Just as an aside as it really isn’t the OP but most rehab programs and even current successful AA members aren’t stressing what has been called the “disease model”. I believe you are presenting a picture of a more static field when this isn’t the case.
The best rehab centers and addictions counselors out there are blending different approaches and are using what works for the individual. If the particular client seems to mesh personally with the disease model that is what the clinician will use.
The field has developed. It’s not all AA/NA or nothing nowadays. Still the 12 steps have as good a track record as the other approaches and has proven immensely helpful for some so it is indeed still a common approach.
Ringil,
I am presenting a controversial area that you want to call static. I agree that the AA/disease model of AA is static as it has not changed and has not progressed. It is stuck in the steps. The book is the book.
The best rehab centers? Which ones are those?
The 12 steps have a miserable track record with no proven studies that the success is anything close to better than spontaneous recovery. Provide one study that proves otherwise. It doesn’t exist. Your statement that suggests a good track record is opinion, based on no study, and who knows where your opinion comes from. This causes me and should cause others to question all your opinions. I suggest you provide a series of studies proving this opinion and until you do you have no credibility.
This is nonsense. The disease model is all or none. You either accept you have a disease or you don’t. You can’t be a little bit pregnant. You can’t have sort of a Cancer. You can’t kind of have pneumonia. You do a diservice to the practice of medicine for the general audience. There is no meshing.
The point of bringing this up is it is a field that has a difference of opinion and here we see that there is a difference of opinion. There is no dictating.
You are of the opinion as stated on other threads that gay is gay and I say you are wrong. You have an inherent bias and that causes you to lose credibility in any discussion I find you in. You do not look at both sides of the coin.
You are a social worker and you speak for social workers. You don’t speak for any physician. You wrongly present views that many may accept as the standard. They are the standard for you and perhaps social workers. Please don’t try to state opinions that may be construed as authoratative as anything other than a social worker voicing an opinion as a social worker.
Let me help you on your journey of a corrected opinion…
J Addict Dis. 2009; 28(2): 145–157.
doi: 10.1080/10550880902772464PMCID: PMC2746426
NIHMSID: NIHMS143522
Alcoholics Anonymous Effectiveness: Faith Meets Science
Lee Ann Kaskutas, Dr.P.H.
Research on the effectiveness of Alcoholics Anonymous (AA) is controversial and is subject to widely divergent interpretations.
At the heart of the debate is the quality of the evidence. AA critics have argued that AA is a cult that relies on God as the mechanism of action [11], and that rigorous experimental studies are necessary in order to convince them of AA’s effectiveness. Their concern is well-founded. As will be evident from this review, experimental studies represent the weakest of the available evidence.
Cochrane Database Syst Rev. 2006 Jul 19;(3):CD005032.
Alcoholics Anonymous and other 12-step programmes for alcohol dependence.
Ferri M, Amato L, Davoli M.
SourceAgency of Public Health, Project Unit: EBM and Models of Health Assistance, Via di Santa Costanza 53, Rome, Italy 00198.
AUTHORS’ CONCLUSIONS:** No experimental studies unequivocally demonstrated the effectiveness of AA** or TSF approaches for reducing alcohol dependence or problems. One large study focused on the prognostic factors associated with interventions that were assumed to be successful rather than on the effectiveness of interventions themselves, so more efficacy studies are needed.