“Addict” or “Recovering Addict”: Identity and Connection Influence Relapse Rates

The
band, The Who tell the story of a man who spends “Eleven hours in the Tin Pan”
before deciding “there’s got to be another way.” And then the chorus asks the
question “
Who are you?” You know the song. And
unfortunately, many of us know exactly what it’s like to be in the Tin Pan. We
know what it’s like to look out at the world and wonder if there’s another way;
we know what it’s like to look in the mirror and wonder, “Who am I?”

A study published in the journal Psychology of Addictive Behaviors shows
that how you answer this question can influence your chance of staying sober. These
questions we ask ourselves – Who am I? Is there another way? Where do I belong?
– are more than the cliché questions of people at the bottom of the Tin Pan;
the answers to these questions can be the start of a path to recovery.

The
idea comes from social psychology: just as a person becomes part of a group,
the group becomes part of the person. It may seem obvious, but the idea has
profound consequences. For example, the Nobel-winning economist
George Akerlof shows that the best businesses don’t only
hire the most talented people, but then they use organizational culture to
shape new identities – the identity of “employee”. And this identity makes
employees act accordingly: with loyalty and commitment. Again, the individual
influences the group and the group influences the individual.

The same
is true in groups that allow people to feel included in a community of
recovery.

The
goal of the current study was to discover exactly how to leverage this idea of
identity within a group to empower people in their recovery – to show the “underlying
social processes that may lead to success (or failure) when individuals are in
recovery from addiction.”

To
answer this question, the researchers from London South Bank University
explored the addiction-related identities of 61 people in Alcoholics Anonymous
and Narcotics Anonymous meetings: how strongly did they consider themselves
“addicts” and how strongly did they identify as “addicts in recovery”? Not only
that, but the study asked how much difference these people saw between the two identities.

Here’s
the interesting part: In terms of relapse rates, it didn’t matter much how
people saw their own identity – people who identified as “addicts” had similar
relapse rates to those who saw themselves as “recovering addicts”. But there
was a huge difference in relapse rates based on how much difference people saw between these two identities – when people preferred the identity of “recovering
addict” over the identity of “addict,” relapse rates were much lower. Not only
that, but people who preferred the “recovering addict” identity had fewer cravings
and felt they had more personal control of their addictive behaviors.

Then
the researchers did it again, this time with smokers and ex-smokers, and they
added the idea of social connectedness. Again they found that people who saw
the identity of “ex-smoker” as far more desirable than the identity of “smoker”
were less likely to crave and relapse, and more likely to feel in control of
their behaviors. But this time the study was more than personal, more than
limited to individual evaluations – this time, the researchers saw that the
more smokers felt connected to their support community, the better was their
ability to quit. Again, your emotional connection to a recovery community can
help you grow the desire for and the identity of recovery inside yourself.

The
researchers say it a bit differently, writing that, “These results suggest that
developing a social identity as a ‘recovering addict’ or an ‘ex-smoker’ and
subsequently highlighting the difference between such identities may be a
useful strategy for reducing relapse amongst people with problems associated
with addictive behaviors.”

Like
the song, once you’ve had enough hours in the Tin Pan and you finally start
asking the heart-wrenching and potentially life-changing question Who am I? know that your answer matters.
Are you a recovering addict or are
you still an addict? How extreme do
you consider the difference between the two? And then how deeply can you
connect with a community that helps you grow a new identity, be it 12-step or
any community of concerned and compassionate people who share your experience? With
belief and connection, the authors write that, “Group membership can introduce
a new social identity associated with recovery.”

Old NID
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