Reflecting on the first AA meeting

I recently attended my first AA meeting. It surpassed many of my expectations; however it ruined others and left me slightly dumbfounded.

My imagination, with the help of television and movies, painted a picture in my mind of what an AA meeting would be like. It portrayed a room filled with people that obviously looked like addicts; unkempt appearances, borderline offensive hygiene, and at least one person emitting a radiance of booze while swaying back and forth in his chair, balancing on the line between falling forward to the ground and staying in the seat.

My imagination laughed at me as I entered the room. One look around made me realize that I was deceived. The majority of the members were clean, well kempt, and looked healthier than my medical school classmates. Skeptical, I scanned the room again for the person that showed up with a pint of liquor in his/her system. My imagination rationalized that they must have not shown up today, for certainly you can’t have an AA meeting with 100% sobriety. To say the least, I’m still discouraged by its elaborate depiction of this clean and encouraging environment.

After walking through the threshold and soaking it all in, I found a seat near the back where I assumed the newbies were relegated to. Upon finding my spot, I was immediately welcomed by an older gentleman, John, whom was eager to invite me in and listen to my story. I explained everything that you already know about me i.e. intrinsic interest in addiction and an interest in learning from the people that have the greatest depth of knowledge and widest breath of experience in alcoholism, you.

John and I hit it off and he had a great story that ended in him picking up alcohol counseling after retiring from the school system and being happy and sober for the past 27 years. He introduced me to his friends in the meeting who were equally as welcoming as John. As the meeting got underway, I reprimanded my imagination again for feeding me lies.

It was an open discussion that began with the storytelling of one member’s lifelong battle. This was followed by comments from the audience about how they could relate and included a glimpse of their own story which allowed me to capture a little bit of each person in the room. I would be lying if I told you that I did not relate to the thoughts and expressions in the words that I heard.

I found myself intrigued by a discussion on dealing with life events by using alcohol. Many of the members agreed that at one time or another they used alcohol to squelch negative feelings, even if it was as minor as a bill in the mail. This brought my thoughts back to college years. I couldn’t ever comprehend the thought process of the one or two friends that after breaking up with a boyfriend/girlfriend would announce to the world, “I need to get drunk!” Why is it that people want to get drunk when that is the least effective remedy for such an ailment? In fact, alcohol tends to make it worse because the person inevitably makes a bad decision that night. Taking an already emotionally laden person and adding alcohol is like throwing gasoline on a flame. My hope would always be that the night would end in crying over the person rather than the late night vandalism of his/her house.

As the discussion continued, I was struck by another gentleman’s comment on hitting bottom. A rough rendition of his words was, “I thought I hit rock bottom 20 years ago, but I was wrong. Many years later I found out that at the level I thought was rock bottom there was still an elevator that went even deeper to the sub-basement.” This is a subject that I’ve been thinking about tremendously when it comes to Horatio. What will his rock bottom be (or sub-basement)? I know that I can’t force him in to sobriety. The hardest part may be that the only thing I can do is watch and wait for that day. Will it be when he loses his house? Maybe his addiction will take him as far as living on the streets before he’s finally ready to change for good. I have been mentally preparing myself that one day I may have a homeless brother.

As the hour came to an end, I expressed my appreciation to John for taking me under his wing in a place I would have otherwise been lost. Knowing my interest in learning, he informed me about an AA meeting oriented to young addicts (under 25). I look forward to the discussion I will hear there, as well as at my first Al-Anon meeting.

“Nonmaleficence” is a medical student who blogs at his self-titled site, Nonmaleficence.

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  • LottieM

    Too bad the research on treatment of alcohol misuse demonstrates that for the majority of those misusing alcohol, AA is woefully ineffective. The premise of AA has been rigorously reevaluated by many addiction researchers, who soundly reject the belief that alcoholism is a “disease”. I hope that as you continue with your medical training, you will carefully review evidence-based medicine as applied to the treatment of alcohol misuse. There are many interventions available for those misusing alcohol, and AA is only one, and not a particularly effective one.

    • Frank Lehman

      Certainly there are some people for whom substituting a religious cult-like program for their self-destructive alcohol imbibing makes a very significant change for the better in their life.  Unfortunately, there is little evidence that AA  is useful for any but a very small minority of people with alcohol consumption problems.  I don’t know why  Nonmaleficence  attended the meeting.  Was he/she “forced to attend” as a condition for continuing his/her enrollment in medical school after it became clear to others that there was an alcohol problem?  

      • Andrew Peters

        The end of the article suggests that the author has an alcoholic brother that he is trying to help, and better understand the thought process that goes along with alcoholism.  I don’t believe that the author has an alcohol problem.

