Skip to main content

A Relapse Prevention Model for Treatment of Alcoholics

  • Chapter
Treating Addictive Behaviors

Part of the book series: Applied Clinical Psychology ((ABBI,volume 13))

Abstract

One of the few areas of consensus in the alcoholism treatment field involves the recognition that alcoholism is a chronic condition with a high risk of relapse. Treatment outcome studies have reported rates of 80% or more by 6 months posttreatment discharge (Armor, Polich, & Stambul, 1978; Gottheil, Thornton, Skolada, & Alterman, 1979), and drinking outcomes of individual clients have been found to be highly unstable over time (Annis & Ogborne, 1983; Finney, Moos, & Newborn, 1980, Litman, Eiser, & Taylor, 1979). It is not surprising, therefore, that, increasingly, relapse is being recognized as an important phenomenon for study.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Annis, H. M. (1982a). Cognitive Appraisal Questionnaire. Toronto: Addiction Research Foundation of Ontario.

    Google Scholar 

  • Annis, H. M. (1982b). Inventory of Drinking Situations. Toronto: Addiction Research Foundation of Ontario.

    Google Scholar 

  • Annis, H. M. (1982c). Situational Confidence Questionnaire. Toronto: Addiction Research Foundation of Ontario.

    Google Scholar 

  • Annis, H. M., & Ogborne, A. C. (1983). The temporal stability of alcoholism treatment outcome results. Unpublished manuscript, Addiction Research Foundation of Ontario.

    Google Scholar 

  • Annis, H. M., Davis, C., & Levinson, T. (1981). The prevention of alcoholic relapse: A research proposal. Unpublished manuscript, Addiction Research Foundation of Ontario.

    Google Scholar 

  • Armor, D. J., Polich, J. M., & Stambul, H. B. (1978). Alcoholism and treatment. New York: Wiley.

    Google Scholar 

  • Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215.

    Article  PubMed  Google Scholar 

  • Bandura, A. (1978). Reflections on self-efficacy. Advances in Behavioral Research and Therapy, 1, 237–269.

    Article  Google Scholar 

  • Bandura, A. (1981). Self-referent thought: A developmental analysis of self-efficacy. In J. H. Flavell & L. Ross (Eds.), Social cognitive development: Frontiers and possible futures (pp. 200–239 ). New York: Cambridge University Press.

    Google Scholar 

  • Bandura, A., Blanchard, E. B., & Ritter, B. (1969). Relative efficacy of desensitization and modeling approaches for inducing behavioral, affective, and attitudinal changes. Journal of Personality and Social Psychology, 13, 173–199.

    Article  PubMed  Google Scholar 

  • Bandura, A., Adams, N. E., Hardy, A. B., & Howells, G. N. (1980). Tests of the generality of self-efficacy theory. Cognitive Therapy and Research, 4(1), 39–66.

    Article  Google Scholar 

  • Beck, A. T. (1976). Cognitive therapy and emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression: A treatment manual. New York: Guilford Press.

    Google Scholar 

  • Blanchard, E. B. (1970). Relative contributions of modeling, informational influences, and physical contact in extinction of phobic behavior. Journal of Abnormal Psychology, 76, 55–61.

    Article  PubMed  Google Scholar 

  • Chaney, E. F., O’Leary, M. R., & Marlatt, G. A. (1978). Skill training with alcoholics. Journal of Consulting and Clinical Psychology, 46(5), 1092–1104.

    Article  PubMed  Google Scholar 

  • Condiotte, M. M., & Lichtenstein, E. (1981). Self-efficacy and relapse in smoking cessation programs. Journal of Consulting and Clinical Psychology, 49(5), 648–658.

    Article  PubMed  Google Scholar 

  • Condra, M. St. John. (1982). The effectiveness of relapse-prevention training in the treatment of alcohol problems. Unpublished doctoral dissertation, Queen’s University, Canada.

    Google Scholar 

  • Deardoff, C. M., Melges, F. T., Hout, C. N., & Savage, D. J. (1975). Situations related to drinking alcohol: A factor analysis of questionnaire responses. Journal of Studies on Alcohol, 36(9), 1184–1195.

    Google Scholar 

  • Endler, N. S. (1975). A person-situation interaction model of anxiety. In C. D. Spielberger & I. G. Sarason (Eds.), Stress and anxiety (Vol. 1, pp. 145–164 ). Washington, DC: Hemisphere Publishing Corporation.

    Google Scholar 

  • Ellis, A. (1970). The essence of rational psychotherapy: A comprehensive approach to treatment. New York: Institute for Rational Living.

    Google Scholar 

  • Finney, J. W., Moss, R. H., & Newborn, C. R. (1980). Posttreatment experiences and treatment outcome of alcoholic patients six months and two years after hospitalization. Journal of Consulting and Clinical Psychology, 48(1), 17–29.

    Article  PubMed  Google Scholar 

  • Gottheil, E., Thornton, C., Skolada, T., & Alterman, A. (1979). Follow-up study of alcoholics at 6, 12 and 24 months. In M. Galanter (Ed.), Currents in alcoholism Vol. IV: Treatment, rehabilitation and epidemiology (pp. 91–109 ). Toronto: Grune & Stratton.

    Google Scholar 

  • Hardy, A. B. (1976). Agoraphobia: Symptoms, causes, treatment. Menlo Park, CA: Terrap.

    Google Scholar 

  • Kockott, G., Dittmar, F., & Nusselt, L. (1975). Systematic desensitization of erectile impotence: A controlled study. Archives of Sexual Behavior, 4, 493–500.

    Article  PubMed  Google Scholar 

  • Litman, G. K., Eiser, J. R., Rawson, N. S. B., & Oppenheim, A. N. (1979). Differences in relapse precipitants and coping behavior between alcohol relapsers and survivors. Behavior Research and Therapy, 17, 89–94.

