Relapse prevention - Article: Larimer: relapse prevention (marlatt's cognitive-behavioral model)
3 important questions on Relapse prevention - Article: Larimer: relapse prevention (marlatt's cognitive-behavioral model)
What is the RP model by Marlatt and gordon
- It has immediate determinants (high-risk situation, coping skills, outcome expectancies, abstinence violation effect)
- Covert antecedents (lifestyle factors, urges and cravings)
- Based on social cognitive theory
Immediate risk situations
- High risk situations
- Emotional state (positive/negative)
- Social pressure
- Coping skills
- Low self-efficacy
- Outcome expectancies
- Expect positive outcome when doing negative behavior
- Abstinence violation effect
- One lapse indicator of relapse
- Look at drinker's emotional response to initial lapse
Some interventions for relapse/lapse
- Identifying and coping w/ high-risk situations
- Enhancing self-efficacy
- Eliminating myths and placebo effects
- Lapse management
- Cognitive restructuring
- Global lifestyle self-control strategies
- Balanced lifestyle and positive addiction
- Stimulus-control techniques
- Urge-management techniques
- Relapse road maps
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