Misplaced Pages

Twelve-step program

Article snapshot taken from Wikipedia with creative commons attribution-sharealike license. Give it a read and then ask your questions in the chat. We can research this topic together.

Twelve-step programs are international mutual aid programs supporting recovery from substance addictions , behavioral addictions and compulsions . Developed in the 1930s, the first twelve-step program, Alcoholics Anonymous (AA), founded by Bill Wilson and Bob Smith , aided its membership to overcome alcoholism . Since that time dozens of other organizations have been derived from AA's approach to address problems as varied as drug addiction , compulsive gambling , sex , and overeating . All twelve-step programs utilize a version of AA's suggested twelve steps first published in the 1939 book Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism .

#853146

89-514: As summarized by the American Psychological Association (APA), the process involves the following: Twelve-step methods have been adapted to address a wide range of alcoholism , substance abuse , and dependency problems. Over 200 mutual aid organizations—often known as fellowships —with a worldwide membership of millions have adopted and adapted AA’s 12 Steps and 12 Traditions for recovery . Narcotics Anonymous

178-488: A table to avoiding plagiarism and constructing accurate reference citations. "The General Format of APA is most commonly used to cite sources within the social sciences. General guidelines for a paper in APA style includes: typed, double-spaced on standard-sized paper (8.5" x 11") with 1" margins on all sides. The font should be clear and highly readable. APA recommends using 12 pt. Times New Roman font." The seventh edition of

267-651: A ban on same-sex marriage. In August 2011, the APA clarified their support of same-sex marriage in light of continued research suggesting that the same community benefits accepted as result of heterosexual marriage apply to same-sex couples as well. Clinton Anderson, then associate executive director of the APA and director of the Office on Lesbian, Gay, Bisexual and Transgender Concerns, said that, prior to this research, "We knew that marriage benefits heterosexual people in very significant ways, but we didn't know if that would be true for same-sex couples." Anderson also put forward

356-476: A central part of his revision of Freudian theory; while Edward Bibring revived the notion of abreaction as emotional reliving, a theme subsequently taken up by Vamik Volkan in his re-grief therapy. In Scientology , Dianetics is a form of abreaction that science fiction writer L. Ron Hubbard borrowed from the United States Navy when he spent three months in a San Diego hospital in 1943 with

445-529: A justification." In November 2014, the APA ordered an independent review into whether it cooperated with the government's use of torture of prisoners during the George W. Bush administration , naming Chicago attorney David H. Hoffman to conduct the review. On July 2, 2015, a 542-page report was issued to the special committee of the board of directors of the APA relating to ethics guidelines, national security interrogations, and torture. The report concluded that

534-419: A pretext for the neurosis. But what especially aroused my criticism was the fact that not a few traumata were simply inventions of fantasy and had never happened at all. Mainstream psychoanalysis tended over time (with Freud) to downplay the role of abreaction, in favor of the working through of the emotions revealed through such acting-out of the past. However, Otto Rank explored abreaction of birth trauma as

623-445: A professional therapist or clergyman to whom confidentiality and privilege might apply. Professionals and paraprofessionals who refer patients to these groups, to avoid both civil liability and licensure problems, have been advised that they should alert their patients that, at any time, their statements made in meetings may be disclosed. One review warned of detrimental iatrogenic effects of twelve-step philosophy and labeled

712-470: A publishing operation, offices that address administrative, business, information technology, and operational needs, and five substantive directorates: APA policy on the use of the title psychologist is contained in the Model Act for State Licensure of Psychologists: psychologists have earned a doctoral degree in psychology and may not use the title "psychologist" and/or deliver psychological services to

801-434: A resolution stating that it is unfair and discriminatory to deny same-sex couples legal access to civil marriage and to all its attendant rights, benefits, and privileges. It also filed an amicus brief in the federal court case in which Judge Vaughn Walker struck down California's constitutional ban on same-sex marriage. The APA later praised the decision and denied the existence of any "scientific justification" for

890-614: A response to treating addiction as a disease that is enabled by family systems . Adult Children of Alcoholics (ACA or ACOA) addresses the effects of growing up in an alcoholic or otherwise dysfunctional family. Co-Dependents Anonymous ( CoDA ) addresses compulsions related to relationships, referred to as codependency . Alcoholics Anonymous (AA), the first twelve-step fellowship, was founded in 1935 by Bill Wilson and Dr. Robert Holbrook Smith , known to AA members as "Bill W." and "Dr. Bob", in Akron, Ohio . In 1946 they formally established

