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Full disclosure: I am one of the more than 200 people whom Anne
Fletcher interviewed in writing this book -- she refers to us as "masters"
-- and as such I was naturally predisposed to think highly of it. The
book does have a lot of good qualities to recommend it. The author
works hard at thinking outside the traditional 12-step box. She points
out, based on her survey results, that many of the received platitudes of
recovery are not supported by experience. Contrary to accepted dogma,
many people get sober without AA. Many get sober in other groups, or
solo. Some are in denial, some are not. Many get sober without
"hitting bottom." Some die, some recover spontaneously. Some
stay sober calling themselves "alcoholics," some stay sober not doing that.
Thinking of addiction as a disease helps some; thinking of it as a bad habit
helps others. Some stay sober through surrender to God's will, some
stay sober by taking personal responsibility. There is no
cookie-cutter program that works for everybody. Everyone must fashion
their own individual recovery program. And so on. The author
does a competent job summing up many of the truths that most of us in
LifeRing Recovery have come by now to grasp as self-evident, and which we
suspect will become the platitudes of the future. Particularly
commendable is her chapter on family and friends, where the author stakes
out positions that seem much more helpful in important respects than
Al-Anon. Fletcher also does a good job weaving research together with
anecdotes to create a readable tapestry.
But -- and it is a large caveat -- Fletcher makes the strategic error of
including moderation ("controlled drinking") as an option on a par with
abstinence in her concept of "sobriety." From the outset she relies on
a Webster's dictionary definition of "sobriety" as including not only
abstinence but also moderate or occasional drinking (p. 4), far out of line
with the modern understanding of "sobriety" in the recovery subculture.
Thus, one of her "masters" who has four drinks a day is, according to her,
"sober." This particular dictionary definition is a notorious red flag
that has led more than one recovering person of my knowledge into relapse.
Although Fletcher admonishes the reader on several occasions that moderation
is difficult, risky, and not advisable for most people, such pro forma
warning labels do little to undercut the basic message which elevates
moderation to parity with abstinence, and they may even enhance the
attraction. The amount of prominence Fletcher devotes to the
moderationist pathway in her book is far in excess of her empirical
foundation. Only one of Fletcher's more than 200 "masters" claimed to
have had success using Moderation Management (p. 20). On these facts,
moderation is a statistical aberration, an outlier, and should have been
dismissed. The fact that the book receives accolades on the dust jacket from
nearly every flag-bearer for moderation and controlled drinking on the
contemporary American scene should also be a warning signal. I took
one copy of the book into a treatment center recently, and let it circulate
among the audience while I delivered a talk about LSR. After just a
few moments of leafing through it one patient asked me, referring to
Fletcher's book, whether LifeRing supported moderation. Needless to
say, I have not taken the book on such visits again.
The traditional recovery establishment sees AA as the only road to
abstinence, and wants to taint all the alternatives with the brush of
moderation. Fletcher's book blunders into this trap.
Accordingly, while this is a book I would want to have in my personal
library (and not only because I'm in it), and while there are good sections
that could be excerpted and circulated separately, it's not a work as a
whole that I could put on my recommend list. Had I known that Fletcher
intended to take that particular tack, I probably would not have agreed to
participate in her project, fame be damned. 11/14/01
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