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6 - Mutual Help Approaches and Mechanisms of Change

from Part I - Micro Level

Published online by Cambridge University Press:  23 December 2021

By
J. Scott Tonigan
Edited by
Jalie A. Tucker  and
Katie Witkiewitz
Jalie A. Tucker
Affiliation:
University of Florida
Katie Witkiewitz
Affiliation:
University of New Mexico
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Summary

Mutual help programs are popular resources for persons with alcohol use disorder (AUD) and clinical referral to such programs is common. This chapter describes what is currently known about four established mutual help programs in the United States: Alcoholics Anonymous (AA), SMART Recovery, Women for Sobriety (WFS), and LifeRing. Strong correlational research indicates that AA is associated with increased abstinence and that this association arises in part because of increased social support, abstinence self-efficacy, and spiritual practices. There is little support that reductions in anger, selfishness, and depression account for AA-related benefit. Preliminary evidence indicates that persons reporting lower religiosity and higher education are more likely to affiliate with non-AA mutual help programs and that these programs may be efficacious. A series of recommendations are made to advance our knowledge of these mutual help programs, with an emphasis on the need for future investigations of SMART, WFS, and LifeRing.

Keywords

Alcoholics Anonymous (AA)LifeRingSMART RecoveryWomen for Sobriety (WFS)mutual helpself-helpmechanisms of behavior changerecovery
Type
Chapter
Information
Dynamic Pathways to Recovery from Alcohol Use Disorder
Meaning and Methods
 , pp. 95 - 113
Publisher: Cambridge University Press
Print publication year: 2022

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