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THE
IMPACT OF ALCOHOLISM
HEARINGS
BEFORE THE SPECIAL SUBCOMMITTEE ON
ALCOHOLISM AND NARCOTICS
OF THE COMMITTEE ON
LABOR AND PUBLIC WELFARE
UNITED STATES SENATE
NINETY-FIRST CONGRESS
FIRST
SESSION
ON
EXAMINATION OF THE IMPACT OF ALCOHOLISM
JULY
23, 24, AND 25, 1969
Printed
for the use of the Committee on Labor and Public Welfare
U.S. GOVERNMENT PRINTING OFFICE
WASHINGTON, D.C. 1969
THE
IMPACT OF ALCOHOLISM
THURSDAY,
JULY 24,1969
UNITED
STATES SENATE,
SPECIAL
SUBCOMMITTEE ON ALCOHOLISM AND NARCOTICS OF THE COMMITTEE
ON LABOR AND PUBLIC WELFARE
Washington, D.C.
.
[Page 107]
The
subcommittee met at 9:30 a.m., pursuant to call in room
4232, New Senate Office Building, Senator Harold E. Hughes
(chairman of the Subcommittee presiding.
Present:
Senators Hughes, Yarborough, Williams, Javits, Dominick,
and Bellmon.
*
* * * * * * *
[Page
141]
Senator
Hughes. For the next witness there will be no television.
There will be no pictures taken.
The
next witness is Bill W., Cofounder of Alcoholics Anonymous.
Audio is fine. You may photograph the Senators or you may
photograph Bill W. from the back of the head if you want
to.
Bill,
you may proceed with your statement as you desire.
STATEMENT
OF BILL W., CO-FOUNDER, ALCOHOLICS ANONYMOUS
Mr.
Bill W. Mr. Chairman, Senators, we of AA, it is already
apparent, are going to have reason for great gratitude on
account of your invitation to put in an appearance here.
For me this is an extremely moving and significant occasion.
It may well mark the advent of the new era in this old business
of alcoholism.
I
think that the activities of this committee and what they
may lead to may be a turning point historically. This is
splashdown day for Apollo.1 The impossible is happening.
Like my dear friend Marty [Marty M.], who has just spoken
to you, I share with her the opinion that in this field
of alcoholism we are now seeing the beginning of the achievement
of the impossible.
Because
or my appearance here as an AA member, I have to limit myself
pretty much to statements about AA. But you must remember
that as time passes in these hearings a great many AA's
will be testifying as citizens, and they will be far more
free to express opinions on the general field and their
activities in it than I am.
So
I take it that my mission here today will be to acquaint
you with the resources that AA may reveal for treatment,
for education and so on.
I
shall start off by taking the dry part of my recital first:
a few figures. Our national magazine, "The AA Grapevine,"
makes a brief and simple statement as to what AA is: "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 membership. We are self-supporting
through our own contributions.
"AA
is not allied with any sect denomination, politics, organization
or institution, does not wish to engage in controversy,
neither endorses nor opposes any causes. Our primary purpose
is to stay sober and help other alcoholics to achieve sobriety."
Now,
as a little more background for my presentation, let me
present just a few figures. Our last census, that is to
say, reports of our group sessions, shows that we have 15,000
AA groups throughout the world and an active membership
of 285,000.
Besides
the 285,000 there are hundreds of thousands - maybe 200,000,
for all we know, 300,000 recovered AA's on the sidelines
who do not get caught up in the active statistics, people
who have remained for the greater part sober, who are carrying
AA attitudes and practices and philosophies into the community
life.
So
AA is much more in reality than a generator of mere sobriety,
it is returning us to citizenship in the world.
Now,
then, that breaks down these figures into something like
this: groups in the United States, 9,000, active members,
148,000; groups in Canada, 1,500; members in Canada, 21,000;
groups overseas, 3,300, membership, 62,000; internationalists,
344. We mean by that, people on ships, largely, who travel
from port to port spreading the AA message.
We
have 648 groups in hospitals, members in hospitals (and
this means largely mental institutions), 18,500; and groups
in prisons, 33,000. And lone members throughout the world,
who correspond with the world headquarters, 522.
