Relapse Prevention for Alcohol and Drug Problems: That Was Zen, This Is Tao

Relapse prevention, based on the cognitive-behavioral model of relapse, has become an adjunct to the treatment of numerous psychological problems, including (but not limited to) substance abuse, depression, sexual offending, and schizophrenia. This article provides an overview of the efficacy and ef...

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Bibliographic Details
Published in:The American psychologist 2004-05, Vol.59 (4), p.224-235
Main Authors: Witkiewitz, Katie, Alan Marlatt, G
Format: Article
Language:English
Subjects:
Addiction
Alcohol Abuse
Alcoholism
Alcoholism - rehabilitation
Behavior Theories
Cognition
Cognitive Behavior Therapy
Cognitive behaviour therapy
Cognitive models
Cognitive Psychology
Cognitive Therapy - methods
Context Effect
Drug Abuse
Drug Addiction
Drugs
Human
Human behaviour
Humans
Models, Psychological
Prevention
Psychology
Recurrence
Relapse
Relapse Prevention
Risk
Substance abuse treatment
Substance abusers
Substance Use Treatment
Substance-Related Disorders - rehabilitation
Treatment
Treatment Outcomes
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Summary:Relapse prevention, based on the cognitive-behavioral model of relapse, has become an adjunct to the treatment of numerous psychological problems, including (but not limited to) substance abuse, depression, sexual offending, and schizophrenia. This article provides an overview of the efficacy and effectiveness of relapse prevention in the treatment of addictive disorders, an update on recent empirical support for the elements of the cognitive-behavioral model of relapse, and a review of the criticisms of relapse prevention. In response to the criticisms, a reconceptualized cognitive-behavioral model of relapse that focuses on the dynamic interactions between multiple risk factors and situational determinants is proposed. Empirical support for this reconceptualization of relapse, the future of relapse prevention, and the limitations of the new model are discussed.
ISSN:0003-066X
1935-990X
DOI:10.1037/0003-066X.59.4.224