      • http://profile.yahoo.com/H6TICC6LVCGNTDTLEV44CV63WI J

        Frank and LottieM – LMAO – you are both extremely ignorant individuals – hold your tongue if you don’t know what you’re talking about, especially if you’ve never been to an AA meeting, which you probably haven’t. Alcohol is the symptom, not the problem. Alcoholism is a 3 fold disease – a disease of the spirit (spiritual malady), disease of the mind (the way alcoholics think), and a disease of the body (the allergy). 

        The only resolution is a spiritual experience and a psychological change, as evidenced by people like Leigh above who has 37 years sober.

        There’s no debate about the effectiveness of AA, if the steps are practiced with rigorous honesty.

        It’s amazing how one person can say something so positive and honest, and there will always be two morons to chime in with an uneducated negative comment. AA does not keep statistics of success or failure rates.

        And as for your “evidence based medicine”, that sounds great – lets give all the drug companies more reasons to treat symptoms with more problems so they get richer and richer. 

        • Frank Lehman

          J, for whatever it is worth, I have been to an AA meeting.  Have you?

          Where do you get the “3 fold disease” theory?  AA doesn’t say that.

          It is great that Leigh has been sober for 37 years.  What is not great is all the people with alcohol problems who are sent (by medical personnel, by the judicial system, etc) for a dose of the AA theology with the firm expectation that “60 and 60″ or “90 and 90″ (or whatever is the latest catchy phrase) will cure them.

    • http://profile.yahoo.com/H6TICC6LVCGNTDTLEV44CV63WI J

      Maybe you should go pick up a big book and read the doctor’s opinion before you open your mouth.

  • Juliet Mavromatis

    Thanks for sharing your reflection. I think attending an AA meeting is a very useful endeavor in terms of witnessing the types of social support groups that exist for people with medical problems, and in particular, to learn about a model that has been translated for use with all types of addictions.  As a medical student I would have found it difficult to relate to a meeting such as this. Now, as a middle aged doctor, surrounded by friends and neighbors who drink to excess for a variety reasons I think the experience would be even more meaningful.

  • LeighMeryl

    AA is not about alcoholism – it’s about the alcoholic.  AA does not keep statistics on the success or failure rates  of its membership.  There is no-one with a clipboard at meetings, taking inventories & names. 
    AA is for people who want to join AA; nothing more- nothing less.   It is not the be-all cure-all, nor does it claim to be.  It is also not allied with any treatment centers & does not endorse or oppose other forms of treatment.  It’s simply a roomfull of drunks  sharing their own experiences.  I have been sober in AA for 37 years & fairly happily too. 
    Alanon is a great place to learn about how to cope with living  with an alcoholic, whether they’re drinking or not or even present in your life or not

  • Ginger

    AA meetings are way better than Al-Anon meetings.  Someone is always crying at Al-Anon meetings.  People cry at AA meetings sometimes, but there is a lot more laughter.

    Open AA meetings are good for someone who is coping with an alcoholic because it’s a way to gain insight into the thinking that makes drink look attractive to the addict and to learn about the 12 steps, which are helpful to the Al-Anon member too.

    I disagree that AA is for people who want to join AA.  I think it’s for people who want a better way of life and see that people who go to AA have it and are willing to share.

  • http://profiles.google.com/mittmanpa David Mittman

    12 Step programs work. They give one a place for hope, for friendship, for understanding and much more.
    To those of you that want scientific results you won’t get them, and of course will put AA or NA down and even use the word cult. Look across every town in America, large and small. There are hundreds of thousands if not millions of meetings a week, all with dozens and may I say hundreds of success stories. 
    I have referred many patients to meetings. And they don’t charge. Give some credit where credit is due.
    Dave Mittman, PA, DFAAPA

    • Frank Lehman

      You say you have referred many patients to meetings.  And some of those may be among the few who received the help they needed.  But, if there are no scientific results, how do you know that you are doing the right thing?  In other areas of your professional work do you just accept anecdotes as being sufficient to determine the validity of a procedure?  
       In other areas of your professional work would you refer your patients to a religious organization expecting medical results?  If you are going to do a good job for your patients who have alcohol problems, you really need to know if the advice you have been giving is good advice. Perhaps you should look for scientific results.

  • Steve

    As a recovering alcoholic with 8 years of sobriety, I am very glad to hear that you are attending meetings. My own primary care physician, and my brother-in-law, who is also a primary care physician, have both told me that alcoholism/addiction are diseases that are either not covered or are covered minimally during medical training. Al-Anon will help bring sanity to your own life if you really work the program. Be forewarned: the person who made the observation that somebody is always crying (or whining) is quite true, and beware of those who continue to cry and whine without any improvement. Open AA meetings would also be good for you, because good AA meetings are quite educational and uplifting. And a strong awareness of both will help you become a better doctor. Good luck, and thanks for the great article.