Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors

Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors

Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors

Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors

Synopsis

Thoroughly revised and updated, the second edition of this important clinical resource and text reflects two decades' worth of advances in research and practice. Provided is an empirically supported framework for helping people with addictive behavior problems develop the skills to maintain their treatment goals - even in high-risk situations - and deal effectively with setbacks that occur. Refining and elaborating the editors' original model, the expert contributors draw on the latest knowledge about specific addictive disorders and the process of change. Extensively rewritten chapters on alcohol, tobacco, and eating disorders have been augmented with new coverage of stimulants, opiates, cannabis, "club drugs," gambling problems, risky sexual practices, and sexual offending. Another important new chapter addresses cultural issues in relapse prevention with diverse clients.

Excerpt

In the two decades since the first edition of this book was published in 1985, much has happened in the relapse prevention field. Many of these new developments and areas of application are described in this new edition. In the opening paragraph of the first edition, we stated that “Relapse Prevention (RP) is a self-management program designed to enhance the maintenance stage of the habit-change process. The goal of RP is to teach individuals who are trying to change their behavior how to anticipate and cope with the problem of relapse. In a very general sense, relapse refers to a breakdown or setback in a person's attempt to change or modify any target behavior.” This definition of RP still applies and is consistent with the book's subtitle, “Maintenance Strategies in the Treatment of Addictive Behaviors.” As can be seen in the contents of this edition, the range of application has expanded beyond substance use problems to include disorders associated with eating, gambling, and high-risk sexual behavior. Broadly conceived, RP is a cognitive-behavioral treatment (CBT) with a focus on the maintenance stage of addictive behavior change that has two main goals: to prevent the occurrence of initial lapses after a commitment to change has been made, and to prevent any lapse that does occur from escalating into a full-blown relapse (relapse management).

This new edition differs from the original 1985 volume in several important ways. The first edition consisted of two main sections: Part I, which provided a general theoretical overview of the RP model (Chapters 1 to 5), including coverage of high-risk situations for relapse, cognitive and behavioral coping skills, and lifestyle modification; and Part II, which contained four chapters describing application of RP with specific target behaviors (alcoholism, problem drinking, smoking, and weight management). The current edition contains chapters that extend the coverage of this approach to other addictive behaviors. The first chapter is designed to . . .

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