Relapse Prevention: A Model for Psychosis?
Abstract
Abstract Evidence suggests that there are substantial costs (in a variety of spheres: personal, social, financial, etc.) associated with psychotic relapse. Furthermore, relapse increases the likelihood of future relapses and increased costs. This paper explores the application of a model of relapse prevention (RP) outlined by Marlatt and Gordon (1985) to the field of psychosis. The original model was designed to help individuals who abuse substances to maintain control over their habit. The advantages and limitations of applying the original model to the prevention of psychotic relapse are explored in detail in the context of an amended model. One major advantage of the RP model is that it provides a framework for the coordination of treatment interventions. The complex intervention packages, which may be useful in the management of psychotic illnesses, are described. The RP framework may be used to coordinate treatments in a manner that maximises their potential and emphasises patient control.
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Cravings, anxiety, depression, anger, and other negative effects are among the primary predictors of relapse in SUDs.
“Cravings, anxiety, depression, anger, and other negative effects are among the primary predictors of relapse (3).”
From A mindfulness-based intervention for Substance Use Disorder in a Brazilian vulnerable population: a feasibility mixed method study (2024) · cites this paper as [3]
Cites
Vulnerability: A new view of schizophrenia.
Zubin, J., & Spring, B. J. (1977) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.86.2.103 · Cited by 1,999 · see citing works
Vulnerability: A new view of schizophrenia.
Zubin, J., & Spring, B. J. (1977) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.86.2.103 · Cited by 1,941 · see citing works
The Influence of Family and Social Factors on the Course of Psychiatric Illness
Vaughn, C. E., & Leff, J. (1976) · The British Journal of Psychiatry · doi:10.1192/bjp.129.2.125 · Cited by 1,665 · see citing works
Chadwick, P., & Birchwood, M. J. (1994) · The British Journal of Psychiatry · doi:10.1192/bjp.164.2.190 · Cited by 807 · see citing works
PSYCHOLOGICAL RESPONSE TO BREAST CANCER: EFFECT ON OUTCOME
Greer, S., Morris, T., & Pettingale, K. W. (1979) · The Lancet · doi:10.1016/s0140-6736(79)92127-5 · Cited by 774 · see citing works
Compliance therapy in psychotic patients: randomised controlled trial
Kemp, R., Hayward, P., Applewhaite, G., Everitt, B. J., & David, A. S. (1996) · BMJ · doi:10.1136/bmj.312.7027.345 · Cited by 633 · see citing works
Sense of self in recovery from severe mental illness
Davidson, L., & Strauss, J. S. (1992) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1992.tb01693.x · Cited by 557 · see citing works
Recent Developments in Expressed Emotion and Schizophrenia
Kavanagh, D. J. (1992) · The British Journal of Psychiatry · doi:10.1192/bjp.160.5.601 · Cited by 555 · see citing works
Awareness of Illness in Schizophrenia
AMADOR, X. F., Strauss, D. H., Yale, S. A., & Gorman, J. M. (1991) · Schizophrenia Bulletin · doi:10.1093/schbul/17.1.113 · Cited by 544 · see citing works
The International Pilot Study of Schizophrenia
Sartorius, N., Shapiro, R., & Jablensky, A. V. (1974) · Schizophrenia Bulletin · doi:10.1093/schbul/1.11.21 · Cited by 541 · see citing works
Tarrier, N., Beckett, R., Harwood, S., Baker, A. L., Yusupoff, L., & Ugarteburu, I. (1993) · British Journal of Psychiatry · doi:10.1192/bjp.162.4.524 · Cited by 471 · see citing works
The Community Management of Schizophrenia
Tarrier, N., Barrowclough, C., Vaughn, C. E., Bamrah, J., Porceddu, K., Watts, S., & Freeman, H. L. (1988) · The British Journal of Psychiatry · doi:10.1192/bjp.153.4.532 · Cited by 465 · see citing works
Herz, M. I., & Melville, C. (1980) · American Journal of Psychiatry · doi:10.1176/ajp.137.7.801 · Cited by 456 · see citing works
Self, Identity, and Subjective Experiences of Schizophrenia: In Search of the Subject
