Michael Althouse
2 min readJan 6, 2025

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Whose vernacular? AA's? Is that what you are doing with this and all your other AA bash pieces, trying to persuade AA to change, become more enlightened, to change it's terminology to reflect the modern state of medicine? I predict that you will not change the view of one single person who has any influence whatsoever over how AA runs its affairs - and it would take tens or hundreds of thousands. If that is indeed your aim, you are literally pissing into the wind. But that is clearly not your goal here.

There is a certain attraction to the informality that AA (and NA and other "As") deal with the disease of alcoholism (yea, they call it that in that book, too - maybe you just forgot). And in NA they call it the disease of addiction. They are not treatment centers that deal with "alcohol use disorder" or the more established "substance abuse disorder" (and, by the way, alcohol is a "substance"). They don't and, in my opinion, should not use that type of clinical language. But you don't care - you are not trying to change anything.

There are many things in the AA literature, the NA literature and, likely others, too, that are inextricably tied to Judaeo-Christian convention. That is antiquated. That alienates more people, by far, than being called an "alcoholic." Maybe most of them aren't nearly as sensitive as you are. The "god" thing is a much bigger obstacle than some perceived slight, some derogatory term that most folks in AA don't view that way anyway. And, here's a little secret; the second "A" stands for "anonymous" - we don't go around telling the world that we are alcoholics. We're not stupid, we know how that sounds.

I've seen a few vendettas in my day, but you are certainly among the most determined. But back to the surface of what you're asking for (realizing this much deeper than that), you want a change in the language to quell the way the current language makes some people feel. And you couch this in medical progress, scientific accuracy. That sounds a little bit like the new idea of gender identification. It, too, is couched in "medical progress" and "scientific accuracy." And, while I do not personally have any issue with using whatever pronoun a person wants - when taken to an institutional level and legislated, we get what has morphed into extreme woke-ism. That's what you are asking for in AA - for it to get woke.

So, within AA, someone who suffers from the disease of alcoholism is an alcoholic. Within NA, someone who suffers from the disease of addiction is an addict. And, within the entire world of medicine, someone who suffers from the disease of diabetes is a... work with me here - diabetic.

Class dismissed.

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Michael Althouse
Michael Althouse

Written by Michael Althouse

Lecturer/professor of communication studies at California State University, Sacramento. www.michaelalthouse.com

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