removed (in addition to the two that were transferred to Part I). All changes made over the years in the Big Book (A.A. members' fond nickname for this volume). The AA Big Book. Bill's Story (75k pdf) · There Is A Solution (77k pdf) · More About Alcoholism This is the fourth edition of the book “Alcoholics Anonymous. Alcoholics Anonymous. Formats in which the Big Book can be read: To read a PDF version of the Fourth Edition of Alcoholics Anonymous click here. To listen to .
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B-1 - Alcoholics Anonymous- Big Book 4th Edition. Alcoholics Anonymous. This is the Fourth Edition of the Big Book, the basic text for Alcoholics Anonymous. Read The Big Book online (PDF) of Alcoholics Anonymous. This is the Fourth Edition of the Big Book, the basic text for Alcoholics Anonymous. THIS IS the second edition of the book "Alcoholics Because this book has become the basic text for our . unity of A.A. is one of the greatest assets that our.
Bob's Nightmare and the personal experiences of some alcoholics are detailed as well as the series of solutions which evolved to become the twelve-step program. How to use the twelve steps is explained using examples and anecdotes. Some chapters target a specific audience.
One chapter is devoted to agnostics , while another is named "To Wives" most of the first AA members were men , and still another is for employers.
The second part of the book whose content varies from edition to edition is a collection of personal stories, in which alcoholics tell their stories of addiction and recovery. The main goal of the book is to make it possible for the reader to find a power greater than himself to solve his problem. The writers indicate that an alcoholic "of our type" can under no circumstances become a moderate drinker: only abstinence and the understanding of the community of alcoholics can lead to recovery.
By way of anecdotal evidence, the example is provided of a man who, after 25 years sobriety, began to drink moderately and within two months landed in hospital. The reasoning is that once an alcoholic, always an alcoholic.
The book contends that it is impossible for an alcoholic to quit drinking by oneself. A new attitude or set of values also would not help. Whosoever is an alcoholic must admit that they cannot help themselves alone. Only a "higher power" and the community can help. An example of a man named Fred is given, who had no control over his drinking, but finally leads an "infinitely more satisfying life" than before thanks to the previously unexplained principles of AA.
Today "many doctors and psychiatrists" confirm the effects of AA. People with alcohol problems also suffer from higher-than-normal rates of mental-health issues, and research has shown that treating depression and anxiety with medication can reduce drinking.
Paul and a former director of treatment and recovery research at the National Institute on Alcohol Abuse and Alcoholism, told me. He threw up his hands. Alcoholics Anonymous was originally intended for chronic, severe drinkers—those who may, indeed, be powerless over alcohol—but its program has since been applied much more broadly.
Today, for instance, judges routinely require people to attend meetings after a DUI arrest; fully 12 percent of AA members are there by court order. Whereas AA teaches that alcoholism is a progressive disease that follows an inevitable trajectory, data from a federally funded survey called the National Epidemiological Survey on Alcohol and Related Conditions show that nearly one-fifth of those who have had alcohol dependence go on to drink at low-risk levels with no symptoms of abuse.
The new term replaces the older alcohol abuse and the much more dated alcoholism, which has been out of favor with researchers for decades. Only about 15 percent of those with alcohol-use disorder are at the severe end of the spectrum. The rest fall somewhere in the mild-to-moderate range, but they have been largely ignored by researchers and clinicians. Both groups—the hard-core abusers and the more moderate overdrinkers—need more-individualized treatment options.
It also costs the country hundreds of billions of dollars in expenses related to health care, criminal justice, motor-vehicle crashes, and lost workplace productivity, according to the CDC. Have they been proved effective? And for whom—only those at the extreme end of the spectrum?
Or also those in the vast, long-overlooked middle? For a glimpse of how treatment works elsewhere, I traveled to Finland, a country that shares with the United States a history of prohibition inspired by the American temperance movement, the Finns outlawed alcohol from to and a culture of heavy drinking. I met with Sinclair in Helsinki in early July. He was battling late-stage prostate cancer, and his thick white hair was cropped short in preparation for chemotherapy. Sinclair expected that after several weeks without booze, the rats would lose their desire for it.
Instead, when he gave them alcohol again, they went on week-long benders, drinking far more than they ever had before—more, he says, than any rat had ever been shown to drink. Sinclair called this the alcohol-deprivation effect, and his laboratory results, which have since been confirmed by many other studies, suggested a fundamental flaw in abstinence-based treatment: going cold turkey only intensifies cravings.
This discovery helped explain why relapses are common. Sinclair published his findings in a handful of journals and in the early s moved to Finland, drawn by the chance to work in what he considered the best alcohol-research lab in the world, complete with special rats that had been bred to prefer alcohol to water.
