Adult Children of Alcoholics & Dysfunctional Families (ACA or ACOA) founded circa 1978 is a fellowship of people who desire to recover from the effects of growing up in an alcoholic or otherwise dysfunctional family. ACA membership has few formal requirements. ACA does not accept any outside contributions and is supported entirely by donations from its members. The organization is not related to any particular religion and has no political affiliation. Tony A. [1] was among its co-founders and is the author of The Laundry List, [2] [3] 12 steps for adult children of alcoholics (known as "Tony A's 12 Steps") [4] , The Problem, [5] which are all published in his book, The Laundry List: The ACOA Experience (co-authored with Dan F.) [6]
The organization's name is often ascribed to Janet G. Woititz (c. 1939 – June 7, 1994), an American psychologist and researcher best known for her writings and lectures on the adult children of alcoholic parents, and author of the 1983 book Adult Children of Alcoholics. [7] [8] [9]
The term ACoA was also extended to include PTSD by Tian Dayton, specifically in her book The ACoA Trauma Syndrome. In it she describes how pain from childhood emerges and gets played out in adulthood, for the ACoA, as a post-traumatic stress reaction. Childhood pain that has remained relatively dormant for decades can be re-stimulated or "triggered" by the dynamics of intimacy. "Just as a car backfiring triggers a soldier into unconscious memories of gunfire, when the ACoA grows up and enters the intimate relationships of partnering and parenting, the very vulnerability, dependency and closeness of those relationships can trigger unhealed and unconscious pain from childhood."
ACA/ACOA was originally named "Post Teen" in Mineola, Long Island in 1973. [10]
In the mid-1970s, a group of older Alateens in Manhattan, a part of the Al-Anon fellowship, formed a group of those who were looking for a group that was not focused on parental or spousal relationships with those dealing with alcohol substance abuse. [11] They called this group Hope of Adult Children of Alcoholics. [11] After being asked to speak on his experiences in Alcoholics Anonymous (AA) and Al-Anon to this group, Tony A. joined as a member. When fewer people were in attendance, Tony A. opened up the group to AA members who were adult children. Eventually, Tony started a co-current group called Generations which was not affiliated with any twelve-step group. [11]
In 1978 Tony A. wrote The Laundry List [3] [2] (the 14 characteristics of adult children) and the Solution and shared it with his Generations group. [11] The meeting where Tony A. shared his Laundry List is considered the beginning of ACA/ACOA. [11] Members of "Generations" expressed discomfort with the AA steps around this time and also declined an offer to become an official Al-Anon group in the 1980s. [11] Tony A. began working on a version of the 12 steps specifically for adult children of alcoholics, and published them in his 1991 book, The Laundry List: The ACOA Experience that he wrote with Dan F. [6] Currently, ACA allows use of Tony A.'s 12 steps [3] in addition to the AA-based 12 steps formally in ACA-approved literature. [4]
This 12-step program is incorporated as Adult Children of Alcoholics/Dysfunctional Families. The ACA framework is based on the 12 steps and 12 traditions of AA. [12]
During the 1990s, the organization went through rapid growth. In 1989, there were 1,300 ACA meetings and by 2003 there were an estimated 40,000 members of ACA. [13] [14] In 2014, there were 1,300 groups worldwide, about 780 of these in the USA.[ citation needed ] Although this isn't the full picture, as of November 3, 2024, globally there are 2,745 ACA meetings registered with ACA World Services. [15]
ACA is organized along the lines of 12 steps [16] and 12 traditions adopted by the ACA World Service Organization [17] ACA meetings are formed without leaders and are maintained by group conscience and following the 12 steps of ACA/Tony A [4] and traditions of ACA. [17] Meetings are held with the principle of anonymity for members [17] online, via phone, or in-person. [18]
"The vast majority of ACAs meet [19] informally, in school classrooms or church halls, in the evenings or over weekends. Few frequent expensive treatment centres. They are sympathetic to, but not part of, the AA movement. They meet in leaderless groups, pooling their resources of experience and insight, and reading relevant literature to deepen those assets. For an ACA, this support group provides the extended family and unconditional support which he or she never experienced. The group further provides practical help in acquiring everyday interpersonal and coping skills, and, with them, the sense of self-efficacy—a basic need, as Peele says. The group also provides a sense of community, a community of interest which there are few neighbourhood groups nowadays to provide. This sense of community is another basic need, as Peele argues. Membership comes from a felt need, not as a life sentence. AA puts it simply: 'People need people.'" [20]
From the ACA fellowship text (also known as "The Big Red Book"): [21] "By attending these meetings [19] on a regular basis, you will come to see parental alcoholism or family dysfunction for what it is: a disease that infected you as a child and continues to affect you as an adult." [22]
The goal of working the program is emotional sobriety. [12]
In 2006, ACA published a fellowship text [23] of 646 pages, describing in details what the program is and how it works. This text is also called "The Big Red Book", mirroring the AA fellowship text being called "The Big Book" by members of AA.
