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The Twelve-Step Path? Mindfulness and Ethics in Buddhist Addiction Recovery Literature

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Abstract

Buddhist recovery manuals, a genre that has emerged in the last 30 years, aim to use Buddhist ideas and practices to address the challenges of addiction. These books draw on classical Buddhist thought and Twelve-Step programs such as Alcoholics Anonymous. Both of these influences share the framework of a step-wise path of transformation from a state of maladaptive compulsion to a state of freedom. This article analyzes the paths laid out by these Buddhist recovery manuals and compares them to classical Buddhist and Twelve-Step paths. This comparison demonstrates that Buddhist recovery manuals creatively draw on classical Buddhism and Twelve-Step but also differ from them in important ways as they re-imagine a path from addiction to recovery. This article documents the growing genre of Buddhist recovery manuals, thus expanding our understanding of Anglophone Buddhism and providing substance abuse professionals with a knowledge of the Buddhist recovery landscape. The article also argues that Buddhist recovery manuals differ from classical Buddhism by emphasizing meditation at the beginning of the path, rather than placing it after training in giving and ethical discipline.

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References

  • Alcoholics Anonymous. (1940). Spiritual milestones in Alcoholics Anonymous. Akron Intergroup

  • Alcoholics Anonymous. (1986). Alcoholics Anonymous: The story of how many thousands of men and women have recovered from Alcoholism. Alcoholics Anonymous World Services.

  • Alcoholics Anonymous. (2002). Twelve steps and twelve traditions. Alcoholics Anonymous World Services.

  • Alcoholics Anonymous. (2021). Estimates of A.A. Groups and members as of December 31, 2021. Alcoholics Anonymous World Services.

  • Alexander, W. (2010). Ordinary recovery: Mindfulness, addiction, and the path of lifelong sobriety. Shambhala

  • Anālayo, B. (2021). The dangers of mindfulness: Another myth?. Mindfulness, 12(12), 2890–2895. https://doi.org/10.1007/s12671-021-01682-w

    Article  Google Scholar 

  • Anonymous. (2006). 9 essays: Buddhism and the 12 step model of recovery. San Francisco Zen Center.

  • Anonymous. (2019). Recovery Dharma: How to use Buddhist practices and principles to heal the suffering of addiction. Independently published.

  • Anonymous. (2022). Meditate and end addiction with hungry ghosts united. Hungry Ghosts United

  • Anonymous. (2023). Recovery dharma: How to use Buddhist practices and principles to heal the suffering of addiction (2nd ed.). Recovery Dharma Global

  • Ash, M. (1993). The zen of recovery. Jeremy P. Tarcher/Putnam

  • Baer, R., Crane, C., Miller, E., & Kuyken, W. (2019). Doing no harm in mindfulness-based programs: Conceptual issues and empirical findings. Clinical Psychology Review, 71, 101–114. https://doi.org/10.1016/j.cpr.2019.01.001

    Article  PubMed  PubMed Central  Google Scholar 

  • Baer, R., Crane, C., Montero-Marin, J., Phillips, A., Taylor, L., Tickell, A., Kuyken, W., & The MYRIAD team. (2021). Frequency of self-reported unpleasant events and harm in a mindfulness-based program in two General Population samples. Mindfulness, 12(3), 763–774. https://doi.org/10.1007/s12671-020-01547-8

    Article  PubMed  Google Scholar 

  • Bien, T., & Bien, B. (2002). Mindful recovery: A spiritual path to Healing from addictions. Turner Publishing Company.

  • Braun, E. (2013). The birth of insight: Meditation, modern Buddhism, and the Burmese monk Ledi Sayadaw. University of Chicago Press

  • Braun, E. (2017). Mindful but not religious: Meditation and enchantment in the work of Jon Kabat-Zinn. In D. McMahan, & E. Braun (Eds.), Meditation, Buddhism, and Science (pp. 173–197). Oxford University Press

  • Britton, W. B., Lindahl, J. R., Cooper, D. J., Canby, N. K., & Palitsky, R. (2021). Defining and measuring meditation-related adverse effects in Mindfulness-based programs. Clinical Psychological Science, 9(6), 1185–1204. https://doi.org/10.1177/2167702621996340

    Article  PubMed  PubMed Central  Google Scholar 

  • Brown, D. L. (2021). Is Buddhism individualistic? The trouble with a term. Journal of Buddhist Ethics, 28, 55–100

    Google Scholar 

  • Buddhaghosa (1991). The path of purification: Visuddhimagga, translated by Bhikkhu Ñāṇamoli. 5th Edition. Buddhist Publication Society.

