How Patriarchy Built the Recovery Model — And Why It Has to ChangeHow Patriarchy Built the Recovery Model — And Why It Has to Change
Till The Wheels Fall Off
Explore how patriarchy affects recovery models and relationships, silencing women and creating power imbalances. Matt and Paige discuss the need for change.
1:29:23•2 Jul 2025
How Patriarchy Built the Recovery Model — And Why It Has to Change
Episode Overview
- Patriarchy's role in silencing women in recovery.
- Gender roles complicate relationship dynamics.
- Outdated beliefs in AA and Al-Anon programs.
- Emotional labor and control in recovery systems.
- Hope for systematic change in recovery models.
“Women are told to be patient, be supportive, and forgiving – all of this isn't helpful for us.”
In the latest episode of 'Till the Wheels Fall Off', hosts Matt and Paige delve into the complex ways in which patriarchy influences recovery models, relationships, and the systems that are supposed to support healing. The conversation opens with an exploration of how women have been historically silenced in recovery spaces. Patriarchy has created a system where women are expected to be patient, supportive, and forgiving, often at the expense of their own emotional well-being.
This expectation is deeply ingrained in many recovery programs, such as Alcoholics Anonymous (AA) and Al-Anon, which were founded during times when women had limited options and a much smaller voice. The hosts discuss how these gender roles are passed down through generations, affecting relationship dynamics today. Women are often expected to carry the emotional labor in relationships, a burden that is frequently compounded by societal norms that favor male perspectives.
The issue is further complicated by the fact that 75% of substance abusers are men, meaning women are disproportionately affected by these systems. Matt and Paige also touch on the weaponization of pop psychology and therapy language against women, leading to further silencing and control. They highlight the need for systemic change, advocating for a shift towards more balanced power dynamics in relationships and recovery models.
The hosts emphasize the importance of recognizing these issues and starting conversations that could lead to meaningful change. The episode is not only informative but also offers a hopeful outlook. While acknowledging the challenges posed by entrenched systems of patriarchy, Matt and Paige express optimism for the future. They hope that by bringing these topics to light, they can contribute to a larger movement towards equality and healing for all individuals, regardless of gender.

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