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In order to address the needs of this population, Bill “widens the hoop” that members have to jump through in order to feel that they are actively working the AA program. He accomplishes this primarily by introducing the “method of substitution” in his Third Step instructions, and making major changes to the inventory process.

In speaking of the trouble that many AA’s have with turning their will and life over to the care of God, Bill says this:

Bill clearly expects that alcoholics who use AA as their higher power will eventually adopt a more spiritual outlook. However, Bill’s method of substitution also makes it possible for AA members to feel that they are honestly working the Steps without ever turning their lives over to the care of God.

Bill’s new instructions for the Fourth Step are another significant development. The Big Book outlines an inventory process that sees selfishness as the root of the alcoholic’s problems. In Bill’s new version, however, the root of the alcoholic’s problems is not selfishness, but rather instincts that are out of balance.

Also, the 12&12 inventory is not focused strictly on defects of character:

This new inventory is not meant to resemble a soul surgery, in which the Stepworker identifies and carves out the defects of character that are blocking his or her soul from God. Rather, this inventory is an open-ended process of introspection and reflection.

Twelve Steps and Twelve Traditions is less hopeful than the Big Book about the results a person can expect from working the Twelve Steps. There is no promise of a life of freedom from selfishness, or a new life of intimacy with spiritual power. Instead, recovering alcoholics should be content with gradual progress over a long period of time.

The sentiment that alcoholics should expect sobriety to be marked by long periods of struggle with their personal shortcomings is a reflection of Bill’s own struggles with depression. His decreased expectations for the quality of his own sobriety lead him to lower his expectations for others as well. Bill’s experiences with seeking help from psychiatrist lead him to a new understanding of the inventory process that is more psychological in nature. Also, in Bill’s mind, the method of substitution is adequate because he does not have the same faith in the ability of spiritual experience to address all of the alcoholic’s troubles.

This new version of Stepwork is no longer insists on spiritual experience as the answer to the problems of the alcoholic. Instead, it offers a solution that is social and psychological in nature. Twelve Steps and Twelve Traditions and its brand of Stepwork effects the nature of the Twelve Steps within AA, and will also affect the practice of the Steps in all future Twelve Step fellowships.