Those
statistics are of interest, but they are scarcely inspiring,
because they are not as yet connected with the flesh and
blood of human experience. I think the best way of presenting
some of that experience would be to relate to you certain
fragments of AA history that have a particular bearing upon
this occasion.
Oddly
enough, and contrary to the information of most people,
Alcoholics Anonymous, we see in retrospect, very definitely
had its start in the offices of one of the founders of modern
psychiatry. I refer to Karl Jung, who in the early 1930's
received a patient from America, a well-known businessman.
He had run the gamut of the cures of the time, and desperately
wanted to stop and could get no help at all.
He
came to Jung and stayed with him about a year. He came to
love the great man. During this period the hidden springs
of his motivation were revealed. He felt now with this new
understanding, plus communication with this new and wonderful
friend that he had really shed this strange illness of mind,
body and spirit.
Leaving
there, he was taken drunk, as we AA's say, in a matter of
a month, perhaps, and coming back, he said, "Karl,
what does this all mean?" Then this man made the statement
which I think led to the formation of AA. It took a great
man to make it. He said, "Roland, up until recently
I thought you might be one of those rare cases who could
be aided and made to recover by the practice of my art.
But like most who will pass through here, I must confess
that my art can do nothing for you."
"What,"
said the patient, "Doctor, you are my port of last
resort. Where shall I turn now? Is there no other recourse?"
The
Doctor said "Yes, there may be. There is the off-chance.
I am speaking you of the possibility of a spiritual awakening,
if you like, a conversion."
"Oh,"
said the patient "but I am a religious man. I used
to be a vestryman in the Episcopal Church. I still have
faith in God, but He has little in me, I should think."
Jung
said, "I mean something that goes deeper than that
Roland, not just a question of faith. I am talking about
a transformation of spirit that can motivate you and set
you free from this.
"Time
after time alcoholics have recovered by these means. The
lightning strikes here and there, and no one can say why
or how. All I can suggest is that you expose yourself to
some religious environment of your own choice."
The
patient went to England. He became associated with the group
of that day in later years called "Moral Rearmament,"
[the Oxford Groups] and to his great surprise he began to
feel released from this hideous compulsion.
He
returned to America. He had a place in Vermont. There he
ran into a friend of mine about to be committed, a friend
that we AA's lovingly call Ebby. Ebby, at the time a wealthy
man, had just run his car through the house of a farmer,
into the kitchen, pushing in the wall, and when he stopped,
out stepped a horrified lady from inside and said, "How
about a cup of coffee?"
This
was the extent of his illness and he was about to be committed.
The patient, Roland, got hold of him, took him to New York,
exposed him to the Oxford Groups, whose emphasis was upon
admission of hopelessness, in a sense, on one's unaided
resources a human being could not go too far.
Another
was self-survey. Another was a species of confession, and
then there was restitution and belief in a Higher Power.
That
movement was rather evangelical, but AA owes it a great
debt in what to do and also in what not to do.
Then,
thinking of me, and I was about at the end of my rope, my
friend visited me. In the previous summer I had been in
a drying-out emporium in New York City, and there my doctor,
who was to make a crucial contribution to AA, had said to
my wife, "Lois, I am afraid, my dear, that I can do
nothing. I thought that he might be one of those rare instances
in which I could help him stay sober, but I am afraid not.
He is the victim of a compulsion to drink against his will,
and, as much as he desires, that compulsion I don't think
can be broken; and this compulsion is coupled with what
I call an allergy.
"It
is a misnomer, but it is indicating that there is something
wrong with this man physically. Therefore, the eternal dilemma
has been this eternal compulsion to drink, to the point
almost of lunacy, coupled with the physical allergy that
guarantees insanity and death. I think you will have to
lock him up."
After
that treatment I came home and a few months later this friend
appeared, sat across the kitchen table where there was a
big pitcher of gin and pineapple juice. I was a solitary
drinker of about two or three bottles of bathtub gin a day.
The year is 1934. Enters this friend of mine that I had
known to be a very hopeless case.