979-551: A rule, in twelve-step fellowships, spiritual awakening occurs slowly over a period of time, although there are exceptions where members experience a sudden spiritual awakening. In accordance with the First Step, twelve-step groups emphasize self-admission by members of the problem they are recovering from. It is in this spirit that members often identify themselves along with an admission of their problem, often as "Hi, I’m [first name only], and I’m an alcoholic". A sponsor

SECTION 10

#1732771812854

1068-531: A set of rules developed to assist reading comprehension in the social and behavioral sciences. Used to ensure clarity of communication, the layout is designed to "move the idea forward with a minimum of distraction and a maximum of precision." The Publication Manual of the American Psychological Association contains the rules for every aspect of writing, especially in the social sciences from determining authorship to constructing

1157-470: A supportive resource for ethical practice for psychologists, including those in military and national security roles; prohibits psychologists from participating in national security interrogations; clarifies the intended application of the 2008 petition resolution... and calls for APA letters to be sent to federal officials to inform them of these policy changes and clarifications of existing APA policy. The ban will not "prohibit psychologists from working with

1246-682: A task force presented a report that in part examined the efficacy of so-called " reparative therapy ", or sexual orientation change efforts. The "Resolution on Appropriate Affirmative Responses to Sexual Orientation Distress and Change Efforts" also advises that parents, guardians, young people, and their families avoid sexual orientation treatments that portray homosexuality as a mental illness or developmental disorder and instead seek psychotherapy , social support , and educational services "that provide accurate information on sexual orientation and sexuality, increase family and school support, and reduce rejection of sexual minority youth." The APA adopted

1335-445: A tidal wave of consequences for the APA. On July 14, 2015, the APA announced the retirement of its CEO, Norman B. Anderson , effective the end of 2015, and of Deputy Chief Executive Officer Michael Honaker , effective August 15, 2015, and the resignation of Rhea K. Farberman, APA's executive director for public and member communication. Anderson had been CEO since 2003. For at least a decade, dissident psychologists within and outside

1424-528: A two-year part-time internship). However, there is currently an "internship crisis" as defined by the American Psychological Association, in that approximately 25% of clinical psychology doctoral students do not match for internship each year. This crisis has led many students (approximately 1,000 each year) to re-apply for internship, thus delaying graduation, or to complete an unaccredited internship, and often has many emotional and financial consequences. Students who do not complete an APA-accredited internship in

1513-487: A variety of APA Practice Organization resources, including PHWP Web content, e-newsletter, podcast and blog, and support of local programs currently implemented by 52 state, provincial and territorial psychological associations as a mechanism for driving grassroots change in local business communities. The awards are designed to recognize organizations for their efforts to foster employee health and well-being while enhancing organizational performance. The award program highlights

1602-401: A variety of workplaces, large and small, profit and non-profit, in diverse geographical settings. Applicants are evaluated on their efforts in the following five areas: employee involvement, work-life balance , employee growth and development, health and safety, and employee recognition . Awards are given at the local and national level. American Psychological Association ( APA ) style is

1691-400: Is a psychoanalytical term for reliving an experience to purge it of its emotional excesses—a type of catharsis . Sometimes it is a method of becoming conscious of repressed traumatic events. The concept of abreaction may have been initially formulated by Freud 's mentor, Josef Breuer ; but it was in their joint work of 1895, Studies on Hysteria , that it was first made public to denote

1780-575: Is a history of similar issues with the Canadian Psychological Association . Following are the two relevant ethical standards from the APA Ethics Code, with the amended language shown in bold: 1.02, Conflicts Between Ethics and Law, Regulations, or Other Governing Legal Authority If psychologists' ethical responsibilities conflict with law, regulations, or other governing legal authority, psychologists clarify

1869-454: Is a more experienced person in recovery who guides the less-experienced aspirant ("sponsee") through the program's twelve steps. New members in twelve-step programs are encouraged to secure a relationship with at least one sponsor who both has a sponsor and has taken the twelve steps themselves. Publications from twelve-step fellowships emphasize that sponsorship is a "one on one" nonhierarchical relationship of shared experiences focused on working

