Alcoholism and identity: How an alternative framing of identity can facilitate Alcoholics Anonymous research

Motivational interviewing (MI), cognitive-behavioral therapy (CBT), and Alcoholics Anonymous (AA) are the most common therapeutic approaches for alcoholism recovery. Whereas the former two are clinical treatments grounded in scientific theory, AA emerged as a peer-led program grounded in an array of...

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Bibliographic Details
Published inAddiction research & theory Vol. 19; no. 3; pp. 213 - 223
Main Author Young, Lance Brendan
Format Journal Article
LanguageEnglish
Published Informa UK, Ltd 01.06.2011
Taylor & Francis
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Summary:Motivational interviewing (MI), cognitive-behavioral therapy (CBT), and Alcoholics Anonymous (AA) are the most common therapeutic approaches for alcoholism recovery. Whereas the former two are clinical treatments grounded in scientific theory, AA emerged as a peer-led program grounded in an array of scientific, social, and spiritual concepts. Researchers have failed to comprehensively identify AA's therapeutic mechanisms or to definitively link them to recovery outcomes. This failure may result from the false assumption that AA frames identity in the same way evidence-based psychological treatments do. This article explores the significance of identity to recovery from alcoholism. MI presumes a personal identity and CBT presumes a social identity. Measures of personal and social attributes are appropriate to these interventions. AA, however, promotes a relational identity which cannot be fully captured using measures of individual attributes. The implications for this shortcoming are presented, along with several suggestions to enhance future research.
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ISSN:1606-6359
1476-7392
DOI:10.3109/16066359.2010.530712