Preventing relapse and maintaining change in addictive behaviors.

Dimeff, Linda A.; Marlatt, G. Alan

doi:10.1111/j.1468-2850.1998.tb00171.x

Cited by 41 publications

(27 citation statements)

References 61 publications

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“…However, five participants (16%) left as a result of a drug relapse and three (10%) because of drug-related arrests. Addiction research describes interpersonal conflict and poor social support as high-risk situations that potentiate relapse (Dimeff & Marlatt, 1998;Witkiewitz & Marlatt, 2004). Yet, the impact of social skills training, such as NVC, on paroled adults' reintegration needs, including substance abuse, has been given little attention (Bourke & van Hasselt, 2001).…”

Section: Discussionmentioning

confidence: 99%

Nonviolent Communication Training and Empathy in Male Parolees

Marlow¹,

Nyamathi²,

Grajeda

et al. 2012

Journal of Correctional Health Care

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The purpose of this study was to determine the impact of a behavioral intervention, nonviolent communication (NVC), on the development of empathic coping and communication skills in a sample of male parolees enrolled in substance abuse treatment (SAT; N ¼ 30). At the end of the 8-week intervention, results revealed a significant increase (p ¼ .01) in participants' empathy levels. Findings also revealed the acceptability and utility of NVC training to men on parole. Results suggest that NVC training may (a) be a useful addition to substance abuse treatment programs for parolees, (b) be effective in addressing problematic coping and communication styles resulting from incarceration and criminal behavior, and (c) assist paroled individuals in building and sustaining positive social support networks.

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Section: Discussionmentioning

confidence: 99%

Nonviolent Communication Training and Empathy in Male Parolees

Marlow¹,

Nyamathi²,

Grajeda

et al. 2012

Journal of Correctional Health Care

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“…This period is typically viewed as relatively smooth, and researchers assess the maintenance of treatment outcomes at intervals of several months. However, Dimeff and Marlatt (1998) remind clinicians and researchers that the road to recovery from substance abuse is anything but smooth. Wikwiewitz and Marlatt (this issue) propose that researchers and clinicians in this area have not predicted relapse well because of the reliance on linear, continuous models of relapse.…”

Section: Substance Abusementioning

confidence: 99%

Change is not always linear: The study of nonlinear and discontinuous patterns of change in psychotherapy

Hayes

Laurenceau

Feldman

et al. 2007

Clinical Psychology Review

435

371

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The study of discontinuities and nonlinear change has been a fruitful endeavor across the sciences, as these shifts can provide a window into the organization of complex systems and the processes that are associated with transition. A common assumption in psychotherapy research has been that change is gradual and linear. The research designs and statistics used to study change often reflect this assumption, but some recent research reveals other patterns of change. We briefly review relevant literature on dynamical systems theory and on life transition and post-traumatic growth to highlight the significance of nonlinear and discontinuous change across areas of psychology. We describe recent applications of these ideas and methods to the study of change in psychotherapy and encourage their use to complement more traditional clinical trial designs.Some change can be gradual and incremental, but many systems in nature show periods of turbulence and instability, with dramatic changes or growth spurts. Ilya Prigogine, a Nobel laureate known for his theory of dissipative structures in chemistry, argues that instabilities play an important role in transformation and that "most of reality, instead of being orderly, stable, and equilibrial, is seething and bubbling with change, disorder, and process" (Prigogine & Stengers, 1984, p. xv). The study of discontinuities has been a fruitful endeavor across the sciences, as these shifts can provide a window into the organization of a system and the processes that are associated with transition.A common assumption in psychotherapy research is that change is gradual and linear. The research designs and statistics used to study change often reflect this assumption. The hypothesized predictors of change are measured once or twice and then compared between groups or correlated with symptom change at the end of treatment. Most research also

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“…Because detailed accounts of the model's historical background and theoretical underpinnings have been published elsewhere (e.g., [16,22,23]), we limit the current discussion to a concise review of the model's history, core concepts and clinical applications.…”

Section: Introductionmentioning

confidence: 99%

Relapse prevention for addictive behaviors

Hendershot

Witkiewitz

George

et al. 2011

Subst Abuse Treat Prev Policy

361

222

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The Relapse Prevention (RP) model has been a mainstay of addictions theory and treatment since its introduction three decades ago. This paper provides an overview and update of RP for addictive behaviors with a focus on developments over the last decade (2000-2010). Major treatment outcome studies and meta-analyses are summarized, as are selected empirical findings relevant to the tenets of the RP model. Notable advances in RP in the last decade include the introduction of a reformulated cognitive-behavioral model of relapse, the application of advanced statistical methods to model relapse in large randomized trials, and the development of mindfulness-based relapse prevention. We also review the emergent literature on genetic correlates of relapse following pharmacological and behavioral treatments. The continued influence of RP is evidenced by its integration in most cognitive-behavioral substance use interventions. However, the tendency to subsume RP within other treatment modalities has posed a barrier to systematic evaluation of the RP model. Overall, RP remains an influential cognitive-behavioral framework that can inform both theoretical and clinical approaches to understanding and facilitating behavior change.

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Preventing relapse and maintaining change in addictive behaviors.

Cited by 41 publications

References 61 publications

Nonviolent Communication Training and Empathy in Male Parolees

Nonviolent Communication Training and Empathy in Male Parolees

Change is not always linear: The study of nonlinear and discontinuous patterns of change in psychotherapy

Relapse prevention for addictive behaviors

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