"I see AA as a self-help group, where I meet people I understand and love." Photograph circa 1950.

I don’t call alcoholism an illness or a disease, but a condition of the spirit: those are the words I have settled on. The science is incomplete, for who wants to examine alcoholics and their confounding self-hatred? Alcoholics are confounding. We are odd because we maim ourselves; we do not work as we should.
I don’t often wonder why this happened to me. I have learnt not to, because asking why will consume you. But I sense that the alcoholic has a genetic predisposition, which is triggered, or not, in childhood. If it is triggered, they will find it almost impossible to stop drinking, and they will know agony. I know people who have died or are dying from alcoholism.
I write from inside the programme of Alcoholics Anonymous [AA] of which I have been a member for more than 20 years. I am not supposed to tell you this. AA was established in 1935 in Acron, Ohio, before victimhood was coveted. To write about AA is to perjure it. It is a different place for everyone. No collection of alcoholics can ever be the same; and it is almost impossible to describe alcoholism to anyone who does not have it. Its potential constituency is vulnerable. They do not need my opinions. That is why you will never see an advert for AA.
AA’s 12-step programme is used by most rehabilitation centres and it has imitators in Narcotics Anonymous (NA), Overeaters Anonymous (OA) and more. It is, in recovery terms, the Establishment, and so it is inevitable that it would, eventually, be attacked for being the Establishment, even if it is an Establishment of former drunks.
Holly Whitaker was briefly a member of AA. She has written a book called Quit Like a Woman, in which she writes her rage over many pages. She accuses AA of being a tool of the patriarchy, of oppressing women and minorities and of inventing a false condition — alcoholism — to subjugate its members into humility and compliance under God. If you are a woman, she says, you do not need to be made compliant, for you are already.
She has a suggestion though. People who drink too much — and she believes all alcohol is poison — should go to her recovery website which requires a fee, although you can, if you demonstrate vulnerability, apply for a kind of scholarship. (AA, meanwhile, is dependent on voluntary contributions.) It used to be called Hip Recovery — hip as in the fashionable, not as in the joint. It won’t be for everyone, as AA is. If you think first of branding, you will probably not make it to recovery. You are probably not that ill.
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