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What is A.A.'s Success Rate? |
Q - What is the success rate of Alcoholics
Anonymous?
A - Of those sincerely willing to stop drinking about 50 per cent have
done so at once, 25 per cent after a few relapses and most of the remainder have
improved. (N.Y. State J. Med.©, Vol. 44, Aug., 1944)
A - As of 1949 our quantity results are these. The 14 year old society of
Alcoholics Anonymous has 80,000 members in about 3,000 groups. We have entered
into about 30 foreign countries and U.S. possessions; translations are going
forward. By occupation we are an accurate cross section of America. By religious
affiliation we are about 40% Catholic; nominal and active Protestants, also many
former agnostics, and a sprinkling of Jews comprise the remainder. Ten to 15%
are women. Some Negroes are recovering without undue difficulty. Top medical and
religious endorsements are almost universal. A.A. membership is pyramiding,
chain style, at the rate of 30% a year. During 1949 we expect 20,000 permanent
recoveries, at least. Half of them will be medium or mild cases with an average
age of 36 - a fairly recent development.
Of alcoholics who stay with us and really try, 50% get sober at once and stay
that way, 25% do so after some relapses and the remainder show some improvement.
But many problem drinkers do quit A.A. after a brief contact, many, three or
four out of five. Some are too psychopathic or damaged. But the majority have
powerful rationalizations yet to be broken down. Exactly this does happen,
providing they get what A.A. calls a "good exposure," on first contact. Alcohol
then burns such a hot fire under them that they are driven back to us, often
years later. They tell us that they had to return; it was A.A. or else. Such
cases leave us the agreeable impression that half of our original exposures will
eventually return, most of them to recover. (Amer. J. Psychiatry© Vol.
106, 1949)
A - About two thousand recoveries now take place each month. Of those
alcoholics who wish to get well and are emotionally capable of trying our
method, 50 per cent recover immediately, 25 per cent after a few backslides. The
remainder are improved if they continue active in A.A. Of the total who approach
us, it is probable that only 25 per cent become A.A. members on the first
contact. A list of seventy-five of our early failures today discloses that 70
returned to A.A. after one to ten years. We did not bring them back; they came
of their own accord. (N.Y. State J. Med©., Vol.50, July 1950)
A - As we gained in size, we also gained in effectiveness. The recovery
rate went up. Of all those who really tried A.A., 50 per cent made it at once,
25 per cent finally made it; and the rest, if they stayed with us, were
definitely improved. That percentage has since held, even with those who first
wrote their stories in the original edition of "Alcoholics Anonymous." In fact,
75 per cent of these finally achieved sobriety. Only 25 per cent died or went
mad. Most of those still alive have been sober for an average of twenty years.
In our early days and since, we have found that great numbers of alcoholics
approach us and then turn away - maybe three out of five, today. But we have
happily found out that the majority of them later return, provided they are not
too psychopathic or too brain damaged. Once they have learned from the lips of
other alcoholics that they are beset by an often fatal malady, their further
drinking only turns up the screw. Eventually they are forced back into A.A.,
they must or die. Sometimes this happens years after the first exposure. The
ultimate recovery rate in A.A. is therefore a lot higher than we at first
thought it could be.
Yet we must humbly reflect that Alcoholics Anonymous has so far made only a
scratch upon the total problem of alcoholism. Here in the United States, we have
helped to sober up scarcely five per cent of the total alcoholic population of
4,500,000. (N.Y. Med. Society on Alcoholism©, 1958)
A- A.A. members can soberly ask themselves what became of the 600,000
alcoholics who approached the Fellowship during the past thirty years but who
did not stay. How much and how often did we fail all these? When we remember
that in the 30 years of A.A. existence we have reached less than 10 per cent of
all those who might be willing to approach us, we begin to get an idea of the
immensity of our task, and of the responsibilities with which we will always be
confronted. (G.S.C.© 1958).
.
A - I took note of the fact that in the generation which has seen A.A.
come alive, this period of twenty-five years, a vast procession of the world's
drunks have passed in front of us and have gone over the precipice. Based on
figures I was careful to get, it looks like, worldwide, there was something like
25 million of them and out of that stream of despair, illness, misery and death
-- we fished out just one in a hundred in the last 25 years. I think we're
fishing somewhat bigger and better.
Our numbers are considerable. We have size. There is great security in numbers.
You can't imagine how it was in the very first two or three years of this thing
when nobody was sure that anybody could stay sober...Then we were like the
people on Eddie Rickenbacker's raft. Boy, anybody rock that raft, even a little,
and he was sure to be clobbered, that's all, and then thrown overboard. But
today it's a different story.
Along with greater security in numbers, there has come a certain amount of
liability. The more people there are to do a job, it often turns out, the less
there are. In other words, what is everybody's business is nobody's business. So
size is bound to bring complacency unless we get increasingly aware of what's
going on. (Transcribed from tape. GSC©, 1960)
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