Reconstructing ‘the Alcoholic’: Recovering from Alcohol Addiction and the Stigma this Entails



Public perception of alcohol addiction is frequently negative, whilst an important part of recovery is the construction of a positive sense of self. In order to explore how this might be achieved, we investigated how those who self-identify as in recovery from alcohol problems view themselves and their difficulties with alcohol and how they make sense of others’ responses to their addiction. Semi-structured interviews with six individuals who had been in recovery between 5 and 35 years and in contact with Alcoholics Anonymous were analysed using Interpretative Phenomenological Analysis. The participants were acutely aware of stigmatising images of ‘alcoholics’ and described having struggled with a considerable dilemma in accepting this identity themselves. However, to some extent they were able to resist stigma by conceiving of an ‘aware alcoholic self’ which was divorced from their previously unaware self and formed the basis for a new more knowing and valued identity.


Alcohol Recovery Stigma Identity Qualitative Alcoholics Anonymous 


  1. Alcoholics Anonymous. (1981). Twelve steps and twelve traditions (3rd ed.). New York: Alcoholics Anonymous World Services Inc.Google Scholar
  2. Alcoholics Anonymous. (2001). Alcoholics Anonymous: The story of how many thousands of men and women have recovered from alcoholism (4th ed.). New York: Alcoholics Anonymous World Services Inc.Google Scholar
  3. Bell, N. J., Kerksiek, K. A., Kanitkar, K., Watson, W., Das, A., Kostina-Ritchey, E., et al. (2009). University students in recovery: implications of different types of recovery identities and common challenges. Alcoholism Treatment Quarterly, 27, 426–441.CrossRefGoogle Scholar
  4. Biernacki, P. (1986). Pathways from heroin addiction: Recovery without treatment. Philadelphia: Temple University Press.Google Scholar
  5. Biernacki, P., & Waldorf, D. (1981). Snowball sampling: problems and techniques of chain referral sampling. Sociological Methods & Research, 10, 141–163.Google Scholar
  6. Bowden, J. W. (1998). Recovery from alcoholism: a spiritual journey. Issues in Mental Health Nursing, 19, 337–352.PubMedCrossRefGoogle Scholar
  7. Brown, B. (2006). Shame resilience theory: a grounded theory study on women and shame. Families in Society: The Journal of Contemporary Social Services, 87, 43–52.CrossRefGoogle Scholar
  8. Cook, D. R. (1996). Empirical studies of shame and guilt: The Internalized Shame Scale. In D. L. Nathanson (Ed.), Knowing feeling: Affect, script, and psychotherapy (pp. 132–165). New York: W.W. Norton & Co.Google Scholar
  9. Crisp, A. H., Cowan, L., & Hart, D. (2004). The college’s anti-stigma campaign, 1998–2003. The Psychiatrist, 28, 133–136.Google Scholar
  10. Dalgin, R., & Gilbride, D. (2003). Perspectives of people with psychiatric disabilities on employment disclosure. Psychiatric Rehabilitation Journal, 26, 306–310.PubMedCrossRefGoogle Scholar
  11. Denzin, N. K. (1987). The alcoholic self. Newbury Park: Sage.Google Scholar
  12. Dodes, L. M. (1995). Psychic helplessness and the psychology of addiction. In S. Dowling (Ed.), The Psychology and treatment of addictive behaviour (pp. 133–145). Madison: International Universities Press.Google Scholar
  13. Eatough, V., & Smith, J. A. (2006). I feel like a scrambled egg in my head: an idiographic case study of meaning making and anger using interpretative phenomenological analysis. Psychology and Psychotherapy: Theory, Research and Practice, 79, 115–135.CrossRefGoogle Scholar
