We admitted we were powerless over alcohol - that our lives had become unmanageable. We perceive that only through utter defeat are we able to take our first step toward liberation and strength making the admission we are unmanageable by us. Until we humble ourselves accept the devastating weakness and all its consequences , our sobriety, if any, will be precarious. The Principle: We shall find no enduring strength until we first admit complete defeat that probably no human power could have relieved our alcoholism.

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As Hazelden grows, it replaces a strictly Big Book approach to treatment and with the multidisciplinary approach that will come to be known as the Minnesota Model. The Hazelden version of the Steps becomes increasingly psychological.

As the influence of the Minnesota Model grows in the United States , it has an influence on Step practices within AA and other organizations. Hazelden begins in a small farm house in Center City , Minnesota. Its treatment program is based on the Twelve Steps, and only requires four things of its clients: When Hazelden officially opened its doors on 1 May , the program expectations were few and simple.

The patients were expected to: practice responsible behavior; attend the lectures on the Steps; associate and talk with the other patients; and make their beds. Treatment is administered by lay-therapists, recovering alcoholics who got their sobriety in AA. Treatment is focused solely on the first five of the Twelve Steps.

All clients are encouraged to associate with one another, as identification of one drunk with another is seen as central to recovery. Several elements are adapted from the program developed at Wilmar State Hospital. Among these elements are the assumption that initial motivation is not related to treatment outcome and the multidisciplinary approach to treatment. The assumption that initial motivation is not related to treatment outcome means that, unlike in Twelve Step organizations, at Hazelden the desire to stop using is not required to participate in treatment.

In order to compensate for this resistance, Hazelden places a great deal of emphasis on the First Step, where various forms of intervention are used to convince the client of his or her powerlessness and need for help.

Adopting the multidisciplinary approach means that Hazelden will now have psychiatrists working alongside the lay-therapists. This means introducing conflicting perspectives on how treatment should be carried out. Tension between the old and new schools at Hazelden continued and escalated, resulting in Lynn C.

Lynn C. Slaying the Dragon William L. It was a time of serious crisis for Hazelden. Mistaken beliefs cause us to think irrationally and act in self-defeating ways…One of the benefits of a personal inventory is that you have an opportunity to see in print all of the damaging statements you have been telling yourself over the years and decide if you think they are valid or not.

The introduction of psychological interpretations of addiction and recovery cause some controversy within AA. Institutional treatment based on the step program also may have reduced 12th-step work…Twelve-step treatment programs usually require the completion of Step Five before discharge.

Where Step Five is completed in an institutional setting, there is no compelling reason for a newcomer to take a sponsor or share their Step Five with another AA member. The basic symmetry in taking Step Five and the resulting strong social bond is also lacking at most treatment institutions.

This style of Stepwork is also less thorough, with a strong emphasis on the First Step, no presentation of the last seven Steps, and a decidedly negative impact on the practice of the Twelfth Step. The popular success of this model will go a long way toward legitimizing the Twelve Steps to the American public, and this will be one factor leading to the Twelve Step Boom.

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