ACA is more of a therapeutic program which emphasizes taking care of the self and reparenting one's own wounded inner child with love rather than focusing on one source of substance abuse (though members may or may not have substance abuse issues) as in other 12-step groups. It aims to build oneself up, assumes personal responsibility by unequivocally standing up for one's right to a healthy life and actively works on the changes necessary to achieving it. The collective stance is not to wallow in "being a victim" but to move into the practical application of seeing family dysfunction as a generational affliction and a pattern that can be healed.
Through fellowship and the support of ACA's sponsors and peers, as well as the literature, members come to learn that even the most wounded of them has an inner child worthy of love and healing. The crux of the community and its mindfulness comes from honest accounts of struggles and sincere compassion towards these.
ACA does not rely heavily on a traditional "sponsor" format as in AA, [24] although some may follow this format in ACA, but favors a "Fellow Traveler" approach that emphasizes learning from each other as you both work the program. [25]
ACA offers a program to recover from the effects of growing up in an alcoholic or otherwise dysfunctional family. It is not affiliated with AA, but it follows the 12-step structure and format of groups based on Alcoholics Anonymous. It features 12 steps adapted from the AA steps and 12 steps authored by co-founder, Tony A. (which have not been conference approved by the ACA WSO). [4]
Dr. Janet G. Woititz, author of Adult Children of Alcoholics, endorsed the ACA. [26]
Alcoholics Anonymous (AA) is a global, peer-led mutual-aid fellowship dedicated to abstinence-based recovery from alcoholism through its spiritually inclined twelve-step program. AA's Twelve Traditions stress anonymity and the lack of a governing hierarchy, and establish AA as free to all, non-promotional, non-professional, unaffiliated, non-denominational, and apolitical. In 2021, AA reported a presence in approximately 180 countries with nearly two million members—73% in the United States and Canada.
Twelve-step programs are international mutual aid programs supporting recovery from substance addictions, behavioral addictions and compulsions. Developed in the 1930s, the first twelve-step program, Alcoholics Anonymous (AA), founded by Bill Wilson and Bob Smith, aided its membership to overcome alcoholism. Since that time dozens of other organizations have been derived from AA's approach to address problems as varied as drug addiction, compulsive gambling, sex, and overeating. All twelve-step programs utilize a version of AA's suggested twelve steps first published in the 1939 book Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism.
In psychology, codependency is a theory that attempts to explain imbalanced relationships where one person enables another person's self-destructive behavior, such as addiction, poor mental health, immaturity, irresponsibility, or under-achievement.
Narcotics Anonymous (NA), founded in 1953, describes itself as a "nonprofit fellowship or society of men and women for whom drugs had become a major problem." Narcotics Anonymous uses a 12-step model developed for people with varied substance use disorders and is the second-largest 12-step organization, after 12-step pioneer Alcoholics Anonymous.
James Patrick Kinnon, commonly known as Jimmy Kinnon or "Jimmy K.", was one of the primary founders of Narcotics Anonymous (NA), a worldwide fellowship of recovering addicts. During his lifetime, he was usually referred to as "Jimmy K." due to NA's principle of personal anonymity on the public level. He never referred to himself as a founder of NA, although the record clearly shows that he played a founding role.
Cocaine Anonymous (CA) is a twelve-step program formed in 1982 for people who seek recovery from drug addiction. It is patterned very closely after Alcoholics Anonymous (AA), although the two groups are unaffiliated. While many CA members have been addicted to cocaine, crack, speed or similar substances, CA accepts all who desire freedom from "cocaine and all other mind-altering substances" as members.
Lois Wilson, also known as Lois W., was the co-founder of Al-Anon Family Groups, a 12-Step fellowship for the friends and family of alcoholics. She was the wife of Alcoholics Anonymous (AA) co-founder Bill W. They both followed their respective groups' tradition of anonymity until The New York Times revealed their full names upon Bill's death in 1971. However, she continued to be known as Lois W. within Al-Anon until her death.
Pagans in recovery is a phrase, which is frequently used within the recovery community, to describe the collective efforts of Neopagans as well as Indigenous, Hindu, Buddhist, and other like-minded groups, to achieve abstinence or the remission of compulsive/addictive behaviors through twelve-step programs and other programs, such as Alcoholics Anonymous, Narcotics Anonymous, Overeaters Anonymous, Al-Anon/Alateen, etc. These efforts generally focus on modifying or adapting the twelve steps to accommodate the Pagan world-view as well as creating Pagan-friendly twelve step meetings either as part of a preexisting twelve-step program or as independent entities.