SECTION 20

#1732771812854

1958-465: Is an important part of analytic technique. Early in his career, psychoanalyst Carl Jung expressed interest in abreaction, or what he referred to as trauma theory , but later decided it had limitations in treatment of neurosis . Jung said: Though traumata of clearly aetiological significance were occasionally present, the majority of them appeared very improbable. Many traumata were so unimportant, even so normal, that they could be regarded at most as

2047-591: Is determined by any particular factor or factors. Many think that nature and nurture both play complex roles; most people experience little or no sense of choice about their sexual orientation. In 1975, APA issued a supporting statement that homosexuality is not a mental disorder. Conversion therapy, also called reparative therapy, is the practice of attempting to change the patient's sexual orientation to heterosexual . The American Psychological Association (APA) task force report on appropriate therapeutic responses to sexual orientation concluded that conversion therapy

2136-616: Is often encouraged. Sponsees typically do their Fifth Step, review their moral inventory written as part of the Fourth Step, with their sponsor. The Fifth Step, as well as the Ninth Step, have been compared to confession and penitence . Michel Foucault , a French philosopher, noted such practices produce intrinsic modifications in the person—exonerating, redeeming and purifying them; relieves them of their burden of wrong, liberating them and promising salvation. The personal nature of

2225-688: The Bush administration instituted "enhanced" interrogation techniques, stating publicly that reported abuses were isolated incidents, and not standard practice. Internal memos from the Federal Bureau of Investigation revealed that an executive order by George W. Bush had sanctioned certain interrogation techniques, such as playing loud music, depriving prisoners of sleep, and stripping prisoners of their clothing. The CIA reportedly required involvement from health professionals to continue its practice of "enhanced" interrogations on detainees, to maintain

2314-532: The Publication Manual of the American Psychological Association (and a concise version titled Concise Rules of APA Style ), which is the official guide to APA style ; the APA Dictionary of Psychology ; an eight-volume Encyclopedia of Psychology ; and many scholarly books on specific subjects such as Varieties of Anomalous Experience . The APA has also published children's books under

2403-476: The Publication Manual of the American Psychological Association was published in October 2019. APA maintains a number of databases, including PsycINFO , PsycARTICLES, PsycBOOKS, PsycEXTRA, PsycCRITIQUES , PsycTESTS, and PsycTHERAPY. APA also operates a comprehensive search platform, PsycNET, covering multiple databases. PsycINFO is a bibliographic database that contains citations and summaries dating from

2492-402: The spiritual principle of anonymity in the public media and members are also asked to respect each other's confidentiality . This is a group norm , however, and not legally mandated; there are no legal consequences to discourage those attending twelve-step groups from revealing information disclosed during meetings. Statutes on group therapy do not encompass those associations that lack

2581-473: The "Distinguished Contributions" awards; these awards are the highest honors given by the APA. The American Psychologist is the association's flagship, peer-reviewed journal. APA also publishes over 70 other journals encompassing most specialty areas in the field; APA's Educational Publishing Foundation (EPF) is an imprint for publishing on behalf of other organizations. Its journals include: The APA has published hundreds of books. Among these books are:

2670-464: The 19th century, including journal articles, book chapters, books, technical reports, and dissertations within the field of psychology. As of January 2010 , PsycINFO has collected information from 2,457 journals. The APA was founded in July 1892 at Clark University by a small group of around 30 men; by 1916 there were over 300 members. The first president was G. Stanley Hall . During World War II,

2759-562: The 2008 Membership Vote to Remove Psychologists from All Settings That Operate Outside of International Law (NBI #23B) Council is asked to approve the substitute main motion below that includes a revised resolution with a new title, Resolution to Amend the 2006 and 2013 Council Resolutions to Clarify the Roles of Psychologists Related to Interrogation and Detainee Welfare in National Security Settings, to Further Implement

Twelve-step program - Misplaced Pages Continue

2848-579: The 2008 Petition Resolution, and to Safeguard Against Acts of Torture and Cruel, Inhuman, or Degrading Treatment or Punishment in All Settings . This resolution further aligns the APA policy definition for "cruel, inhuman or degrading treatment or punishment" (in the 2006 and 2013 Council resolutions) with the United Nations (UN) Convention Against Torture and ensures that the definition applies broadly to all individuals and settings; offers APA as

