The "Missing Piece"

Dr. William D Silkworth
(1873-1951)

Recently, when re-reading The Doctor's Opinion in the 'Big Book' of  Alcoholics Anonymous, I was struck by the fundamental difficulty that both Dr. Silkworth and Carl Jung, himself, were faced with in treating alcoholics. Both knew that "an entire psychic change" could alleviate the alcoholic addict's difficulties, yet both were faced with their inability to trigger such a change. There was a "missing piece" somewhere. Indeed, Dr. Silkworth explicitly admits this. "Faced with this problem," he notes, "if a doctor is honest with himself, he must sometimes feel his own inadequacy. Although he gives all that is within him, it often is not enough. One feels that something more than human power is needed to produce the essential psychic change." (Emphasis added.)

At page 27 in the 'Big Book,' Dr. Jung admits to the same basic futility of effort in working with Rowland H. (that "certain American businessman") which Dr. Silkworth faced when working with Bill.

"Here and there, once in a while," Jung told Rowland, "alcoholics have had what are called vital spiritual experiences. To me these occurrences are phenomena. They appear to be in the nature of huge emotional displacements and rearrangements. Ideas, emotions and attitudes which were once the guiding forces of these men are suddenly cast to one side, and a completely new set of conceptions and motives begin to dominate them."

"In fact," he pointed out, "I have been trying to produce some such emotional rearrangement within you. With many individuals the methods I have employed are successful, but I have never been successful with an alcoholic of your description."

Dr Carl G. Jung
(1875-1961)

 Rowland was initially relieved upon hearing this, pointing out to Jung that he had long been a "churchman." This, however, as Jung pointed, was not enough as "in his case (that) did not spell the necessary vital spiritual experience." Rowland was dismissed by Jung with the advice that he associate himself with some unspecified religious body that might (just might) help him find such a vital spiritual experience.

As fate would have it, upon his return to America Rowland associated himself with the then-popular Oxford Group which had adopted a series of concrete steps that an individual could take in order to effect a closer relationship with his or her God. As part of those steps, Rowland altruistically reached out to Ebby Thatcher, and Ebby reached out to Bill W. The rest is A.A. history.

Bill W. and his sponsor, Ebby T.

Yet, when one looks back at this improbable chain of events that would lead to the further recovery of millions of alcoholics and addicts of all stripes worldwide, one sees that two unique factors were at play when Ebby reached out to Bill that was not the case when Bill was being attended by Doctor Silkworth.

First and foremost, as Bill pointed out many times, he was able to identify "at depth" with Ebby. Here was an alcoholic who should be drinking but was not. Secondly, and just as importantly, Ebby had a concrete solution - a program of action - that Bill could (and eventually did) utilize to effect the "vital spiritual experience" that would relieve him of his alcoholism. Rowland and Ebby had found "the missing piece." Dr. Silkworth could identify the problem, as could Jung, but neither had the mechanics of a "moral psychology" that could help bring about a spiritual awakening.

The word-of-mouth program that Ebby passed on to Bill was simple:

1.  Ebby admitted that he was powerless to manage his own life.
2.  He became honest with himself as never before; made an "examination of consciousness."
3.  He made a rigorous confession of his personal defects and thus quit living alone with his problems.
4.  He surveyed his distorted relations with other people, visiting them to make what amends he could.
5.  He resolved to devote himself to helping others in need, without the usual demand for personal prestige or material gain.
6.  By meditation, he sought God's direction for his life and the help to practice these principles of conduct at all times.

(Source: Three Talks to Medical Societies by Bill W., Co-Founder of A.A.)

This word-of-mouth exposition of the Oxford Group's program (which Bill would later expand "for the sake of greater clarity and thoroughness" into A.A.'s Twelve Steps) was "the missing piece" that both Silkworth and Jung lacked. These steps (in their final form) would be the concrete things that an alcoholic addict (or an addict of any kind) could do in order to produce "the entire psychic change" posited by Silkworth and described by Jung. ("Ideas, emotions and attitudes which were once the guiding forces of these men are suddenly cast to one side, and a completely new set of conceptions and motives begin to dominate them.")

