Which of the following requires a spiritual orientation?

The reason that Alcoholics Anonymous (AA) requires a spiritual orientation is integral to its foundational philosophy and approach to recovery from addiction. AA is traditionally based on a 12-step program, which emphasizes the need for individuals to acknowledge a higher power as part of their healing process. This spiritual component is central to the group's ethos, promoting reliance on a power greater than oneself to aid in recovery, often leading to personal transformations that incorporate spiritual values and practices.

In contrast, while sponsor-led meetings, individual therapy sessions, and group share sessions can benefit from a spiritual dimension, they do not inherently require it as part of their framework. Sponsor-led meetings may have varying degrees of spiritual emphasis depending on the individual sponsor and sponsee; individual therapy is typically more focused on psychological and emotional strategies rather than spiritual elements; and group share sessions may center around peer support and shared experiences, which can operate outside a spiritual framework. Therefore, the connection to a spiritual orientation is most explicitly characteristic of Alcoholics Anonymous.