Elsevier S & T

Therapist's Guide to Evidence-Based Relapse Prevention

Witkiewitz, Katie A.; Marlatt, G. Alan

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Table of contents

Therapist’s Guide to Evidence-Based Relapse Preventioniii
Copyright Pageiv
Table of Contentsv
Contributorsix
Prefacexiii
SECTION I: Introduction and Overview1
Chapter 1: Overview of Relapse Prevention3
COGNITIVE-BEHAVIORAL MODEL OF RELAPSE3
RELAPSE PREVENTION INTERVENTIONS9
SUMMARY AND CONCLUSIONS14
REFERENCES14
Chapter 2: High-Risk Situations: Relapse as a Dynamic Process19
COGNITIVE BEHAVIORAL MODEL OF RELAPSE, REVISED20
TONIC PROCESSES22
PHASIC PROCESSES23
DYNAMICAL SYSTEMS PROCESSES25
EMPIRICAL BASIS FOR DYNAMIC MODEL26
CLINICAL CASE ILLUSTRATION29
SUMMARY OF CLINICAL IMPLICATIONS30
DYNAMIC RELAPSE MODEL AND NONSUBSTANCE USE BEHAVIOR30
REFERENCES31
SECTION II: Application of Relapse Prevention to Specific Problem Areas35
Chapter 3: Relapse Prevention: Clinical Strategies for Substance Use Disorders37
INTRODUCTION37
OVERVIEW OF LAPSE, RELAPSE, AND RECOVERY38
TREATMENT OUTCOMES AND RELAPSE RATES40
EFFECTIVENESS AND EFFICACY OF RP41
RELAPSE REPLICATION AND EXTENSION PROJECT45
MODELS OF RELAPSE PREVENTION46
RELAPSE-RELATED DOMAINS OF ASSESSMENT48
RP INTERVENTIONS TO MINIMIZE LAPSE AND RELAPSE RISK49
CLINICAL STRATEGIES TO REDUCE RELAPSE RISK50
RP IN THE CONTEXT OF SUDs WITH COMORBID PSYCHIATRIC DISORDERS55
FUTURE RESEARCH DIRECTIONS57
CLINICAL CASE ILLUSTRATIONS57
CONCLUSIONS60
ACKNOWLEDGEMENTS60
REFERENCES61
INTERNET RESOURCES71
Chapter 4: Mindfulness-based Cognitive Therapy as a Relapse Prevention Approach to Depression73
INTRODUCTION TO MINDFULNESS-BASED COGNITIVE THERAPY (MBCT)73
DEFINITION OF MINDFULNESS74
EMPIRICAL SUPPORT FOR MBCT IN PREVENTING DEPRESSIVE RELAPSE75
OVERVIEW OF MBCT76
KEY PRINCIPLES79
HOW MBCT IS SIMILAR AND DIFFERENT WITH CT AND MBSR81
ASSESSMENT82
CLINICAL CASE ILLUSTRATION84
SPECIAL TOPICS86
CONCLUSIONS AND FUTURE DIRECTIONS87
REFERENCES87
INTERNET RESOURCES89
Chapter 5: Relapse Prevention for Return of Pathological Worry in CBT-Treated GAD91
INTRODUCTION TO GAD AND CLIENT POPULATION91
ASSESSMENT OF GAD92
GAD TREATMENT AND THE INCORPORATION OF RELAPSE PREVENTION93
CASE EXAMPLE97
WHAT IS PATHOLOGICAL WORRY?100
WHY IS PATHOLOGICAL WORRY SO DIFFICULT TO STOP?101
MINDFULNESS AND CBT FOR WORRY: HOPE FOR IMPROVED RESPONSE AND REDUCED RELAPSE102
STRATEGIES FOR IMPLEMENTING MINDFULNESS INTO GAD CBT TREATMENT104
POTENTIAL WAYS MINDFULNESS WORKS IN GAD TREATMENT108
SPECIAL TOPICS109
SUMMARY AND CONCLUSIONS110
ACKNOWLEDGEMENTS111
REFERENCES111
RESOURCE BIBLIOGRAPHY AND A LIST OF INTERNET LINKS115
Chapter 6: Relapse Prevention for Schizophrenia117
INTRODUCTION117
OVERVIEW OF PSYCHOSOCIAL TREATMENT120
CORE FEATURES OF CBT FOR SCHIZOPHRENIA121
INTERVENTIONS TAILORED TO PREVENT RELAPSE123
CO-OCCURRING ADDICTION AND MENTAL ILLNESS124
IMPLEMENTATION OF RELAPSE PREVENTION INTERVENTIONS130
CLINICAL CASE ILLUSTRATIONS132
PHARMACOTHERAPY MEDICATION MANAGEMENT OF SCHIZOPHRENIA135
CONCLUSIONS AND FUTURE DIRECTIONS136
REFERENCES137