For sure, Alcoholics Anonymous has "no monopoly" on this. There are, as William James points out in The Varieties of Religious Experience, "a multitude of ways in which men have discovered God." (Alcoholics Anonymous, page 28.) Yet, whether by Providence or happenstance, there was a confluence of events that brought the work of Jung, Silkworth and Frank Buchan's Oxford Groups together, and from this confluence of events sprang the miracle of Alcoholics Anonymous. Seventy-five-odd years later, the "missing piece" that bridges medicine, psychology and spirituality (i.e., the Twelve Steps) remains as effective as ever in relieving alcoholic addiction. Jung's helpful prescription "spiritus contra spiritum" still applies, and without the practical steps to bring this spiritus into our lives, millions of recovered alcoholic addicts (and others) would have likely died of their disease.

Our lives in recovery still depend on how well we practice the principles that Rowland, Ebby, Bill, Dr. Bob and so many others found in this "missing piece" of the alcoholism equation. There is a solution to alcoholic addiction, and "it (still) works if we work it."

On Restlessness

"Men and women drink essentially because they like the effect produced by alcohol.  The sensation is so elusive that while they admit it is injurious, they cannot after a time differentiate the true from the false. To them their alcoholic life seems the only normal one They are restless, irritable and discontented, unless they can again experience the sense of ease and comfort which comes at once by taking a few drinks - drinks which they see others taking with impunity. After they have succumbed to the desire again, as so many do, and the phenomenon of craving develops, they pass through the well-known stages of a spree, emerging remorseful, with a firm resolution not to drink again. This is repeated over and over, and unless this person can experience an entire psychic change there is very little hope of his recovery." 

-- Dr. William D. Silkworth, M.D. --
(Alcoholics Anonymous, pp. xxviii-xxix)

 Restlessness is the state of mind of the alcoholic addict when he or she is not drinking. The inner dialogue of the entirely self-conscious mind jumps from calamity to imagined calamity, from this desire to that desire, and from this memory to that fear continually. As a result, the alcoholic addict - clean and sober for the moment - is acutely self-conscious, and is irritable and discontented with the state of his or her being and lot in life. And, unless he or she "can experience an entire psychic change" there is but small chance of his or her recovery.

In this, he or she is not alone. There are multitudes of so-called "ordinary" people who go through life in just the same manner - irritable, restless and discontented during the largest part of their waking day - but without the physical, addictive craving for alcohol or more drugs once some is ingested, it is unlikely that they will ever fall into alcoholic addiction. Most of these non-alcoholic types could perhaps use a drink or two to get over their all-too-common restlessness and discomfort. More aptly, they too require a psychic change, and not a mere expedient, if they are to live a happy and contented life.  The alcoholic addict, by way of contrast, and absent an entire psychic change, will remain addicted to that expedient.

This basic human problem is recognized in the Bhagavad Gita, a discourse between Arjuna, a highly developed warrior, and the self-realized master, Krishna, who acts as his charioteer.

"Thou hast told me of a Yoga of constant oneness, O Krishna," Arjuna says, "of a communion which is ever one. But, Krishna, the mind is inconstant; in its restlessness I cannot find rest. The mind is restless Krishna, impetuous, self-willed, hard to train: to master my mind seems as difficult to master as the mighty winds."

"The mind is indeed restless, Arjuna," Krishna replies, "it is indeed hard to train. But by constant practice and by freedom from passions the mind in truth can be trained. When the mind is not in harmony, this divine communion is hard to attain; but the man whose mind is in harmony attains it, if he knows and strives for it."

[Bhagavad Gita, 6:33-36]

Thus, Krishna affirms to Arjuna that the basic nature of the unawakened mind is restlessness. but he recognizes also that the mind can be trained through "constant practice and by (a) freedom from the passions" in order that it may be harmonized.

It is precisely this basic retraining of the mind in order to precipitate an "entire psychic change" that the 12 Steps of Alcoholics Anonymous (and its sister organizations) are designed to fulfill.

