Relaspe Prevention - PowerPoint PPT Presentation

1 / 20
About This Presentation
Title:

Relaspe Prevention

Description:

Relaspe Prevention Heading for a relaspe? Relaspe Prevention: What is it? Living strategies that: prevent an initial relapse and maintain abstinence or harm reduction ... – PowerPoint PPT presentation

Number of Views:302
Avg rating:3.0/5.0
Slides: 21
Provided by: Solowoni
Category:

less

Transcript and Presenter's Notes

Title: Relaspe Prevention


1
Relaspe Prevention
2
Heading for a relaspe?
3
Relaspe Prevention What is it?
  • Living strategies that
  • prevent an initial relapse and maintain
    abstinence or harm reduction treatment goals
  • providing lapse management if a lapse occurs to
    prevent further relaspe

4
Unfortunately or Fortunately
  • Relaspe is common in addiction, but there is
    seemingly two paths that relaspe most commonly
    takes
  • Lapse leads back to full blown addiction, or
  • Lapse can lead us back to getting on track - we
    learn something from the slip so to speak

5
Two Components to AVE
  • Affective and Cognitive
  • Affective is brought about between the
    discrepancy between ones prior identity as the
    abstainer and ones present behavior
  • Cognitive if the individual attributes factors
    of the laspe due to internal, global, and
    uncontrollable factors relaspe risk is
    heightened. On the other hand, if we view our
    lapse as external, unstable, and controllable it
    is more likely that the lapse will not lead to to
    full blown relaspe

6
Abstinence Violation Effect (AVE)
  • Consequence of using brings about feelings of
  • Self-blame
  • Guilt
  • Loss of perceived control of personal rules /
    values

7
(No Transcript)
8
Cognitive-Behavioural Model of Relaspe
9
Intra-personal Determinants
  • Self-efficacy - degree to which I feel confident
    and capable of preforming a certain behavior in a
    particular context
  • Research has shown that having a higher
    self-efficacy is related to greater days of
    abstinence
  • Also has be shown to be predictive of time to
    first drink and time to relaspe with 12 months

10
Outcome Expectancies
  • The effect that I expect will occur when I use
    (physical, psychological, or behavioural)
  • Research has shown that the more positive I
    perceive my using to help me with the 3 ps, the
    more likely I am to relaspe (Connors, Tarbox,
    Faillace, 1993).
  • However, other research has downplayed the degree
    to which this happens...
  • While other studies have revealed that targeting
    positive expectancy (with alcohol) during
    treatment does not necessarily lead to changes in
    alcohol consumption post-treatment (Jones, 2001).

11
(No Transcript)
12
Coping
  • According to Marlatt and Witkiewitz(2005) coping
    is the most critical predictor or relaspe
  • Coping involves both cognitive and behavioural
    components
  • We deal with both stressors and temptations
  • Research by Chung (2001) has found that cognitive
    avoidance coping (not thinking about stressor or
    accepting stressor) predicted fewer problems with
    alcohol, interpersonal problems, and
    psychological problems following 12 months
    post-treatment

13
Emotional States
  • In Marlatts original work emotional states was
    the strongest predicator of alcoholic male
    relapse
  • Especially negative emotional states

14
Craving
  • According to Marlatt and Witkiewitz(2005) coping
    is the most widely studied, but misunderstood
    concept in the addictions field
  • Craving is both the physical and psychological
    and is has been married to the notion of loss of
    control
  • Research has disconfirmed loss of control
    hypothesis

15
Craving (cont.)
  • Research has also shown that there is a lack of
    strong association between subjective reports of
    craving and relaspe.
  • However, the correlates and underlying mechanisms
    of craving may still predict relaspe
  • Thus Marlatt et al. 1999 distinguish between an
    urge to use from that of a subjective desire to
    use (which is closer to what they understand as
    craving)

16
Inter-personal
  • Social Support
  • Positive social support and social network is
    highly predictive of long-term abstinence rates
  • Meanwhile negative social support (interpersonal
    conflict, social pressure to use,
    anti-personality traits / cue exposure) is an
    increase risk for relaspe
  • Functional support (spouse sharing in goals)
    appears to predict best outcomes following
    treatment at both 3months and 15 months

17
Toward the Future Linear to Dynamic and
Multidimensional Models
  • Need for greater understanding

18
What are we learning?
19
(No Transcript)
20
(No Transcript)
Write a Comment
User Comments (0)
About PowerShow.com