Unidad, Servicio y Recuperación: Twelve-Step Recovery in Civil War Guatemala, Part II

Editor’s Note: Today we finish our two-part series from Dr. Heather Vrana on the history of Alcoholics Anonymous in Latin America. Check out the first part here. You can find out more about Dr. Vrana and her work here

Treatments tell us about more than scientific understandings of ailments. They also reveal cultural and social beliefs. Injections of strychnine and insulin characterized treatment for alcoholism, addiction, and their related manias for about six decades from the late 1800s into the mid-20th century in Latin America. Incarcerated in a logic of addiction as disease, treatment was individual and invasive. Then, the twelve-step method—the 1960 Prensa Libre article called it the “gregarious exercise”—took over. Suddenly alcoholics and addicts could help one another without the risks and costs of hospitalization. While the civil war raged outside the doors, recovering alcoholics and addicts recited the Oración de la Serenidad.

One of the most intriguing, yet largely ignored, legacies of the civil war in Guatemala is the proliferation of twelve-step recovery groups like Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and Neurotics Anonymous (N/A) in every department, city, pueblo, and aldea. The previous blog post discussed the arrival of AA to Guatemala. This post addresses NA and N/A and how their proliferation fit within the nation’s complex and violent civil war. 

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