At page 27 of Alcoholics Anonymous, the great Swiss psychologist, Carl Jung, describes the "huge emotional displacements and rearrangements" that have been know to effectively treat alcoholism in the following way: "Ideas emotions and attitudes which were once the guiding forces of the lives of these men are suddenly cast to one side and an entirely new set of conceptions and motives begin to dominate them."

Absent such a psychic change, the restless, egoic and wholly self-conscious mind is dominated by seeming "calamity, pomp and worship of other things." This inner narrative blocks off all possibilities of a higher, dilated consciousness in which the alcoholic addict can effect a contact with a Power greater than his or her "self," or, if you prefer, a conscious contact with God.

Thus, the uncontrollable consumption of drugs and alcohol can truly be said to be a mere "symptom" of a far greater underlying condition - the ordinary, restlessness of the human ego. And until, that restlessness is abated, there can be little hope for "permanent sobriety, and a contented and useful life."
Working the Twelve Steps is one methodology - "we have no monopoly" - to bring about the necessary psychic change, in this instance via a spiritual awakening from within.

Recovery Despite "Grave Emotional or Mental Disorders"

As an individual who has experienced a lifetime of bouts with recurrent depression - one of the "grave mental and emotional disorders" referenced in the "How It Works" chapter of the 'Big Book' of Alcoholics Anonymous - but who has nevertheless attained and sustained long-term sobriety and freedom from alcoholic addiction, it is helpful (indeed necessary) for me to remember the nature of that illness. For this, the "Doctor's Opinion" in the 'Big Book' is the best place to start.

In Doctor Silkworth's statement enlarging upon his views about alcoholism, we are confirmed in "what we who have suffered alcoholic torture must believe - that the body of the alcoholic is quite as abnormal as the mind." Thus, while "the problem of the alcoholic centers in the mind" - as do other, primarily mental illnesses - it is important for me to recognize and remind myself of the strong physical component to alcoholic addiciton.

"It did not satisfy us," we read, "to be told that we could not control our drinking just because we were maladjusted to life, that we were in full flight from reality, or were outright mental defectives. These things were true to some extent, in fact, to a considerable extent with some of us. But we are sure that our bodies were sickened as well. In our belief, any picture of the alcoholic which leaves out this physical factor is incomplete."

If I had never drank alcohol, I wouldn't have become alcoholic, although that latent physical potentiality would still have been there. This does not mean, however, that I would never have suffered from depression. Looking back, with the help of friends, sponsors and therapists, it is clear that at times I treated my depression with the booze and drugs. However, looking at my family tree, it is equally clear that I, along with other family members, suffered from depression - some with additional battles against alcoholism, some without such struggles - irrespective of my alcoholism. Both diseases, I have found, have their biological bases, and their mental expressions are well known.

Thus, just as I seek treatment to guard against, and/ or ameliorate, chronic depression (which is a matter that is strictly between my doctors and myself), I must also remember that my alcoholic addiction requires treatment as well. That is why I continue to work the 12 Steps, attend meetings and try to help others work through the Steps.

Dr. Silkworth (and many doctors since) suggests "that the effect of alcohol on . . . chronic alcoholics is a manifestation of an allergy; that the phenomenon of craving is limited to this class and never occurs in the average temperate drinker. These allergic types can never safely use alcohol in any form at all; and once having formed the habit and found they cannot break it, once having lost their self-confidence, their reliance upon things human, their problems pile up on them and become astonishingly difficult to solve."

Looking back at my sixteen years of alcoholic addiction, three things happened the first time I got drunk, and the same three things happened the last time I got drunk: I lost my natural inhibitions and felt like an integral part of what was happening around me, I wanted more (and still more) of the booze and drugs that were making me feel that way, and I drank way more than I could stomach and eventually passed out. But in the midst of this, sometimes for just the briefest period, I felt elation. These effects were more or less present each time I drank, and accept for the puking out, passing out or, worse, blacking out, I drank for these effects. I craved more and more alcohol, and progressively drank more and more alcohol to attain the desired affect. And when sober, I could not wait to get high and drunk again. Such is the nature of my addiction.