Chapter 7: Seeking Safety: An Evidence-based Model for Substance Abuse and Trauma/PTSD141
INTRODUCTION141
OVERVIEW OF TREATMENT143
KEY ELEMENTS144
EMPIRICAL RESULTS154
IMPLEMENTATION ISSUES156
CLINICAL CASE ILLUSTRATION160
RELATION TO RELAPSE PREVENTION161
CONCLUSIONS AND RECOMMENDATIONS163
AUTHOR NOTE164
REFERENCES164
Chapter 8: Relapse Prevention for Eating Disorders169
INTRODUCTION169
EMPIRICALLY SUPPORTED TREATMENTS170
OVERVIEW OF COGNITIVE BEHAVIOR THERAPY FOR BULIMIA NERVOSA AND BINGE EATING DISORDER170
RELAPSE PREVENTION FOR EATING DISORDERS171
EVIDENCE ON RELAPSE PREVENTION FOR EATING DISORDERS172
INNOVATIONS IN RELAPSE PREVENTION FOR EATING DISORDERS175
OTHER APPROACHES TO TREATING EATING DISORDERS179
ASSESSMENT180
IMPLEMENTING CBT181
CLINICAL CASE ILLUSTRATIONS183
SUMMARY AND CONCLUSIONS186
REFERENCES186
INTERNET RESOURCES190
Chapter 9: Stopping Self-Harm Once and for All: Relapse Prevention in Dialectical Behavior Therapy191
THE PROBLEM OF DELIBERATE SELF-HARM IN BORDERLINE PERSONALITY DISORDER192
TREATMENT FOR DELIBERATE SELF-HARM: DIALECTICAL BEHAVIOR THERAPY194
RESEARCH ON TREATMENTS FOR DELIBERATE SELF-HARM195
CHARACTERISTICS OF BORDERLINE PERSONALITY DISORDER THAT CONTRIBUTE TO DSH RELAPSE196
CHARACTERISTICS OF TREATMENT THAT CONTRIBUTE TO RELAPSE OF DSH199
CLINICAL CASE ILLUSTRATION200
STOPPING SELF-HARM ONCE AND FOR ALL: RELAPSE PREVENTION IN DBT202
REDUCING VULNERABILITY TO HIGH-RISK SITUATIONS THROUGH EXPOSURE-BASED INTERVENTIONS202
REDUCING EMOTION VULNERABILITY THROUGH SELF-CARE AND POSITIVE ACTIVITIES205
PROBLEM SOLVING TO PREVENT AND MODIFY HIGH-RISK SITUATIONS206
REDUCING CRISIS-GENERATING BEHAVIORS AND SELF-HARM THROUGH EMOTION REGULATION206
INTERVENTIONS TO PREVENT RELAPSE BY IMPROVING GENERALIZATION207
SUMMARY AND CONCLUSION209
REFERENCES210
INTERNET RESOURCES ON DIALECTICAL BEHAVIOR THERAPY AND BORDERLINE PERSONALITY DISORDER213
Chapter 10: Treatment of Sexual Offenders: Relapse Prevention and Beyond215
INTRODUCTION215
TREATMENT OF SEXUAL OFFENDERS216
RELAPSE PREVENTION APPLIED TO THE TREATMENT OF SEXUAL OFFENDERS217
BEYOND RELAPSE PREVENTION: THE SELF-REGULATION MODEL220
EMPIRICAL SUPPORT FOR THE SELF-REGULATION MODEL OF OFFENDING224
CLINICAL CASE ILLUSTRATION227
CONCLUSIONS AND FUTURE DIRECTIONS230
REFERENCES231
SECTION III: Specific Populations and Treatment Settings235
Chapter 11: Focus on Families: Integration of Relapse Prevention and Child Drug Abuse Prevention Tra237
INTRODUCTION237
THE PROGRAM240
PARENT AND CHILD SKILL TRAINING240
HOME-BASED CASE MANAGEMENT243
FOCUS ON FAMILIES EVALUATION247
COMPARISON WITH OTHER APPROACHES INTEGRATING FAMILY-FOCUSED RELAPSE PREVENTION250
CHALLENGES252
CONCLUSIONS253
ACKNOWLEDGEMENTS253
REFERENCES254
Chapter 12: Relapse Prevention with Hispanic and Other Racial/Ethnic Populations: Can Cultural Resil259
INTRODUCTION: ISSUES IN RELAPSE PREVENTION WITH HISPANIC AND OTHER RACIAL/ETHNIC POPULATIONS259
DEFINITIONS OF CONSTRUCTS SPECIFIC FOR EXPLORING GROUP DIFFERENCES265
ASSESSMENT, TREATMENT, AND RELAPSE PREVENTION270
CLINICAL CASE ILLUSTRATION281
