Mutual-help groups in the alcohol field were first organized 150 years
ago, and some European groups continue from the late 19th century. Af
ter the Second World War, Alcoholics Anonymous (AA) began to spread in
ternationally, and new national mutual help movements were founded, to
some extent drawing on or reacting to the AA model. While AA is domin
ant in North America and many English speaking countries, other mutual
-help movements are stronger in such countries as France, Germany, Ita
ly, Sweden and Japan. Several dimensions of differentiation between th
e movements are discussed, including: professional or institutional sp
onsorship vs, autonomous organization; the movement's religious, spiri
tual or secular basis; whether family members and others are members a
s well as alcoholics; whether there are external affiliations and acti
vities; and patterns of internal organization and functioning.