    Article  Google Scholar 

  • Litman, G. K., Eiser, J. R., & Taylor, C. (1979). Dependence, relapse and extinction: A theoretical critique and a behavioral examination. Journal of Clinical Psychology, 35(1), 192–199.

    Article  PubMed  Google Scholar 

  • Marlatt, G. A. (1976). The drinking profile: A questionnaire for the behavioral assessment of alcoholism. In E. J. Mash & L. G. Terdal (Eds.), Behavior therapy assessment: Diagnosis, design and evaluation. New York: Springer.

    Google Scholar 

  • Marlatt, G. A. (1978). Craving for alcohol, loss of control, and relapse: A cognitive-behavioral analysis. In P. E. Nathan, G. A. Marlatt and T. Løberg (Eds.), Alcoholism: New directions in behavioral research and treatment (pp. 271–314 ). New York: Plenum Press.

    Google Scholar 

  • Marlatt, G. A. (1979a). Alcohol use and problem drinking: A cognitive-behavioral analysis. In P. C. Kendall & S. D. Hollon (Eds.), Cognitive-behavioral interventions: Theory, research and procedures (pp. 319–355 ). New York: Academic Press.

    Google Scholar 

  • Marlatt, G. A. (1979b). A cognitive-behavioral model of the relapse process. In N. A. Krasnegor (Ed.), Behavioral analysis and treatment of substance abuse. (National Institute on Drug Abuse Research Monograph, 25, pp. 191–200 ). Rockville, Maryland.

    Google Scholar 

  • Marlatt, G. A., & Gordon, J. R. (1980). Determinants of relapse: Implications for the maintenance of behavior change. In P. Davidson & S. Davidson (Eds.), Behavioral medicine: Changing health lifestyles. New York: Brunner/Mazel.

    Google Scholar 

  • Marlatt, G. A., & Gordon, J. R. (Eds.). (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press.

    Google Scholar 

  • Mathews, A., Bancroft, J., Whitehead, A., Hackmann, A., Julier, D., Bancroft, J., Garth, D., & Shaw, P. (1976). The behavioral treatment of sexual inadequacy: A comparative study. Behavior Research and Therapy, 14, 427–436.

    Article  Google Scholar 

  • Meichenbaum, D. (1977). Cognitive-behavior modification: An integrative approach. New York: Plenum Press.

    Google Scholar 

  • Peachey, J. E., & Annis, H. M. (1983). Studies on the efficacy of calcium carbimide in Alcoholism Treatment: II A controlled study of self-efficacy therapy with calcium carbimide in chronic alcoholics. Research proposal in progress, Addiction Research Foundation of Ontario.

    Google Scholar 

  • Prochaska, J. O., Crimi, P., Lapsanski, D., Martel, L., & Reid, P. (1982). Self-change processes, self-efficacy and self-concept in relapse and maintenance of cessation of smoking. Psychological Reports, 51, 983–990.

    Article  PubMed  Google Scholar 

  • Rachman, S., & Hodgson, R. (1979). Obsessions and compulsions. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Rist, F., & Watzl, H. (1983). Self assessment of relapse risk and assertiveness in relation to treatment outcome of female alcoholics. Addictive Behaviors, 8, 121–127.

    Article  PubMed  Google Scholar 

  • Sanchez-Craig, M. (1975). A self-control strategy for drinking tendencies. The Ontario Psychologist, 7, 25–29.

    Google Scholar 

  • Sobell, M. B., & Sobell, L. C. (1973). Individualized behavior therapy for alcoholics. Behavior Therapy, 4, 49–72.

    Article  Google Scholar 

  • Stiemerling, N. (1983). Relapse in alcohol abusers: A short term longitudinal study. Unpublished doctoral dissertation, Queen’s University, Canada.

    Google Scholar 

  • Wilkinson, D. A., & Martin, G. W. (1979). Comparison of a brief intervention with a broad spectrum behavioural treatment applied under three conditions of reinforcement of therapeutic progress: Application to young drug abusers. Unpublished research proposal, Addiction Research Foundation of Ontario.

    Google Scholar 

  • Wilson, G. T. (1978a). Booze, beliefs and behavior: Cognitive processes in alcohol use and abuse. In P. E. Nathan, G. A. Marlatt, & T. Løberg (Eds.), Alcoholism: New directions in behavioral research and treatment (pp. 315–339 ). New York: Plenum Press.

    Google Scholar 

  • Wilson, G. T. (1978b). The importance of being theoretical: A commentary on Bandura/s “Self-efficacy: Towards a unifying theory of behavioral change”. Advances in Behavior, Research and Therapy, 1, 217–230.

    Article  Google Scholar 

  • Wilson, G. T. (1979). Perceived control and the theory and practice of behavior therapy. In L. C. Perlmuter & R. A. Monty (Eds.), Choice and perceived control, (pp. 175–183). NJ: Hillsdale, N.J.: Lawrence Erlbaum.

    Google Scholar 

  • Wilson, G. T. (1980). Cognitive factors in lifestyle changes: A social learning perspective. In P. O. Davidson & S. M. Davidson (Eds.), Behavioral medicine: Changing health lifestyles (pp. 3–37 ). New York: Brunner/Mazel.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Plenum Press, New York

About this chapter

Cite this chapter

Annis, H.M. (1986). A Relapse Prevention Model for Treatment of Alcoholics. In: Miller, W.R., Heather, N. (eds) Treating Addictive Behaviors. Applied Clinical Psychology, vol 13. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2191-0_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2191-0_21

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9289-0

  • Online ISBN: 978-1-4613-2191-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics