"Addiction Treatment and Shame. As addiction is a
complex disease with a chronic, relapsing course, the
healing approach for addiction should be based on caring
rather than curing. Shame-based, traumatized addicts
need care, while at the same time they must be held
accountable for whatever physical, emotional, or spiritual
damage they may have caused. The components of
effective treatment include detoxification, re-humanization
therapy, 12-step recovery groups, and monitoring of
recovery and relapse over a five-year period. Although
treatment of shame-based disorders can be considered
from a number of different perspectives, the 12-step
approach (such as Alcoholics Anonymous) is a highly
effective shame-reduction modality for alcoholics and
other addicts."
http://www.albertafamilywellness.org/assets/Resources/RFA-Summary-Report-Final.pdf