What Is AVE? 12-Step, Shame & Recovery | Podcast EP.4 Student Series
One return to use. A label. The feeling that you've ruined everything. Does a recovery framework help you move forward, or become the whole story you tell about yourself? I'm Charles D. Johnston, co-founder of Nekawa. In Podcast EP.4 of our Student Series, DJ and I sit down on our Atlantic rainforest campus in Paraty, Brazil, to talk about 12-step, shame and the abstinence violation effect, or AVE. DJ reflects on being taken to a 12-step meeting at 16, the identity he carried afterward, and what began to change when he stopped running from his own story. 1. What happens after a lapse? We discuss the all-or-nothing response: "I've crossed the line, so I might as well keep going." The question is what happens next. Can you reach out, face what happened and take a different step without turning one event into your whole identity? 2. Who defines what's in your mind? We question the labels you inherit and the boundaries they can create. A 12-step path may have a place in your life. That doesn't mean it has to decide who you are or close every other question. DJ describes how shame shaped his experience, and why he began telling a different story about himself. 3. Agency comes with responsibility. DJ talks about integrating his past, sharing his story and no longer feeling powerless. We explore what it means to be able to respond, to choose, and to support someone without making shame the starting point. If you've lived this, where do you agree or disagree? Tell us what you would ask DJ. Send this conversation to someone you want to talk with, not someone you want to label. Watch Podcast EP.4 on the Nekawa YouTube channel: https://youtu.be/AGvkAVBpgFA This conversation presents personal experiences and viewpoints. AVE is not unique to 12-step, and a lapse does not inevitably lead to sustained recurrence. Research supports AA/Twelve-Step Facilitation for alcohol use disorder, including improved continuous abstinence in studied manualized programs (Hendershot et al., 2011; Kelly et al., 2020). Two factual clarifications: CDC's May 2025 release estimated 80,391 total overdose deaths in 2024, including 54,743 involving opioids. These are historical provisional figures. The Rat Park studies discussed used oral morphine solutions and housing comparisons, rather than the exact heroin/cocaine experiment described (Hadaway et al., 1979; National Center for Health Statistics, 2025). Support does not make opioid use safe. Suspected overdose requires emergency help and naloxone when available. Educational discussion and personal experience, not individual medical advice. Nekawa is a wellness education and hospitality program; independent licensed physicians provide medical care. REFERENCES Hendershot, C. S., Witkiewitz, K., George, W. H., & Marlatt, G. A. (2011). Relapse prevention for addictive behaviors. Substance Abuse Treatment, Prevention, and Policy, 6, Article 17. https://doi.org/10.1186/1747-597X-6-17 Kelly, J. F., Humphreys, K., & Ferri, M. (2020). Alcoholics Anonymous and other 12-step programs for alcohol use disorder. Cochrane Database of Systematic Reviews, (3), CD012880. https://doi.org/10.1002/14651858.CD012880.pub2 Hadaway, P. F., Alexander, B. K., Coambs, R. B., & Beyerstein, B. (1979). The effect of housing and gender on preference for morphine-sucrose solutions in rats. Psychopharmacology, 66(1), 87–91. https://doi.org/10.1007/BF00431995 National Center for Health Statistics. (2025, May 14). U.S. overdose deaths decrease almost 27% in 2024. https://www.cdc.gov/nchs/pressroom/releases/20250514.html