Dynamic Labeling Discernment: Contextual Importance of Self-identifiers for Individuals in Recovery

ABSTRACT

Recent studies associate identifiers, such as “alcoholic/addict”, with stigma, discrimination, and service deficits. Yet, little is known about why and how self-identifiers are chosen. This study analyzed qualitative responses from individuals (N = 42) in recovery from substance use disorders (SUDs) concerning their use of “alcoholic/addict” or “person with a SUD”. Evaluative structure and generative theories were developed via latent content analysis and grounded theory. Secondary analysis evidenced four thematic constructs: contextual significance, flexibility/rigidity, leveraging identity to counteract stigma, and indications of identity integration/disintegration. Some individuals indicated the contextual utility of certain identifiers, regardless of associated stigma and bias.

KEYWORDS:

• Substance use disorder
• recovery
• self-identification
• stigma
• bias

Acknowledgments

The authors would like to thank Brent Canode for his contributions to the study.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

Preparation of the manuscript was supported in part by NIDA grant R01DA039457.