The Big Book (Alcoholics Anonymous)
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''Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism'' (Nicknamed The Big Book because of the thickness of the paper used in the first edition) is a 1939 basic text, describing how to successfully recover from
alcoholism Alcoholism is, broadly, any drinking of alcohol that results in significant mental or physical health problems. Because there is disagreement on the definition of the word ''alcoholism'', it is not a recognized diagnostic entity. Predomi ...
. Written by William G. " Bill W." Wilson, one of the founders of
Alcoholics Anonymous Alcoholics Anonymous (AA) is an international mutual aid fellowship of alcoholics dedicated to abstinence-based recovery from alcoholism through its spiritually-inclined Twelve Step program. Following its Twelve Traditions, AA is non-professi ...
(AA), and many of the first 100 members of the group, the composition process was collaborative, with drafts of the book being sent back and forth between Bill W.'s group in New York and Dr. Bob, the other A.A. founder, in Akron, Ohio. It is the predecessor of the seminal " twelve-step method" widely used to treat many addictions, from alcoholism,
heroin addiction Opioid use disorder (OUD) is a substance use disorder characterized by cravings for opioids, continued use despite physical and/or psychological deterioration, increased tolerance with use, and withdrawal symptoms after discontinuing opioids. Op ...
and marijuana addiction to
overeating Overeating occurs when an individual consumes more calories in relation to the energy that is expended via physical activity or expelled via excretion, leading to weight gain and often obesity. Overeating is the defining characteristic of bin ...
,
sex addiction According to proponents of the concept, sexual addiction, also known as sex addiction, is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. The c ...
and
gambling addiction Problem gambling or ludomania is repetitive gambling behavior despite harm and negative consequences. Problem gambling may be diagnosed as a mental disorder according to ''DSM-5'' if certain diagnostic criteria are met. Pathological gambling is ...
, with a strong spiritual and social emphasis. It is one of the best-selling books of all time, having sold 30 million copies. In 2011, ''Time'' magazine placed the book on its list of the 100 best and most influential books written in English since 1923, the year in which the magazine was first published. In 2012, the
Library of Congress The Library of Congress (LOC) is the research library that officially serves the United States Congress and is the ''de facto'' national library of the United States. It is the oldest federal cultural institution in the country. The libra ...
designated it as one of 88 "Books that Shaped America."


History

Bill W. had been a successful Wall Street businessman, but his career was in shambles because of his chronic alcoholism. In 1934 he was invited by his friend and drinking buddy Ebby T. to join the Oxford Group, a spiritual movement based on the “Four Absolutes” of honesty, purity, unselfishness, and love. Bill W. met Dr. Bob in May 1935, and the men shared their stories with one another. The two began to work on how to best approach alcoholics and began trying to help men recover from alcoholism. The idea for the book developed when Bill W. and Dr. Bob realized their system had helped over 40 men stay sober for more than 2 years. The book was meant to carry their message far and wide. Wilson started writing the book in 1938 with the financial support of Charles B. Towns (1862–1947), an expert on
alcoholism Alcoholism is, broadly, any drinking of alcohol that results in significant mental or physical health problems. Because there is disagreement on the definition of the word ''alcoholism'', it is not a recognized diagnostic entity. Predomi ...
and
drug addiction Addiction is a neuropsychological disorder characterized by a persistent and intense urge to engage in certain behaviors, one of which is the usage of a drug, despite substantial harm and other negative consequences. Repetitive drug use oft ...
who was a supporter and creditor of Alcoholics Anonymous and lent Wilson $2500 ($41,870 in 2014 dollar values). The Big Book originally was published in 1939 by AA founders Bill W. and Dr. Bob. The book serves as the basic text of AA. There have been numerous reprints and revisions, in addition to translations into dozens of languages. The second edition (1955) consisted of 1,150,000 copies. The book is published by Alcoholics Anonymous World Services and is available through AA offices and meetings, as well as through booksellers. The 4th edition (2001) is also freely available online. Marty Mann (1904–1980) wrote the chapter "Women Suffer Too" in the second through fourth editions of the Big Book. U.S. President
Richard Nixon Richard Milhous Nixon (January 9, 1913April 22, 1994) was the 37th president of the United States, serving from 1969 to 1974. A member of the Republican Party, he previously served as a representative and senator from California and was ...
received the millionth copy of the book, The 25-millionth copy of the Big Book was presented to Jill Brown, the warden of
San Quentin State Prison San Quentin State Prison (SQ) is a California Department of Corrections and Rehabilitation state prison for men, located north of San Francisco in the unincorporated place of San Quentin in Marin County. Opened in July 1852, San Quentin is t ...
, at the International Convention of Alcoholics Anonymous in Toronto, Ontario to commemorate the first prison meeting of
Alcoholics Anonymous Alcoholics Anonymous (AA) is an international mutual aid fellowship of alcoholics dedicated to abstinence-based recovery from alcoholism through its spiritually-inclined Twelve Step program. Following its Twelve Traditions, AA is non-professi ...
taking place at San Quentin in 1941. The 30-millionth copy of the book was presented to the
American Medical Association The American Medical Association (AMA) is a professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was approximately 240,000 in 2016. The AMA's sta ...
in 2010, which declared alcoholism an illness in 1956.


