What are the pro and cons of twelve-step programs? In the early 20th century, Bill Wilson founded Alcoholics Anonymous in an attempt to address and ultimately cure his confounding and baffling condition. The approach and philosophy of AA are based on medical insights, ancient spiritual traditions, and consultation with a handful of psychologists and more than a few alcoholics.
Today, AA and other 12-step programs are easily the most widely known and available support for addiction. Although AA is the original, many splinter groups have formed based on the same 12-step philosophy, including Narcotics Anonymous, Sex Addicts Anonymous, and Debtors Anonymous.
I’ve often referred clients to twelve-step groups if I think they’d be a good fit for such a group and if they’d likely find it helpful. But I’ve realized that AA and its variations aren’t for everyone. Here are some of my thoughts about the pros and cons of twelve-step programs to help you determine what’s right for you.