Suchergebnisse

In the last decade the application of the relapse prevention (RP) model to both the conceptualization and the treatment of sexual offenders has emerged as an innovative approach. Underlying the treatment utility of this perspective has been a social learning view of the relapse process in addictive behavior. In this paper we critically examine both Marlatt's original RP model and Pithers' application of this perspective to the sexual offending area. After outlining its basic assumptions, we describe the RP model in some detail. Following a critique of Marlatt's theory, we examine the strengths and weaknesses of Pithers' RP approach. Finally, we conclude with some comments on the implications of our critique.

In this paper, a study examining high-risk situations for relapse is presented. The sample consisted of 72 participants (51 male and 21 female) who had relapsed after having received a residential psychological treatment for drug addition in a therapeutic community in Spain. In order to analyze what personal, environmental or social factors were the most immediate triggers of relapse, a personal interview, using the Relapse Interview, was administered to each one of the relapsed patients. Results showed that most of the relapses took place during the first year after completing the treatment program. Likewise, the factors most frequently cited for relapse were the following: to cope with negative emotional states (49.5%), to be unable to resist temptations or impulses to consume (17.5%), to test personal control (10.3%) and to cope with interpersonal conflicts (9.3%). As can been observed, most factors were of an intrapersonal nature. Implications of these results for further research and clinical practice are commented upon. ; This study was supported by grant (code 35/2001) from the Health Department of Navarre Government (Spain).

This user-friendly, step-by-step personal relapse prevention manual - designed to be used in conjunction with the Therapist Guide for Maintaining Change, also by Hilary Eldridge - focuses on the notion of control and taking responsibility for one's actions rather than on `cure'. The programme requires participants to be active in the change process, with the ultimate goal of being able to self-manage. · Purchasers of Maintaining Changee: A Personal Relapse Prevention Manual may photocopy individual exercises and handouts for use with their own clients or patients. · Customers purchasing

BACKGROUND: A number of treatments can help smokers make a successful quit attempt, but many initially successful quitters relapse over time. Several interventions have been proposed to help prevent relapse. OBJECTIVES: To assess whether specific interventions for relapse prevention reduce the proportion of recent quitters who return to smoking. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group trials register, clinicaltrials.gov, and the ICTRP in February 2018 for studies mentioning relapse prevention or maintenance in their title, abstracts, or keywords. SELECTION CRITERIA: Randomised or quasi‐randomised controlled trials of relapse prevention interventions with a minimum follow‐up of six months. We included smokers who quit on their own, were undergoing enforced abstinence, or were participating in treatment programmes. We included studies that compared relapse prevention interventions with a no intervention control, or that compared a cessation programme with additional relapse prevention components with a cessation programme alone. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures expected by Cochrane. MAIN RESULTS: We included 77 studies (67,285 participants), 15 of which are new to this update. We judged 21 studies to be at high risk of bias, 51 to be at unclear risk of bias, and five studies to be at low risk of bias. Forty‐eight studies included abstainers, and 29 studies helped people to quit and then tested treatments to prevent relapse. Twenty‐six studies focused on special populations who were abstinent because of pregnancy (18 studies), hospital admission (five studies), or military service (three studies). Most studies used behavioural interventions that tried to teach people skills to cope with the urge to smoke, or followed up with additional support. Some studies tested extended pharmacotherapy. We focused on results from those studies that randomised abstainers, as these are the best test of relapse prevention interventions. Of the 12 analyses we conducted ...