I had one moment of clarity, which looking back I attribute to the grace of God, and that was sufficient to make the tentative first call for help which would lead me out of this alcoholic addiction. I work the 12 Steps to the best of my ability on a daily basis, so that I do not return to active addiction - ever.  I really do not know if I would have a "second chance" at recovery. And, I suspect not.

The added bonus is that working the Steps - living the spiritual way of life I have been taught in A.A. -  also helps me with the continuing threat that depression always poses, although, as mentioned, I do seek outside medical help for that supposedly "outside issue." For a while I attended meetings of Emotions Anonymous (one of A.A.'s many sister groups), where they used the Twelve Steps to deal with emotional and mental issues such as depression. I met people there who were getting great relief through working the Steps in that fellowship.

But, for me, an alcoholic addict in recovery, A.A. will always be home. All around me I see people just like me dealing with the same fears, overwrought desires and their struggles with everyday and once-in-a-lifetime occurrences, and I draw strength from their success, and knowledge from their experience which helps me in my life.

Over the years, I have boiled down the necessity of treating what are, in fact, two separate but related, and primarily mental illnesses (alcoholic addiction and depression) to the following: It is difficult and at times impossible for an unhealthy brain to entertain consistently healthy thought; therefore, I work with my doctor in assuring that my tendency to depression is kept in check. At the same time, it is still all too easy for a healthy brain to have some very unhealthy thoughts; therefore I work the 12 Steps, have a sponsor, and hang with individuals who are both working a program of recovery and have deep aspirations to increase and improve their conscious contact with a Power greater than themselves.

As a result, I have been the beneficiary of some great teachers and garnered invaluable insights into who I am as a person. And irrespective of what life brings to me, I have found (although it may not have seemed so at the time) that I can accept it all good and bad, whether it is the love my children have for me, or the loss of a woman I loved dearly, or any of the ups and downs that have happened in-between. I may not like what life brings, but that is not my call.

My imperative is to stay awake spiritually, to accept life as it is served to me, and to learn to accept it as it is, rather than plucking up false courage and unwisely battling things that are far beyond my ability to influence or control. My life remains unmanageable, and I accept that. Thank God, it is under better management than I could ever provide!

"Frothy Emotional Appeal Seldom Suffices"

How often do we sit in a meeting and hear it deteriorate into a testimonial of all the good things that have happened to people that have sobered up? "Keep Coming Back!," we are cheerily advised. "Go to 90 meetings in 90 days, and if it doesn't work, we'll refund your misery!," is often glibly added.

While such comments are undoubtedly well-intended, and are of some limited benefit to the new member who is beginning to work the 12 Steps, they do little, if anything, for the still-suffering alcoholic - be they newcomers wondering how they can possibly stay clean and sober, or old-timers who are going through one of the curve balls life throws.

"Frothy emotional appeal seldom suffices," we read in the introductory "Doctor's Opinion" section of the 'Big Book' of Alcoholics Anonymous. "The message which can interest and hold these alcoholic people must have substance and weight. In nearly all cases," we read, "their ideals must be grounded in a power greater than themselves, if they are to re-create their lives."

While identification with a fellow suffer is crucial, the suffering (or still-suffering) alcoholic addict does not need an assurance that life gets better or easier in recovery, he or she needs concrete advice and illustrations of what he or she needs to do and how to do it. If he or she does nothing but go to 90 meetings in 90 days, be assured that you will not need to refund their suffering, they will be suffering tremendously, if they make it at all.

Bill W. once observed that there was nothing original in the program of Alcoholics Anonymous - i.e., in the Twelve Steps themselves - and that the only thing that was unique to A.A. was the ability of one alcoholic to relate to another alcoholic and his or her experience in depth.