Synopsis

The book consists of over 400 pages. Bill's Story and Dr. Bob's Nightmare and the personal experiences of some alcoholics are detailed as well as the series of solutions which evolved to become the twelve-step program. How to use the twelve steps is explained using examples and anecdotes. Some chapters target a specific audience. One chapter is devoted to
agnostic Agnosticism is the view or belief that the existence of God, of the divine or the supernatural is unknown or unknowable. (page 56 in 1967 edition) Another definition provided is the view that "human reason is incapable of providing sufficien ...
s, and another is named "To Wives" (most of the first AA members were men), and still another is for employers. The second part of the book (whose content varies from edition to edition) is a collection of personal stories, in which alcoholics tell their stories of addiction and recovery. Frequently mentioned sections are: * the "
Twelve Steps Twelve-step programs are international mutual aid programs supporting recovery from substance addictions, behavioral addictions and compulsions. Developed in the 1930s, the first twelve-step program, Alcoholics Anonymous (AA), aided its members ...
", at the beginning of Chapter 5, "How It Works" * the "
Twelve Traditions The Twelve Traditions of twelve-step programs provide guidelines for relationships between the twelve-step groups, members, other groups, the global fellowship, and society at large. Questions of finance, public relations, donations, and purpose ar ...
", in the Appendix * the "Ninth Step Promises", in Chapter 6, "Into Action" preceding the discussion of the 10th Step. The main goal of the book is to make it possible for the reader to find a power greater than himself to solve his problem. The writers indicate that an alcoholic "of our type" can under no circumstances become a moderate drinker: only abstinence and the understanding of the community of alcoholics can lead to recovery. By way of anecdotal evidence, the example is provided of a man who, after 25 years sobriety, began to drink moderately and within two months landed in hospital. The reasoning is that once an alcoholic, always an alcoholic. The book contends that it is impossible for an alcoholic to quit drinking by oneself. A new attitude or set of values also would not help. Whosoever is an alcoholic must admit that they cannot help themselves alone. Only a "higher power" and the community can help. An example of a man named Fred is given, who had no control over his drinking, but finally leads an "infinitely more satisfying life" than before thanks to the previously unexplained principles of AA. In the introduction to the Big Book, William Duncan Silkworth, M.D., a specialist in the treatment of alcoholism, endorses the AA program after treating Bill W, the founder of AA, and other apparently hopeless alcoholics who then regained their health by joining the AA fellowship. "For most cases," Silkworth claimed, "there is no other solution" than a spiritual solution. Today "many doctors and psychiatrists" confirm the effects of AA.


