Towards a typology of relapse: A preliminary report
Abstract
This paper outlines an empirical investigation into alcoholic relapse. The model underlying this work hypothesized that relapse in alcoholics is an interaction between (1) situations seen as dangerous in precipitating relapse, (2) the behaviours available within the individuals' repertoire to cope with these situations, (3) the perceived effectiveness of these "coping" behaviours and (4) the degree of alcohol dependence. The results of a "principal components" analysis indicated that "dangerous situations" or relapse precipitants could be categorized as (1) an unpleasant affect, (2) external events and euphoric feelings, (3) social anxiety and (4) lessened cognitive vigilance. Except for "external events", these relapse precipitants seemed to be associated with certain styles of coping, with varying degrees of effectiveness. The therapeutic implications of these findings are discussed in the context of designing treatment regimes geared towards more effective coping behaviours given specific types of situations.
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Litman and colleagues' survey of alcoholics derived four primary high-risk situations through factor analysis: negative mood states, external situations previously associated with drinking, social-interpersonal anxiety, and decreased cognitive vigilance with rationalizations.
“In this study, Litman's group conducted a survey of alcoholics to assess those situations which were most likely to precipitate relapse; four primary high-risk situations were derived through factor analysis. These included negative mood states such as depression and anxiety, external situations previously associated with drinking, social± interpersonal anxiety and decreased cognitive vigilance”
From Taxonomy of high‐risk situations for alcohol relapse: evolution and development of a (1996) · cites this paper as Litman et al., 1977
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Taxonomy of high‐risk situations for alcohol relapse: evolution and development of a
Marlatt, G. A. (1996) · Addiction · doi:10.1046/j.1360-0443.91.12s1.15.x · Cited by 95 · see citing works
- Authors
- Litman, G. K., Eiser, J. R., Rawson, N. S. B., & Oppenheim, A. N.
- Affiliations
- Maudsley Hospital (GB)
- ORCID
- Rawson, Nigel S.B.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 1977-05
- Volume
- 2
- Issue
- 3
- Pages
- 157-162
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W2039328891
- Cited by
- 76
- References
- 0
- Citations by year
- 2023: 1 · 2020: 1 · 2017: 1 · 2015: 1 · 2012: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- alcohol relapse, coping behaviour, alcoholism, social anxiety, cognitive vigilance, euphoria, alcoholism treatment
- MeSH terms
- Alcoholism, Behavior, Cognition, Emotions, Humans, Models, Psychological, Rationalization, Recurrence
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