true cause of the destruction in our lives, and alcohol (or drug) abuse is but a symptom of our selfishness. If you are a dogmatic believer in that definition, the idea of therapy, yoga and Prozac being a suitable solution seems insane (a sentiment often repeated in meetings).

If you are a dogmatic believer in that definition, the idea of therapy, yoga and Prozac being a suitable solution seems insane

And maybe it is insane. The reason the text of Alcoholics Anonymous and other twelve step recovery groups resonates with its afflicted readers so well is because the subjective experience of addiction is perhaps best described by the almost mythological language used in the Big Book. It really does feel like a battle between good and evil, perhaps even like being possessed (although the closest the Big Book comes to that specific comparison is the story of Dr. Jekyll and Mr. Hyde). It would be easy to dismiss the archaic and somewhat romantic language used by the creators of the twelve steps if it turned out that the newer, entirely secular treatments, were significantly more effective. But that is not an obvious conclusion from the available research (Moos, R., & Timko, C., 2008).  Adherence to twelve step ideology and attendance to twelve step meetings has been shown to predict future abstinence. So have other treatments, but not so much more effectively that it would render the twelve steps obsolete.

So what does the future hold? Will new evidence based treatments eclipse the twelve steps and usher in a new era of addiction science? Perhaps new research will shine a light on just how complicated addiction is, in a way that would substantiate some of the claims made by the founders of Alcoholics Anonymous that are currently light on material evidence. Maybe we can better articulate how the twelve steps work so that less people are immediately scared away by its dated religious vocabulary (and sexist content, such as the chapter To Wives). As it stands, the twelve steps and the fellowships around them seem to be a form of embodied knowledge, shared through action. I do not consider it sacrilege to criticize the program that helped save my life, in fact I believe criticism of this sort prunes away the dead branches of my recovery and helps me better communicate these principles to others. In fact, there are enumerated traditions in multiple twelve step fellowships that would suggest being too cozy with the treatment industry is to their detriment.  Although the alliance between the twelve steps and current psychological practice may seem a bit “duct taped together”, it may very well be the seed of the next wave of addiction treatment.

-Anthony Simons


Reference List

Alcoholics Anonymous. (2001). Alcoholics Anonymous, 4th Edition. New York: A.A. World Services

Borchard, T. (2010). Competing Models: When Mental Health Recovery Clashes with Twelve-Step Programs. Psych Central. Retrieved on June 8, 2017, from

Moos, R., & Timko, C. (2008). Outcome research on twelve-step and other self-help programs. In M. Galanter, & H. D. Kleber (Eds.), Textbook of substance abuse treatment (4th ed. Pp. 511-521). Washington, DC: American Psychiatric Press.