Understanding ISM in Addiction Recovery

When I submitted my first book to my editor, he explained the difference between an acronym and an initialism.

• FUBAR is an acronym; it can be pronounced as a word.
• WTF is an initialism; each letter must be said individually.

Some letter combinations are both: ISM is one example. I can say it, but I have also used it by naming each letter.

The Many Meanings of ISM

ISM is interesting for another reason—it has many meanings in recovery circles:

• Internal Spiritual Malady
• I Sponsor Myself
• I’m Still Mad

Each meaning reflects a different kind of inner struggle or distorted thinking that can block spiritual growth and recovery.

The Common Thread: Negativity and Self-Deception

The only common denominators are that all the meanings are negative. They represent bad mental and spiritual states, and they all combine dangerously with alcohol to create a toxic brew.

• Add alcohol to an internal spiritual malady, and it will end badly.
• If I sponsor myself, then, as the saying goes, I have a fool for a sponsee.
• If I am an alcoholic and still drinking, I must be mad; and if I allow myself to become angry or indignant—creating a resentment—I will go back to the drink.

ISM: A Reminder for the Recovering Alcoholic

So ISM is interesting, rarely good and often bad—whether it is an initialism or an acronym.

For those in recovery, remembering the meanings behind ISM can serve as a powerful warning: when we fall into spiritual sickness, self-reliance, or unresolved anger, we risk relapse. Recognizing our own ISMs may be the first step back toward sanity and spiritual balance.

Books to Support Your Twelve Step Journey

If you’re looking to explore Step work, spiritual awakening, and personal transformation more deeply, check out The GEMS Series: 12-Step Shares, Notes and Thoughts. These books offer insights, reflections, and real-life recovery experience that complement the journey through the Twelve Steps.

The books in The GEMS Series: 12-Step Shares, Notes and Thoughts can be purchased through my estore or the major online book retailers. Look for GEMS, More GEMS, and Still More GEMS.

FAQ Frequently Asked Questions

Q1: What does ISM stand for in addiction recovery?
A: ISM can mean Internal Spiritual Malady, I Sponsor Myself, or I’m Still Mad—each describing negative states that block recovery.

Q2: Why is ISM considered negative?
A: Each meaning reflects self-centeredness, resentment, or spiritual sickness—all of which can lead back to drinking or relapse.

Q3: How can I overcome my ISMs?
A: Through self-awareness, sponsorship, spiritual practice, and connection with others in recovery programs.

Q4: Is ISM a common concept in AA?
A: Yes. Many members use ISM as a shorthand to describe attitudes or behaviors that threaten their sobriety.

Q5: What’s the best way to identify an ISM in myself?
A: Notice recurring anger, pride, or isolation. These often signal an Internal Spiritual Malady needing attention.

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