  • Buddhist Recovery Network. (2008–2023). Retrieved December 23, 2023, from https://www.buddhistrecovery.org/

  • Burges, L. (2023). The Zen Way of Recovery: An illuminated path out of the darkness of addiction. Shambala.

  • Buswell, R. E. (1992). The path to perdition: The wholesome roots and their eradication. In R. E. Buswell, & R. M. Gimello (Eds.), Paths to Liberation: The Mārga and its transformations in Buddhist Thought (pp. 107–134). University of Hawaii.

  • Buswell, R. E., & Gimello, R. M. (Eds.). (1990). Paths to Liberation: The Marga and its transformations in Buddhist Thought. University of Hawaii.

  • Catton, T. (2010). The mindful addict: A memoir of the awakening of a Spirit. Central Recovery.

  • Clark, S. (2022). Buddhist recovery daily practice. Independently published

  • Coleman, J. W. (2001). The new Buddhism: The western transformation of an ancient tradition. Oxford University Press

  • Compson, J. (2018). Adverse meditation experiences: Navigating Buddhist and secular frameworks for addressing them. Mindfulness, 9(5), 1358–1369. https://doi.org/10.1007/s12671-017-0878-8

    Article  Google Scholar 

  • Cullen, V. (2022). From hungry ghost to being human: Waking up to this life. Fifth Precept Sangha.

  • Dermatis, H., & Egelko, S. (2014). Buddhist Mindfulness as an influence in recent empirical CBT approaches to Addiction: Convergence with the alcoholics Anonymous Model. Alcoholism Treatment Quarterly, 32(2–3), 194–213. https://doi.org/10.1080/07347324.2014.907012

    Article  Google Scholar 

  • Dossett, W. (2020). Kleśas and pretas: Therapy and liberation in Buddhist recovery from addiction. Implicit Religion, 22(2). https://doi.org/10.1558/imre.40694

  • Ewing, W. (2021). Twelve steps to religionless spirituality: The power of spirituality with or without God. Cascade Books

  • Garfield, J. L. (2021). Buddhist Ethics: A philosophical exploration. Oxford University Press.

  • Garland, E. L., & Howard, M. O. (2018). Mindfulness-based treatment of addiction: Current state of the field and envisioning the next wave of research. Addiction Science Clinical Practice, 13, 14. https://doi.org/10.1186/s13722-018-0115-3

    Article  PubMed  PubMed Central  Google Scholar 

  • Garrigan, P. (2010). Dead drunk: Saving myself from alcoholism in a Thai monastery. Maverick House

  • Gethin, R. (1998). The foundations of Buddhism. Oxford University Press.

  • Gethin, R. (2011). On some definitions of mindfulness. Contemporary Buddhism, 12(1), 263–279. https://doi.org/10.1080/14639947.2011.564843

    Article  Google Scholar 

  • Gethin, R. (2020). Schemes of the Buddhist Path in the Nikāyas and Āgamas. In C. Pecchia, & V. Eltschinger (Eds.), Mārga: Paths to liberation in south Asian buddhist traditions (pp. 5–77). Austrian Academy of Sciences.

  • Glaser, G. (2015). The Irrationality of Alcoholics Anonymous. In The Atlantic April 2015. https://www.theatlantic.com/magazine/archive/2015/04/the-irrationality-of-alcoholics-anonymous/386255/

  • Gleig, A. (2019). American Dharma: Buddhism beyond modernity. Yale University Press

  • Gómez, L. (2004). Faith. In R. E. Buswell, Jr. (Ed.), Encyclopedia of Buddhism (pp. 277–279). Macmillan

  • Greene, D. (2021). Revisiting 12-step approaches: An evidence-based perspective. In W. M. Meil, & J. A. Mills (Eds.), Addictions - diagnosis and treatment. https://doi.org/10.5772/intechopen.95985

  • Griffin, K. (2010). A burning desire: Dharma God and the path of recovery. Hay House

  • Griffin, K. (2014). Buddhism and the Twelve Steps: A recovery workbook for individuals and groups. One Breath Books

  • Griffin, K. (2015). Recovering Joy: A mindful life after addiction. Sounds True.

