Format For Alcoholics Anonymous Meetings

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image: doctor consoling elderly male alcoholic about his diseaseIs there a format for Alcoholics Anonymous meetings?  Yes there is.  But one must always keep in mind that there are many different kinds of meetings and also that no two Alcoholics Anonymous groups are identically the same. 

Indeed, this diversity among groups is due to the unique features of the people who make up the particular group.  As a result of this diversity, many different kinds of Alcoholics Anonymous meetings can be found at the various AA locations throughout the world.

The Importance of Alcoholics Anonymous Meetings

Meetings are one of the foundational components of Alcoholics Anonymous.  A chairperson, who is typically a member of the group, will open the meeting (call the meeting to order) and follow the format for the type of meeting he or she is conducting:   speaker meeting, beginner meeting, discussion meeting, etc.

image: alcoholic in wheel chair from alcohol-related accidentIf the chairperson asks if there are any newcomers, visitors should free to raise their hands and give their first name.

For the most part, a "single share" protocol is followed in meetings which means that members do not speak for any length of time more than once during the meeting.  At times, however, exceptions to this standard are made, depending upon the group or the circumstances.

In all meetings, "cross talk" is kept to a minimum.  "Cross talk" from the Alcoholics Anonymous perspective means giving direct advice to others who have already shared, speaking directly to another person rather than to the group, telling another member what to think or how to act, and questioning or interrupting the person who is sharing and speaking at the time.  In a related manner, the usual etiquette during all meetings is for members to remain silent until the speaker has finished.

The Meeting Goes Around The Room

Every once in a while, the meeting "goes around the room" and all attendees have the opportunity to speak if they want to.  Other times the discussion leader might call on specific members and invite them to share their experiences.  Members who do not wish to speak simply say "Thanks, I'll pass" or "I'll just listen tonight." Responses such as these are always accepted due to the fact that pressure is never exerted for people to speak.

If a person does not have a chemical dependency problem, he or she should attend open meetings.  Stated differently, closed meetings are specifically for people who have a chemical dependency problem.

Children of alcoholics demonstrate a three- to four-time increased risk of developing alcoholism.

Meeting Size

Meeting size varies from small to large depending on where the meeting is held and on the specific meeting format (i.e., discussion, Big Book, step, speaker) and who attends the meeting (men, women, mixed, young people, and so on).  Whereas "small" meetings usually have 15 or fewer members, "large" meetings can have as many as 30, 40, 50 or more attendees.

Every year in the United States, more than 40,000 babies are born with some degree of alcohol-related impairment. Although many, if not most, women understand that excessive drinking during pregnancy can lead to birth defects, many woman, apparently, are unaware or do not comprehend that moderate or even light drinking can seriously impair or harm the unborn fetus.

Smoking, Nonsmoking and the Close of the Meeting

image: doctor writing in chart of alcohol rehab patientThe traditional "smoke filled room" is becoming a thing of the past as more and more meetings are nonsmoking only.  Smokers still flock together outside the meeting areas; however, meetings that permit smoking inside are becoming increasingly rare.  Meetings usually end on time and are closed in a way that is decided upon by the particular group.

A basket is typically passed around the room for voluntary contributions to cover expenses.  No contribution is required.  Indeed, first-timers are frequently advised not to contribute. The usual donation is one dollar.

At the close of the meeting it is common for the chairperson to remind everyone of the Twelfth Tradition (the principle of anonymity) and to invite the group to stand, join hands in a circle, and recite the Serenity Prayer or the Lord's Prayer.

6.6 million American children under the age of 18 live in homes with at least one alcoholic parent.

Types of AA Meetings

No two Alcoholics Anonymous groups are the same.  In fact, there is a great degree of diversity among groups due to the unique features of the individuals that make up the particular group.

Problem drinkers are mostly found in young adults between the ages of 18 and 29. Conversely, the age group with the fewest alcohol problems is adults who are 65 years old or older.

image: oriental woman drinking on couchThe AA "Fourth Tradition" states that "Each group should be autonomous except in matters affecting other groups or AA as a whole."  This tradition is taken seriously by group members.  Indeed, there is a great degree of variety from group to group regarding what is emphasized, the selection readings, the type of ritual, the meeting philosophy, the emotional tone of the meetings, and the informal group norms. 

This great variety appears to be one of the secrets of success of Alcoholics Anonymous and usually means that newcomers, if they are willing to spend the effort and time, will be able to find a meeting that closely matches their needs. 

In Canada, an estimated 4% of the population over the age of 15 is dependent on alcohol and there are twice as many male alcoholics as female alcoholics. The highest rate of alcoholism in Canadians occurs between the ages of 20 and 24. In Canadian surveys, about 20% of the current and former drinkers stated that their alcoholic drinking negatively affected them, usually affecting their finances or their jobs.

The following represents some of the different AA meetings that are available:

Open Meetings: These meetings are open to anyone:  to alcoholics, non-alcoholics, and to anyone interested in solving a personal drinking problem or helping someone else to solve such a problem.

Research indicates that adolescents who use alcohol may remember 10 percent less of what they have learned than those who don’t drink.

