This study utilizes Heinz Kohut's self psychology concepts of mirrorin
g, idealization and twinship to explain the ways in which Alcoholics A
nonymous is helpful to its long-term members. Fourteen AA members with
an average of 10 years of sobriety were interviewed Analysis of their
responses suggests that mirroring is taking place when the members fe
el they are seen for who they truly are and when they are a positive i
nfluence in the lives of others. Idealization, whether of a sponsor, t
he group, or of one's Higher Power, is in evidence when members tell o
f feeling bolstered by identification with some greater source of stre
ngth and wisdom and when they describe the re-parenting they receive f
rom AA. Twinship is operating when members speak of the healing effect
of belonging to the group and finding peers with similar experiences.
The author encourages clinicians to attend AA meetings in order to en
hance their own understanding of Alcoholics Anonymous and to better su
pport their clients' participation in AA.