Reception


First edition

At the time of the publication of the first edition, The Big Book was typically well received by most critics, referred to by one reviewer as "the greatest redemptive force of the 20th century." A reviewer for the ''New York Times'' stated that the thesis of the book had more of a sound base psychologically than any other book on the subject and that the book is unlike any other book ever published. Other critics called the book extraordinary and stated that it deserved the attention of anyone worried about the problem of alcoholism. It was noted by the
American Association of Psychiatric Social Workers The National Association of Social Workers (NASW) is a professional organization of social workers in the United States. NASW has about 120,000 members. The NASW provides guidance, research, up to date information, advocacy, and other resources f ...
that contact with the members of an A.A. group increases one's respect for their work. "To the layman, the book is very clear. To the professional person it is at first a bit misleading in that the spiritual aspect gives the impression that this is another revival movement" and that "it is more impressive to the professional person to watch the technique in action than to read the book." However, not all reviewers, especially those in the medical field, found merit in the book. The review that appeared in the October 1939 volume of the ''
Journal of the American Medical Association ''The Journal of the American Medical Association'' (''JAMA'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of b ...
'' called the book "a curious combination of organizing propaganda and religious exhortation…in no sense a scientific book." Similarly, the ''
Journal of Nervous and Mental Disease ''The Journal of Nervous and Mental Disease'' is a peer-reviewed medical journal on psychopathology. It was established in 1874 as the ''Chicago Journal of Nervous and Mental Disease''. "Chicago" was dropped from the title beginning in 1876. Articl ...
'' said The Big Book was "big in words…a rambling sort of camp meeting…Of the inner meaning of alcoholism there is hardly a word. It is all on the surface material." This review went on to "degrade" the alcoholic: "Inasmuch as the alcoholic, speaking generally, lives a wish-fulfilling infantile regression to the omnipotent delusional state, perhaps he is best handled for the time being at least by regressive mass psychological methods, in which, as is realized, religious fervors belong, hence the religious trend of the book." The views about the book and about alcoholism espoused in these two journals was typical of how alcoholics and other addicts were viewed by many in the psychiatric field during the middle of the 20th century.


Later editions

When the second version of The Big Book was released in 1955, reviewers once again gave their opinions, with reception still mostly positive. One reviewer stated that the pages of the book were American legend and would "remain there, through the full history of man's pursuit of maturity." This was the case with the release of the third edition in 1976 as well. The journal ''Employee Assistance Quarterly'' in 1985 asked three professionals in the field of addictive behaviors to review the book, with each reviewer asked to answer the following questions: # In light of current professional views of alcoholism, is the Big Book still appropriate in understanding the nature of the alcoholism and/or other addictive behaviours? # Does the Big Book provide an adequate explanation of alcoholism recovery? # Is the therapeutic approach to alcoholism as depicted in this text consistent with contemporary efforts to treating addictive behaviours like alcoholism? # Does this text adequately reflect how Alcoholics Anonymous and other self-help groups currently practice? # In your opinion, does the Big Book represent an effective therapeutic model for alcoholism and/or other addictive behaviours?
Albert Ellis Albert Ellis (September 27, 1913 – July 24, 2007) was an American psychologist and psychotherapist who founded rational emotive behavior therapy (REBT). He held MA and PhD degrees in clinical psychology from Columbia University, and was certi ...
called the book "complex and profound" and admitted it probably helped millions of people with addictions. Ellis found seven of the twelve steps to be useful to the recovering alcoholic: steps 1, 4, 5, 8, 9, 10, and 12, noting "these urge them to admit their addictive and self-destructive ways, make amends to those they have harmed, acquire a philosophic awakening, and carry their message to other alcoholics." However, Ellis believed that steps, 2, 3, 6, 7, and 11, those urging alcoholics to rely upon a Higher Power, to be of dubious value. Some of his reasons for distrusting these steps included the contention that millions had overcome alcohol while remaining agnostic or atheist and that the necessity to accept belief in a Higher Power likely pushed more people away from the program than it drew in. Ellis' analysis of the book was that it has some excellent views but that "A.A. is too good an organization to bow to the will of anyone – including any hypothetical Higher Power."
G. Alan Marlatt Gordon Alan Marlatt (November 26, 1941 – March 14, 2011) was a leading American-Canadian clinical psychologist in the field of addictive behaviors from the 1980s through the 2000s. He conducted pioneering research in harm reduction, brief inter ...
also questioned the necessity of a need for a Higher Power but concluded that he was "impressed with the amazing success of A.A. over the past 50 years of its existence. If alcoholism is really a disease of the spirit (for which alcohol is no real solution), then it makes sense that the religious fellowship of A.A. provides fulfillment of the alcoholic's underlying craving for union with a Higher Power. Especially if it keeps its members sober, which A.A. often does."
Abraham Twerski Abraham Joshua Heshel Twerski (אברהם יהושע העשיל טווערסקי, Hebrew & Yiddish); ) was an Israeli-American Hasidic Judaism, Hasidic rabbi, a scion of the Chernobyl (Hasidic dynasty), Chernobyl List of Hasidic dynasties, Hasidi ...
was the most positive of the three experts, claiming that "the continuing relevance of the Big Book to today's alcoholic is precisely due to the fact that it does not seek to treat nor teach by its contents. Rather, it is a description of a program that is effective, and provides testimonials of people whom the program has helped." Twerski also praised the ability of the 12-step program to treat other addictions as well "because the 12-steps are a protocol for personality, for growth, and for self-realization, a process of value to even the non-alcoholic or non-addicted individual." Twerski's praise is most easily summed up with his conclusion that "the Big Book and A.A. remain as effective today as the day they came into being, and are likely to remain unfettered by the continuing passage of time."