  • Griffin, K. (2018). One breath at a time: Buddhism and the Twelve Steps. Harmony/Rodale

  • Griffin, K. (2020). Buddhism & the twelve steps daily reflections: Thoughts on dharma and recovery. One Breath Books

  • Grosso, C., & Peck, A. (2018). Dead set on living: Making the difficult but beautiful journey from F#*king up to waking up. Gallery Books.

  • Groves, P. (2014). Buddhist approaches to addiction recovery. Religions, 5(4), 985–1000. https://doi.org/10.3390/rel5040985

    Article  Google Scholar 

  • Hallisey, C. (1995). The advice to Layman Tundila. In D. Lopez (Ed.), Buddhism in Practice (pp. 220–231). Princeton University Press.

  • Harter, P. J. (2017). Mārga (path). Oxford bibliographies. Oxford University Press https://www.oxfordbibliographies.com/display/document/obo-9780195393521/obo-9780195393521-0242.xml

  • Heim, M. (2004). Theories of the gift in South Asia: Hindu, Buddhist, and Jain reflections on Dāna. Psychology.

  • Heim, M. (2020). Buddhist ethics. Cambridge University Press

  • Hoffmann, H. (2006). Criticism as deviance and social control in Alcoholics Anonymous. Journal of Contemporary Ethnography, 35(6), 669–695. https://doi.org/10.1177/0891241606286998

  • Jacobs-Stewart, T. (2010). Mindfulness and the 12 steps: Living recovery in the Present Moment. Simon and Schuster.

  • Kabat-Zinn, J. (1990). Full catastrophe living. Dell.

  • Kabat-Zinn, J. (1994). Wherever you go, there you are. Hyperion

  • Kabat-Zinn, J. (2011). Some reflections on the origins of MBSR, skillful means, and the trouble with maps. Contemporary Buddhism, 12(1), 281–306. https://doi.org/10.1080/14639947.2011.564844

    Article  Google Scholar 

  • Kadri, R., Husain, R., & Omar, S. H. S. (2020). Impact of spiritual meditation on drug addiction recovery and wellbeing: A systematic review. International Journal of Human and Health Sciences, 4(4), 237–250.

    Google Scholar 

  • Kelly, J. F., Humphreys, K., & Ferri, M. (2020). Alcoholics Anonymous and other 12-step programs for alcohol use disorder. The Cochrane Database of Systematic Reviews, 3(3). https://doi.org/10.1002/14651858.CD012880.pub2

  • Kirlic, N., Cohen, Z., & Stewart, J. L. (2021). Neurocircuitry of mindfulness-based interventions for substance use prevention and recovery. Current Addiction Reports, 8, 520–529. https://doi.org/10.1007/s40429-021-00396-2

  • Korecki, J. R., Schwebel, F. J., Votaw, V. R., & Witkiewitz, K. (2020). Mindfulness-based programs for substance use disorders: A systematic review of manualized treatments. Substance Abuse Treatment Prevention and Policy, 15, 1–37.

    Article  Google Scholar 

  • Kurtz, E. (1979). Not god: A history of Alcoholics Anonymous. Hazelden Publishing

  • LaBelle, O., Meeks, M., Vest, N., Hastings, M., & Harding, T. (2022). Recovery dharma: Exploration of a Buddhist-based mutual help organization for the treatment of addiction. Journal of Social Work Practice in the Addictions, 22(3), 175–187. https://doi.org/10.1080/1533256X.2021.1946331

    Article  Google Scholar 

  • Laura, S. (2006). 12 steps on Buddha’s path: Bill, Buddha, and we. Simon and Schuster.

  • Lemig, C. (2013). The narrow way: A memoir of coming out, getting clean and finding Buddha. Mantra Books.

  • Levine, N. (2004). Dharma Punx. HarperOne.

  • Levine, N. (2014). Refuge Recovery: A Buddhist Path to recovering from Addiction. Harper Collins.

  • Littlejohn, D. (2019). The 12-Step Buddhist: Enhance recovery from any addiction (10th Anniversary Edition). Atria Books

  • Marlatt, G. A. (2002). Buddhist philosophy and the treatment of addictive behavior. Cognitive and Behavioral Practice, 9(1), 44–50. https://doi.org/10.1016/S1077-7229(02)80039-6

    Article  Google Scholar 

  • Marlatt, G. A., Larimer, M. E., & Witkiewitz, K. red (2011). Harm reduction: Pragmatic strategies for managing high-risk behaviors. Guilford Press.

