Summary
Based on observations of Alcoholics Anonymous as its program has affected change in many members, and from clinical experience with alcoholic patients, a hypothesis is formulated concerning the effective psychological events which make possible the maintenance of sobriety. Four elements are recognized as playing an essential role: hitting bottom, surrender, ego reduction, and maintenance of humility. The application of this conceptualization in individual psychotherapy is discussed and illustrated with case material.
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Formerly Vice Chairman Connecticut Commission on Alcoholism
This article is reprinted by permission from the “Quarterly Journal of Studies on Alcohol,” March, 1961.
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Tiebout, H.M. Alcoholics anonymous — An experiment of nature. Pastoral Psychol 13, 45–62 (1962). https://doi.org/10.1007/BF01761085
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DOI: https://doi.org/10.1007/BF01761085