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.
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Alcoholics Anonymous. (1981). Twelve steps and twelve traditions (3rd ed.). New York: Alcoholics Anonymous World Services Inc.
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.
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.
Biernacki, P. (1986). Pathways from heroin addiction: Recovery without treatment. Philadelphia: Temple University Press.
Biernacki, P., & Waldorf, D. (1981). Snowball sampling: problems and techniques of chain referral sampling. Sociological Methods & Research, 10, 141–163.
Bowden, J. W. (1998). Recovery from alcoholism: a spiritual journey. Issues in Mental Health Nursing, 19, 337–352.
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.
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.
Crisp, A. H., Cowan, L., & Hart, D. (2004). The college’s anti-stigma campaign, 1998–2003. The Psychiatrist, 28, 133–136.
Dalgin, R., & Gilbride, D. (2003). Perspectives of people with psychiatric disabilities on employment disclosure. Psychiatric Rehabilitation Journal, 26, 306–310.
Denzin, N. K. (1987). The alcoholic self. Newbury Park: Sage.
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.
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.
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.
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.
Hanninen, V., & Koski-Jannes, A. (1999). Narratives of recovery from addictive behaviours. Addiction, 94, 1837–1848.
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.
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.
Karlsson, G., & Sjöberg, L. G. (2009). The experiences of guilt and shame: a phenomenological-psychological study. Human Studies, 32, 335–355.
Kelly, J. F. (2003). Self-help for substance-use disorders: history, effectiveness, knowledge gaps and research opportunities. Clinical Psychology Review, 23, 639–663.
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.
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.
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.
Langdridge, D. (2007). Phenomenological psychology: Theory research and method. Harlow: Pearson.
Larkin, M., & Griffiths, M. D. (2002). Experiences of addiction and recovery: the case for subjective accounts. Addiction Research and Theory, 10, 281–311.
Larkin, M., Watts, S., & Clifton, E. (2006). Giving voice and making sense in interpretative phenomenological analysis. Qualitative Research in Psychology, 3, 102–120.
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.
Laudet, A. B., Savage, R., & Mahmood, D. (2011). Pathways to long-term recovery: a preliminary investigation. Journal of Psychoactive Drugs, 34, 305–311.
Leeming, D., & Boyle, M. (2013). Managing shame: an interpersonal perspective. British Journal of Social Psychology, 52, 140–160.
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.
McIntosh, J., & McKeganey, N. (2001). Identity and recovery from dependent drug use: the addict’s perspective. Drugs: Education, Prevention, and Policy, 8, 47–59.
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.
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.
Potter-Efron, R. T. (2002). Shame, guilt, and alcoholism: treatment issues in clinical practice (2nd ed.). New York: Haworth Press.
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.
Ritsher, J. B., & Phelan, J. C. (2004). Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129, 257–265.
Room, R. (2005). Stigma, social inequality and alcohol and drug use. Drug and Alcohol Review, 24, 143–155.
Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: concepts, consequences and initiatives to reduce stigma. European Psychiatry, 20, 529–539.
Scambler, G. (1998). Stigma and disease: changing paradigms. The Lancet, 352, 1054–1055.
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.
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.
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.
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.
Sifers, S. K., & Peltz, K. M. (2013). What members of alcoholics anonymous really believe. Mental Health, Religion & Culture, 16, 711–718.
Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London: Sage.
Vaillant, G. E. (1983). The natural history of alcoholism: Causes, patterns, and paths to recovery. Cambridge: Harvard University Press.
Vaillant, G. (2005). Alcoholics Anonymous: cult or cure? Australian and New Zealand Journal of Psychiatry, 39, 431–436.
Van Vliet, K. J. (2008). Shame and resilience in adulthood: a grounded theory study. Journal of Counselling Psychology, 55, 233–245.
Wahl, O. F. (1999). Mental health consumers’ experience of stigma. Schizophrenia Bulletin, 25, 467–478.
White, W. L. (2005). Recovery. Alcoholism Treatment Quarterly, 23, 3–15.
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.
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Hill, J.V., Leeming, D. Reconstructing ‘the Alcoholic’: Recovering from Alcohol Addiction and the Stigma this Entails. Int J Ment Health Addiction 12, 759–771 (2014). https://doi.org/10.1007/s11469-014-9508-z