AA Before There Was AA
by bob k.
William L. White, author of Slaying The Dragon: The History of Addiction Treatment and Recovery in America, published a memoir in 2017. In Recovery Rising, the treatment professional and addiction historian discusses the idea of the “wounded healer.” “One of the foundational concepts within the history of recovery support is that of the wounded healer – the notion that people who have survived a particular illness or trauma might use that experience as a foundation to help others in similar circumstances.” (Recovery Rising, William L. White, p. 470)
The great strength of Alcoholics Anonymous is birthed in the process of identification. Typically, the alcoholic has already suffered through the remonstrations of a frustrated spouse, parent, or employer; and/or the counseling of a minister, priest, rabbi, yogi, physician, or any other would-be helper. These well-intentioned folks are seen by the alcoholic as “not really getting it.” During his chastisement, the penitent drunkard does his part, which is to hang his head in shame. He may pledge to never again do what he has done a thousand times before.
It’s different in AA. The man or woman being “helped” is asked to listen to the story of the “helper.” In the best cases, he or she hears a tale much like his or her own, except that the account includes not just struggling, but overcoming. In the best of cases, there are “no lectures to be endured.”
In helping, the helper helps himself.
The wounded healer class is not limited to alcoholics. As was the case with William James, Carl Jung had had his own confrontations with inner demons. The psychoanalyst later stated that “a good half of every treatment that probes at all deeply consists in the doctor examining himself . . . it is his own hurt that gives a measure of his power to heal.” (Jung, Anthony Stevens, p. 110)
In the world of the now, “wounded healers” serve as mentors in mutual aid groups, most notably, the many 12-Step fellowships. Other recovered alcoholics and addicts work professionally as paid counsellors. There is precedent for both of these functions, dating back to decades before Bill Wilson took his final drink.
In the nineteenth and early twentieth centuries, there were amateur wounded healers performing much as they do today. The Washingtonians (founded 1840) remain the best known of the early mutual aid groups who helped themselves by helping others, but there were many such societies, and to varying degrees, they were AA-like in how they operated. The Sons of Temperance, Rechabites, Templars, and others were groups of alcoholics who helped each other to get and stay sober. The Ribbon Reform Clubs and Fraternal Temperance Societies that came later did the same. A serious problem for these groups of “drunks helping other drunks” is that they were absorbed into the broader temperance movement controlled by nonalcoholics.
Furthermore, long before the proliferation of modern treatment centers, there had been reformed drinkers working as paid counselors. Richard Peabody is perhaps the most recognizable name among the alcoholics who followed personal recovery by going on to careers in the field of lay therapy. At ten years sober, Peabody wrote The Common Sense of Drinking (1931), a volume that influenced Bill W.’s writing of the Bigga Booka.
Throughout the nineteenth century, some reformed drunkards had made their livings as paid temperance speakers inspiring others with their stories of salvation. Earlier still, Native Americans had formed “recovery circles” of sober alcoholics and those seeking help in stopping drinking.
Missions
At the time AA’s Big Book was undergoing last-minute alteration before publication, Henry G. Parkhurst was lobbying, yet again, for a toning down of what he viewed as religiosity and preachiness of the book’s message. In support of that cause, he offered the view that “the missions had never been effective with alcoholics.”
He was wrong.
Wounded healer Jerry McAuley had his Water Street Mission (founded in 1872) working reasonably well some decades earlier. We have no percentages and no statistics, but the former drunken criminal was sobering up some hard cases and putting them to work helping others similarly afflicted. These healed healers clung together drawing strength from more than just the religious comforting of the mission’s format. It’s very likely that in daytime hours, the facility operated much like a modern Alano club.
Samuel H. Hadley experienced a similar reformation in 1882 and for the remainder of his life, worked diligently to bring others into recovery from alcoholism. Both of these men receive mention in The Varieties of Religious Experience (1902).
Further, in the decades immediately preceding the birth of Alcoholics Anonymous, the men relieved of their obsession to drink through the Emmanuel Movement were encouraged to help others. The Jacoby Club (1908) was formed so that alcoholics brought into sobriety at the Boston church could congregate with others hoping for a similar result. The club flourished for three decades. It was forced to find larger quarters multiple times in order to accommodate the rising numbers of down-and-outers being helped to attain a new way of life.
The group’s motto was: Men who help themselves by helping other men. As with the missions and the Washingtonians, assistance with basic needs accompanied the support in overcoming troubles with alcohol. Why did the Jacoby Club not spread across America? The simplest answer seems to be that they lacked a leader with the vision and ambition of a Bill Wilson to take the group to a national audience. Locally, the club was highly effective in demonstrating the power of wounded healers to aid others of their ilk.