2937-535: The APA Position Against Torture and Other Cruel, Inhuman, or Degrading Treatment or Punishment, the APA condemns the use of any of the following practices by military interrogators trying to elicit anti- terrorism information from detainees, on the ground that "there are no exceptional circumstances whatsoever, whether induced by a state of war or threat of war, internal political instability or any other public emergency, that may be invoked as

3026-467: The APA council of representatives met at the association's 123rd annual convention in Toronto , Ontario . At that meeting, the APA council passed Resolution 23B, which implemented the 2008 membership vote to remove psychologists from settings that operate outside international law , and banning the participation of psychologists in unlawful interrogations. With 156 votes in favor and only one vote against,

3115-556: The APA in United States and Canada requires doctoral training whereas associate membership requires at least two years of postgraduate studies in psychology or approved related discipline. The minimal requirement of a doctoral dissertation related to psychology for full membership can be waived in certain circumstances where there is evidence that significant contribution or performance in the field of psychology has been made. American Psychological Association Services, Inc. (APASI)

3204-498: The APA merged with other psychological organizations, resulting in a new divisional structure. Nineteen divisions were approved in 1944; the divisions with the most members were the clinical and personnel (now counseling) divisions. From 1960 to 2007, the number of divisions expanded to 54. Today the APA is affiliated with 60 state, territorial, and Canadian provincial associations. Due to the dominance of clinical psychology in APA, several research-focused groups have broken away from

3293-534: The APA secretly collaborated with the Bush administration to bolster a legal and ethical justification for the torture of prisoners. Furthermore, the report stated that the association's ethics director Stephen Behnke and others had "colluded with important Department of Defense officials to have the APA issue loose, high-level ethical guidelines that did not constrain" the interrogation of terrorism suspects at Guantanamo Bay. The association's "principal motive in doing so

3382-501: The APA to require its members to refuse participation in military conducted interrogations of any kind. After the abuses were made public, the APA created a task force called Psychological Ethics and National Security (PENS) and released a report stating that the APA Code of Ethics applies to psychologists working in any setting, and that psychologists do not facilitate or participate in any degrading or cruel behavior, referring back to

3471-548: The APA to take action by regulating graduate training programs. A year after the establishment of the Human Resources Research Organization by the U.S. military in 1951, the CIA began funding numerous psychologists (and other scientists) in the development of psychological warfare methods under the supervision of APA treasurer Meredith Crawford . Donald O. Hebb , the APA president in 1960 who

3560-406: The APA's 1986 Resolution Against Torture. The report also called on psychologists to report any suspected or observed inhumane treatment to the appropriate authorities and obey federal law. In February 2010, the APA's Council of Representatives voted to amend the association's Ethics Code to make clear that its standards can never be interpreted to justify or defend violating human rights. There

3649-485: The APA's view that merely allowing same-sex civil unions is an inadequate option: "Anything other than marriage is, in essence, a stigmatization of same-sex couples. Stigma does have negative impacts on people." In 2024, evolutionary biologist Richard Dawkins and physicist Alan Sokal co-authored an op-ed in The Boston Globe criticizing the use of the terminology "sex assigned at birth" instead of "sex" by

Twelve-step program - Misplaced Pages Continue

3738-473: The APA, including the group WithholdAPAdues, had protested the involvement of psychologists "in interrogations at CIA black sites and Guantánamo." Prior to the release of the Hoffman report, which undermined the APA's repeated denials and showed that some APA leaders were complicit in torture, the dissidents were ignored or ridiculed. On August 7, 2015, just weeks following the release of the Hoffman report,

3827-624: The APA, the American Medical Association , the American Academy of Pediatrics , and the Centers for Disease Control and Prevention . Dawkins and Sokal argued that sex is an "objective biological reality" that "is determined at conception and is then observed at birth," rather than assigned by a medical professional. Calling this " social constructionism gone amok," Dawkins and Sokal argued that "distort[ing]

3916-521: The American Psychological Association in 1977. The APA has 56 numbered divisions, 54 of which are currently active: The APA states the following: There is no consensus among scientists about the exact reasons that an individual develops a heterosexual, bisexual, or homosexual orientation. Although much research has examined the possible genetic, hormonal, developmental, social, and cultural influences on sexual orientation, no findings have emerged that permit scientists to conclude that sexual orientation

