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Savannah Turnage
The meeting that I went to consisted of a group size of about twenty people. Most of the
people there looked like they were in their fifties and sixties. There also seemed to be the same
about of females to males. When I first entered the meeting I felt very uncomfortable because I
didn’t know what to expect. I noticed that the group leader used the laissez-faire style of
leadership. He was very relaxed and pretty much just let the group members run the meeting.
The members of the group made me feel welcome. I even had a few come up and introduce
themselves to me. I just wish that I had known more of what to expect when attending a meeting.
During the duration of the meeting, I noticed that the group used some of Yalom’s
Curative factors. The first factor was altruism, which is where the members of the group share a
part of themselves with other members of the group. Basically, this was the whole point of the
meeting. Once the meeting started people introduced themselves and talked about what freedom
from alcohol meant to them, which was the topic of the day.
The second factor was universality, which allows group members to realize that they are
not the only ones to experience a problem. The group used this method too while telling stories
of their past about how they failed in recovery before, which let the other people in the group
know that they have been through similar situations and that they aren’t on their own. Both of
these factors will influence my care delivery in the future because I now see that sharing stories
Step One of Alcohol Anonymous is admitting that they are powerless to alcohol and that
their lives have become unmanageable (AA.org). A NANDA that could be used for this
population would be “Chronic Low Self-Esteem”. This correlates to Step One because if these
patients’ have low self-esteem, then it may be hard for them to admit that they have an alcohol
AA MEETING PAPER 3
problem. Many of these members shared stories about how they felt bad about themselves after
they drank alcohol and hurt their loved ones. Some interventions would be to: be accepting of
client and his or her negativism, help client to recognize and focus on strengths and
accomplishments, and help client identify areas he or she would like to change about self and
Alcohol Anonymous meetings have been proven to dramatically change the outcomes of
alcoholics who go to them. In the following article, they compare the outcomes of alcoholics
who consistently attended meetings and those who did not. At the end of the study, they found
evidence that consistent AA meeting attendance improves drinking outcomes (Magura et al.,
2013).
While many of the members talked about how hard it was for them to come to the
meetings at first, they also talked about how they never would have been able to get on the road
of recovery without them. Almost everyone said that they really appreciated the group and that
they never would be able to get through this alone. Most of the people at the meeting had been
alcohol free for years, which confirms to me that these meetings really help people and that they
are much more likely to succeed when they are apart of a group.
Overall I did enjoy the experience, even though I was very uncomfortable at first. I just
wasn’t sure what to expect, but the members turned out to be very nice and welcoming. I also
learned a lot about the process of recovery and what the different colored chips meant. It was
very insightful to hear their stories and made me thankful that I do not struggle with an addiction.
AA MEETING PAPER 4
References:
Magura, S., McKean, J., Kosten, S., & Tonigan, J. S. (2013). A novel application of propensity
score matching to estimate Alcoholics Anonymous’ effect on drinking outcomes. Drug &
Townsend, M. C. (2004). Nursing diagnoses in psychiatric nursing: care plans and psychotropic