He spent the next decade researching alcohol and the brain. Sinclair came to believe that people develop drinking problems through a chemical process: each time they drink, the endorphins released in the brain strengthen certain synapses.
The stronger these synapses grow, the more likely the person is to think about, and eventually crave, alcohol—until almost anything can trigger a thirst for booze, and drinking becomes compulsive. To test this hypothesis, he administered opioid antagonists—drugs that block opiate receptors—to the specially bred alcohol-loving rats. He found that if the rats took the medication each time they were given alcohol, they gradually drank less and less.
He published his findings in peer-reviewed journals beginning in the s. Subsequent studies found that an opioid antagonist called naltrexone was safe and effective for humans, and Sinclair began working with clinicians in Finland. He suggested prescribing naltrexone for patients to take an hour before drinking. As their cravings subsided, they could then learn to control their consumption. Numerous clinical trials have confirmed that the method is effective, and in Sinclair published a paper in the journal Alcohol and Alcoholism reporting a 78 percent success rate in helping patients reduce their drinking to about 10 drinks a week.
Some stopped drinking entirely. I visited one of three private treatment centers, called the Contral Clinics, that Sinclair co-founded in Finland.
In the past 18 years, more than 5, Finns have gone to the Contral Clinics for help with a drinking problem. Seventy-five percent of them have had success reducing their consumption to a safe level.
He poured coffee and showed me around the clinic, in downtown Helsinki. The most common course of treatment involves six months of cognitive behavioral therapy, a goal-oriented form of therapy, with a clinical psychologist. Treatment typically also includes a physical exam, blood work, and a prescription for naltrexone or nalmefene, a newer opioid antagonist approved in more than two dozen countries.
When I asked how much all of this cost, Keski-Pukkila looked uneasy. When I told Keski-Pukkila this, his eyes grew wide. I listed some of the treatments offered at top-of-the-line rehab centers: equine therapy, art therapy, mindfulness mazes in the desert. As I researched this article, I wondered what it would be like to try naltrexone, which the U. Food and Drug Administration approved for alcohol-abuse treatment in I asked my doctor whether he would write me a prescription.
Not surprisingly, he shook his head no. I ordered some naltrexone online and received a foil-wrapped package of 10 pills about a week later. Dan Saelinger The first night, I took a pill at An hour later, I sipped a glass of wine and felt almost nothing—no calming effect, none of the warm contentment that usually signals the end of my workday and the beginning of a relaxing evening.
I finished the glass and poured a second. By the end of dinner, I looked up to see that I had barely touched it. I had never found wine so uninteresting.
Was this a placebo effect? But so it went. On the third night, at a restaurant where my husband and I split a bottle of wine, the waitress came to refill his glass twice; mine, not once.
That had never happened before, except when I was pregnant. At the end of 10 days, I found I no longer looked forward to a glass of wine with dinner. Interestingly, I also found myself feeling full much quicker than normal, and I lost two pounds. In Europe, an opioid antagonist is being tested on binge eaters. I was an n of one, of course. My experiment was driven by personal curiosity, not scientific inquiry.
But it certainly felt as if I were unlearning something—the pleasure of that first glass? The desire for it? Patients on naltrexone have to be motivated to keep taking the pill. They have more energy and less guilt. They feel proud.
The Big Book (Alcoholics Anonymous)
Some clients opt to take Antabuse, a medication that triggers nausea, dizziness, and other uncomfortable reactions when combined with drinking. And some patients are unable to learn how to drink without losing control. She had tried Alcoholics Anonymous and traditional rehab without success.
She researched the medication online, got a doctor to prescribe it, and began taking a dose about an hour before she planned to drink, as Sinclair recommends. She says the effect was like flipping a switch.
For the first time in many years, she was able to have a single drink and then stop. In the United States, doctors generally prescribe naltrexone for daily use and tell patients to avoid alcohol, instead of instructing them to take the drug anytime they plan to drink, as Sinclair would advise.
The results have been largely overlooked. Less than 1 percent of people treated for alcohol problems in the United States are prescribed naltrexone or any other drug shown to help control drinking.
To understand why, you have to first understand the history. The first settlers arrived with a great thirst for whiskey and hard cider, and in the early days of the republic, alcohol was one of the few beverages that was reliably safe from contamination. It was also cheaper than coffee or tea.
The historian W. Rorabaugh has estimated that between the s and s, the average American over age 15 consumed at least five gallons of pure alcohol a year—the rough equivalent of three shots of hard liquor a day. Grant me strength, as I go out from here, to do your bidding. Excavating these wrongs, like cleaning out a cavity, reduces the temptation to drink. Remember it was agreed at the beginning we would go to any lengths for victory over alcohol. Approach with a sincere desire to set right the wrong.
Use your behavior to convince them. Do not criticize or argue. Stick to your own. Most often, the person admits his own fault, melting away years of resentment. Leave almost no one out of approach.
