neuro equipoise
06-14-2004, 09:23 AM
Excerpt:
"What Is Relapse Prevention Treatment?"
"Relapse prevention is a systematic method of teaching recovering
patients to recognize and manage relapse warning signs. Relapse
prevention becomes the primary focus for patients who are unable to
maintain abstinence from alcohol or drugs despite primary treatment.
Recovery is defined as abstinence plus a full return to
bio/psycho/social functioning. As previously noted, relapse is defined
as the process of becoming dysfunctional in recovery, which leads to a
return to chemical use, physical or emotional collapse, or suicide.
Relapse episodes are usually preceded by a series of observable warning
signs.
To understand the progression of warning signs, it is important to look
at the dynamic interaction between the recovery and relapse processes.
Recovery and relapse can be described as related processes that unfold
in six stages:
1. Abstaining from alcohol and other drugs
2. Separating from people, places, and things that promote the use of
alcohol or drugs, and establishing a social network that supports
recovery
3. Stopping self-defeating behaviors that prevent awareness of painful
feelings and irrational thoughts
4. Learning how to manage feelings and emotions responsibly without
resorting to compulsive behavior or the use of alcohol or drugs.
5. Learning to change addictive thinking patterns that create painful
feelings and self-defeating behaviors
6. Identifying and changing the mistaken core beliefs about oneself,
others, and the world that promote irrational thinking.
When people who have had a stable recovery and have done well begin to
relapse, they simply reverse this process. In other words, they:
1. Have a mistaken belief that causes irrational thoughts
2. Begin to return to addictive thinking patterns that cause painful
feelings
3. Engage in compulsive, self-defeating behaviors as a way to avoid the
feelings
4. Seek out situations involving people who use alcohol and drugs.
5. Find themselves in more pain, thinking less rationally, and behaving
less responsibly
6. Find themselves in a situation in which drug or alcohol use seems
like a logical escape from their pain, and they use alcohol or drugs.
A number of basic principles and procedures underlie the CENAPS Model of
Relapse Prevention Therapy. Each principle forms the basis of specific
relapse prevention therapy procedures.
Principle 1: Self-Regulation
The risk of relapse will decrease as a patient's capacity to
self-regulate thinking, feeling, memory, judgment, and behavior
increases.
Principle 2: Integration
The risk of relapse will decrease as the level of conscious
understanding and acceptance of situations and events that have led to
past relapses increases.
Principle 3: Understanding
The risk of relapse will decrease as the understanding of the general
factors that cause relapse increases.
Principle 4: Self-Knowledge
The risk of relapse will decrease as the patient's ability to recognize
personal relapse warning signs increases.
Principle 5: Coping Skills
The risk of relapse will decrease as the ability to manage relapse
warning signs increases.
Principle 6: Change
The risk of relapse will decrease as the relationship between relapse
warning signs and recovery program recommendations increases.
Principle 7: Awareness
The risk of relapse will decrease as the use of daily inventory
techniques designed to identify relapse warning signs increases.
Principle 8: Significant Others
The risk of relapse will decrease as the responsible involvement of
significant others in recovery and in relapse prevention planning
increases.
Principle 9: Maintenance
The risk of relapse decreases if the relapse prevention plan is
regularlyupdated during the first 3 years of sobriety."
http://www.aa2.org/philosophy/relapseprevention.htm*
"What Is Relapse Prevention Treatment?"
"Relapse prevention is a systematic method of teaching recovering
patients to recognize and manage relapse warning signs. Relapse
prevention becomes the primary focus for patients who are unable to
maintain abstinence from alcohol or drugs despite primary treatment.
Recovery is defined as abstinence plus a full return to
bio/psycho/social functioning. As previously noted, relapse is defined
as the process of becoming dysfunctional in recovery, which leads to a
return to chemical use, physical or emotional collapse, or suicide.
Relapse episodes are usually preceded by a series of observable warning
signs.
To understand the progression of warning signs, it is important to look
at the dynamic interaction between the recovery and relapse processes.
Recovery and relapse can be described as related processes that unfold
in six stages:
1. Abstaining from alcohol and other drugs
2. Separating from people, places, and things that promote the use of
alcohol or drugs, and establishing a social network that supports
recovery
3. Stopping self-defeating behaviors that prevent awareness of painful
feelings and irrational thoughts
4. Learning how to manage feelings and emotions responsibly without
resorting to compulsive behavior or the use of alcohol or drugs.
5. Learning to change addictive thinking patterns that create painful
feelings and self-defeating behaviors
6. Identifying and changing the mistaken core beliefs about oneself,
others, and the world that promote irrational thinking.
When people who have had a stable recovery and have done well begin to
relapse, they simply reverse this process. In other words, they:
1. Have a mistaken belief that causes irrational thoughts
2. Begin to return to addictive thinking patterns that cause painful
feelings
3. Engage in compulsive, self-defeating behaviors as a way to avoid the
feelings
4. Seek out situations involving people who use alcohol and drugs.
5. Find themselves in more pain, thinking less rationally, and behaving
less responsibly
6. Find themselves in a situation in which drug or alcohol use seems
like a logical escape from their pain, and they use alcohol or drugs.
A number of basic principles and procedures underlie the CENAPS Model of
Relapse Prevention Therapy. Each principle forms the basis of specific
relapse prevention therapy procedures.
Principle 1: Self-Regulation
The risk of relapse will decrease as a patient's capacity to
self-regulate thinking, feeling, memory, judgment, and behavior
increases.
Principle 2: Integration
The risk of relapse will decrease as the level of conscious
understanding and acceptance of situations and events that have led to
past relapses increases.
Principle 3: Understanding
The risk of relapse will decrease as the understanding of the general
factors that cause relapse increases.
Principle 4: Self-Knowledge
The risk of relapse will decrease as the patient's ability to recognize
personal relapse warning signs increases.
Principle 5: Coping Skills
The risk of relapse will decrease as the ability to manage relapse
warning signs increases.
Principle 6: Change
The risk of relapse will decrease as the relationship between relapse
warning signs and recovery program recommendations increases.
Principle 7: Awareness
The risk of relapse will decrease as the use of daily inventory
techniques designed to identify relapse warning signs increases.
Principle 8: Significant Others
The risk of relapse will decrease as the responsible involvement of
significant others in recovery and in relapse prevention planning
increases.
Principle 9: Maintenance
The risk of relapse decreases if the relapse prevention plan is
regularlyupdated during the first 3 years of sobriety."
http://www.aa2.org/philosophy/relapseprevention.htm*