Many alcoholics, then and now, after countless failed attempts to climb out of the pit of alcoholism, see recovery as something that’s “undoable” for them. Powerful is the living example of ones who were once as they were, and possibly worse. The seemingly hopeless find new glimmers of hope. Possibilities become realized with each step forward encouraged and supported. The Jacoby Club had sober entertainments, and they had sponsors operating under the title “special brothers.”
You are no longer alone.
Mutual Aid Groups
The emotional core of addiction is a mixture of isolation (in the end, only the drug exists), desperation (over rapidly fading power and control), and shame (over the loss of control of the drug and ourselves and the damage we are inflicting on ourselves, our loved ones, and the world.
Recovery Rising, p. 221
AA sponsors are wounded healers. They help sponsees to find healing. Sometimes the sponsor falls and the roles might be reversed. In any case, the battle is no longer a solitary one. In short order, the sobriety seeker is aware that he has new friends who have insiders’ knowledge of the problem. There is much talk of community and connection in the modern iterations of spirituality and as antidotes to addiction.
We know that numerous drunks who recovered in the pre-AA era maintained their sobriety. Some authored books about their struggles with alcohol addiction, their release, and their return to normal living. The drinking is typically vividly described with the purple-est of prose. Even allowing that these accounts may be somewhat exaggerated, we are presented with real alcoholics of the most desperate type.
The stories of wounded healers such as John Hawkins, John Gough, Jerry McAuley, Samuel Hadley, Orville Gardner and others are well documented. To some degree, they were public figures. They seem to have intuited that service would help them through the tribulations of maintaining sobriety. We find this critical element described in “Bill’s Story.”
My wife and I abandoned ourselves with enthusiasm to the idea of helping other alcoholics to a solution to their problems. It was fortunate, for my old business associates remained skeptical for a year and a half, during which I found little work. I was not too well at the time, and was plagued by waves of self-pity and resentment.
This sometimes nearly drove me back to drink, but I soon found that when all other measures failed, work with another alcoholic would save the day. Many times I have gone to my old hospital in despair. On talking to a man there, I would be amazingly lifted up and set on my feet. It is a design for living that works in rough going.
AA Big Book, p. 15
The power derived from both service and association with like-minded others had been demonstrated many times over, long before Bill Wilson helped himself by helping Dr. Bob Smith.
The Keeley Institutes undoubtedly brought many alcoholics into sobriety, even though the “gold cure” itself was essentially a scam. The major upside of that whole therapeutic effort, besides making Dr. Leslie Keeley a very wealthy man in a short period of time, was that Keeley Cure graduates congregated in support groups called Keeley Leagues.
By helping others, they helped themselves.
The unique ability of alcoholics to assist other alcoholics has been demonstrated again and again and continues to be in the treatment world of the twenty-first century.
True believers prefer not to recognize that the Big Book, as Emerson famously observed of Whitman’s Leaves of Grass, “must have had a long foreground somewhere, for such a start.” In fact, nearly all the constitutive elements of the AA program were in place a century before Bill W. ever set foot in Akron.
As William L. White says in his magisterial history of addiction treatment in America, it is “clearly not the case” that mutual support groups for inebriates began with AA.
Bill W. and Mr. Wilson, Matthew Raphael, p. 67
bob k is a long-time sober member of AA and has been a regular contributor to aaagnostica. His anthology Key Players in AA History (2015) remains popular with an expanded Second Edition released in 2023. The Secret Diaries of Bill W. (2023) employs the genre of biographical fiction to take a look at the fascinating life of AA’s principal founder. Coming in 2024 are Almost Hopeless, a look at addiction treatment pre-AA and 366 Days of Good Orderly Direction. a daily reflection book for secularists in recovery.
For a PDF of this article, click here: AA Before There Was AA.
THanks, Bob. As always, a great article. I was hoping that you might touch on the experience of many Indigenous people who also used community, talking circles, to gain sobriety. There isn’t as much documentation but I often wonder if some of the earliest efforts to sober up the drunk might have gained some inspiration from the Native’s experience and hope.
Thank you for a most perceptive comment. Space limitations precluded giving the indigenous sobriety movement more than the briefest mention. ”Recovery circles” pre-date all that is mentioned in the piece.
Fabulous Bob; straight down the fairway.
You mentioned Ernie Kurz; he was always on us about the vital role of context. When AA isn’t talked about contextually it is a slanted view of reality. Pre-12 Step recovery offers context. AA borrowes from what was already working.
And AA isn’t the only pathway that works. The 2023 SAMHSA survey on alcohol and other substance use accounts for well over 20 million Americans who identify as recovered from, or in recovery from addiction (alcohol and other drugs. 1.4 million are AA members which is great but others find a way out too. According to data from the survey, 70% of people who once had a problem are now sober.
