Relapse prevention - An overview of Marlatt's cognitive-behavioral model

Citation
Me. Larimer et al., Relapse prevention - An overview of Marlatt's cognitive-behavioral model, ALCOHOL R H, 23(2), 1999, pp. 151-160
Citations number
28
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Public Health & Health Care Science
Journal title
ALCOHOL RESEARCH & HEALTH
ISSN journal
1535-7414 → ACNP
Volume
23
Issue
2
Year of publication
1999
Pages
151 - 160
Database
ISI
SICI code
Abstract
Relapse prevention (RP) is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate de terminants (e.g., high-risk situations, coping skills, outcome expectancies , and the abstinence violation effect) and covert antecedents (e.g., lifest yle factors and urges and cravings) can contribute to relapse. The RP model also incorporates numerous specific and global intervention strategies tha t allow therapist and client to address each step of the relapse process. S pecific interventions include identifying specific high-risk situations for each client and enhancing the client's skills for coping with those situat ions, increasing the client's self-efficacy, eliminating myths regarding al cohol's effects, managing lapses, and restructuring the client's perception s of the relapse process. Global strategies comprise balancing the client's lifestyle and helping him or her develop positive addictions, employing st imulus control techniques and urge-management techniques, and developing re lapse road maps. Several studies have provided theoretical and practical su pport for the RP model.