Nonverbal Displays of Shame Predict Relapse and Declining Health in Recovering Alcoholics

Abstract

Public shaming has long been thought to promote positive behavioral change. However, studies suggest that shame may be a detrimental response to problematic behavior because it motivates hiding, escape, and general avoidance of the problem. We tested whether shame about one’s past addictive drinking (measured via nonverbal displays and self-report) predicts future drinking behaviors and changes in health among newly recovering alcoholics (i.e., sober < 6.5 months; N = 105; Wave 2, n = 46), recruited from Alcoholics Anonymous meetings. Results showed that nonverbal behavioral displays of shame expressed while discussing past drinking strongly predicted (a) the tendency to relapse over the next 3 to 11 months, (b) the severity of that relapse, and (c) declines in health. All results held controlling for a range of potential confounders (e.g., alcohol dependence, health, personality). These findings suggest that shame about one’s problematic past may increase, rather than decrease, future occurrences of problem behaviors.