  • Mason-John, V., & Groves, P. (2018). Eight step recovery: Using the Buddha’s teachings to overcome addiction (2nd ed.). Windhorse Publications

  • McClintock, A. S., & Marcus, M. (2021). Mindfulness-based approaches in addiction treatment. Textbook of Addiction Treatment: International Perspectives, 391–400.

  • McMahan, D. (2008). The making of Buddhist Modernism. Oxford University Press.

  • McMahan, D. (2017). How meditation works: Theorizing the role of cultural context in Buddhist contemplative practices. In D. McMahan, & E. Braun (Eds.), Meditation, Buddhism, and Science (pp. 21–46). Oxford University Press

  • McMahan, D. (2023). Rethinking meditation: Buddhist meditative practice in ancient and modern worlds. Oxford University Press

  • Parsons, A. (2022). Your own personal illness: Interpretation through the spiritual malady in Alcoholics Anonymous. Ethos, 50(1), 90–107. https://doi.org/10.1111/etho.12330

    Article  Google Scholar 

  • Patrul Rinpoche. (1998). Words of my perfect teacher: A complete translation of a classic introduction to Tibetan Buddhism. Yale University Press

  • Pittman, B. (1999). Stepping stones to recovery. Hazelton Publishing

  • Prebish, C. S., & Baumann, M. (2002). Westward Dharma: Buddhism beyond Asia. University of California Press

  • Rainbeau, E. (2016). Basic sobriety: Shambhala Buddhism and the twelve steps. Empedrado Street

  • Rode, D. (2014). The twelve steps as a path to enlightenment: How the Buddha works the steps. Enlightenment & Simple Living Institute

  • Rohr, R., O.F.M (2011). Breathing under water: Spirituality and the twelve steps. Franciscan Media.

  • Rosenthal, A., Levin, M. E., Garland, E. L., & Romanczuk-Seiferth, N. (2021). Mindfulness in treatment approaches for addiction — underlying mechanisms and future directions. Current Addiction Report, 8, 282–297. https://doi.org/10.1007/s40429-021-00372-w

    Article  Google Scholar 

  • Rotman, A. (2009). Thus have I seen: Visualizing faith in early Indian Buddhism. Oxford University Press.

  • Salguero, C., & Pierce (2023). “Meditation sickness” in medieval Chinese Buddhism and the contemporary West. Journal of Buddhist Ethics, 30, 169–211

    Google Scholar 

  • Santideva. (2008). The Bodhicaryavatara, translated by K. Crosby and A. Skilton. Oxford University Press

  • Schwebel, F. J., Korecki, J. R., & Witkiewitz, K. (2020). Addictive behavior change and mindfulness-based interventions: Current research and future directions. Current Addiction Reports, 7, 117–124.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sharma, P., Mahapatra, A., & Gupta, R. (2022). Meditation-induced psychosis: A narrative review and individual patient data analysis. Irish Journal of Psychological Medicine, 39(4), 391–397. https://doi.org/10.1017/ipm.2019.47.

    Article  PubMed  Google Scholar 

  • Shulman, E. (2014). Rethinking the Buddha: Early Buddhist philosophy as meditative perception. Cambridge University Press. https://doi.org/10.1017/CBO9781107477100

  • Taylor, C. (2010). Enough! A Buddhist approach to finding release from addictive patterns. Shambhala

  • The Five Precepts: pañca-sila. (2013). Access to Insight (BCBS Edition). https://www.accesstoinsight.org/ptf/dhamma/sila/pancasila.html

  • Tomat, M. (2018). Rebel therapy: A therapist journey through addiction, trauma and Nichiren Buddhism. Independently Published

  • Treleaven, D. A. (2018). Trauma-sensitive mindfulness: Practices for safe and transformative healing. W. W. Norton & Company

  • Wang, V., & Stone, B. M. (2022). Buddhism in addiction recovery. Encyclopedia, 2(1), 530–537. https://doi.org/10.3390/encyclopedia2010035.

    Article  Google Scholar 

  • Webb, H. (2020). Climbing the mountain: The complete handbook of Buddhist recovery: An A-Z of addiction. Independently published

  • Williams, D. R. (2005). The other side of Zen: A social history of Sōtō Zen Buddhism in Tokugawa Japan. Princeton University Press

  • Wilson, J. (2014). Mindful America: The mutual transformation of Buddhist meditation and American culture. Oxford University Press

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    Catherine Hartmann

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Hartmann, C. The Twelve-Step Path? Mindfulness and Ethics in Buddhist Addiction Recovery Literature. Mindfulness (2024). https://doi.org/10.1007/s12671-024-02355-0

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