For nearly a century, Twelve Step programs have shaped how Americans understand addiction and recovery. Their influence extends well beyond meeting rooms, into treatment centers, courtrooms, professional practice, and public perceptions of what recovery is supposed to look like.
But what about people who find recovery without following the Twelve Steps? Or those who once embraced them, only to discover that their beliefs about addiction and recovery had changed?
In Beyond the Twelve: Overcoming Addiction Without the Script, Ryan Paul Carruthers, PhD, draws on more than twenty years of personal recovery, his experience as a behavioral health professional, and the stories of thirteen addiction professionals to examine the assumptions that have shaped addiction treatment for generations.
The journey begins on a bridge in Nebraska, where Carruthers's own struggle with addiction nearly ended his life. From there, he introduces thirteen professionals whose experiences with addiction, treatment, and recovery offer sometimes remarkably different perspectives on what it means to get better. Their stories provide the foundation for an examination of some of the most familiar concepts in addiction recovery: abstinence, the disease model, meetings, sponsorship, powerlessness, and spirituality.
Along the way, Carruthers explores the history of Twelve Step programs, the influence they have had on professional treatment, and the alternatives that have developed alongside them. Drawing on research, interviews, personal experience, and the voices of people who have questioned conventional approaches, he examines why recovery has become so closely associated with one particular model, even as our understanding of addiction continues to evolve.
This is not an argument against Twelve Step recovery. It is an argument against the assumption that any single approach should define recovery for everyone.
Part memoir, part examination of addiction treatment, and part challenge to conventional thinking, Beyond the Twelve invites readers to reconsider what they know about addiction, question what they have been taught about recovery, and recognize the many different ways people change their lives.
Ultimately, Carruthers makes the case for something that should not be controversial: everyone seeking recovery deserves to know the full range of options available to them and have the freedom to choose the path that works best for them.
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