“They need to get a new program”: Experiential frictions with the gender of care in the 12 step program for ethnically Mexican women

Using gender as an analytic, I parse out how the historical gendered, classed, and racialized roots of the 12 Step Program remain present in its therapeutic model, even in global contexts beyond its original formulation. These foundations continue to shape therapeutic logics and experience within the Program, in positive and negative ways. I outline several key experiential points of friction with the 12 Step Program for women in one residential drug rehabilitation center in the United States-México border zone, demonstrating the gender of this therapeutic model's framework. Clarifying the Program's gender of care helps make sense of why so many women find this therapeutic model inadequate, without discounting the very real support 12 Step Programs have provided to both women and men around the world. Attention to these frictions with structures (in this case a therapeutic model) illuminates the implicit frameworks that organize our world and direct our attention to developing novel frameworks/institutions.

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Publication Details

Journal
Medical Anthropology Quarterly
Published
2026-06-29
DOI
https://doi.org/10.1111/maq.70084
Primary Topic
Migration, Health and Trauma
Type
article
Field-Weighted Citation Impact
0.00
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article

“They need to get a new program”: Experiential frictions with the gender of care in the 12 step program for ethnically Mexican women

Ellen E. Kozelka
Medical Anthropology Quarterly
Migration, Health and Trauma
article

“They need to get a new program”: Experiential frictions with the gender of care in the 12 step program for ethnically Mexican women

Ellen E. Kozelka
article en

Abstract

Using gender as an analytic, I parse out how the historical gendered, classed, and racialized roots of the 12 Step Program remain present in its therapeutic model, even in global contexts beyond its original formulation. These foundations continue to shape therapeutic logics and experience within the Program, in positive and negative ways. I outline several key experiential points of friction with the 12 Step Program for women in one residential drug rehabilitation center in the United States-México border zone, demonstrating the gender of this therapeutic model's framework. Clarifying the Program's gender of care helps make sense of why so many women find this therapeutic model inadequate, without discounting the very real support 12 Step Programs have provided to both women and men around the world. Attention to these frictions with structures (in this case a therapeutic model) illuminates the implicit frameworks that organize our world and direct our attention to developing novel frameworks/institutions.

Medical Anthropology Quarterly
University of Vermont (US)
Gender equality
Openalex Percentile: Top 6%
Migration, Health and Trauma
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