This study employs dialogism theory and relational dialectics theory as sensitizing concepts to understand how meaning emerges as members of Alcoholics Anonymous (AA) negotiate the tension between two religious discourses: Christianity and spiritual pluralism. Focus groups consisting
of 32 AA members revealed instances of emergent meaning as the participants negotiated the dialectical tension between these discourses by employing four strategies: (a) centering and muting; (b) eliding tension through ambiguity; (c) inverting discourses; and (d) hybridity. Close analysis
of the enactment of these strategies reveals how participants construct meaning while engaging the interplay of these discourses. The usefulness of this study for alcoholism treatment, public-health agencies, and individuals seeking treatment for alcohol abuse is discussed.