Background A number of treatments can help smokers make a successful quit attempt, but many initially successful quitters relapse over time. Several interventions have been proposed to help prevent relapse. Objectives To assess whether specific interventions for relapse prevention reduce the proportion of recent quitters who return to smoking. Search methods We searched the Cochrane Tobacco Addiction Group trials register, clinicaltrials.gov, and the ICTRP in February 2018 for studies mentioning relapse prevention or maintenance in their title, abstracts, or keywords. Selection criteria Randomised or quasi‐randomised controlled trials of relapse prevention interventions with a minimum follow‐up of six months. We included smokers who quit on their own, were undergoing enforced abstinence, or were participating in treatment programmes. We included studies that compared relapse prevention interventions with a no intervention control, or that compared a cessation programme with additional relapse prevention components with a cessation programme alone. Data collection and analysis We used standard methodological procedures expected by Cochrane. Main results We included 77 studies (67,285 participants), 15 of which are new to this update. We judged 21 studies to be at high risk of bias, 51 to be at unclear risk of bias, and five studies to be at low risk of bias. Forty‐eight studies included abstainers, and 29 studies helped people to quit and then tested treatments to prevent relapse. Twenty‐six studies focused on special populations who were abstinent because of pregnancy (18 studies), hospital admission (five studies), or military service (three studies). Most studies used behavioural interventions that tried to teach people skills to cope with the urge to smoke, or followed up with additional support. Some studies tested extended pharmacotherapy. We focused on results from those studies that randomised abstainers, as these are the best test of relapse prevention interventions. Of the 12 analyses we conducted in ...

BACKGROUND: A number of treatments can help smokers make a successful quit attempt, but many initially successful quitters relapse over time. Several interventions have been proposed to help prevent relapse. OBJECTIVES: To assess whether specific interventions for relapse prevention reduce the proportion of recent quitters who return to smoking. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group trials register, clinicaltrials.gov, and the ICTRP in May 2019 for studies mentioning relapse prevention or maintenance in their title, abstracts, or keywords. SELECTION CRITERIA: Randomised or quasi‐randomised controlled trials of relapse prevention interventions with a minimum follow‐up of six months. We included smokers who quit on their own, were undergoing enforced abstinence, or were participating in treatment programmes. We included studies that compared relapse prevention interventions with a no intervention control, or that compared a cessation programme with additional relapse prevention components with a cessation programme alone. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures expected by Cochrane. MAIN RESULTS: We included 81 studies (69,094 participants), five of which are new to this update. We judged 22 studies to be at high risk of bias, 53 to be at unclear risk of bias, and six studies to be at low risk of bias. Fifty studies included abstainers, and 30 studies helped people to quit and then tested treatments to prevent relapse. Twenty‐eight studies focused on special populations who were abstinent because of pregnancy (19 studies), hospital admission (six studies), or military service (three studies). Most studies used behavioural interventions that tried to teach people skills to cope with the urge to smoke, or followed up with additional support. Some studies tested extended pharmacotherapy. We focused on results from those studies that randomised abstainers, as these are the best test of relapse prevention interventions. Of the 12 analyses we conducted in ...

In this study, retrospective assessment of life events over a period of one year was carried out in two groups of schizophrenic patients. Each group had 30 patients. One group comprised "relapsing" schizophrenics and the other consisted of "stable" patients. The group of "relapsing" schizophrenics had experienced a significantly greater number of life events and also had a significantly higher stress score than the "stable" group. However, analysis of the distribution of life events over the study period of one year showed no increase in the frequency of occurrence of life events in the three months prior to relapse. Similarly, no such significant increase in the stress score was seen in the same period of time in the group which had relapsed. Treatment cornpliance and stress scores accountod for nearly 40% of the variance of the data in the "rciapsing" group. Implications of the findings are highlighted.

Introduction : of revolutionary cycles and seasons --. - "Democratic transition" and revolutionary process --. - One revolution, two counter-revolutions --. - Syria : the clash of barbarisms --. - The abandonment of the Syrian people --. - The making of the Syrian disaster --. - The Assad regime's preferred enemy --. - Turkey's and the Gulf monarchies' preferred friends --. - The Syrian predicament --. - Russian intervention and Western wavering --. - Whither Syria? --. - Egypt : the "23 July" of Abdul-Fattah al-Sisi --. - How the Muslim Brotherhood's bid for power unfolded --. - Neither lion nor fox --. - Incensing the country --. - Enter Tamarrod --. - Nasserist illusions --. - The military's second hijacking of the people's will --. - The ruthless rise of Abdul-Fattah al-Sisi --. - The tailoring of Sisi's presidential suit --. - The farcical aspect of Egypt's tragedy --. - Neoliberal constancy --. - Megalomania and megaprojects --. - The military's takeover of Egypt --. - Whither Egypt? --. - Conclusion : "Arab winter" and hope --. - Libya and Yemen : two variations on the same tune --. - The Tunisian "model" and its limits --. - The Arab left and the strategic challenge