Let's face it, there is quite often a great sense of relief when the alcoholic addict cleans up and sobers up. If he or she has not hit a low bottom, life rapidly becomes "better" almost solely because one is no longer drinking and/or drugging. Initial sobriety, itself, can therefore seem to be recovery itself. (This initial relief is sometimes referred to as a "pink cloud.") But, "the problem of the alcoholic centers in his mind," and the still-suffering (or yet-again suffering) alcoholic needs (a) identification with his or her state of mind, (b) assurance that others have experienced and lived through the mental crisis he or she is facing, and (c) precise directions as to how others have recovered from the same mental distress he or she finds themself in.

"Frothy emotional appeal seldom suffices." Identify with the sufferer, and his or her trials and tribulations. Share your experience with the same challenges he or she faces. Tell the still suffering alky precisely what you did to overcome your difficulties. Offer your help. Help guide the sufferer to the 12 Steps, or back to the 12 Steps. Take him or her through the 'Big Book' and you may save a life. Telling him or her merely to "put the plug in the jug," and that everything will be great in 90 days of 90 meetings, is not helpful and may do irreparable harm.

Laying Aside Prejudice and Contempt

How often have we heard people in the rooms of Alcoholics Anonymous disparaging, or even verbally attacking, one or another of the world's great religious faiths? Too often, in my view. Particularly, as we are urged in the 'Big Book' of Alcoholics Anonymous (at page 87) to "(b)e quick to see where religious people are right."

The A.A. Preamble, which appears in all material approved by the General Service Conference of Alcoholics Anonymous, makes it clear, and rightly so, that "A.A." is not allied with any sect, denomination, politics, organization or institution; does not wish to engage in any controversy; (and) neither endorses nor opposes any causes."

But why if A.A. as a whole does not endorse or oppose any cause, do so many members openly oppose various religious faiths or denominations within the rooms of A.A., particularly, when we are advised time and time again, that there is much of value to be realized from the world's great wisdom traditions? One begins to suspect that attacking the religious faith of others may be a means of justifying their own lack of any kind of faith. (I know this was once true of me.) Thus, in the 'Big Book', we read:

"Instead of regarding ourselves as intelligent agents, spearheads of God's ever advancing Creation, we agnostics and atheists chose to believe that our human intelligence was the last word, the alpha and omega, the beginning and the end of it all. Rather vain of us, wasn't it?"

"We, who have traveled this dubious path, beg you to lay aside prejudices, even against organized religion. We have learned that whatever the human frailties of various faiths may be, those faiths have given purpose and direction to millions. People of faith have a logical idea of what life is about."

[Alcoholics Anonymous, page 49. Emphasis added.]

William James (1842-1910)

After Bill W. had his sudden and profound spiritual awakening, he doubted his sanity. Bill was given some assurance by Dr. Silkworth (he of the "Doctor's Opinion") that he had not gone over the deep end. He was given further assurance of both his sanity and the reality of his spiritual awakening upon reading a copy of the great psychologist, William James' book, The Varieties of Religious Experience. Indeed, The Varieties of Religious Experience this is the only book referenced by name in the 'Big Book' of Alcoholics Anonymous.

In it, Professor James distinguishes between the steeples and bells, incense and vestments, and doctrines and creeds of what he termed "outer religion" and the personal experiential nature of "inner religion" and the inner religious experience witnessed by so many differently circumstanced people down through the ages. (Another, such book, which outlines the inner religious experiences of saints mystics and ordinary folk from a wider variety of the world's great religious and wisdom traditions is "The Perennial Philosophy," which was written by Aldous Huxley, a non-alcoholic friend of Bill Wilson's.)

Indeed, in the Spiritual Experience appendix to the 'Big Book' the personality changes "sufficient to bring about recovery from alcoholism" are openly referred to as "religious experiences" which are, undoubtedly of the "inner" religious variety described by William James.

And what are the effects of such profound spiritual and religious experiences? Again, in the Spiritual Experience appendix we read:

"With few exceptions our members find that they have tapped an unsuspected inner resource which they presently identify with their own conception of a Power greater than themselves."