At
once it struck me that he was in a state of release, this
just was not another drunk on the wagon. Then he told me
this story, how he had felt this relief, the moment he had
gotten honest with himself and adhered to their simple program,
he began to feel this release, how much more he had gotten
through his friend, Roland. He told me the story about him.
Finally
I put the question to him. I said, "Ebby, you say you
don't want to drink, you are not drinking today. What does
this mean?"
He
said, "Well, I have got religion." I said, "Well,
what brand is it?" So he revealed to me his story.
I was deeply impressed, really, because here was somebody
that I knew had lived in this strange world of alcoholism,
where I, too, was a denizen. So this transmission of the
fatal nature of this malady in many cases struck me. I think
it caused a great personal deflation and laid the ground
for what was subsequently to happen.
My
friend went off. I didn't see him for a few days. In no
waking hour could I forget the face across the kitchen table.
Yet I gagged on this concept of a Higher Power, even in
its lowest denominator.
So
I finally decided I would go to the hospital, get detoxified.
I appeared at the hospital. Dr. Silkworth began treatment.
I announced that I had found something new, I thought, I
wanted to get sobered up.
I
could not have any emotional conversion. So after about
3 days detoxification, I found myself falling into a terrible
depression. I felt trapped.
In
other words, I was asking the impossible, to believe in
a Higher Power, let alone cast my dependence on it on the
one side, and yet my guide in science [Dr. Silkworth] was
saying, "But medically you are pretty hopeless."
Out
of this eventuated a very sudden spiritual awakening in
which I was released from this compulsion to drink, a compulsion
on my mind morning, noon and night for several years. I
was suddenly released from it.
Mine
was a rather spectacular experience. But it is quite identical
to what happens to any good AA. In other words, their experiences
are apt to take a longer time and they are not so sensational,
but we do get the transforming effect on motivation.
With
the experience came this thought: Why can't this be induced
chain style? In other words, I can identify myself with
another alcoholic through this kinship of suffering, then
why can't that inflate him and perhaps he will be motivated
and one can talk to the other.
I
came out of the hospital, began to feverishly work with
alcoholics. We had a house full of them. I was so keyed
up with the paranoid side with my spiritual awakening, I
even thought I had a kind of divine appointment about all
the alcoholics in the world.
There
was 6 months of complete failure. Finally I went to Akron
on a business trip to see if I could regain my fortunes.
I was away from my friends. The business deal fell through.
I had hardly carfare home and all of a sudden the old desire
to drink started to come back. I was frightened.
Then
I realized that in talking and trying to help other alcoholics,
even though the cases had all been paid, this had a great
deal to do with my staying sober. These were the elements
of the process and through a strange set of circumstances
I was led to a physicist and from there to the doctor in
town who was to become my partner in this thing.
He,
too, when the nature of his malady was revealed to him in
medical terms, one drunk talking to another, achieved sobriety
that he had long since thought impossible.
Shortly
after that, in one of the Akron hospitals, No.3 got sober,
and an AA group, the first one really, came into existence
in June 1935 in Akron, Ohio. Then there was a return to
New York and a group started there. A few people in from
Cleveland began to come to the group meetings in Akron.
We
grew very, very slowly, trial and error all along the line.
If it seemed to work, get with it, if it failed, discard
it. That was our practice until about 4 years later, after
hundreds of failures, we found that we had a hundred people
sober. At that time, having retired from the Oxford Group,
and yet having no name actually, we just called ourselves
a nameless bunch of drunks trying to help each other get
well. At that time we began to think in terms of a book,
which supported by case histories would portray our approach.
The
book is called "Alcoholics Anonymous" and it was
published when we had a hundred members. Up to this time
we had been virtually a secret society. Then we realized
that we would have to be publicized. So we were very reluctant
about this, what kind of people would come in?
We
were publicized first by Liberty magazine, and flooded by
6,700 inquiries into a post office box in New York. We gave
these inquiries to a few of our traveling people out of
the small established groups. Then came an experience in
mass production of sobriety which I think is most relevant
to any presentation here.
Up
until the fall of 1939, 5 years after I had sobered up,
we had thought that the presentation of our case to the
other alcoholics was up to the founding fathers or the elder
hierarchy or whatnot. We thought it to be a very slow business
indeed.
