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Relapse prevention (RP) is a cognitive-behavioral approach to relapse with the goal of identifying and preventing high-risk situations such as unhealthy substance use, obsessive-compulsive behavior, sexual offending, obesity, and depression. [1] It is an important component in the treatment process for alcohol use disorder, or alcohol dependence.
Relapse treatment is somewhat of a misnomer because relapse itself is a treatment failure; however there exist three main approaches that are currently used to reduce the likelihood of drug relapse. These include pharmacotherapy , cognitive behavioral techniques , and contingency management .
An influential cognitive-behavioral approach to addiction recovery and therapy has been Alan Marlatt's (1985) Relapse Prevention approach. [62] Marlatt describes four psycho-social processes relevant to the addiction and relapse processes: self-efficacy, outcome expectancy, attributions of causality, and decision-making processes. Self-efficacy ...
Anne Fletcher, the author of Inside Rehab, a thorough study of the U.S. addiction treatment industry published in 2013, recalled rehabilitation centers derisively diagnosing addicts who were reluctant to go along with the program as having a case of “terminal uniqueness.” It became so ingrained that residents began to criticize themselves ...
Termination/relapse prevention: Recognizing that relapse is a common part of the change process, this stage focuses on identifying and addressing factors that may lead to a return to old behaviors. Relapse is viewed as an opportunity for learning and strategy adjustment, with the ultimate goal of eliminating or terminating the targeted behavior.
About 11% of Americans with substance use disorder seek treatment, and 40–60% of those people relapse within a year. [49] Treatments usually involve planning for specific ways to avoid the addictive stimulus, and therapeutic interventions intended to help a client learn healthier ways to find satisfaction.
This is somewhat supported by a study which found that a greater belief in the disease theory of alcoholism and higher commitment to total abstinence to be factors correlated with increased likelihood that an alcoholic would have a full-blown relapse (substantial continued use) following an initial lapse (single use). [72]
The lapse: Sometimes I completely blank on a word when I’m trying to tell a story. Call it a “brain glitch” — and know that it happens to everyone. The word is still in your head, but ...
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