Tales of hope: Social identity and learning lessons from others in Alcoholics Anonymous: A test of the Social Identity Model of Cessation Maintenance

• Published in: Addictive behaviors 2019-06, Vol.93, p.204-211
• Main Authors: Frings, Daniel, Wood, Kerry V., Lionetti, Nadia, Albery, Ian P.
• Format: Article
• Language: English
• Subjects: Addictions; Alcohol use; Alcoholics; Alcoholics anonymous; Alcoholism; Costs; Data recovery; Efficacy; Identity; Mediation; Recovery story; Relapse; Social discrimination learning; Social identity
• ISSN: 0306-4603; 1873-6327
• DOI: 10.1016/j.addbeh.2019.02.004

Social identities can facilitate positive recovery outcomes for people overcoming addiction. However, the mechanism through which such protective effects emerge are unclear. The social identity model of cessation maintenance posits that one such process may be contextualisation (the creation of meaning around relevant future events and actions which act in a protective fashion). The current paper tested the role of contextualisation by exploring the role of a common feature of addiction meetings, the sharing of a personal recovery story. Data were collected from an online sample of 170 members of Alcoholics Anonymous [AA] (mean age 45.4 years, 50% male). Participants rated their social identification with AA before reading an archetypal tale of hope. They then completed measures of contextualisation (the perceived self-relevance and utility of the tale) and measures of perceived quit efficacy and costs of relapse to self and others. Identity, relevance and utility positively related to quit efficacy and perceived cost of relapse to the self. High identification with AA was also related to higher story relevance and utility. However, no mediation relationship between identity and efficacy via story relevance or utility was observed. Perceived cost to self increased in line with identity, with an additional joint indirect mediation of social identity via both meditators. These findings provide a clear pattern of results linking identity to contextualisation (story relevance and utility) and contextualisation to outcome measures. They also support the role of contextualisation as an important component of group processes more generally. •Groups contextualise the meaning of behaviours in part through story-telling.•Social identity may underpin addiction recovery via such contextualisation.•AA members rated the relevance and utility of a ‘tale of hope’.•Social identity as an AA member positively related to relevance and utility.•These factors positively related to quit efficacy and perceived cost of relapse.