Estroff, S. E. (1989) · Schizophrenia Bulletin · doi:10.1093/schbul/15.2.189 · Cited by 429 · see citing works
Birchwood, M. J., Mason, R., MacMillan, F., & Healy, J. (1993) · Psychological Medicine · doi:10.1017/s0033291700028488 · Cited by 354 · see citing works
Birchwood, M., Smith, J., Macmillan, F., Hogg, B., Prasad, R., Harvey, C., & Bering, S. (1989) · Psychological Medicine · doi:10.1017/s0033291700024247 · Cited by 334 · see citing works
Leigh, D. (1963) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(63)90041-2 · Cited by 327 · see citing works
Intensive versus standard case management for severe psychotic illness: a randomised trial
Burns, T., Creed, F. H., Fahy, T., Thompson, S. G., & Tyrer, P. J. (1999) · The Lancet · doi:10.1016/s0140-6736(98)12191-8 · Cited by 321 · see citing works
Training schizophrenics to talk to themselves: A means of developing attentional controls
Meichenbaum, D. H., & Cameron, R. (1973) · Behavior Therapy · doi:10.1016/s0005-7894(73)80003-6 · Cited by 247 · see citing works
McGorry, P. D., Chanen, A. M., McCarthy, E. A., RIEL, R. V., McKenzie, D. P., & SINGH, B. S. (1991) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199105000-00002 · Cited by 246 · see citing works
Bentall, R. P., & Kaney, S. (1989) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1989.tb02845.x · Cited by 237 · see citing works
Diagnosis of Secondary Depression in Schizophrenia: Implications for DSM-IV
Siris, S. G. (1991) · Schizophrenia Bulletin · doi:10.1093/schbul/17.1.75 · Cited by 219 · see citing works
Hogarty, G., Mcevoy, J., Munetz, M., DiBarry, A. L., Bartone, P., Cather, R., Cooley, S., Ulrich, R., Carter, M., & Madonia, M. J. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800330021002 · Cited by 218 · see citing works
Self-control in Psychotic Disorders
Breier, A. F. (1983) · Archives of General Psychiatry · doi:10.1001/archpsyc.1983.01790090103016 · Cited by 204 · see citing works
The international pilot study of schizophrenia
Bhanji, S. (1974) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(74)90042-7 · Cited by 199 · see citing works
Measurement and modification of delusional beliefs.
Chadwick, P., & Lowe, C. F. (1990) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.58.2.225 · Cited by 196 · see citing works
Measurement and modification of delusional beliefs.
Chadwick, P., & Lowe, C. F. (1990) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.58.2.225 · Cited by 186 · see citing works
The Defensive Function of Persecutory Delusions
Lyon, H. M., Kaney, S., & Bentall, R. P. (1994) · The British Journal of Psychiatry · doi:10.1192/bjp.164.5.637 · Cited by 181 · see citing works
Jolley, A., Hirsch, S. R., Morrison, E., McRink, A., & Wilson, A. (1990) · BMJ · doi:10.1136/bmj.301.6756.837 · Cited by 171 · see citing works
"Does Being in Here Mean There Is Something Wrong With Me?"
Lally, S. J. (1989) · Schizophrenia Bulletin · doi:10.1093/schbul/15.2.253 · Cited by 166 · see citing works
Acceptance of the mental illness label by psychotic patients: Effects on functioning.
Warner, R., Taylor, D. O., Powers, M., & Hyman, J. (1989) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.1989.tb01675.x · Cited by 161 · see citing works
Paranoia and social reasoning: An attribution theory analysis
Bentall, R. P., Kaney, S., & Dewey, M. E. (1991) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1991.tb00915.x · Cited by 148 · see citing works
Medication Compliance and Health Education Among Outpatients With Chronic Mental Disorders
Kelly, G. R., & Scott, J. E. (1990) · Medical Care · doi:10.1097/00005650-199012000-00006 · Cited by 139 · see citing works
Prodromal signs and symptoms of schizophrenic relapse.
Subotnik, K. L., & Nuechterlein, K. H. (1988) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.97.4.405 · Cited by 136 · see citing works
Mental illness and the impact of believing others know about it.
Farina, A., Gliha, D., Bourdreau, L. A., Ale, J. G., & Sherman, M. (1971) · Journal of Abnormal Psychology · doi:10.1037/h0030496 · Cited by 129 · see citing works
Is paranoid schizophrenia really camouflaged depression?