CONCLUSIONS AND FUTURE DIRECTIONS285
ACKNOWLEDGEMENTS286
REFERENCES286
INTERNET RESOURCES292
Chapter 13: Relapse Prevention for Adolescent Substance Abuse: Overview and Case Examples293
ABSTRACT293
INTRODUCTION294
REVIEW OF THE LITERATURE295
OVERVIEW OF RP TREATMENT296
CASE EXAMPLES303
SUMMARY AND CONCLUSIONS308
REFERENCES309
Chapter 14: Relapse Prevention with Older Adults313
INTRODUCTION313
PREVALENCE AND IMPACT OF SUBSTANCE ABUSE AMONG OLDER ADULTS313
PROJECTED DEMOGRAPHIC TRENDS315
LIFETIME PATTERNS OF DRINKING316
IDENTIFYING SUBSTANCE USE PROBLEMS IN OLDER ADULTS316
INTERVENTIONS AND TREATMENTS FOR OLDER ADULTS317
CLINICAL CASE ILLUSTRATION #1317
SUBSTANCE ABUSE TREATMENT OUTCOMES FOR OLDER ADULTS319
CURRENT RESEARCH ON RELAPSE AMONG OLDER ADULTS320
RELAPSE PREVENTION STRATEGIES AND RECOMMENDATIONS321
A GROUP TREATMENT APPROACH TO SUBSTANCE ABUSE RELAPSE PREVENTION322
TREATMENT MODULES323
USE OF BRIEF INTERVENTIONS IN RELAPSE PREVENTION323
BRIEF ALCOHOL INTERVENTION COMPONENTS WITH OLDER ADULTS324
CO-OCCURRING DISORDERS IN OLDER ADULTS325
COMORBID DEPRESSION326
RELAPSE PREVENTION FOR LATE-LIFE DEPRESSION326
ALZHEIMER’S DISEASE (AD)327
ALCOHOL-ASSOCIATED COGNITIVE IMPAIRMENT328
SLEEP DISORDERS328
CLINICAL CASE ILLUSTRATION #2329
CONCLUSIONS AND FUTURE DIRECTIONS330
REFERENCES331
INTERNET RESOURCES337
Chapter 15: Utilizing Relapse Prevention with Offender Populations: What Works339
INTRODUCTION339
EXPLORING THE QUESTION OF WHAT WORKSŽ WITHIN RP: THE ROLE OF META-ANALYSIS341
WHAT WORKS WITHIN RP PROGRAMS: GENERAL TRENDS342
RISK, NEED, AND RESPONSIVITY: MISSING PIECES IN THE RP PUZZLE?344
OVERALL THOUGHTS AND DIRECTIONS FOR THE FUTURE OF RP WITHIN CORRECTIONAL TREATMENT345
ACKNOWLEDGEMENTS350
REFERENCES350
Chapter 16: Drinking as an Epidemic„A Simple Mathematical Model with Recovery and Relapse353
INTRODUCTION354
MATHEMATICAL MODEL OF DRINKING LAPSE355
UNCERTAINTY AND SENSITIVITY ANALYSIS357
NUMERICAL SIMULATIONS360
DISCUSSION362
ACKNOWLEDGEMENTS364
REFERENCES364
APPENDIX366
REFERENCE368
Index369

Book details

Vendor Elsevier S & T
SKU 9780123694294R90
ISBN-13 9780080471044
Author Witkiewitz, Katie A.; Marlatt, G. Alan
Category Psychology
Subject Clinical Psychology

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Describes the evidence-based approaches to preventing relapse of major mental and substance-related disorders. Therapist's Guide to Evidence-based Relapse Prevention combines the theoretical rationale, empirical data, and the practical "how-to" for intervention programs.

The first section will serve to describe the cognitive-behavioral model of relapse and provide a general introduction to relapse prevention techniques. While Section II will focus on specific problem areas, Section III will focus on diverse populations and treatment settings.

*Incorporates theoretical and empirical support
*Provides step-by-step strategies for implementing relapse prevention techniques
*Includes case studies that describe application of relapse prevention techniques

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