4005-495: The Coalition for an Ethical Psychology, has been very harsh in its criticism of the APA stance on its refusal to categorically prohibit members from participating in any phase of military interrogations. They stated their continuing disagreement with APA leadership in an open letter posted on their website on October 31, 2012, in which they reiterated their condemnation of torture and enhanced interrogation techniques, and called for

4094-589: The Magination Press imprint, software for data analysis, videos demonstrating therapeutic techniques, reports, and brochures. The Psychologically Healthy Workplace Program (PHWP) is a collaborative effort between the American Psychological Association and the APA Practice Organization designed to help employers optimize employee well-being and organizational performance. The PHWP includes APA's Psychologically Healthy Workplace Awards,

4183-498: The Twelve Steps. Sponsors and sponsees participate in activities that lead to spiritual growth. Experiences in the program are often shared by outgoing members with incoming members. This rotation of experience is often considered to have a great spiritual reward. These may include practices such as literature discussion and study, meditation, and writing. Completing the program usually implies competency to guide newcomers which

4272-409: The Twelve Steps. According to Narcotics Anonymous: Sponsors share their experience, strength, and hope with their sponsees... A sponsor's role is not that of a legal adviser, a banker, a parent, a marriage counselor, or a social worker. Nor is a sponsor a therapist offering some sort of professional advice. A sponsor is simply another addict in recovery who is willing to share his or her journey through

4361-679: The Twelve Traditions. A singleness of purpose emerged as Tradition Five: "Each group has but one primary purpose—to carry its message to the alcoholic who still suffers". Consequently, drug addicts who do not suffer from the specifics of alcoholism involved in AA hoping for recovery technically are not welcome in "closed" meetings unless they have a desire to stop drinking alcohol . The principles of AA have been used to form numerous other fellowships specifically designed for those recovering from various pathologies ; each emphasizes recovery from

4450-421: The U.S. are barred from certain employment settings, including VA hospitals, the military, and cannot get licensed in some states, such as Utah and Mississippi. Additionally, some postdoctoral fellowships and other employment settings require or prefer an APA-accredited internship. The APA has been criticized for not addressing this crisis adequately and many psychologists and graduate students have petitioned for

4539-811: The UN Convention Against Torture and the Geneva Conventions) or the U.S. Constitution (where appropriate), unless they are working directly for the persons being detained or for an independent third party working to protect human rights." The resolution became official APA policy in February 2009. However, the APA has refused to sanction those members known to have participated in and, in some cases, designed abusive interrogation techniques used in Guantanamo Bay, Iraq, and Afghanistan interrogation centers. The APA directive

SECTION 50

#1732771812854

4628-443: The areas of publicity, politics, religion, and finances. Alcoholics Anonymous' Twelve Traditions are: In the twelve-step program, the human structure is symbolically represented in three dimensions: physical, mental, and spiritual. The problems the groups deal with are understood to manifest themselves in each dimension. For addicts and alcoholics, the physical dimension is best described by the allergy-like bodily reaction resulting in

4717-582: The assessment was mandatory for APA membership even though payment of the assessment was only required for membership in the APAPO. In 2015 APA settled the case by establishing a $ 9.02 million settlement fund to be used to pay claims made by members of APA who paid the practice assessment, as well as attorneys' fees and certain other costs. APA agreed to change its policies to make clear that the APAPO membership dues are not required for membership in APA. Abreaction Abreaction ( German : Abreagieren )

4806-434: The behavioral issues that lead to seeking help in twelve-step fellowships results in a strong relationship between sponsee and sponsor. As the relationship is based on spiritual principles, it is unique and not generally characterized as "friendship". Fundamentally, the sponsor has the single purpose of helping the sponsee recover from the behavioral problem that brought the sufferer into twelve-step work, which reflexively helps

4895-421: The compulsion to continue using substances even when it's harmful or the addict wants to quit. The statement in the First Step that the individual is "powerless" over the substance-abuse related behavior at issue refers to the lack of control over this compulsion, which persists despite any negative consequences that may be endured as a result. The mental obsession is described as the cognitive processes that cause

4984-507: The effectiveness of the " enhanced interrogation techniques ", the APA called on the U.S. government to prohibit the use of unethical interrogation techniques and labeled specific techniques as torture. Critics pointed out that the APA declined to advise its members not to participate in such interrogations. In September 2008, the APA's members passed a resolution stating that psychologists may not work in settings where "persons are held outside, or in violation of, either international law (e.g.,