Zigler, E., & Glick, M. (1988) · American Psychologist · doi:10.1037/0003-066x.43.4.284 · Cited by 123 · see citing works
Coping Strategy Enhancement (CSE): A Method of Treating Residual Schizophrenic Symptoms
Tarrier, N., Harwood, S., Yusopoff, L., Beckett, R., & Baker, A. (1990) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s0141347300010387 · Cited by 123 · see citing works
Johnson, D. A. W., Ludlow, J. M., Street, K., & Taylor, R. D. W. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.151.5.634 · Cited by 108 · see citing works
The Dysphoric Syndrome in Schizophrenia and its Implications for Relapse
Hirsch, S. R., & Jolley, A. (1989) · The British Journal of Psychiatry · doi:10.1192/s0007125000295986 · Cited by 103 · see citing works
An Assessment of the Educational Needs of Chronic Psychiatric Patients and their Relatives
Mueser, K. T., Bellack, A. S., Wade, J. H., Sayers, S. L., & Rosenthal, C. K. (1992) · The British Journal of Psychiatry · doi:10.1192/bjp.160.5.674 · Cited by 102 · see citing works
Early Neuroleptic Intervention in Schizophrenia: Are Prodromal Symptoms Valid Predictors of Relapse?
Gäebel, W., Frick, U., Köpcke, W., Linden, M., Müller, P., Müller-Spahn, F., Pietzcker, A., & Tegeler, J. (1993) · The British Journal of Psychiatry · doi:10.1192/s0007125000292416 · Cited by 100 · see citing works
Does attitude toward psychosis relate to outcome?
McGlashan, T. H., & Carpenter, W. T. (1981) · American Journal of Psychiatry · doi:10.1176/ajp.138.6.797 · Cited by 94 · see citing works
The effects of systematic desensitisation on auditory hallucinations
Slade, P. D. (1972) · Behaviour Research and Therapy · doi:10.1016/0005-7967(72)90013-7 · Cited by 91 · see citing works
I. Course of Illness, Stability of Diagnosis, and the Role of a Special Maintenance Clinic
Curson, D. A., Barnes, T. R. E., Bamber, R. W., Piatt, S. D., Hirsch, S. R., & Duffy, J. C. (1985) · The British Journal of Psychiatry · doi:10.1192/bjp.146.5.464 · Cited by 91 · see citing works
Brown, C., Wright, R. G., & Christensen, D. B. (1987) · Psychiatric Services · doi:10.1176/ps.38.1.55 · Cited by 88 · see citing works
Persecutory delusions and recall of threatening propositions
Kaney, S., Wolfenden, M., Dewey, M. E., & Bentall, R. P. (1992) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1992.tb00971.x · Cited by 87 · see citing works
Insight and psychosis: a social perspective
Johnson, S., & Orrell, M. W. (1995) · Psychological Medicine · doi:10.1017/s0033291700033432 · Cited by 83 · see citing works
III. Short-term Outcome in Trial Entrants and Trial Eligible Patients
Macmillan, J. F., Crow, T. J., Johnson, A. L., & Johnstone, E. C. (1986) · The British Journal of Psychiatry · doi:10.1192/bjp.148.2.128 · Cited by 82 · see citing works
Maladaptive denial of physical illness: a proposal for DSM-IV
Strauss, D. H., Spitzer, R. L., & Muskin, P. R. (1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.9.1168 · Cited by 76 · see citing works
Persecutory Delusions and the Self-Serving Bias: Evidence from a Contingency Judgment Task
Kaney, S., & Bentall, R. P. (1992) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199212000-00006 · Cited by 74 · see citing works
Some consequences of changing people's views regarding the nature of mental illness.
Farina, A., Fisher, J. D., Getter, H., & Fischer, E. H. (1978) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.87.2.272 · Cited by 73 · see citing works
Early Intervention in Psychotic Relapse: Cognitive Approaches to Detection and Management
Birchwood, M. J. (1995) · Behaviour Change · doi:10.1017/s0813483900004344 · Cited by 63 · see citing works
Denial and affirmation in illness and health
Beisser, A. R. (1979) · American Journal of Psychiatry · doi:10.1176/ajp.136.8.1026 · Cited by 59 · see citing works
Denial and Minimization Among Sex Offenders: A Review of Competing Models of Deception
Rogers, R. L., & DICKEY, R. W. (1991) · Sexual Abuse · doi:10.1177/107906329100400103 · Cited by 58 · see citing works
Consequences of beliefs about the nature of mental disorders.
Fisher, J. D., & Farina, A. (1979) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.88.3.320 · Cited by 57 · see citing works
Psychological Precursors of Panic Attacks
Kenardy, J. A., Fried, L., KRAEMER, H. C., & Taylor, C. B. (1992) · The British Journal of Psychiatry · doi:10.1192/bjp.160.5.668 · Cited by 55 · see citing works
Integrative and Sealing-Over Recoveries from Schizophrenia: Distinguishing Case Studies
McGlashan, T. H., Docherty, J. P., & Siris, S. G. (1976) · Psychiatry · doi:10.1080/00332747.1976.11023903 · Cited by 53 · see citing works
Some consequences of changing people's views regarding the nature of mental illness.
