For decades, the primary approach to rehabilitation in the U.S. has been 12-step programs like Alcoholics Anonymous (AA). Twelve-step doctrine defines addiction in a contradictory way: as a medical problem, like a lifelong illness, with a spiritual solution (surrendering to a higher power). The model has become so culturally hegemonic that it's hard for many to imagine any other way to stop getting drunk or doing drugs — or gambling, overeating or watching porn, for that matter. When we see Anne Hathaway's character in the film Rachel Getting Married at a 12-step ...