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title	:	Harry Tiebout : The Collected Writings
author	:	Tiebout, Harry.
publisher	:	Hazelden Publishing
isbn10 | asin	:	1568383452
print isbn13	:	9781568383453
ebook isbn13	:	9780585313535
language	:	English
subject	Alcoholism.
publication date	:	1999
lcc	:	RC565.T54 1999eb
ddc	:	616.86/1
subject	:	Alcoholism.

Page iii Harry Tiebout The Collected Writings

Page iv Hazelden Center City, Minnesota 55012-0176 1-800-328-0094 1-651-213-4590 (Fax) www.hazelden.org 1999 by Hazelden Foundation All rights reserved. Published 1999 Printed in the United States of America No portion of this publication may be reproduced in any manner without the written permission of the publisher Library of Congress Cataloging-in-Publication Data Tiebout, Harry, 18961966. [Selections. 1999] Harry Tiebout : the collected writings. p. cm. Includes bibliographical references. ISBN 1-56838-345-2 1. Alcoholism. I. Title. RC565.T54 1999 616.86'1dc21 99-36844 CIP Editor's note Minor editing has been done to these essays in accordance with Hazelden editorial style and grammatical usage. 03 02 01 00 99 6 5 4 3 2 1 Cover design by David Spohn Interior design by Donna Burch Typesetting by Stanton Publication Services, Inc.

Page v Contents Introduction vii In Memory of Harry by Bill W. 1 The Role of Psychiatry in the Field of Alcoholism, with Comment on the Concept of Alcoholism as Symptom and as Disease 5 The Act of Surrender in the Therapeutic Process, with Special Reference to Alcoholism 13 Surrender versus Compliance in Therapy, with Special Reference to Alcoholism 31 The Ego Factors in Surrender in Alcoholism 47 Alcoholics Anonymous: An Experiment of Nature 65 Direct Treatment of a Symptom 89 Anonymity: The Ego Reducer 103 When the Big "I" Becomes Nobody 111 Treating the Causes of Alcoholism 117 Why Psychiatrists Fail with Alcoholics 121 Notes 129

Page vii Introduction Harry Morgan Tiebout was the first psychiatrist to publicly recognize and uphold the work of Alcoholics Anonymous. He was born January 2, 1896, in Brooklyn, New York. After graduating from Wesleyan College in 1917, he attended medical school at Johns Hopkins University. There he interned and specialized in psychiatry. In 1922, he joined the staff at Westchester Division of the New York Hospital, where he remained until 1924. Thereafter, until 1935, he practiced psychiatry at various centers for child guidance. That year, he became director of Blythewood Sanitarium, Greenwich, Connecticut; and it was there that alcoholism became the primary concern of his professional career. Tiebout is uniquely distinguished for having facilitated communication between the worlds of alcoholism and psychiatry. He made psychiatric knowledge of alcoholism available to the lay public in language they could understand. Conversely, he was almost solely responsible for bringing the principles and philosophy of Alcoholics Anonymouswhich represented a major advance in alcoholic rehabilitationto the attention of the psychiatric world. In 1939, Tiebout was introduced to AA. Until that year, success had generally resisted his best efforts in the clinical treatment of the alcoholic. Then, suddenly, two of his patients experienced dramatic recoveries using the suggested program of AA. Tiebout investigated it. One of these patients was Marty Mann, whose story appears

Page viii in the Big Book as "Women Suffer Too." The results of his long-term AA study, published in the American Journal of Psychiatry, were the now-famous papers on ego reduction and surrender in the alcoholic recovery process. Tiebout consistently worked to have his views concerning alcoholism accepted by the medical and psychiatric professions. He acknowledged publicly that since 1939, when he had become an observer of AA, his own approach to alcoholism had undergone an almost total reorientation. During the years when AA was experiencing its first growth, he endorsed its program to his psychiatric colleagues. In 1944, he was instrumental in persuading the American Medical Society of New York to hear a paper by one of the cofounders of AA, Bill Wilson. Five years later, he again arranged to have Wilson address the medical professionthis time the American Psychiatric Association. For more than a quarter century Tiebout played an active part in the affairs of AA. As an internationally renowned expert on alcoholism, he continued to promote the acceptance of AA in the medical profession. He served on the Board of Trustees for Alcoholics Anonymous from 1957 to 1966; he was chairman of the National Council on Alcoholism in 1950 and president of the same organization from 1951 to 1953.

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