You ever think about how bleak it is that the American understanding of addiction treatment is still based almost solely on the ideology of AA and NA? I think it's by far one of the cultiest, most retrograde things still viewed as totally normal in the US.
yes it makes me so insane. even doctors in the us who don't reroute patients directly into 12-step meetings are still operating off the same basic ideas (substance use is an uncontrollable external disease entity that takes over yr brain, also you're intemperate and morally compromised, also the only solution is to seek god a higher external intervention) like it has such a total capture of the entire us medical imagination. the number of people who don't even know that things like medication treatment exist, let alone having any familiarity with any harm reduction or recovery frameworks besides total abstinence, is frankly disturbing. and then it just becomes this self-sustaining logic where you punish people for using and then they use more and the psychiatric-carceral explanation is that that's proof of how innately fucked up they were all along and how they need to be kept away from substances. even the few social workers or whatever who criticise 12-stepping usually max out at "well it works for Full Blown Addicts but regular people can probably be less strict" like the existence of these groups completely obviates the need for any actual challenge to ruling treatment ontologies. and this is before you even get into the expansion of 12-stepping into other behaviours lmaooo like in undergrad in the dining hall i used to get visually assaulted with posters for 'overeaters anonymous' 12-step meetings every time i wanted coffee, there are meetings for sex addicts, 'crime addicts' (i'm not kidding), gambling, workaholism, going into debt... and the original model doesn't even work for the one thing it was intended to work for! because it's the equivalent of going to confession for protestants. and then we just export that model onto literally any behaviour designated as socially insalubrious anyway 👍 i mean really, why do things that help people. who cares about that shit i think we should keep berating them into xianity instead