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Twenty years ago, it was extremely edgy and taboo for a reputable scientist to claim that alcoholics could recover on their own.This has given way to the current status quo, in which pretty much everyone in the field writes journal articles all the time about how alcoholics can recover on their own, but make sure to harp upon how edgy and taboo they are for doing so.“Drop out” means they don’t go to AA meetings anymore, which could be for any reason including (if we’re feeling optimistic) them being so completely cured they no longer feel they need it.There is an alternate reference going around that only 5% (rather than 25%) of AA members remain after their first year.I am not an expert in this field and will continue to make changes as I learn about them.

There is a critique of this post here and other worse critiques elsewhere.) cite the incorrect interpretation, for example the Orange Papers and Rational Wiki’s page on Alcoholics Anonymous.In fact, just to keep things short, assume Rational Wiki’s AA page makes every single mistake I warn against in the rest of this article, then use that to judge them in general.Opponents see it as this awful cult that doesn’t provide any real treatment and just tells addicts that they’re terrible people who will never get better unless they sacrifice their identity to the collective.As a result, the few sparks of light the research kindles are ignored, taken out of context, or misinterpreted.The entire field of addiction medicine has gotten stuck in the middle of some of the most divisive issues in our culture, like whether addiction is a biological disease or a failure of willpower, whether problems should be solved by community and peer groups or by highly trained professionals, and whether there’s a role for appealing to a higher power in any public organization.