Affiliation:
1. Criminology and Criminal Justice, Norwich University, Northfield, VT, USA
Abstract
Background: The current emphasis among addiction treatment providers is to use person-first language, such as “a person with a substance use disorder,” as a way to reduce stigma around addiction and resulting barriers to treatment. This study considers how individuals recovering from substance use feel about the terms “alcoholic” and “addict,” particularly how they self-identify and whether they believe the terms carry stigma. Method: Thirty-five individuals were interviewed, recruited primarily, but not exclusively, from 12-step meetings (Alcoholics Anonymous, Narcotics Anonymous), from 3 locations throughout a rural New England state. Interviews were transcribed and coded in Atlas Ti qualitative analysis software, and a content analysis of text coded with “stigma” was conducted. Results: Some comments reflected a belief that the terms “addict” and “alcoholic” carry a stigma. However, more comments rejected the notion of these being stigmatized terms; or acknowledged the stigma but reflected the subject’s lack of internalizing of any stigma. Comments reflected other themes including a sense of pride, identity and ownership when self-identifying as an addict or alcoholic. Several comments suggested that person-first language is part of a larger movement to “soften everything,” without changing the underlying condition (addiction). The findings may reflect the fact that subjects were recruited from 12-step programs, where the convention is to self-identity using the terms “alcoholic” and/or “addict.” Conclusions: Some individuals seeking treatment for addiction may prefer self-identifying using old-school terminology (addict, alcoholic) rather than person-first language, for a variety of reasons (eg, they do not internalize the stigma of such terms).
Funder
National Institute of General Medical Sciences, NIH
Subject
Psychiatry and Mental health
Reference58 articles.
1. National Institutes of Health. The Helping to End Addiction Long Term Initiative. National Institutes of Health. 2023. Accessed April 22, 2023. https://heal.nih.gov/
2. National Institutes of Health. Justice Community Opioid Innovation Network. National Institutes of Health. 2023. Accessed April 22, 2023. https://heal.nih.gov/research/research-to-practice/jcoin
3. National Institutes of Health. Advancing the Use of Person-First and Non-Stigmatizing Language. National Institutes of Health. 2019. Accessed April 22, 2023. https://www.jcoinctc.org/wp-content/uploads/10252019_JCOIN-First-Person-Language.pdf
4. Championing Person-First Language
5. The Use of Person-Centered Language in Scientific Research Articles Focused on Autism