Closed Meetings: These meetings are limited to alcoholics. They provide an opportunity for members to share with one another regarding drinking patterns and problems and about the struggle to remain sober.  Closed meetings also provide a forum for detailed discussion of the different aspects in the recovery program.

There are basically four different types of alcohol tests: breathalyzer tests, blood alcohol tests, urine tests, and saliva alcohol tests. It can be pointed out that hair tests cannot detect alcohol.

Beginners Meetings:  These meetings are typically targeted at newcomers, i.e., those individuals with less than one year of sobriety. A topic will be suggested by a chairperson and then members who want to, can share their personal hopes, fears, or experiences related to the topic. In this manner, beginners will start to understand the AA program of Alcoholics Anonymous and how they can refrain from drinking, one day at a time.

Research has shown that people who start drinking at an early age, for instance at 13 years old or younger, significantly increases the likelihood that they will experience alcohol problems later in life.

Speaker Meetings:  One or two members of AA will share their story-- what alcoholism was like, what happened to them while image: young man wondering about alcoholic friendthey drank, and what life is like now that they are sober.  The speaker, usually chosen in advance, agrees to tell his story of drinking and recovery to the group.  Speakers are typically members with a year or more of sobriety who have previously been asked to share their story.

A common format at speaker meetings is to start the meeting with the usual opening readings and then to devote the rest of the meeting to the speaker's story. When the story is finished the meeting is closed without any formal discussion.  Some meetings are combined "speaker-discussion meetings."  In this type of meeting, the main speaker shares his or her story for 15 to 30 minutes, and then opens the meeting to a group discussion of the topics raised in accordance with the typical protocol of a discussion meeting.  During speaker meetings, newcomers or beginners are encouraged not to compare, but to relate to each member's experiences.

The National Highway Traffic Safety Administration estimates that there were 17,000 alcohol-related traffic fatalities in each of the last three years.

Discussion Meetings:  A topic will be suggested by a chairperson and then other members can share their own experiences about the topics.  Newcomers are encouraged not to compare, but to relate to each member's experiences. Remember, attendees come to the meetings for the same reason:  to stay sober, one day at a time.  In discussion meetings, sharing that consists of personal experience and an application of the referenced text is valued over purely theoretical and impersonal discussions.

Alcohol withdrawal syndrome is a group of symptoms manifested by individuals who stop drinking alcohol after a pattern of continuous and excessive consumption. These symptoms can range from mild to moderate to severe and include both psychological and behavioral aspects

Step Meetings:  One person will present a 10 or 15-minute discussion about one of the twelve steps and then will invite other members to share their experiences about working on the particular step.  Not unlike the discussion meetings, sharing that consists of personal experience and an application of the referenced text is seen as more important than theoretical or impersonal discussions during step meetings.

Recent research demonstrates that the drugs most likely to produce effective results when treating alcohol withdrawal symptoms are the benzodiazepines: the shorter-acting benzodiazepines such as Serax and Ativan or the longer-acting benzodiazepines like Valium and Librium.

Big Book Study Meetings:  Members discuss a specific reading from the “Big Book,” a term AA members use in reference to the program's basic text, Alcoholics Anonymous.  Similar to the step meetings, sharing that consists of personal experience and an application of the referenced text is seen as more important than theoretical or impersonal discussions. 

In the United States, the correlation between the battering of women and alcohol abuse is the highest for men who believe that male control and power over women are acceptable in various situations.

Key for Meeting Types

image: young female with alcohol-related headacheThe following represents the "Key" for the different types of meeting on the schedule:

  • 12 & 12 = 12 Steps and 12 Traditions
  • BB = Big Book
  • C = closed (Alcoholics Only)
  • CC = Child Care Available
  • DSP = Does Not Sign Court Papers
  • D = Discussion
  • FF = Floating Format
  • G = Gay
  • HS = Heavy Smoking 
  • L = Lesbian
  • LS  = Limited Smoking
  • M = Men only
  • M/L = Mini Lead with Topic
  • NS = Non Smoking
  • O = open
  • P = Panel
  • S = Speaker
  • SLI = Sign Language Interpreter
  • W = Women only

Format For Alcoholics Anonymous Meetings:  Conclusion

As discussed, it can be seen that there is indeed a format for Alcoholics Anonymous meetings.  Variety and diversity, however, are also hallmarks of the Alcoholics Anonymous meetings.  Due to the fact that most people find various meeting formats more helpful than others, local Alcoholics Anonymous advisers can offer a wide variety of meeting formats such as seminars, study groups, panels, orientation, and so on.  In addition, group meetings can be offered for specific groups of people such as lesbians, gays, families of alcoholics, and women.

And finally, advisers can sponsor group meetings for particular groups of students such as disabled students, first-year students, honors students, transfer students, students who are seniors, international students, students on probation, and non-traditional students.

In many instances, people abuse drugs or alcohol in order to have "fun" or to get a "buzz." Many people, in fact, report that having a few drinks makes them feel more comfortable in social situations. The danger, however, is this: repeated alcohol or drug abuse can result in addiction

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