Personal Background: Memories of Stigma
Before attending the meeting, I recalled the alcohol-related incidents from my childhood. A once-honest neighbor and skilled woodworker turned to alcohol after a tragic accident. I witnessed how he changed—from a reserved man to someone unrecognizable when under the influence.
These early memories left a lasting impression, leading me to avoid alcohol myself. As I prepared to observe the Alcoholics Anonymous (AA) meeting as part of my nursing curriculum at Bergen Community College (BCC), I felt a mix of nervousness and a sense of duty to set aside my long-held preconceptions.
A Dark Thursday Night in Cresskill
On a quiet Thursday evening, I drove through the fallen leaves to an old church in Cresskill. In a small, dimly lit room, I found a circle of sofas—a simple, intimate space for connection. I was warmly greeted by the members and introduced myself as a nursing student there to learn.
As the meeting began at 8:00 PM, I realized these men weren’t just a group; they were a family. They followed the 12-step process, reading from the AA guidebook with a level of discipline and mutual respect that immediately challenged my initial doubts.
The Power of Vulnerability and Solidarity
As I listened, I transitioned from a mere observer to a participant in their collective struggle. The core of their sharing was a profound acknowledgment of being “powerless over alcohol.”
- The Reality of Recovery: Some spoke of finding strength through a “Higher Power,” while others confessed to the daily battle of resisting temptation—praying every morning like a spell to stay sober.
- Acceptance: Despite repeated failures, the group provided a space of total acceptance. This environment of being understood, rather than judged, was clearly their greatest source of hope.
Clinical Insights: Applying Peplau and Yalom
This experience was a living classroom for the nursing theories I had studied:
- Hildegard Peplau’s Interpersonal Theory: I saw firsthand that nursing is an interpersonal process. Even without “experts” in the room, the therapeutic relationships built through honest communication were healing.
- Irvin Yalom’s Therapeutic Factors: 1. Universality: The relief of realizing “I am not alone in this pain.” 2. Instillation of Hope: Watching a member who had been sober for years provided the “miracle” that others needed to keep trying.

Hildegard Peplau theory for USRN AA Meeting reflection
Epilogue: A Heartfelt Farewell
As I left, one participant said something that still rings in my ears:
“I sincerely hope I never see you at this meeting again.”
It was a raw, honest wish for my well-being, acknowledging how difficult their fight truly is. This experience changed my perspective on addiction. I no longer see just the “disease”; I see the person, the struggle, and the deep love they have for their families.
As a future nurse, I am now better prepared to meet patients facing addiction with genuine empathy and a listening ear. Their struggle is not one of willpower, but a journey toward healing that requires our deepest compassion.