5073-516: The fact that pent-up emotions associated with a trauma could be discharged by talking about it. The release of strangulated affect by bringing a particular moment or problem into conscious focus, and thereby abreacting the stifled emotion attached to it, formed the cornerstone of Freud's early cathartic method of treating hysterical conversion symptoms. For instance, they believed that pent-up emotions associated with trauma can be discharged by talking about it. Freud and Breur, however, did not treat

5162-727: The human rights of prisoners in Abu Ghraib Prison and American detention camps, and the role of the United States and the United Kingdom in enacting these abuses. The reports called on the occupying powers to protect the human rights of any detained civilians by giving them a fair and timely trial, not detaining civilians arbitrarily, and treating all people ethically while in detention. Amnesty International also called for justice, by trying individual perpetrators of abuse for their crimes. Despite these reports,

5251-434: The individual to repeat the compulsive behavior after some period of abstinence, either knowing that the result will be an inability to stop or operating under the delusion that the result will be different. The description in the First Step of the life of the alcoholic or addict as "unmanageable" refers to the lack of choice that the mind of the addict or alcoholic affords concerning whether to drink or use again. The illness of

5340-504: The languaging of the third step (which once spoke of making "a decision to turn our will and our lives over to the care of God as we understand Him") sometimes occur to avoid gender-specific pronouns or to accommodate non-theistic beliefs. Some Twelve-steppers may adapt references to "God" to refer to a "higher power" or to "HP". The Twelve Traditions accompany the Twelve Steps. The Traditions provide guidelines for group governance. They were developed in AA in order to help resolve conflicts in

5429-587: The lawfulness of their practices. Psychiatrists and medical doctors were reluctant to participate in interrogations, however some psychologists participated. A report by a group of psychologists alleges the same, implicating a number of APA officials as well. When it emerged that psychologists, as part of the Behavioral Science Consultation Team , were advising interrogators in Guantánamo and other U.S. facilities on improving

SECTION 60

#1732771812854

5518-422: The majority of twelve-step members are recovering from addiction to alcohol or other drugs. The majority of twelve-step programs, however, address illnesses other than substance addiction. For example, the third-largest twelve-step program, Al-Anon , assists family members and friends of people who have alcoholism and other addictions. About twenty percent of twelve-step programs are for substance addiction recovery,

5607-659: The nature of the conflict , make known their commitment to the Ethics Code and take reasonable steps to resolve the conflict consistent with the General Principles and Ethical Standards of the Ethics Code. Under no circumstances may this standard be used to justify or defend violating human rights. 1.03, Conflicts Between Ethics and Organizational Demands If the demands of an organization with which psychologists are affiliated or for whom they are working are in conflict with this Ethics Code, psychologists clarify

5696-407: The nature of the conflict, make known their commitment to the Ethics Code, and take reasonable steps to resolve the conflict consistent with the General Principles and Ethical Standards of the Ethics Code. Under no circumstances may this standard be used to justify or defend violating human rights. In its 2013 "Policy Related to Psychologists' Work in National Security Settings and Reaffirmation of

5785-614: The organization. These include the Psychonomic Society in 1959 (with a primarily cognitive orientation), and the Association for Psychological Science (which changed its name from the American Psychological Society in early 2006) in 1988 (with a broad focus on the science and research of psychology). Theodore H. Blau was the first clinician in independent practice to be elected president of

5874-422: The organizations as cults , while another review asserts that these programs bore little semblance to religious cults and that the techniques used appeared beneficial to some. Another study found that a twelve-step program's focus on self-admission of having a problem increases deviant stigma and strips members of their previous cultural identity , replacing it with the deviant identity. Another study asserts that

5963-578: The other eighty percent address a variety of problems from debt to depression . It would be an error to assume the effectiveness of twelve-step methods at treating problems in one domain translates to all or to another domain. A 2020 Cochrane review of Alcoholics Anonymous showed that participation in AA resulted in more alcoholics being abstinent from alcohol and for longer periods of time than cognitive behavioral therapy and motivational enhancement therapy , and as effective as these in other measures. The 2020 review did not compare twelve step programs to

