Most A.A.s will say that it’s how you drink, not how often, that determines whether or not you are an alcoholic. Many problem drinkers can go weeks, months, and occasionally years between their bouts with liquor. During their periods of sobriety, they may not give alcohol a second thought. Without mental or emotional effort, they are able to take it or leave it alone, and they prefer to leave it alone. Then, for some unaccountable reason, or for no reason at all, they go off on a first-class binge. They neglect job, family, and other civic and social responsibilities. The spree may last a single night, or it may be prolonged for days or weeks. When it is over, the drinker is usually weak and remorseful, determined never to let it happen again. But it does happen again. This type of “periodic” drinking is baffling, not only to those around the drinker, but also to the person still drinking. He or she cannot understand why there should be so little interest in alcohol during the periods between binges, or so little control over it once the drinking starts. The periodic drinker may or may not be an alcoholic. But if drinking has become unmanageable and if the periods between binges are becoming shorter, chances are the time has come to face up to the problem. If the person is ready to admit to being an alcoholic, then the first step has been taken toward the continuing sobriety enjoyed by thousands upon thousands of A.A.s.

Many members of A.A., during their drinking days, were assured by relatives, friends, and doctors that they were not alcoholics. The alcoholic usually adds to the problem by an unwillingness to realistically face the facts of drinking. By not being completely honest, the problem drinker makes it difficult for a doctor to provide any help. The amazing thing, in fact, is that so many doctors have been able to penetrate the typical problem drinker’s deceptions and diagnose the problem correctly. It cannot be emphasized too often that the important decision — am I an alcoholic? — has to be made by the drinker. Only he or she — not the doctor, the family, or friends — can make it. But once it is made, half the battle for sobriety is won. If the question is left to others to decide, the alcoholic may be dragging out needlessly the dangers and misery of uncontrollable drinking.

A few people have stopped drinking after reading Alcoholics Anonymous, the A.A. “Big Book,” which explains the basic principles of the recovery program. But nearly all of those who were able promptly sought out other alcoholics so they could share their experience and sobriety. The A.A. program works best for the individual when it is recognized and accepted as a program involving other people. Working with other alcoholics in the local A.A. group, problem drinkers seem to learn more about their problem and how to handle it. They find themselves surrounded by others who share their past experiences, their present problems, and their hopes. They shed the feelings of loneliness that may have been an important factor in their compulsion to drink.

Anonymity is and always has been the basis of the A.A. program. Most members, after they have been in A.A. awhile, have no particular objection if the word gets around that they have joined a fellowship that enables them to stay sober. Traditionally, A.A.s never disclose their association with the movement in any public media. And no one has the right to break the anonymity of another member. This means that the newcomer can turn to A.A. with the assurance that no one will violate confidences relating to his or her drinking problem.

The record shows that A.A. will work for almost anyone who really wants to stop drinking, no matter what the person’s economic or social background may be. A.A. today includes among its members many who have been on skid row, in jails, and in other public institutions. The down-and-outer is at no disadvantage in coming to A.A. His or her basic problem, the thing that has made life unmanageable, is identical with the central problem of every other member of A.A. The worth of a member in A.A. is not judged on the basis of the clothes worn, the handling of language, or the size (or existence) of the bank balance. The only thing that counts in A.A. is whether or not the newcomer really wants to stop drinking. If the desire is there, the person will be welcomed. Chances are, the most rugged drinking story the new member could tell will be topped by an amazing number of people in the group, with similar backgrounds and experiences

There are two practical ways to describe A.A. The first is the familiar description of purposes and objectives that appears earlier: “Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from alcoholism. The only requirement for membership is a desire to stop drinking. There are no dues or fees for A.A. membership; we are self-supporting through our own contributions. A.A. is not allied with any sect, denomination, politics, organization or institution; does not wish to engage in any controversy; neither endorses nor opposes any causes. Our primary purpose is to stay sober and help other alcoholics to achieve sobriety.” The “common problem” is alcoholism. The men and women who consider themselves members of A.A. are, and always will be, alcoholics, even though they may have other addictions. They have finally recognized that they are no longer able to handle alcohol in any form; they now stay away from it completely. The important thing is that they do not try to deal with the problem single-handedly. They bring the problem out into the open with other alcoholics. This sharing of “experience, strength and hope” seems to be the key element that makes it possible for them to live without alcohol and, in most cases, without even wanting to drink. The second way to describe Alcoholics Anonymous is to outline the structure of the Society. Numerically, A.A. consists of more than 2,000,000 men and women, in approximately 180 countries. These people meet in local groups that range in size from a handful of ex-drinkers in some localities to many hundreds in larger communities. 15 In the populous metropolitan areas, there may be scores of neighborhood groups, each holding its own regular meetings. Many A.A. meetings are open to the public; some groups also hold “closed meetings,” where members are encouraged to discuss problems that might not be fully appreciated by nonalcoholics. The local group is the core of the A.A. Fellowship. Its open meetings welcome alcoholics and their families in an atmosphere of friendliness and helpfulness. There are now more than 118,000 groups throughout the world, including hundreds in hospitals, prisons, and other institutions.

The absence of rules, regulations, or musts is one of the unique features of A.A. as a local group and as a worldwide fellowship. There are no bylaws that say a member has to attend a certain number of meetings within a given period. Understandably, most groups have an unwrit16 ten tradition that anyone who is still drinking, and boisterous enough to disturb a meeting, may be asked to leave; the same person will be welcomed back at any time when not likely to disrupt a meeting. Meanwhile, members of the group will do their best to help bring sobriety to the person if there is a sincere desire to stop drinking.

A.A. has no officers or executives who wield power or authority over the Fellowship. There is no “government” in A.A. It is obvious, however, that even in an informal organization, certain jobs have to be done. In the local group, for example, someone has to arrange for a suitable meeting place; meetings have to be scheduled and programmed, a website has to be maintained. Newcomers who have a reasonable period of sobriety behind them are urged to take part in handling group responsibilities. The answer to “Who runs A.A.?” is that the Alcoholics Anonymous is a uniquely democratic movement, with no central government and only a minimum of formal organization.

No. A.A. has no relation to temperance movements. A.A. “neither endorses nor opposes any causes.” While many A.A.s appreciate that alcohol may be all right for most people, they know it to be poison for them. The average A.A. has no desire to deprive anyone of something that, properly handled, is a source of pleasure. The A.A. merely acknowledges being personally unable to handle the stuff.

One of the most heartening trends in the growth of A.A. is the fact that more and more young men and women are being attracted to the program before their problem drinking results in complete disaster. Now that the progressive nature of alcoholism is better appreciated, these young people recognize that, if one is an alcoholic, the best time to arrest the illness is in its early stages. There are people of all ages present at AA meetings in Phuket.