Great essay.
Excellent! An interesting and little history.
Thanks bob , as always a brilliant essay culling all the information out there and putting it in a nice tidy package for us to gather facts. We can and do move from hurting to healing to helping and it isnt just in AA. Thanks for this reminder.
Liked comment on urban missions and Samuel Hadley of alcoholic wounded helpers in essentially the Group of mission.
Wondered what success rate when they left the mission and didn’t keep working with others?
1952 Stracker/Chambers in Philadelphia paper essentially said their experience in hospital based lay therapist in team approach only worked with AA after care, and couldn’t handle the volume of alcoholics AA did. Paper compared psychotherapy, aversion therapy & AA.
A lot of folks stayed pretty close to McAuley’s mission. Some were housed there and many more were fed. The was an economic depression through the 1870s.
Francis Chambers was complimentary about AA and also about Antabuse, essentially his competitors in the drunk-saving business. He thought each had their place. Lay therapists could only handle so many. Chambers thought AA was a great option for those unable to pay for treatment.
Antabuse; Good idea for another essay Bob on the remedy’s and modern medicines utilized for the treatment of alcoholism past and present if you havn’t already.
BTW thank you for this essay. I learned something new. I find such essays / articles helps to keep things fresh and interesting.
Excellent. Eye-opening for us so ignorant of the past.
Hey Bob, thanks for this informative article. Really making a difference for me in important decisions and keeping an open mind.
Thank you Bob. AA prehistory is fascinating material. How much of the prehistory was know by Dr Silkworth and used as the basis for the “moral psychology” approach? Thanks for your essays and books.
There were so few books about alcoholism 80 and 90 years ago that I see it as unthinkable that Silkworth would not have read ”The Common Sense of Drinking” (1931) That one was definitely not about ”moral psychology.” William Schaberg sees moral psychology as the altruism in helping others and there’s evidence for that in the doctor’s writings.
I also see moral psychology as the power of religion in redirecting one’s life. ”The only cure for dipsomania is religiomania”—a common idea in that era. Silkworth may have seen the power of belief even if the thing believed wasn’t real. Interesting stuff.
Thank you Bob for the thought provoking read. I’m eternally grateful for all the time and energy that you invest in sharing valuable histories and insights that are relevant to modern recovery.
Clearly AA does deserve proper credit for excelling in spreading the “wounded healers” model of addiction treatment. Shame that isn’t always how it is marketed to the people who need it.
I like how you’ve pointed out that perhaps it is a step too far to lay all the credit for such an institution existing at the hands of Bill W and AA. I think is it wise to see how through the power of relatedness, the model of wounded healers had culturally evolved substantially prior to AA but hadn’t been able to spread with the same virality.
I also don’t think it is a stretch to imagine that the “wounded healers” mode of treatment could have appeared spontaneously at other times in the past, or in other geographic areas, or even in other domains. I speculate that this would be due to the power of relatedness to facilitate a level of hope, compassion and empathy that otherwise may be difficult to find one’s healing journey.
Thanks for a most thoughtful reply.
AA enthusiasts want Alcoholics Anonymous to be the ONLY thing EV-AH to effectively rehabilitate alcoholics. That simply isn’t true.
The Washingtonian story, as told by AA members, ends in a massive relapse as the group explodes in short order. It’s true that disputes over outside issues caused the group to experience a variety of problems, but a Washingtonian critic has estimated that 25% of the ”sots” were able to maintain their sobriety. Some relocated to other groups that were more anonymous.
Although some of the traveling speakers were quite theistic, the original founders did not align with religion. The were accused of humanism!! Lordy, Lordy.
Alcoholism had historically been a knotty problem with a low rate of recovery. Nonetheless, religious conversion has worked for some and ”drunks helping drunks” has worked for many others. The precedent for that second way predates AA by many years.
Most enjoyable essay, I think it fascinating and important to learn about pre AA history. I found the historical record of fellowship and wounded healers especially significant. I know my ‘Special Brothers’ have saved my butt many times.
Many thanks Bob for such an interesting and informative article. I agree totally. Sober alcoholics in AA are “wounded healers.” What is amazing for me is that this type of therapy is a “win/win” situation. It helps the helper as much as the helped.
Thank you for the thoughtful comment.
Many in their gratitude to AA want to believe that Alcoholics Anonymous has been the ONLY path EV-AH to rehabilitation from alcoholism. That simply isn’t true.
As told by AA members, the Washingtonian Temperance Society got some people sober for a while but the collapse of the group led to a massive relapse. A critic tells a different story estimating that 25% of the ”sots” remained sober. Some channelled off to other groups, most of which offered greater personal privacy.