6052-477: The police or prisons in criminal law enforcement interrogations". In 2013 a class action lawsuit was brought against APA on behalf of approximately 60,000 of its 122,000 members who were licensed clinicians. Those members paid an additional $ 140 practice assessment fee as part of their membership dues every year beginning in 2001 to fund the lobbying arm of APA, the APA Practice Organization (APAPO). The lawsuit accused APA of using deceptive means by representing that

6141-759: The prior cultural identity may not be replaced entirely, but rather members found adapted a bicultural identity. American Psychological Association The American Psychological Association ( APA ) is the main professional organization of psychologists in the United States, and the largest psychological association in the world. It has over 157,000 members, including scientists, educators, clinicians, consultants, and students. It has 54 divisions, which function as interest groups for different subspecialties of psychology or topical areas. The APA has an annual budget of around $ 125 million. The APA has task forces that issue policy statements on various matters of social importance, including abortion , human rights ,

6230-434: The public, unless the psychologist is licensed or specifically exempted from licensure under the law. State licensing laws specify state specific requirements for the education and training of psychologists leading to licensure. Psychologists who are exempted from licensure could include researchers, educators, or general applied psychologists who provide services outside the health and mental health field. Full membership with

6319-411: The recommended changes can be found in the document "Good Governance Project Recommended Changes to Maximize Organizational Effectiveness of APA Governance". The suggested changes would change APA from a membership-based, representational structure to a corporate structure. These motions were discussed and voted upon by the council on July 31, 2013, and August 2, 2013. APA comprises an executive office,

6408-941: The researchers behind the review noted the weakness of most of the studies analyzed, which may lead to interpretations of their results that did not accurately reflect the actual picture. In the past, some medical professionals have criticized twelve-step programs as "a cult that relies on God as the mechanism of action" and as lacking any experimental evidence in favor of its efficacy. Ethical and operational issues had prevented robust randomized controlled trials from being conducted comparing twelve-step programs directly to other approaches. More recent studies employing non-randomized and quasi-experimental studies have shown twelve-step programs provide similar benefit compared to motivational enhancement therapy (MET) and cognitive behavioral therapy (CBT), and were more effective in producing continuous abstinence and remission compared to these approaches. The Twelve Traditions encourage members to practice

6497-729: The resolution passed with the near unanimous approval of council members. The adoption of Resolution 23B aligned the APA's policy with that of the American Psychiatric Association and that of the American Medical Association by prohibiting psychologists from participating in interrogations deemed illegal by the Geneva Conventions and the United Nations Convention against Torture . Implementation of

6586-399: The scientific facts in the service of a social cause" risks undermining trust in medical institutions. The APA is the main accrediting body for U.S. clinical and counseling psychology doctoral training programs and internship sites. APA-accredited clinical psychology PhD and PsyD programs typically require students to complete a one-year full-time clinical internship in order to graduate (or

6675-541: The specific malady which brought the sufferer into the fellowship. The following are the twelve steps as published in 2001 by Alcoholics Anonymous: Where other twelve-step groups have adapted the AA steps as guiding principles, step one is generally updated to reflect the focus of recovery. For example, in Overeaters Anonymous, the first step reads, "We admitted we were powerless over compulsive overeating—that our lives had become unmanageable." Variations in

6764-457: The spiritual dimension, or "spiritual malady," is considered in all twelve-step groups to be self-centeredness. The process of working the steps is intended to replace self-centeredness with a growing moral consciousness and a willingness for self-sacrifice and unselfish constructive action. In twelve-step groups, this is known as a "spiritual awakening." This should not be confused with abreaction , which produces dramatic, but temporary, changes. As

6853-581: The sponsor recover. A study of sponsorship as practiced in Alcoholics Anonymous and Narcotics Anonymous found that providing direction and support to other alcoholics and addicts is associated with sustained abstinence for the sponsor, but suggested that there were few short-term benefits for the sponsee's one-year sustained abstinence rate. Alcoholics Anonymous is the largest of all of the twelve-step programs (from which all other twelve-step programs are derived), followed by Narcotics Anonymous;

6942-455: The spontaneous emotional reliving of traumatic events as curative. They instead described abreaction as the full emotional and motoric response to a traumatic event necessary in adequately relieving a person of being repetitively and unpredictably assailed by the trauma's original and unmitigated emotional intensity. Although the element of surprise is not compatible with Freud's approach to therapy, other theorists consider that, in abreaction, it

