1. Reversed 12 steps Hano Kim, MD, Psychiatrist Keyo Hospital Addiction Center 6 October 2006, TICC, Taiwan 12 th PRCP Scientific Meeting

2. Contents 1. A.A. and 12 steps 2. Objective 3. Method 4. Results 5. Conclusion

3. A.A. and 12 steps 1935, AA established by Bill and Dr. Robert 1939, Big Book published (12 steps introduced) 2003, 170 countries, 100,000 groups, 2,000,000 participants TSF as effective as CBT, MET (Project MATCH Research Group, 1977)

4. Objective Difficult to understand and practice. Developing a new model to make 12 steps easily understood and efficiently practiced

5. Method “All of A.A.’s 12 steps ask us to go contrary to our normal desires” (12 steps and 12 traditions, p.55)

6. Method of the Study “All of A.A.’s 12 steps ask us to go contrary to our normal desires” (12 steps and 12 traditions, p.55) “Our (Addicts’) normal desires” ILLNESS “Going contrary to normal desires” HEALTH

7. Method of the Study “All of A.A.’s 12 steps ask us to go contrary to our normal desires” (12 steps and 12 traditions, p.55) “Our (Addicts’) normal desires” ILLNESS “Going contrary to normal desires” HEALTH AA’s (Abstainers’) 12 steps

8. Method of the Study “All of A.A.’s 12 steps ask us to go contrary to our normal desires” (12 steps and 12 traditions, p.55) “Our (Addicts’) normal desires” ILLNESS Reversed 12 steps “Going contrary to normal desires” HEALTH AA’s (Abstainers’) 12 steps

9. Step 1 Reversed Step 1AA’s Step 1 We admitted we were powerless over alcohol — that our lives had become unmanageable.

10. Step 1 Reversed Step 1AA’s Step 1 I believe I am powerful over alcohol and my life has been manageable. We admitted we were powerless over alcohol — that our lives had become unmanageable.

11. Step 2 Reversed Step 2AA’s Step 2 We came to believe that a Power greater than ourselves could restore us to sanity.

12. Step 2 Reversed Step 2AA’s Step 2 I came to believe that my own power can maintain my sanity. We came to believe that a Power greater than ourselves could restore us to sanity.

13. Step 3 Reversed Step 3AA’s Step 3 We Made a decision to turn our will and our lives over to the care of God as we understood Him.

14. Step 3 Reversed Step 3AA’s Step 3 I Made a decision to turn my will and my life over to the care of myself as I am. We Made a decision to turn our will and our lives over to the care of God as we understood Him.

15. Summary of Step 1 - 3 Reversed Step 1 - 3AA’s Step 1 - 3 Self-centeredGod-centered

16. Step 4 Reversed Step 4AA’s Step 4 We made a searching and fearless moral inventory of ourselves.

17. Step 4 Reversed Step 4AA’s Step 4 I made a searching and fearless moral inventory of others. We made a searching and fearless moral inventory of ourselves.

18. Step 5 Reversed Step 5AA’s Step 5 We Admitted to God, to ourselves and to another human being the exact nature of our wrongs.

19. Step 5 Reversed Step 5AA’s Step 5 I hoped the others would admit to me the exact nature of their wrongs. We Admitted to God, to ourselves and to another human being the exact nature of our wrongs.

20. Step 6 Reversed Step 6AA’s Step 6 We were entirely ready to have God remove all these defects of character [of ours].

21. Step 6 Reversed Step 6AA’s Step 6 I was entirely ready to have myself remove all these defects of character [of others’]. We were entirely ready to have God remove all these defects of character [of ours].

22. Step 7 Reversed Step 7AA’s Step 7 We humbly asked Him [God] to remove our shortcomings.

23. Step 7 Reversed Step 7AA’s Step 7 I strongly asked the third party to remove the others' shortcomings. We humbly asked Him [God] to remove our shortcomings.

24. Step 8 Reversed Step 8AA’s Step 8 We made a list of all persons we had harmed and became willing to make amends to them all.

25. Step 8 Reversed Step 8AA’s Step 8 I made a list of all persons by whom I had been harmed and became willing to make amends made to me by them all. We made a list of all persons we had harmed and became willing to make amends to them all.

26. Step 9 Reversed Step 9AA’s Step 9 We made direct amends to such people wherever possible, except when to do so would injure them or others.

27. Step 9 Reversed Step 9AA’s Step 9 I had direct amends made to me by such people wherever possible, regardless of when to do so would injure them or others. We made direct amends to such people wherever possible, except when to do so would injure them or others.

28. Step 10 Reversed Step 10AA’s Step 10 We continued to take personal inventory and when we were wrong promptly [we] admitted it.

29. Step 10 Reversed Step 10AA’s Step 10 I continued to take the others' inventory and when they were wrong promptly made them admit it. We continued to take personal inventory and when we were wrong promptly [we] admitted it.

30. Summary of Step 4 - 10 Reversed Step 4 - 10AA’s Step 4 - 10 Focusing on others' shortcomings Focusing on one's own shortcomings

31. Step 11 Reversed Step 11AA’s Step 11 We sought through prayer and meditation to improve our conscious contact with God, as we understood Him, praying only for knowledge of His will for us and the power to carry that out.

32. Step 11 Reversed Step 11AA’s Step 11 I sought through my decision to improve my power, desiring only for knowledge of my will for myself and the power to carry that out. We sought through prayer and meditation to improve our conscious contact with God, as we understood Him, praying only for knowledge of His will for us and the power to carry that out.

33. Step 12 Reversed Step 12AA’s Step 12 Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

34. Step 12 Reversed Step 12AA’s Step 12 Having been arrogant as the result of these steps, I became alienated, and tried to practice these principles in all my affairs. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

35. Summary of Step 11 - 12 Reversed Step11–12AA’s Step 11 - 12 Alienated lifeAwakened life

36. Summary of Step 1 - 12 Reversed Step 1 - 12AA’s Step 1 - 12 1. I am arrogant. 2. Others are persecutors against me. 1. I am humble. 2. Others are objects to be served by me.

37. Conclusion Through reversed 12 steps, addicts would become 1. To understand pathological human beings’ natural desires. 2. Easy to understand the concept and intention of A.A.’s 12 steps. 3. To practice A.A.’s 12 steps more efficiently.