[3] In correspondence with another AA member about neurosis and psychoanalyst Karen Horney Bill suggested how a Neurotics Anonymous fellowship might operate.
In a subsequent letter to Ollie in June 1956, Bill suggested the inventory of psychic damages include inferiority, shame, guilt and anger.
"[8] While in AA, Grover discovered working the Twelve Steps helped remove the neuroses underlying his alcoholism.
As an experiment Grover instructed a woman who suffered from neurosis, but not alcoholism, to work the Twelve Steps.
[4] By 1974 the Diagnostic and Statistical Manual of Mental Disorders, at the time in second edition (DSM-II), was undergoing revision.
[4] Such studies are rare and samples sizes are usually small as any group following the Twelve Traditions is required to protect the anonymity of their members.
In 1988 the World Health Organization estimated that 89 percent of Mexico City's population was in a crisis they described as "psychological and very severely emotional".
The Mexican government funds a hot line staffed by volunteers from N/A to counsel people in crisis by phone.
Al-Anon groups in Mexico City are also predominantly female, but many women attend N/A to deal with their husband's alcoholism.
[18] A study of Neurotics Anonymous members in the Xochimilco borough of the Mexican Federal District found members presented with a heterogeneous composition of problems and disorders (including depression, suicidal ideation, obsessions, anxiety, sexual problems and somatic disorders).
Most members were between 20 and 40 years old (73%) and were predominantly female (87%); coinciding with established social roles in the culture that men are alcoholics and women suffer from depression and other emotional problems.
[19] N/A members in Comalapa (a municipality in Nicaragua) believe X-ray images (radiografías) can serve as a moral diagnostic revealing information about the intent and mores of those being examined.
It is acknowledged in these programs that addiction is more systemic than a "bad habit" and is fundamentally caused by self-centeredness.
Long term membership in Alcoholics Anonymous has been found to reform pathological narcissism, and those who are sober but retain characteristics of personality disorders associated with addiction are known in AA as "dry drunks.
"[23][24] Neurotics Anonymous developed the Test of Mental and Emotional Health as a tool to help members evaluate their progress.
[4] From 1965 to 1980 Neurotics Anonymous published a mimeographed quarterly periodical, the Journal of Mental Health (ISSN 0022-2658).
[28][29] A registered charity, known as Neurotics Anonymous and located in London, was created in the late 1960s by John Oliver Yates.
Yates was prompted to create the groups after trauma he had suffered from a car accident that left him completely blind.