7031-494: The torture of prisoners, arguing that their presence was to "add value and safeguards" to interrogations. Former APA president Gerald Koocher argued, referring to allegations of continuing systemic abuse by psychologists, that such allegations were originating from "opportunistic commentators masquerading as scholars." During the Iraq War , Amnesty International released a series of reports, calling attention to violations of

7120-461: The twelve traditions to help deal with the issues of how various groups could relate and function as membership grew. The practice of remaining anonymous (using only one's first names) when interacting with the general public was published in the first edition of the AA Big Book. As AA chapters were increasing in number during the 1930s and 1940s, the guiding principles were gradually defined as

7209-460: The use of disulfiram or naltrexone , though some patients did receive these medications. These medications are considered the standard of care in alcohol use disorder treatment among medical experts and have demonstrated efficacy in randomized-controlled trials in promoting alcohol abstinence. A systematic review published in 2017 found that twelve-step programs for reducing illicit drug use are neither better nor worse than other interventions, though

7298-459: The welfare of detainees, human trafficking , the rights of the mentally ill , IQ testing, sexual orientation change efforts , and gender equality. APA is a corporation chartered in Washington, D.C. APA's bylaws describe structural components that serve as a system of checks and balances to ensure democratic process. The organizational entities include: The Good Governance Project (GGP)

7387-663: Was "unlikely to be successful" and involved "some risk of harm". In the task force's report, the APA recommends that therapists adopt an affirmative, supportive approach for clients who present for therapy to change their sexual orientation rather than attempting to convert their sexual orientation. The APA adopted a resolution in August 2009 stating that mental health professionals should avoid telling clients that they can change their sexual orientation through therapy or other treatments. The approval, by APA's governing Council of Representatives, came at APA's annual convention, during which

7476-727: Was awarded the APA Distinguished Scientific Contribution Award in 1961, defended the torture of research subjects, arguing that what was being studied was other nations' methods of brainwashing . Former APA president Martin Seligman spoke upon the invitation of the CIA on his animal experimentation where he shocked a dog unpredictably and repeatedly into total, helpless passivity. Former APA president Ronald F. Levant , upon visiting Guantanamo Bay , affirmed that psychologists were present during

7565-649: Was formed by addicts who did not relate to the specifics of alcohol dependency. Demographic preferences related to the addicts' drug of choice has led to the creation of Cocaine Anonymous , Crystal Meth Anonymous and Marijuana Anonymous . Behavioral issues such as compulsion for or addiction to gambling , crime , food , sex , hoarding , getting into debt and work are addressed in fellowships such as Gamblers Anonymous , Overeaters Anonymous , Sexaholics Anonymous and Debtors Anonymous . Auxiliary groups such as Al-Anon and Nar-Anon , for friends and family members of alcoholics and addicts, respectively, are part of

7654-629: Was formed in 2018 and is a 501(c)(6) entity, which engages in advocacy on behalf of psychologists from all areas of psychology. Its predecessor was the American Psychological Association Practice Organization (APAPO). APASI contains the Psychology Political Action Committee (PAC), which engages in lobbying on behalf of psychologists at the federal level. Each year, the APA recognizes top psychologists with

7743-918: Was in contrast to the American Psychiatric Association ban in May 2006 of all direct participation in interrogations by psychiatrists, and the American Medical Association ban in June 2006 of the direct participation in interrogations by physicians. An independent panel of medical, military, ethics, education, public health, and legal professionals issued a comprehensive report in November 2013 that "charged that U.S. military and intelligence agencies directed doctors and psychologists working in U.S. military detention centers to violate standard ethical principles and medical standards to avoid infliction of harm." One group of psychologists in particular,

7832-558: Was initiated in January 2011 as part of the strategic plan to "[assure] APA's governance practices, processes, and structures are optimized and aligned with what is needed to thrive in a rapidly changing and increasingly complex environment." The charge included soliciting feedback and input stakeholders, learning about governance best practices, recommending whether the change was required, recommending needed changes based on data, and creating implementation plans. The June 2013 GGP update on

7921-482: Was to align APA and curry favor with DOD." An APA official said that ethics director Stephen Behnke had been "removed from his position as a result of the report" and indicated that other firings or sanctions might follow. Ultimately, the findings of the Hoffman Report revealed that the APA had an unfair bias towards prisoners due to the organization's relationship with the federal government. This resulted in

#853146