Gabrielle Glaser has gotten another AA bashing article published and it’s getting a lot of attention. Of course she doesn’t really offer a tangible alternative.
I’m not going to write another piece rebutting it, but I’ll point you to a few relevant posts.
First, in New York magazine, Jesse Singal dismantles Glaser’s arguments.
As with any story about a complicated social-science issue, there are aspects of Glaser’s argument with which one could easily quibble. For one thing, she repeatedly conflates and switches between discussing AA, a program that, whatever one thinks about it, is clearly defined and has been studied, in one form or another, for decades, and the broader world of for-profit addiction-recovery programs, which is indeed an underregulated Wild West of snake-oil salesman offering treatments that haven’t been sufficiently tested in clinical settings. Her argument also leans too heavily on the work of Lance Dodes, a former Harvard Medical School psychiatrist. He has estimated, as Glaser puts it, that “AA’s actual success rate [is] somewhere between 5 and 8 percent,” but this is a very controversial figure among addiction researchers. (I should admit here that I recently passed along this number much too credulously.)
But on Glaser’s central claim that there’s no rigorous scientific evidence that AA and other 12-step programs work, there’s no quibbling: It’s wrong.
Next, one of my previous posts lays out the evidence for the use of 12 step groups.
Then, here are some of my responses to Dodes.
Finally, some posts on addiction treatment and recovery being made a front in the culture wars, including a response to a previous Glaser article.
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SMART Recovery. Evidence-based alternative to AA.
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