HLTHAGE 2L03 Lecture Notes - Lecture 6: Medicalization, Paternalism
Document Summary
Founded by bob smith and bill w in 1935. Differed from the temperance movement by adopting susceptibility. Rather than ostracization, aa is built upon the idea of fellowship. Members recovering from a spiritual disease", and are turning their will over to higher powers to fight the disease. Saw the potential for a personal transformation. Acts as a peer help group, therefore challenging the role of medical experts. The model has spread - sex addicts, hoarders, gamblers, etc. Ultimately, only the addict themselves can beat the addiction, but mutual support is needed. This is where sponsorship and fellowship comes into play. Dependence is permanent, and requires total abstinence. Reaching rock bottom - the point at which denial is impossible. Bringing the message to others who need it. Incorporates both medical model and vice model (acknowledges disease, but it"s a disease with a spiritual/moral component) Total personal transformations - not merely eliminating behaviour but remaking the self.