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Chunk #15 — Developments in Relapse Prevention: 2000-2010 — The reformulated cognitive-behavioral model of relapse

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Relapse prevention for addictive behaviors.
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variables that could influence relapse liability a priori. Tonic processes also include cognitive factors that show relative stability over time, such as drug-related outcome expectancies, global self-efficacy, and personal beliefs about abstinence or relapse. Whereas tonic processes may dictate initial susceptibility to relapse, its occurrence is determined largely by phasic responses--proximal or transient factors that serve to actuate (or prevent) a lapse. Phasic responses include cognitive and affective processes that can fluctuate across time and contexts--such as urges/cravings, mood, or transient changes in outcome expectancies, self-efficacy, or motivation. Additionally, momentary coping responses can serve as phasic events that may determine whether a high-risk situation culminates in a lapse. Substance use and its immediate consequences (e.g., impaired decision-making, the AVE) are additional phasic processes that are set into motion once a lapse occurs. Thus, whereas tonic processes can determine who is vulnerable for relapse, phasic processes determine when relapse occurs [8,31].