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Chunk #2 — Overview of the RP Model — Immediate Determinants of Relapse — High-Risk Situations

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Relapse prevention. An overview of Marlatt's cognitive-behavioral model.
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A central concept of the RP model postulates that high-risk situations frequently serve as the immediate precipitators of initial alcohol use after abstinence (see figure 1). According to the model, a person who has initiated a behavior change, such as alcohol abstinence, should begin experiencing increased self-efficacy or mastery over his or her behavior, which should grow as he or she continues to maintain the change. Certain situations or events, however, can pose a threat to the person’s sense of control and, consequently, precipitate a relapse crisis. Based on research on precipitants of relapse in alcoholics who had received inpatient treatment, Marlatt (1996) categorized the emotional, environmental, and interpersonal characteristics of relapse-inducing situations described by study participants. According to this taxonomy, several types of situations can play a role in relapse episodes, as follows: