Learn What They Say vs. What the Big...

What They Say vs. What the Big Book Really Says

What They Say vs. What the Big Book Really Says
By
Jay Westbrook, R.N.
Jay Westbrook, R.N.
Author

Jay Westbrook is a multiple award-winning clinician & speaker, Visiting Faculty Scholar at Harvard Medical School, and a specialist in End-of-Life care & education.

Updated December 13, 2019

Alcoholics Anonymous (AA) and other 12-Step programs can be invaluable resources for people recovering from alcohol misuse or alcohol use disorder (AUD).

Yet these programs can also feel confusing to someone new, often because members share guidance that doesn’t always line up. This article aims to highlight some of those issues and, hopefully—with a bit of humor—clear up the confusion.

Because newcomers receive so much advice “in the rooms,” both solicited and unsolicited, one of the most important skills they can learn is to ask, “Thank you for sharing that—what page is it on?”

This simple question helps them figure out whether a suggestion comes from the Big Book or from someone’s personal experience. Both can be helpful, and personal experience can offer valuable insight. Still, it’s useful for newcomers to know whether guidance aligns with the Big Book, especially when someone’s opinion conflicts with what the book actually says.

Here are some examples:

1. Treatment Centers

What they say:

“Treatment centers are a rip-off—you don’t need one; they just hand you a $30,000 Big Book.”

What the Big Book says:

…we favor hospitalization for the alcoholic who is very jittery or befogged. More often than not, it is imperative that a man’s brain be cleared before he is approached, as he has then a better chance of understanding and accepting what we have to offer.
TB
The Big Book4th Edition, p. xxvi-xxvii

Of course an alcoholic ought to be freed from his physical craving for liquor, and this often requires a definite hospital procedure…
TB
The Big Book4th Edition, p. xxvii-xxviii

In other words, the Big Book supports medical stabilization when needed. Treatment centers can provide the physical and clinical support necessary before the spiritual program can take root.

2. Talking About Drugs

What they say:

“This is AA—you can’t talk about drugs here.”

What the Big Book says:

Next day found me drinking both gin and sedative. The combination soon landed me on the rocks.
TB
The Big Book4th Edition, p. 7
So I immediately started taking and shooting pep pills...For the leveling-off process, I just loved intravenous Demerol.
TB
The Big Book4th Edition, p. 410

In other words, the Big Book openly discusses drug use. AA focuses on recovery from alcohol, but many members share histories involving multiple substances; this fits within the book’s original narratives.

3. "The Road Gets Narrow"

What they say:

“The road gets narrow.”

What the Big Book says:

…if you wish, you can join us on the Broad Highway.
TB
The Big Book4th Edition, p. 55
We feel we are on the Broad Highway, walking hand in hand with the Spirit of the Universe.
TB
The Big Book4th Edition, p. 75

In other words, as people grow in recovery, there’s less room for old, harmful patterns, like dishonesty, self-sabotage, and behaviors that hurt others. Still, the Big Book describes recovery as an expansive, not restrictive, path.

4. This is a Selfish Program

What they say:

“This is a selfish program.”

What the Big Book says:

Selfishness—self-centeredness! That, we think, is the root of our troubles.
TB
The Big Book4th Edition, p. 62

In other words, it’s not about selfishness; it’s about responsible self-care. Much like an airplane safety reminder—put on your own oxygen mask before helping others—taking care of your sobriety first allows you to show up for others in a meaningful way. Prioritizing recovery sets an example rather than reflecting selfishness.

5. Dating in the First Year

What they say:

"You can’t date in your first year.”

What the Big Book says:

We do not want to be the arbiter of anyone’s sex conduct… We tried to shape a sane and sound ideal for our future sex life. We subjected each relation to this test—was it selfish or not?
TB
The Big Book4th Edition, p. 69

In other words, people usually offer the “no dating for a year” guideline with good intentions, even if it isn’t in the Big Book. After reviewing what the book actually says, a sponsor might add: “In my experience, early dating can pull people away from meetings and step work, and sometimes the other person becomes more important than recovery itself.”

They might also note—playfully but truthfully—that the people you find appealing in early sobriety may not be the same people you find appealing once you’ve done deeper work, and vice versa. Sharing both the Big Book guidance and personal experience gives newcomers clearer information to make thoughtful decisions.

6. Taking Pain Medication or Psych Meds

What they say:

“You’re not sober if you’re taking pain meds or psychiatric medication.”

What the Big Book says:

We are convinced that a spiritual mode of living is a most powerful health restorative… But this does not mean that we disregard human health measures… Though God has wrought miracles among us, we should never belittle a good doctor or psychiatrist. Their services are indispensable in treating a newcomer and in following his case afterward.
TB
The Big Book4th Edition, p. 133

As a health care clinician, I get concerned when people without medical training tell newcomers which prescribed medications they should or shouldn’t take. My favorite Chinese restaurant has a sign that reads, “Our bank doesn't serve egg rolls, and we don’t cash checks.” Sometimes I think AA meeting rooms could use a similar sign: “Your doctor won’t tell you how to work the 12 Steps, and we won’t tell you what medications to take.” It’s a simple reminder that medical decisions belong to medical professionals.

Ending On a Sweet Spot

Some may agree and some may not, but I genuinely believe seven of the most important words in the Big Book appear at the bottom of page 133 and the top of page 134, where it says:

“… all alcoholics should constantly have chocolate available.”

To me, this is undeniable proof that the Big Book is divinely inspired. And for anyone thinking, “The Big Book doesn’t say that!” go check right now. Bottom of 133, top of 134. You’re welcome.

I hope this humorous look at the difference between what “they say” and what the Big Book actually says has been both enjoyable and useful. Understanding the distinction helps newcomers make informed decisions, stay grounded in the program’s principles, and appreciate the wisdom of both the text and the fellowship.

If you’re navigating early recovery or supporting someone who is, Recovery.com can help you explore your options. You can compare treatment centers, learn about different levels of care, and find evidence-based support tailored to your needs. If you’re struggling with alcohol or unsure where to start, reaching out for help is a strong and courageous step, and you don’t have to take it alone.

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