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Extending relapse prevention models to couples.

B S McCrady1

  • 1Center of Alcohol Studies, Rutgers-The State University, Piscataway, NJ 08854.

Addictive Behaviors
|January 1, 1989
PubMed
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This study proposes a couples-based Relapse Prevention model, examining how social support and relationship quality influence alcohol abstinence. It highlights how spousal coping responses can either support or hinder a client

Area of Science:

  • Addiction research
  • Clinical psychology
  • Family therapy

Background:

  • Marlatt's Relapse Prevention model is a cornerstone in addiction treatment.
  • Existing models often focus on individual coping, neglecting the crucial role of intimate relationships.
  • Couples dynamics significantly impact treatment outcomes for substance use disorders.

Purpose of the Study:

  • To extend Marlatt's Relapse Prevention model to a couples context.
  • To analyze the influence of relationship factors on relapse and abstinence.
  • To identify spousal behaviors that facilitate or impede client recovery.

Main Methods:

  • Development of a theoretical model integrating individual and relational factors.
  • Analysis at macroscopic (social network, relationship quality) and microscopic (spousal coping) levels.

Related Experiment Videos

  • Discussion of clinical implications for couples therapy.

    • Main Results:

    • Client coping responses are influenced by social support, relationship quality, and reinforcement expectations.
    • Spousal coping responses can be either facilitative or non-facilitative to client abstinence.
    • Non-facilitative spousal coping increases the likelihood of client relapse.

    Conclusions:

    • A couples-focused Relapse Prevention model offers a more comprehensive approach to addiction treatment.
    • Understanding and leveraging spousal support is critical for maintaining abstinence.
    • Therapeutic interventions should address both individual and relational dynamics in couples facing substance use issues.