The
idea of a mass revival was very far from our minds. The
Cleveland Plain Dealer decided to publish a series of articles
about us. There was a chap doing the articles who himself
was an alcoholic. The poor devil never recovered, but he
could talk our language.
These
articles were placed in a box on the editorial page every
3 or 4 days and a supporting editorial was written. Then
our friends of the press and the communications media began
this benign process of bringing us customers.
At
this time the group in Cleveland numbered only about 20
people. They were suddenly confronted with hundreds of frantic
telephone calls to hospitals and people with or without
money, people who were hospitalized this week, next -week
were going with an older member to see somebody in the hospital.
This thing pyramided so that in the succeeding year of 1940
these 20 had pyramided themselves into what had turned out
to be several hundred sound recoveries.
Now
this is the final suggestion, that the resources of Alcoholics
Anonymous for mass society have hardly been touched. This
set of figures shows in the last 10 years Alcoholics Anonymous
membership has pyramided at the rate of only 8 or 10 percent
a year, when in the early days, in the first decade, increases
of 100 percent 500 percent 1,000 percent were very common.
Therefore, we have a tremendous lot of people with whom
to deal. This is partly due to the reluctance of the alcoholic
himself.
Figures
tell us that we have 5 million alcoholics in America. This
means 5 million poor souls who are in all stages of this
dissolution and in the early years scarcely one of these
people can be brought to believe that he is actually beginning
to be sick.
This
rationalization can exist right through all sorts of evidence
of sickness right down to the undertaker himself. It is
this mass capability of the alcoholic to rationalize himself
out of this predicament. This is one of the great obstacles
to bringing alcoholics toward treatment. In fact this is
the obstacle that all of the remarkable agencies we now
have at work are running against, how do we get these people
in?
It
is a process of education, but what kind of education we
simply don't know. Another part of the resistance of Alcoholics
Anonymous stems from the fact that it has a spiritual content
and a great many of our professional friends are apt to
believe Alcoholics Anonymous is for the religiously susceptible
only.
Well,
this is a very mistaken impression. At last year's New York
dinner, we were talking about this topic and it suddenly
occurred to me that of the four speakers on the platform,
only one of us four had any religious background whatever..
Why
were they in AA? They were driven there because there was
no other place to go, no other place to get well.
So
these are the treatment resources.
How
can the resources of experience which have to do with the
other agencies and disciplines in the field be brought to
this committee by our friends and by AA members who are
also working in these area. You have begun to surmise that
in effect, we are coming out of the woodwork, we are in
practically all of these efforts bringing the AA experience
to them, making it available and that kind of experience
can be made available by any members here in these committee
hearings if they come here acting as citizens and recovered
alcoholics [but not as AA members].
We
have to do that as a protective thing for AA. Now we have
great numbers of friends. Those, too, can be called upon
and I notice that some are going to be available here. For
instance here is Jack Norris, a nonalcoholic.
Many
of you know him. He is chairman of our board of trustees.
He is second in charge, or was until his retirement in the
medical department of Eastman Kodak, the second industrial
company to give the nod to AA and make use of the resources.
In
Wilmington, for example, we have Dr. Glanto, the head of
the medical department of the first company ever to make
AA arrangements with AA. I think he would be quite happy
to testify.
On
our board we have Mr. Austin McCormick, one of the country's
great criminologists, and I think he could throw much light
on the situation. We have AA members beyond count.
So
you have that sort of resource available for treatment and
for experience.
Well,
I think I am presenting this overlong and perhaps you gentlemen
would like to ask questions at this point.
Senator
Hughes. Bill, I thank you for your bringing us up to date
on the beginnings and where you are now. I would like to
ask some pointed questions.
No.1,
I have never been in a prison institution, I have never
been in mental hospital institution, where there was not
an AA group in my years in public life, not only of the
inmates but of people coming in from the outside who were
conducting meetings in an effort to help these people recover.
This is also true in the case of halfway houses, private
treatment centers, and every public treatment center that
I know of dealing with the alcoholic where there are Government
programs sponsored by State, community, or county divisions.
