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Chunk #10 — Overview of the RP Model — Covert Antecedents of High-Risk Situations — Urges and Cravings

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Relapse prevention. An overview of Marlatt's cognitive-behavioral model.
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The desire for immediate gratification can take many forms, and some people may experience it as a craving or urge to use alcohol. Although many researchers and clinicians consider urges and cravings primarily physiological states, the RP model proposes that both urges and cravings are precipitated by psychological or environmental stimuli. Ongoing cravings, in turn, may erode the client’s commitment to maintaining abstinence as his or her desire for immediate gratification increases. This process may lead to a relapse setup or increase the client’s vulnerability to unanticipated high-risk situations.