"Most of us think this awareness of a Power greater than ourselves is the essence of spiritual experience. Our more religious members call it 'God-Consciousness.'"

Thus, just A.A. as a whole (and each group) does not and should not endorse or oppose any religion or religious denomination, in keeping with our traditions and stated purpose, there is really no need or place for the individual A.A. member (or N.A. member, etc.) to disparage any or all religious sects or denomination. Doing so, displays only a lack of open-mindedness and tolerance, and a lack of awareness of A.A.'s roots and what its purpose is - i.e., to facilitate within each of us a spiritual or (some would quite correctly say) religious awakening which is sufficient for us to recover from our alcoholic addiction, and to thus lead contented and purposeful lives in sobriety.

We find that no one need have difficulty with the spirituality of the program," the Spiritual Experience appendix concludes. "Willingness, honesty and open-mindedness are the essential of recovery. But these are indispensable."

Is criticizing any religion or religious domination open-minded? Or, does it only display the continuing prejudices of the person doing the criticizing? I know that in the past, when I engaged in religion-bashing, it only showed that I was again exhibiting the "contempt prior to investigation" that Herbert Spencer rightly noted is a complete "bar against all information," and one that kept me in "everlasting ignorance" until I was shown a  broader and much more informative attitude by some kind and much wiser old-timers than I was.

Rare Video of "Bill's Story" and the Birth of A.A. and Al-Anon: Featuring Bill and Lois Wilson

In rare video footage Bill and Lois Wilson recall their struggle with Bill's alcoholic addiction, the fateful visit by Ebby T., and Bill's sudden and profound "spiritual awakening" that relieved him of his addiction.

Note that in recalling his sudden spiritual awakening - the "central experience" of his life - he describes how "the room instantly lit up . . . in a blinding glare of white, white light."  This is a classic description of satori, or the 'enlightenment experience' that Richard M. Bucke describes it in his book "Cosmic Consciousness;" a book which Bill owned and undoubtedly referenced, along with William James' "The Varieties of Religious Experience," in writing "Alcoholics Anonymous."

[The first half-minute or so of the first video is somewhat choppy. After that, it is smooth sailing.]











The remaining clips of this rare footage may be found on Youtube by following the links, below.

In these clips, Bill recounts the full story, or "chain of events" that resulted in the birth of Alcoholics Anonymous (ranging from Carl Jung's advice to Rolland Hazzard, to Bill's work with Dr. Bob, and their work with Alcoholic Anonymous 'Number Three'), while Lois recounts how Al-Anon came to be.

• Bill's Story: Part Four
• Bill's Story: Part Five
• Bill's Story: Part Six
• Bill's Story: Part Seven
• Bill's Story: Part Eight

The video appears to be shot at "Stepping Stones," Bill and Lois' home outside of New York City. If anyone knows how this home movie came to be filmed and/or who filmed it, please let me know.

Bill's Reflections on A.A. . . . Its History, Message and Solution

"Three Talks" Pamphlet

Of all the pamphlets published by Alcoholics Anonymous, perhaps the most helpful - at least for beginning members who have taken Step One and admitted their alcoholism and personal powerlessness - is the "Three Talks to Medical Societies by Bill W., co-founder of AA," pamphlet. Certainly, it is the only pamphlet that is referred to directly in the Big Book (in Appendix III, "The Medical View on A.A.") The "Three Talks" pamphlet provides beginners with a brief, yet concise, history of A.A., its message  and "solution."

Taken from Bill's 1958 presentation to the New York City Medical Society on Alcoholism, the first of the "Three Talks" is particularly helpful, giving a precise synopsis of how A.A. came to be formed, how the program works, and just what A.A.'s "solution" for the suffering alcoholic is.

After preliminary remarks, Bill dives right into the history and message of A.A., relating how Carl Jung told Oxford Grouper to-be, Rolland H. (that "certain American business man" described on page 26 of the Big Book) that once in a while a "vital spiritual experience" will remove an alcoholic's mania for drink. Bill describes this as the moment when "the first taproot of A.A. hit paydirt."

