When a brash New York stockbroker named Bill Wilson met the Akron physician and surgeon, Dr Bob Smith, an entire movement grew up around them and millions of lives across the globe have been saved. Since then, the 12 Steps to recovery, as pioneered by Alcoholics Anonymous (AA), has been the most successful method of treatment for people wanting to recover from alcoholism and or drug addiction.
The meeting of Bill W and Dr Bob, as they are affectionately known, is AA folklore and both men are revered. The circumstances of their meeting are conveyed by recovered alcoholics to people seeking recovery as an example of how tenuous the conduit between sobriety and relapse can be.
But their respective journeys were anything but linear and both men had suffered from the false belief that their drinking was due solely to a lack of moral fortitude or mental frailty. And while it’s true to suggest that drinking contrary to the stark evidence of humiliating, harmful and even tragic events occurring is a peculiar form of insanity, the problem has additional dimensions that formed the substance of Bill W and Dr Bob’s initial, and subsequent conversations.
In the chronicles of alcoholism pre 1934, insanity preceding death was the outcome for most alcoholics. A lucky few, according to Dr Carl Jung, “experienced a conversion” and recovered after becoming affiliated with a religious organisation, but those cases were rare.
The mystical or mysterious definition of a conversion experience seemed desirable given the profound lack of success that every specialist working in the field of alcoholism and addiction in the 1920s and 1930s had experienced. But where were these experiences to be found and who, if anyone, had the skill and insight to effect such a transformation?
Prior to the two men meeting, Bill W had emerged from his most recent bout of treatment as a changed man. He’d been in the care of the renowned physician, Dr William D Silkworth, Director of the Charles B. Towns Hospital for Drug and Alcohol Addictions in New York City in the 1930s.
During his stay Dr Silkworth had passed on a vital piece of information that would not only change the way alcoholics could and would be treated, but also removed the long held view that alcoholics were, in his words: “Maladjusted to life” and in “full flight from reality”.