Alcoholics Anonymous Big Book: Principles and Summary
Any fear that remains may drive you back to the bottle. More people are accepting than you think. Creditors may understand. Maybe admitting something to someone make get you in jail like not paying alimony to spouse. In this case, try to ask for forgiveness. If it implicates other people, secure their content. Maybe make amends another wya. There are some wrongs you can never fully right. Continue to watch for selfishness, dishonesty, resentment, and fear.
If they come up, ask God at once to remove them. Discuss them with someone immediately, and make amends quickly. Then turn your thoughts to someone you can help.
When agitated or doubtful during the day, ask for the right thought or action. Imagine the power you feel this way. Instead, the problem has been removed. You feel safe and protected. What we really have is a daily reprieve contingent on the maintenance of our spiritual condition. No, not if you have a good reason for going to the place, other than stealing pleasure from the atmosphere.
Were we resentful, selfish, dishonest or afraid? Do we owe an apology? Have we kept something to ourselves which should be discussed with another person at once? Were we kind and loving toward all? What could we have done better?
Alcoholics Anonymous 1 & 2 Ed.
On waking, plan your day. Divorce it from self-pity and selfish motives. As you complete these steps, you will feel renewed. Fear and insecurity will leave; ability and peace will replace them. It builds friendships that add happiness. You spoil a later opportunity. Never force yourself on him, even if the family pleads. Sometimes wait for him to go on a binge, then to admit he would go to any extremes to quit for good. If he wants to stop, talk to the person most interested in him, usually his spouse.
Get an idea of his behavior, problems, background, seriousness of condition, and religious leanings. Put yourself in his place. Were you in his place, how would you like to be approached?
The approach: See the person alone, if possible. Hold a general conversation.
Then turn to talk of drinking. Share your own drinking habits and experiences. Talk about your drinking career up until when you quit. Let him see you know all about the drinking game.
Then talk about the story of your cure. How you struggled to stop, your excuses for drinking. Then let him ask the question of how you became well, if possible.
Outline your course of action, beginning with acknowledging you were an alcoholic, and how you came to believe in a higher power. You may have to deal with concerns here. Simply tell him you once felt as he did, but you doubt whether you would have made much progress without believing what you do now.
If he refuses AA, encourage him to follow his conscience. But point out that we alcoholics have much in common, and you would like to stay friendly. Then let it go. Spend your time on someone you can actually help. Let him come to you when the time is right. Be helpful with money, lodging, and resources as you can — but not to the extent of sabotaging yourself or the alcoholic. Helping an alcoholic too much makes him reliant on you and not God. Burn the idea into every man that he can get well regardless of anyone or anything.
He does not need his wife to come back, to hold a steady job, to have enough money. The only condition is that he trusts in God and cleans his house. Be prepared to spend a lot of time having your life interrupted by the alcoholic and his possible drinking sprees. Through all of this, engage the family as they are willing.
Share your own stories, especially around how you resolved your family conflicts. Prepare them for a period of growth and possible setbacks. How can AA survive? The Twelve Traditions answer this. Our common welfare should come first; personal recovery depends upon A. Hence our common welfare comes first. Our leaders are but trusted servants; they do not govern.
The only requirement for A. Refuse none who wish to recover. Never charge money or require conformity. Each group should be autonomous except in matters affecting other groups or A. Each group has but one primary purpose—to carry its message to the alcoholic who still suffers. An AA group should never go into business. An AA group should never bind itself to an organization — it should be able to freely discard other groups like clubs or hospitals.
Every A. Alcoholics Anonymous should remain forever nonprofessional, but our service centers may employ special workers. AA 12 step work should never be paid for. Each AA group needs the least organization possible. Rotating leadership is best. Alcoholics Anonymous has no opinion on outside issues; hence the A.
Our public relations policy is based on attraction rather than promotion; we need always maintain personal anonymity at the level of press, radio and films. Anonymity is the spiritual foundation of all our traditions, ever reminding us to place principles before personalities.
Persuasive Tactics All people, to some extent, seek to solve their own problems. Alcoholics are no different.There had been no real infidelity, for loyalty to my wife, helped at times by extreme drunkenness, kept me out to those scrapes.
This is a point we wish to emphasize and re-emphasize, to smash home upon our alcoholic readers as it has been revealed to us out of bitter experience. Why not I? I would need it before daylight. If Betty Ford and Elizabeth Taylor could declare that they were alcoholics and seek help, so too could ordinary people who struggled with drinking.
Read the Big Book and Twelve Steps and Twelve Traditions
Dan Saelinger The first night, I took a pill at The reasoning is that once an alcoholic, always an alcoholic. I visited one of three private treatment centers, called the Contral Clinics, that Sinclair co-founded in Finland.
Explained in detail above.
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