These groups mostly disappeared (though some lasted for decades) due to deviation from their original purpose, NOT from ineffectiveness at keeping people sober.
Thank you Bob. I love both your knowledge of the history of AA and the warmth of your retelling of it. You make such an important contribution to recover in general and to my recovery in particular. I am so blessed to have made your acquaintance. Jim T
What about the teetotalism (1831)?
The original target of the temperance movement was moderation in drinking. Those unable to accomplish that are pressed to adopt total abstinence or ”teetotalism” as the only viable option. The interesting tale of Thomas Swindlehurst, Dickie Turner, and teetotalism in Preston, England is told in ”Almost Hopeless,” a volume coming out later this year.
Thanks for your reply Bob.
Thanks Bob. I enjoyed the historical review and the progression of 12 steps programs. It was interesting and insightful. Please keep on writing, and have a happy 24 hr.
This is a great article!
Everyone in the recovery community should understand that one alcoholic helping another (the wounded healer model of recovery) has a rich history and was a successful element of other recovery efforts. A couple of observations.
First, understanding the historical significance of “wounded healer” helps to elevate the importance of that element of the AA program. That is, it is not just a concept that was first observed by Bill W. (and company) and declared to be important. The wounded healer methodology was something that had been practiced successfully by others.
Second, there has been a proliferation of “easier/softer” ways of addiction recovery that don’t involve any form of sponsorship (wounded healer mentoring), or for that matter, steps/principles and other key components. There are segments of the secular AA community that are guilty of this. In the effort to eliminate the “religiosity” from the program, there are secular ‘pseudo-programs” out there that have thrown the “baby out with the bath water”. That is, “thrown out the wounded healer with the religiosity”.
Thanks, again, Bob – wonderful food for thought.
We seem to be on the same wavelength in many ways. Your book ”Modern 12 Step Recovery” is one of the very best.
Thank you for writing this interesting and informative article, Bob K., and thank you for posting it, Roger. I enjoy learning about the history of A.A. and this article contains some new elements for me. More continues to reveal itself! Wonderful article.
A further comment. The concept of the “wounded healer” goes back a very long way. Chiron, one of the constellations named by Greeks, was a “wounded healer” way back when they believed their mythology.
On a more modern note, in The Book of Joy: Lasting Happiness in a Changing World by the Dalai Lama, Desmond Tutu, and Douglas Carlton Abrams quotes Dr. Richard Davidson about the four independent brain circuits. One entire brain circuit is devoted to generosity, that is, helping others.
For alcoholics, whose primary status while active in their addiction, might have been the pursuit of their own wants, the idea of helping others may come as a surprise.
The research by Dr. Davidson may be read at this link, for those interested:
https://greatergood.berkeley.edu/article/item/the_four_keys_to_well_being
Thanks for the comment and especially the link to Dr. Davidson’s 4 keysto well-being. Hard to argue with 1) Resilience; 2) Outlook (attitude); 3) Attention (mindfulness); 4) Generosity.
One of Bill W.’s great insights was seeing the tremendous power of one wounded healer helping the next. Who knew thar would feel so good?
Bill W. of course went on later to talk vaguely about Neurotics Anonymous, but perhaps we his followers have taken that to heart in other iterations of the 12 Steps.
Thanks Bob. I like the piece you wrote. It puts in perspective a few things I knew, and added a little I didn’t know. Grateful you took the time, for there is a need for AA History to be presented in the context of truth. Randy E.
Hi Bob, Thanks for the insights. (And doing the heavy lifting.)
Appreciate how much like your book “Key Players in A.A. History” you pieced together the similarities and influences of the previous organizations onto A.A. into a comprehensive picture. They all had the underlining understanding that personal experience trumps all theory. From which one then can with conviction transmit to another. As has been stated above Context is King.
It also helped in my reading of the essay that I was aware of many of the Groups you referenced from the reading and study of Key Players.
IFotS
David
Can’t tell you how many I’ve heard over the years say they are going into ‘counselling’! I trust many of us in secular can appreciate that AA has never been the only ‘game in town’. As someone who went the AA route I have tremendous respect for what AA afforded me as a fellowship. However, it is clear that AA is wrapped in many ‘borrowed’ ideas from past efforts to tame the beast that is alcoholism. Well done as usual Bob. Captures the ‘reality’ of recovery.
Thanks Bob, very interesting.
We could have all ended up in “Jacoby Anonymous”.
Boston alcoholics who contacted AA’s New York office before Boston had AA were referred to the Jacoby Club. When AA started there, the meetings were held in the Jacoby Club’s building.
The Jacobies weren’t just a few sober drunkards. Membership was up to 500 (60% + alcoholics). BUT, they stayed local.