From its beginnings in 1930s America to a global recovery movement with over two million members attending meetings all around the world, what is alcoholics anonymous?
Alcoholism has existed for centuries. Yet for much of modern history, society viewed it as a moral weakness rather than a health condition. That perception began to change in 1935 with the creation of Alcoholics Anonymous, now one of the most influential recovery movements in the world.
Nearly ninety years later, Alcoholics Anonymous, commonly known as AA, continues to support millions of people seeking freedom from alcohol. Its approach remains simple, human and surprisingly effective. But how did it begin, how does it work, and why has it endured for so long?
The Origins of Alcoholics Anonymous
Alcoholics Anonymous was founded in 1935 in Akron, Ohio. Its founders were Bill Wilson, a New York stockbroker, and Dr Bob Smith, a surgeon. Both men struggled with chronic alcoholism and had repeatedly failed to stop drinking.
Their breakthrough came through honest conversation. They dis
covered that talking openly with another alcoholic reduced shame and strengthened resolve. This shared understanding became the foundation of AA.
In 1939, Bill Wilson published Alcoholics Anonymous, often called The Big Book. It introduced the Twelve Steps, a framework combining self-reflection, personal responsibility and peer support. This book helped AA spread rapidly across the United States and beyond.
How Many Members Does AA Have Today?
Today, Alcoholics Anonymous operates in more than 180 countries. Meetings take place in over 100 languages, both in person and online.
According to AA estimates, the fellowship has over two million active members worldwide. Belgium, the UK and other European countries host thousands of weekly meetings. There are no membership fees, no registration process and no central authority.
Anyone with a desire to stop drinking can attend.
How Alcoholics Anonymous Works
AA is not a medical programme. It is a peer-led recovery fellowship built on shared experience and mutual support.
Several elements form its core.
The Twelve Steps
The steps guide members through acceptance, accountability and personal growth. While the language includes spiritual references, AA is not religious. Members define spirituality in their own way, including secular or philosophical interpretations.
Meetings
Meetings provide a safe space to listen and share. There is no obligation to speak. Listening alone is considered participation.
Sponsorship
Many members work with a sponsor. This is someone further along in recovery who offers guidance, especially during early sobriety.
One Day at a Time
AA focuses on staying sober today. This approach removes the pressure of lifelong promises and helps members manage recovery realistically.
Anonymity
Anonymity reduces stigma and encourages honesty. Everyone is equal, regardless of background or profession.
Why Alcoholics Anonymous Works for Many People
AA does not work for everyone. However, it has helped millions maintain long-term sobriety. Several factors explain its effectiveness.
Community and Belonging
Addiction thrives in isolation. AA replaces isolation with connection and understanding.
Accountability Without Shame
Relapse is treated as part of learning, not failure. This encourages openness rather than secrecy.
Identity Shift
Many members adopt a new identity as a person in recovery. This mindset supports lasting behavioural change.
Accessibility
AA is free and widely available. There are no waiting lists or referrals.
Structure and Routine
Regular meetings create stability, especially in early recovery.
What Is the Success Rate of AA?
Measuring AA’s success is complex due to its anonymous nature. However, research shows that consistent participation significantly improves outcomes.
Studies published in medical journals indicate that people who attend AA regularly often achieve equal or higher abstinence rates compared to other treatment methods. The key factor is engagement, not attendance alone.
Those who participate actively tend to benefit most.
Limitations and Criticism
AA is not the right fit for everyone. Some people find the spiritual language challenging. Others prefer therapy, medication-assisted treatment or alternative recovery models.
AA does not oppose other forms of treatment. Many members combine AA with counselling or medical care.
Why Alcoholics Anonymous Still Matters
In a world of apps and quick solutions, Alcoholics Anonymous remains remarkably simple. No technology. No subscriptions. Just people helping people.
Its strength lies in honesty, humility and human connection. AA does not promise perfection. It offers progress.
For millions worldwide, that progress has been life-changing.
If you ‘have a desire to stop drinking’ which is the only requirement to attend a meeting, you will be welcomed, meeting information can be found here
AA help line Belgium: Telephone: +32.483.45.08.18
Email: aabrusselscentergroup1@gmail.com
