Resisting 12-Step Coercion
How to Fight Forced Participation in AA,
NA, or 12-Step Treatment

This book is here courtesy of See Sharp Press logo and of its authors.

Table of Contents


Introduction (by Thomas Horvath, Ph.D.)

Preface (by Stanton Peele)

Foreword (by Charles Bufe)

1. The Nature of the Problem

the number of alcohol abusers; the dominance of 12-step groups; the dominance of 12-step ; treatment; the number of facilities and the number of those treated; the cost of 12-step treatment; avenues of coercion; are coerced persons really alcoholics?; the disease concept of alcoholism; 12-step treatment

2. The Efficacy of 12-Step Groups and 12-Step Treatment

the efficacy of AA and NA; efficacy of 12-step and other traditional alcoholism treatments; 12-step drug treatment; the "best" evidence of the efficacy of 12-step treatment; is abstinence necessary?; what works?; summary

3. 12-Step Groups as Religious Organizations

religious elements in AA's practices; religious elements in AA's program and literature; AA's religious origins; summary

4. The Courts and Coerced 12-Step Attendance

the 12 steps; resolved and unresolved issues; U.S. court rulings against mandated AA/12-step program participation; summary

5. Informed Consent

legal requirements; ethical principles; clinical benefits; remedies; violation of medical principles in addiction treatment

6. A Prototypical Case of Alcoholism Treatment: G. Douglas Talbott

a troubled program; the Talbott philosophy and its sources; the Masters case; what the Masters case and judgment tell us

7. Summary of Legal and Clinical Objections to Compulsory AA, 12-Step, and Abstinence Treatment

legal issues; informed consent; therapeutic issues

Appendix A. A Complaint Regarding Alcoholism Therapist Misconduct
narrative; assessment of the report; violations of ASAM principles of medical ethics; misdiagnosis of alcohol dependence; attachment:assessment of Captain Smythe; diagnosis of Capt. Smythe; alternate view of diagnosis; postscript

Appendix B. Secular Self-Help Groups