  14. Ehrmin, J. T. (2001). Unresolved feelings of guilt and shame in the maternal role with substance-dependent African American women. Journal of Nursing Scholarship, 33, 47–52.PubMedCrossRefGoogle Scholar
  15. Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353–379.CrossRefGoogle Scholar
  16. Hanninen, V., & Koski-Jannes, A. (1999). Narratives of recovery from addictive behaviours. Addiction, 94, 1837–1848.PubMedCrossRefGoogle Scholar
  17. Heslin, K. C., Singzon, T., Aimiuwu, O., Sheridan, D., & Hamilton, A. (2012). From personal tragedy to personal challenge: responses to stigma among sober living home residents and operators. Sociology of Health and Illness, 34, 379–395.PubMedCentralPubMedCrossRefGoogle Scholar
  18. Johnson, C., Schaller, M., & Mullen, B. (2000). Social categorization and stereotyping: ‘you mean I’m one of “them”?’. British Journal of Social Psychology, 39, 1–25.PubMedCrossRefGoogle Scholar
  19. Karlsson, G., & Sjöberg, L. G. (2009). The experiences of guilt and shame: a phenomenological-psychological study. Human Studies, 32, 335–355.CrossRefGoogle Scholar
  20. Kelly, J. F. (2003). Self-help for substance-use disorders: history, effectiveness, knowledge gaps and research opportunities. Clinical Psychology Review, 23, 639–663.PubMedCrossRefGoogle Scholar
  21. Keyes, K. M., Hatzenbuehler, M. L., McLaughlin, K. A., Link, B., Olfson, M., Grant, B. F., et al. (2010). Stigma and treatment for alcohol disorders in the United States. American Journal of Epidemiology, 172, 1364–1372.PubMedCentralPubMedCrossRefGoogle Scholar
  22. King, M., Dinos, S., Shaw, J., Watson, R., Stevens, S., Passetti, F., et al. (2007). The stigma scale: development of a standardised measure of stigma and mental illness. British Journal of Psychiatry, 190, 248–254.PubMedCrossRefGoogle Scholar
  23. Kubicek, K. R., Morgan, O. J., & Morrison, N. C. (2002). Pathways to long-term recovery from alcohol dependence: comparison of spontaneous remitters and AA members. Alcoholism Treatment Quarterly, 20, 71–81.CrossRefGoogle Scholar
  24. Langdridge, D. (2007). Phenomenological psychology: Theory research and method. Harlow: Pearson.Google Scholar
  25. Larkin, M., & Griffiths, M. D. (2002). Experiences of addiction and recovery: the case for subjective accounts. Addiction Research and Theory, 10, 281–311.CrossRefGoogle Scholar
  26. Larkin, M., Watts, S., & Clifton, E. (2006). Giving voice and making sense in interpretative phenomenological analysis. Qualitative Research in Psychology, 3, 102–120.CrossRefGoogle Scholar
  27. Laudet, A. B. (2007). What does recovery mean to you? Lessons from the recovery experience for research and practice. Journal of Substance Abuse Treatment, 33, 243–256.PubMedCentralPubMedCrossRefGoogle Scholar
  28. Laudet, A. B., Savage, R., & Mahmood, D. (2011). Pathways to long-term recovery: a preliminary investigation. Journal of Psychoactive Drugs, 34, 305–311.CrossRefGoogle Scholar
  29. Leeming, D., & Boyle, M. (2013). Managing shame: an interpersonal perspective. British Journal of Social Psychology, 52, 140–160.PubMedCrossRefGoogle Scholar
  30. Livingston, J. D., Milne, T., Fang, M. L., & Amari, E. (2011). The effectiveness of interventions for reducing stigma related to substance use disorders: a systematic review. Addiction, 107, 39–50.PubMedCrossRefGoogle Scholar
  31. McIntosh, J., & McKeganey, N. (2001). Identity and recovery from dependent drug use: the addict’s perspective. Drugs: Education, Prevention, and Policy, 8, 47–59.Google Scholar