Importantly, Bill includes Dr. Jung's description of precisely how these "huge emotional displacements and rearrangements" affect the psyches of alcoholics:

"Ideas, emotions and attitudes which were once the guiding forces of these men are suddenly cast to one side, and a completely new set of conceptions and motives begin to dominate them."

(This, of course, is what happened to Bill when he had his sudden and abrupt "spiritual awakening" in Townes Hospital, a number of years after Jung spoke to Rolland H.)

Next, Bill relates how Rolland carried this message to the man who would become Bill's "sponsor," Ebby Thattcher, thereby establishing "the second cardinal principle of A.A." - the "identification at depth" of one alcoholic with another. (Elsewhere, he would call this principle, the only original idea in A.A.'s 'program,' everything else being "borrowed" from other sources, ancient and modern.)

Bill then tells how Ebby visited him at his home (the night that Bill's "gin would last longer than his preaching"), and he then sets out the simple, "word-of-mouth" program of action that Ebby had been working and offered to Bill, in the following manner:

1. Ebby admitted that he was powerless to manage his own life.
2. He became honest with himself as never before; made an "examination of conscience."
3. He made a rigorous confession of his personal defects and thus quit living alone with his problems.
4. He surveyed his distorted relations with other people, visiting them to make what amends he could.
5. He resolved to devote himself to helping others in need, without the usual demand for personal prestige or material gain.
6. By meditation, he sought God's direction for his life and the help to practice these principles of conduct at all times.

 (Bill later explains that, "For the sake of greater clarity and thoroughness, the word-of-mouth program which my friend Ebby had given me was enlarged into what we now call A.A.'s 'Twelve Suggested Steps for recovery.'")

Note that the only reference to "a Higher Power" is in Ebby's last point, that "by meditation" direction and help was sought. Of course, A.A.'s Step 11 says that it is "through meditation and prayer" that we seek "to improve our conscious contact with God" as we understand that conception. Yet, how many times do we hear continually relapsing A.A. members - and even season veterans - relating how they pray, pray, pray. And how many times do they mention meditation? This is no small point. Oxford Groupers and early A.A. members had a sustained practice of meditation or "quiet time" in the morning, before they made their plans for the day, and a similar meditation time at night.

"By meditation, he sought
          God's direction for his life . . ."

If all we do is "talk" to God - affirming and invoking God's presence and power in our lives - but never "listen" in meditatioin, how are we to effect a conscious contact. It is through meditation that we gain the ability to change the level and focus of our consciousness (from self-consciousness, which is the problem, to God-consciousness, which is the solution).

At Step 11 in the Twelve Steps and Twelve Traditions, Bill describes  how an interwoven and logically interrelated practice of "self-examination, meditation and prayer" will provide us with an "unshakeable foundation." Prayer, while beneficial in and of itself, is not sufficient. Meditation must be a part of our practice to gain the ultimate benefits that A.A. offers.

Finally, Bill relates his own sudden spiritual awakening, how William James' Varieties of Spiritual Experience confirmed the reality of his experience, and how the Varieties outlined that "ego deflation at depth," or "a complete defeat in a controlling area of life," is a necessary precondition for a true and effective spiritual experience.

The balance of the Three Talks pamphlet describes the contribution of Townes Hospital's Dr. Silkworth, his contribution that clarifies alcoholism is both an allergy of the body and an obsession of the mind, and the further growth of the A.A. movement.

Of course, alcoholism and addiction are no less a problem now than they were in 1958. Yet Bill's closing remarks to the medical professionals of New York is no less relevant. He concludes by making a pledge that "A.A. will always stand ready to cooperate" with the whole medical community. "When our combined understanding have been fully massed and applied," he presciently predicts, "we of A.A. know that we shall find our friends of medicine in the very front rank - just where so many of you are already standing today."

This last remark stands out when we consider that "detox" and "rehab" were not a part of the larger vocabulary in 1958. And yet, it clarifies the point that both A.A. and the medical/treatment center communities have a vital role to play in providing a "solution" to the still suffering alcoholic addict.