Extending relapse prevention models to couples.
A model is proposed which extends Marlatt's Relapse Prevention model to couples. The model includes macroscopic and microscopic levels of analysis. At the macroscopic level, it is proposed that the probability of client coping responses is affected by the quality of the client's social support network, the quality of primary intimate relationships, the density of reinforcement for abstinence, and the expectation of loss of reinforcement for drinking. At the microscopic level, it is proposed that spouses may engage in a variety of coping responses that may either facilitate client coping and help maintain changes in drinking, or which are nonfacilitative and increase the likelihood of relapse. Clinical implications of the model are discussed.
McCrady
B S
BS
Center of Alcohol Studies, Rutgers-The State University, Piscataway, NJ 08854.
D000437:Alcoholism / Q000628:therapy*; D005190:Family; D006801:Humans; D008960:Models, Psychological; D012008:Recurrence; D013695:Temperance