Farina, A., Fisher, J. D., Getter, H., et al. (1978) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.87.2.272 · Cited by 49 · see citing works
Denial and minimization among sex offenders
Rogers, R., & Dickey, R. (1991) · Sexual Abuse · doi:10.1007/bf00850139 · Cited by 48 · see citing works
Consequences of beliefs about the nature of mental disorders.
Fisher, J. D., & Farina, A. (1979) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.88.3.320 · Cited by 46 · see citing works
Davey, G. C. L. (1993) · Personality and Individual Differences · doi:10.1016/0191-8869(93)90146-t · Cited by 45 · see citing works
Treatment outcome of first episode schizophrenia.
Lieberman, J. A., Jody, D. N., Geisler, S., Vital-Herne, J., Alvir, J., Walsleben, J. A., & Woerner, M. G. (1989) · PubMed · Cited by 44 · see citing works
Innovations in the psychological management of schizophrenia : assessment, treatment and services
Birchwood, M. J., & Tarrier, N. (1992) · Medical Entomology and Zoology · Cited by 44 · see citing works
Perkins, R. E., & Moodley, P. (1993) · Psychiatric Bulletin · doi:10.1192/pb.17.4.233 · Cited by 41 · see citing works
Marder, S. R., Mintz, J., Putten, T. V., Lebell, M. B., Wirshing, W. C., & Johnston-Cronk, K. (1991) · PubMed · Cited by 40 · see citing works
Compliance with antipsychotic medication: From theory to practice
Hughes, I., Hill, B., & Budd, R. (1997) · Journal of Mental Health · doi:10.1080/09638239718572 · Cited by 37 · see citing works
Psychiatric patient denial of mental illness as a normal process
O'Mahony, P. D. (1982) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1982.tb01489.x · Cited by 31 · see citing works
Unbearable Affect: A Guide to the Psychotherapy of Psychosis
Garfield, D. (2009) · Cited by 29 · see citing works
Modification of Auditory Hallucinations: Experimental Studies of Headphones and Earplugs
Morley, S. (1987) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s0141347300012325 · Cited by 25 · see citing works
On the pathogenesis of some impulsions.
Janet, P. F. M. (1906) · The Journal of Abnormal Psychology · doi:10.1037/h0069930 · Cited by 24 · see citing works
Psychological response to breast cancer: effect on outcome
Greer, S., Morris, T., & Pettingale, K. W. (1994) · Cambridge University Press eBooks · doi:10.1017/cbo9780511759048.030 · Cited by 22 · see citing works
Neuroleptic-like electroencephalographic changes in schizophrenics through biofeedback
Schneider, S. J., & Pope, A. (1982) · Applied Psychophysiology and Biofeedback · doi:10.1007/bf00998888 · Cited by 16 · see citing works
Teaching Self-Instructions to Chronic Schizophrenic Patients: Efficacy and Generalization
Bentall, R. P., Higson, P., & Lowe, C. F. (1987) · Behavioural Psychotherapy · doi:10.1017/s0141347300010636 · Cited by 16 · see citing works
Unbearable Affect: A Guide to the Psychotherapy of Psychosis
Geller, J. L. (1996) · Psychiatric Services · doi:10.1176/ps.47.5.541 · Cited by 15 · see citing works
A group‐based intervention for forensic patients recovering from psychosis
Beck‐Sander, A., Griffiths, A., & Friel, C. (1998) · Criminal Behaviour and Mental Health · doi:10.1002/cbm.246 · Cited by 7 · see citing works
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Foster, J., & Jumnoodoo, R. (2008) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2008.01265.x · Cited by 5 · see citing works
Comorbid severe Mental Health Problems and Substance Abuse in Forensic Populations
Beck, A., Burns, T., & Hunt, T. (2002) · doi:10.1002/9780470713846.ch17 · Cited by 4 · see citing works
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Wanigaratne, S. (2003) · The Drug and Alcohol Professional · doi:10.1108/17459265200300023 · Cited by 3 · see citing works
- Authors
- Beck-Sander, A.
- Venue
- Behaviour Change
- Publisher
- Cambridge University Press (CUP)
- Published
- 1999-09-01
- Volume
- 16
- Issue
- 3
- Pages
- 191-202
- ISSN
- 0813-4839 (ISSN-L)
- 2049-7768
- OpenAlex
- W1973726695
- Cited by
- 4
- References
- 72
- Citations by year
- 2024: 1
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Change (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- relapse prevention, psychosis, psychotic relapse, treatment coordination, patient control
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