Alcoholics Anonymous As a Mutual-Help

Alcoholics Anonymous (AA) has an estimated worldwide membership of two million. This collaborative study offers the first comprehensive look at AA as a social movement, a belief system, a model for small group interactions, and a truly international phenomenon. The international success of AA is evidence that a system of thought and a program of action developed in middle-class North America in the 1930s can be adapted and made relevant in cultural environments as diverse as the slums of Mexico City, the factory towns of Poland, and the farm villages of Switzerland.
    The authors look at what actually happens in an AA meeting, how members interact, and how the AA model fits into widely varying cultural traditions. The book includes the early history of AA and its organizational principles, its international growth, and its present structure, finances, and membership. The chapters pay particular attention to the relationships of belief and action in AA, the role of written and oral tradition in the transmission of the beliefs, and cultural variations in the content of the belief system. Because AA is a mutual-help movement, the authors contrast it with professional health care of various kinds, including 12-step programs, and compare it with alternative mutual-aid organizations.
    The book draws on an abundance of data, including surveys, observation, in-depth talks with members, and a wealth of unpublished documents pertaining to AA in Austria, Finland, Iceland, Mexico, Poland, Sweden, Switzerland, and the United States. The authors analyze AA's organizational guidelines as an innovative code of principles for non-hierarchic and non-bureaucratic social structures, and suggest that AA is the prototype for an emerging social form.