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Chunk #8 — Overview of the RP Model — Covert Antecedents of High-Risk Situations

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Relapse prevention. An overview of Marlatt's cognitive-behavioral model.
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In many cases, initial lapses occur in high-risk situations that are completely unexpected and for which the drinker is often unprepared. In relapse “set ups,” however, it may be possible to identify a series of covert decisions or choices, each of them seemingly inconsequential, which in combination set the person up for situations with overwhelmingly high risk. These choices have been termed “apparently irrelevant decisions” (AIDs), because they may not be overtly recognized as related to relapse but nevertheless help move the person closer to the brink of relapse. One example of such an AID is the decision by an abstinent drinker to purchase a bottle of liquor “just in case guests stop by.” Marlatt and Gordon (1985) have hypothesized that such decisions may enable a person to experience the immediate positive effects of drinking while disavowing personal responsibility for the lapse episode (“How could anyone expect me not to drink when there’s a bottle of liquor in the house?”).