In "House of the Rising Sun," author James Lee Burke explores the profound guilt and regret that accompanies alcoholism. The quote, "Every drunkard has many moments of shame that live like carpet tacks in his memory," poignantly illustrates how those affected by drinking often replay their humiliating experiences. This imagery emphasizes the long-lasting emotional scars that result from their actions, likening them to painful reminders that can’t be easily forgotten.

Burke delves into the struggles of individuals grappling with addiction, showing how these moments of shame shape their identities and influence their relationships. The narrative reflects on the duality of the drunkard's existence—seeking solace in alcohol while simultaneously being haunted by the consequences of their behavior. Ultimately, the book provides a deep examination of the consequences of addiction, highlighting the personal battles faced by those caught in its grasp.