Neuropsychiatric Insights in Clinical Practice: From Relapse Prevention toward Relapse Management
Abstract
The American Journal on Addictions, 16:530â531, 2007 Copyright # American Academy of Addiction Psychiatry ISSN: 1055-0496 print / 1521-0391 online DOI: 10.1080/10550490701643419 Neuropsychiatric Insights in Clinical Practice: From Relapse Prevention toward Relapse Management Hendrik G. Roozen, PhD,1,2 Ben J.M. van de Wetering, MD, PhD3 1 2 Bouman Mental Health Care, Spijkenisse, The Netherlands Department of Forensic Psychiatry, Erasmus University Medical Centre, Rotterdam, The Netherlands 3 Bouman Mental Health Care, Rotterdam, The Netherlands Marlatt and Gordon1 emphasize that high rates of relapse have been observed following treatment of a wide range of addictive behaviors. The temporal patterning of cumulative percentage of abstainers with a variety of different addictions exhibited a rather consistent curve, characterized by a steep downward slope. The commonality of determinants precipitating relapses have been the subject of extensive research and contributed to the development of Relapse Prevention (RP) programs, a widely used comprehensive set of cognitive behavioral techniques to assist the patient to prevent relapse in addictive behaviors. In general, classical RP treatment embodies coping skills training, cognitive behavioral therapy, and lifestyle modifications. Since its introduction, the RP model1 has been considered the state-of-the-art approach for many health professionals working in the field of addiction. The