Neurotics Anonymous (N/A), founded in 1964, is a twelve-step program for recovery from mental and emotional illness. To avoid confusion with Narcotics Anonymous (NA), Neurotics Anonymous is abbreviated N/A or NAIL.
Al-Anon Family Groups, founded in 1951, is an international mutual aid organization for people who have been impacted by another person's alcoholism. In the organization's own words, Al-Anon is a "worldwide fellowship that offers a program of recovery for the families and friends of alcoholics, whether or not the alcoholic recognizes the existence of an alcohol-related problem or seeks help." Alateen "is part of the Al-Anon fellowship designed for the younger relatives and friends of alcoholics through the teen years".
Gamblers Anonymous (GA) is an international fellowship of people who have a compulsive gambling problem. They meet regularly to share their "experiences, strength and hope", so they can help each other solve the problems compulsive gambling has created in their lives, and to help others recover from the addiction of compulsive gambling. The only requirement for membership is a desire to stop gambling, as stated in the GA Combo book page 2.
Co-Dependents Anonymous (CoDA) is a twelve-step program for people who share a common desire to develop functional and healthy relationships. Co-Dependents Anonymous was founded by Ken and Mary Richardson and the first CoDA meeting attended by 30 people was held October 22, 1986 in Phoenix, Arizona. Within four weeks there were 100 people and before the year was up there were 120 groups. CoDA held its first National Service Conference the next year with 29 representatives from seven states. CoDA has stabilized at about a thousand meetings in the US, and with meetings active in 60 other countries and dozens online that can be reached at www.coda.org.
Stepping Stones is the historic home of Alcoholics Anonymous co-founder Bill Wilson and his wife, co-founder of Al-Anon/Alateen Lois Wilson, in Bedford Hills, New York. The historic site features their house ; Bill W.'s writing studio, nicknamed "Wit's End"; approximately 15,000 objects left by the Wilsons; a water pump house; the original one-car garage; a two-car garage and Welcome Center with an orientation display highlighting some of the 100,000 items in the Stepping Stones Archives; a flower garden; a community vegetable garden; and more. Lois left the property to The Stepping Stones Foundation - the nonprofit, tax-exempt organization that she founded in 1979. Since Mrs. Wilson's death in 1988 the Stepping Stones Foundation has maintained and preserved the site with the help of friends, and has offered on-site tours by reservation and off-site educational programs.
Workaholics Anonymous (WA) is a twelve-step program founded circa 1983 for people identifying themselves as "powerless over compulsive work, worry, or activity" including, but not limited to, workaholics–including overworkers and those who suffer from unmanageable procrastination or work aversion. Anybody with a desire to stop working compulsively is welcome at a WA meeting. Unmanageability can include compulsive work in housework, hobbies, fitness, or volunteering as well as in paid work. Anyone with a problematic relationship with work is welcomed. Workaholics Anonymous is considered an effective program for those who need its help.
Alcoholism in family systems refers to the conditions in families that enable alcoholism and the effects of alcoholic behavior by one or more family members on the rest of the family. Mental health professionals are increasingly considering alcoholism and addiction as diseases that flourish in and are enabled by family systems.
Pills Anonymous (PA) is a twelve-step program founded in 1972 for people who seek recovery from prescription drug addiction. PA is patterned very closely after Alcoholics Anonymous, although the two groups are not affiliated.
The Calix Society is an organization in the United States founded in the 1940s which aims at addressing the particular spiritual needs of Catholics recovering from alcohol addiction, though it also ministers to those affected by other addictions. It affiliates closely with Alcoholics Anonymous, and believes in the effectiveness of the twelve-step program, but focuses on enabling Catholics who may have abandoned or neglected their faith during active alcoholism to return and have the fellowship of other Catholics in recovery. It promotes total abstinence for those in recovery, taking inspiration from Matt Talbot, and is concerned with the spiritual development and the sanctification of the whole personality of its members. The organization's motto is "substituting the cup that stupifies for the cup that sanctifies". The group has expanded since the 1940s to have active groups in 19 US states and in the UK.
Janet Beigel Geringer Woititz was an American psychologist and researcher best known for her writings and lectures about the troubled offspring of alcoholic parents, including the 1983 best selling book, Adult Children of Alcoholics.
Sexual Recovery Anonymous (SRA) founded circa 1993 is one of several twelve-step programs for the treatment of sexual addiction based on the original Twelve Steps of Alcoholics Anonymous. SRA takes its place among various 12-step groups that seek recovery from sexual addiction: Sex Addicts Anonymous, Sex and Love Addicts Anonymous, Sexual Compulsives Anonymous and Sexaholics Anonymous. The New York-based group has meetings in several states. Collectively these groups are referred to as "S" groups since all their acronyms begin with that letter.