I
take from your testimony that as a cofounder of AA you certainly
believe that in any program this committee and this Congress
might develop, that there would be a place and a willingness
for AA members to work in recovery, education, and counseling
of the ailing alcoholics, and prevention also?
Mr.
Bill W. I should think so. Of course, this is the pleasure
of our friends. But certainly this experience is of great
value and in respect of this communication one alcoholic
is certainly of unique value.
Senator
Hughes. I think what you indicated is what I expected. No.
1, we have available through Alcoholics Anonymous a resource
of willing people whom you have indicated have the capabilities
of multiplying not 100 percent, but 1,000 percent if they
can get to the people.
Mr.
Bill W. If we can get to the people.
Senator
Hughes - This is the essence of my question. Undoubtedly
knowing the organization quite well myself, these people
have dedicated themselves to doing the job of calling on
alcoholics and assisting in any way they can in their recovery.
Mr.
Bill W. Yes. Of course, it ought to be observed at this
point that the virtues of AA are not really earned virtues.
It is a matter of do or die. Nothing is too good for the
next sufferer. So our dedication is first based on the fact
that our lives and fortunes have been saved and we want
to share this with the next fellow, knowing that it is a
part of the maintenance of our own recovery and life or
death.
So
this is the source of the great dedication that you see
among the AA.
Senator
Javits. I would like to just join the Chair in what he has
said and assure you, sir, from what I see here, we will
do our utmost to utilize to the fullest these resources
which you have so eloquently testified to.
Senator
Hughes. Thank you very much, Senator Javits. Senator Yarborough?
Senator
Yarborough. Mr. Bill W., I am astonished to learn that AA
had its beginning in 1934 and 1935 and was very small until
1939. Because the escalation was so fast after that, so
well known nationally now, that you have an idea this has
gone on for generations.
Mr.
Bill W. When you consider the enormous ramifications of
this disease, we have just scratched the surface. I think
we should humbly remember this.
Senator
Yarborough. The experience you personally described when
this burden fell away from you, I have thought back in my
reading, I know of only two other men who have had such
a dramatic experience. One was Saul of Tarsus, on the road
to Damascus and the other was Sam Houston, the great national
hero.
Sam
Houston, who once was called by the Indians, Big Drunk,
became, while he was a U.S. Senator, a temperance lecturer
all over the United States.
Congratulations
on what you have done for so many hundreds of thousands
who are in your debt and the millions I believe who will
be reached in the not distant future.
Senator
Hughes. Bill, I thank you kindly for your willingness to
come forward as a cofounder of the fellowship of Alcoholics
Anonymous and express the basis of its founding, it's willingness
to cooperate, and the hope of people over the last few decades
who have found their way through this. The Subcommittee
and the Committee are indebted to you for your willingness
to do this. I want to express also the Chair's appreciation
to the press for their cooperation in honoring tenets of
your institution to retain the anonymity of your members.
Mr.
Bill W. I thank them, too, with you.
Senator
Hughes. Thank you very much, Bill. The committee will recess
until 1:30 p.m.
(I
am happy to make this testimony available. Bill assured
the AA members who testified during the three days of hearings
that it was perfectly permissible for them to testify "as
citizens and recovered alcoholics" so long as they
did not, in this public forum, reveal their membership in
AA, which would have been a violation of the AA tradition.
I was present at this hearing, at which both Bill W. and
Marty M. testified. I served on the Subcommittee professional
staff from 1969 to 1980. I have added the footnote on page
2, and a few explanatory words in brackets to make it more
understandable to today's readers.)
Nancy
O.
1.
*Only four days before the whole world had watched as Neil
Armstrong and "Buzz" Aldren had walked on the
moon. Just a few years later Buzz Aldren would participate
with Senator Hughes and 50 other famous recovered alcoholics
in "Operation Understanding" in Washington, D.C.
They all identified themselves as recovered alcoholics in
an effort to reduce stigma and increase public awareness
that alcoholism is a treatable disease. This event gained
extensive worldwide front page newspaper, television and
radio coverage.
Copyright
© 1997, Nancy O.
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