Teaching College Students About
Alcoholics Anonymous: An
Experiential Approach
Stephen Strobbe, PhD, RN, NP, PMHCNS-BC, CARN-AP m Stephanie M. Thompson, MSW m
Robert A. Zucker, PhD
Abstract
Alcohol use disorders and their related consequences
continue to be among the nation’s most prevalent and
persistent healthcare problems across the lifespan. The vast
majority of treatment facilities for substance use disorders
in the United States report using some form of 12-step
facilitation to help direct their patients to mutual help
groups such as Alcoholics Anonymous (AA). Yet, many
students in various healthcare disciplines may lack
familiarity and direct experience with this readily accessible
and potentially lifesaving, low-cost resource. AA has a
long-standing tradition of extending an open invitation to
professionals and providing educational materials about
this worldwide program of recovery. The purpose of this
article is to describe an experiential, interdisciplinary
approach that has been used to teach undergraduate
psychology students about AA. Associated activities
included (a) selected readings, (b) attendance at an open
AA meeting, (c) the formulation of thoughtful questions
by the students, and (d) a single, interactive didactic
session. Undergraduate psychology students responded
positively when principles of experiential learning were
applied to educational activities related to AA.
Keywords: Alcoholics Anonymous, college students,
experiential learning, interdisciplinary, spirituality,
teaching
A
lcohol use disorders and their related consequences
continue to be among the nation’s most prevalent
and persistent healthcare problems across the lifespan.
The vast majority of treatment facilities for substance use dis-
orders in the United States (80%) report using some form of
12-step facilitation to help direct their patients to mutual help
groups such as Alcoholics Anonymous (AA; Substance Abuse
and Mental Health Services Administration, 2011). Yet, many
students in various healthcare disciplines may lack familiarity
and direct experience with this readily accessible and poten-
tially lifesaving, low-cost resource. AA has a long-standing
tradition of extending an open invitation to professionals and
providing educational materials about this worldwide pro-
gram of recovery. The purpose of this article is to describe an
experiential, interdisciplinary approach that has been used to
teach undergraduate psychology students about AA. Associ-
ated activities included (a) selected readings, (b) attendance
at an open AA meeting, (c) the formulation of thoughtful ques-
tions by the students, and (d) a single, interactive didactic
session.
Rigorous scientific reviews have concluded that AA and re-
lated 12-step treatments are at least as effective as other ap-
proaches used to treat alcoholism (Kelly, Macgill, & Stout,
2009). In a large multisite study conducted in the United States,
drinking outcomes attained through 12-step facilitationVwhich
encouraged AA meeting attendance among randomized study
participantsVwere comparable to those using other behav-
ioral approaches, namely Cognitive Behavioral Coping Skills
Therapy and Motivational Enhancement Therapy (Project
MATCH Research Group, 1997).
On the basis of neurobiological models for learning, indi-
viduals are more likely to learn, retain, integrate, and apply
information that has been obtained through active engage-
ment and related activities, rather than passive receptivity.
One means of generating active intellectual engagement is
through experiential learning. Stehno (in Itin, 1999) indicated
that experiential learning ‘‘includes: 1) action that creates an
experience, 2) reflection on the action and experience, 3) ab-
stractions drawn from the reflection, and 4) application of the
abstraction to a new experience or action’’ (p. 91, italics added).
One theoretical framework that can be used to help ex-
plain the inner workings of AA is that of mutual aid, the
Stephen Strobbe, PhD, RN, NP, PMHCNS-BC, CARN-AP, School of
Nursing, University of Michigan, Ann Arbor.
Stephanie M. Thompson, MSW, University of Michigan Department of
Psychiatry, Ann Arbor.
Robert A. Zucker, PhD, University of Michigan Addiction Research
Center (UMARC), Ann Arbor.
The authors report no conflicts of interest. The authors alone are respon-
sible for the content and writing of the article.
Correspondence related to content to: Dr. Stephen Strobbe, PhD, RN,
NP, PMHCNS-BC, CARN-AP, University of Michigan School of Nurs-
ing, 400 North Ingalls, Ann Arbor, MI 48109.
E-mail: strobbe@umich.edu
DOI: 10.1097/JAN.0b013e31828768e4
Journal of Addictions Nursing www.journalofaddictionsnursing.com 51
Original Article
Journal of Addictions Nursing & Volume 24 & Number 1, 51Y57 & Copyright B 2013 International Nurses Society on Addictions
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