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There are several significant problems with both Marlatt's and Pithers' relapse prevention (RP) models. It is argued in this paper that there are good empirical, theoretical, and practical reasons for viewing the offense and relapse process as functionally equivalent. The core construct in both these traditionally different models is the problem behavior process. The application of a framework based on the problem behavior process has significant theoretical and clinical advantages and can overcome the major difficulties associated with Marlatt's and Pithers'RP models.

This paper argues that the notion of harm reduction can provide a more useful framework for the management of sex offenders. In this model, any reduction in the frequency or intensity of sexual offending is construed as positive. The zero-tolerance position, implicit in the relapse prevention model, has been a conspicuous failure in areas such as drug addiction and alcoholism. One of the major limitations is the equating of relapse with treatment failure. Moreover, managing sex offenders, in the sense of striving to limit socially undesirable behaviors, is a perfectly legitimate aim within the goal of making society safer.

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.

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