Legacy

Before the publication of The Big Book, alcoholism in America was viewed largely as it had been in the 19th century. The temperance movements of the 19th century and the recent experiment with
Prohibition Prohibition is the act or practice of forbidding something by law; more particularly the term refers to the banning of the manufacture, storage (whether in barrels or in bottles), transportation, sale, possession, and consumption of alcoholi ...
focused on the individual, promoted by "degenerationism, the theory that biological factors, toxic environmental influences or moral vices may trigger a cascade of social, moral and medical problems". This theory was a holdover from the pre-Darwinian belief that offspring inherited acquired character traits from their parents, although this is now well evidenced in the scientific literature. The increase in scientific knowledge in the early 20th century led to questions about this view of alcoholics, but the view still dominated for the first 30 years of the century. A decisive turn toward seeing alcoholism as a disease was the publication of The Big Book and the founding of A.A.


See also

*
History of Alcoholics Anonymous Alcoholics Anonymous (AA) was founded in 1935 by Bill Wilson (known as Bill W.) and Robert Smith (known as Bob Smith (doctor), Dr. Bob), and has since grown to be worldwide. Alcoholism in the 1700s and 1800s Nearly two centuries before the advent ...
* ''The Little Red Book'' * ''
Twelve Steps and Twelve Traditions ''Twelve Steps and Twelve Traditions'' is a 1953 book, which explains the 24 basic principles of Alcoholics Anonymous and their application. The book dedicates a chapter to each step and each tradition, providing a detailed interpretation of thes ...
''


References

* Ernest Kurtz (1979). ''Not-God: a history of Alcoholics Anonymous''. Hazelden Publishing. 363 pp. * Alcoholics Anonymous. ''Pass it On'' The Story of Bill Wilson and How The A.A. Message Reached the World, New York: Alcoholics Anonymous World Services, Inc., 1984. * * * *
Writing of the Big Book: History of the Writing of 'Alcoholics Anonymous'
by Mitchell K., August 2, 2006 * * * *


External links


Big Book Online Fourth Edition - Alcoholics Anonymous

Original 1938 Manuscript
available at Biblio.wiki {{DEFAULTSORT:Big Book 1939 non-fiction books Alcoholics Anonymous American non-fiction books Self-help books Twelve-step programs