  32. Nordfjaern, T., Rundmo, M. M., & Hole, R. (2010). Treatment and recovery as perceived by patients with substance addiction. Journal of Psychiatric and Mental Health Nursing, 17, 46–64.PubMedCrossRefGoogle Scholar
  33. Phelan, J., Link, B., Struening, E., Neese-Todd, S., & Asmussen, S. (2001). Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services, 52, 1621–1629.PubMedCrossRefGoogle Scholar
  34. Potter-Efron, R. T. (2002). Shame, guilt, and alcoholism: treatment issues in clinical practice (2nd ed.). New York: Haworth Press.Google Scholar
  35. Rinn, W., Desai, N., Rosenblatt, H., & Gastfriend, D. (2002). Addiction denial and cognitive dysfunction: a preliminary investigation. Journal of Neuropsychiatry and Clinical Neuroscience, 14, 52–57.CrossRefGoogle Scholar
  36. Ritsher, J. B., & Phelan, J. C. (2004). Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129, 257–265.PubMedCrossRefGoogle Scholar
  37. Room, R. (2005). Stigma, social inequality and alcohol and drug use. Drug and Alcohol Review, 24, 143–155.PubMedCrossRefGoogle Scholar
  38. Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: concepts, consequences and initiatives to reduce stigma. European Psychiatry, 20, 529–539.PubMedCrossRefGoogle Scholar
  39. Scambler, G. (1998). Stigma and disease: changing paradigms. The Lancet, 352, 1054–1055.CrossRefGoogle Scholar
  40. Scherer, M., Worthington, E. L., Hook, J. N., & Campana, K. L. (2011). Forgiveness and the bottle: promoting self-forgiveness in individuals who abuse alcohol. Journal of Addictive Diseases, 30, 382–395.PubMedCentralPubMedCrossRefGoogle Scholar
  41. Schomerus, G., Corrigan, P. W., Klauer, T., Kuwert, P., Freyberger, H. J., & Lucht, M. (2011). Self-stigma in alcohol dependence: consequences for drinking-refusal self-efficacy. Drug and Alcohol Dependence, 114, 12–17.PubMedCrossRefGoogle Scholar
  42. Schulze, B., & Angermeyer, M. C. (2003). Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals. Social Science & Medicine, 56, 299–312.CrossRefGoogle Scholar
  43. Shinebourne, P., & Smith, J. A. (2011). ‘It is just habitual’: an interpretative phenomenological analysis of the experience of long-term recovery from addiction. International Journal of Mental Health and Addiction, 9, 282–295.CrossRefGoogle Scholar
  44. Sifers, S. K., & Peltz, K. M. (2013). What members of alcoholics anonymous really believe. Mental Health, Religion & Culture, 16, 711–718.CrossRefGoogle Scholar
  45. Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London: Sage.Google Scholar
  46. Vaillant, G. E. (1983). The natural history of alcoholism: Causes, patterns, and paths to recovery. Cambridge: Harvard University Press.Google Scholar
  47. Vaillant, G. (2005). Alcoholics Anonymous: cult or cure? Australian and New Zealand Journal of Psychiatry, 39, 431–436.PubMedCrossRefGoogle Scholar
  48. Van Vliet, K. J. (2008). Shame and resilience in adulthood: a grounded theory study. Journal of Counselling Psychology, 55, 233–245.CrossRefGoogle Scholar
  49. Wahl, O. F. (1999). Mental health consumers’ experience of stigma. Schizophrenia Bulletin, 25, 467–478.PubMedCrossRefGoogle Scholar
  50. White, W. L. (2005). Recovery. Alcoholism Treatment Quarterly, 23, 3–15.Google Scholar
  51. Yeh, M. Y., Che, H. L., Lee, L. W., & Horng, F. F. (2008). An empowerment process: successful recovery from alcohol dependence. Journal of Clinical Nursing, 17, 921–929.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Strategic Planning DepartmentNHS LothianEdinburghUK
  2. 2.Department of Behavioural Sciences, School of Human and Health SciencesUniversity of HuddersfieldHuddersfieldUK

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