Abstract
Substance dependence, like diabetes, asthma, hypertension, and many other diseases, is a remittent illness (1). When a patient with diabetes, for example, is found to have very low or very high blood sugar, adjustments in medication, diet, and daily activities are made in the treatment plan in order to minimize long-term complications. Unfortunately, because of the stigma involved, an individual who has been abstinent but has relapsed to abusing drugs and alcohol is more likely to receive a lecture rather than a treatment plan. This chapter addresses factors leading to relapse and appropriate ways of preventing and dealing with relapse.
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
McLellan AT, O’Brien CP, Lewis D, et al. Drug addiction as a chronic medical illness: implications for treatment, insurance, and evaluation. JAMA 2000; 284:1689–1695.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text rev. Washington, DC: American Psychiatric Press; 2000.
Vaillant GE. Natural History of Alcoholism, Revisited. Cambridge, MA: Harvard University Press; 1995.
Vaillant GE. Natural history of addiction and pathways to recovery. In Graham AW, Schultz TK, Mayo-Smith MF, et al, eds. Principles of Addiction Medicine, 3rd ed. Chevy Chase, MD: American Society of Addiction Medicine; 2003:3–16.
Kalivas PW, Volkow ND. The neural basis of addiction: a pathology of motivation and choice. Am J Psychiatry 2005;162:1403–1413.
Schuckit MA, Smith TL. An evaluation of the level of response to alcohol, externalizing symptoms, and depressive symptoms as predictors of alcoholism. J Stud Alcohol 2006;67:215–227.
Paulus MP, Tapert SF, Schuckit MA. Neural activation patterns of methamphetamine-dependent subjects during decision making predict relapse. Arch Gen Psychiatry 2006;62:761–768.
Uhl GR. Addiction genetics and genomics. In Madras BK, Rutter JL, Colvis CM, et al, eds. Cell Biology of Addiction. Cold Spring Harbor, NY: Cold Spring Harbor Laboratory Press; 2006:15–28.
Kreek MJ. Endorphins, gene polymorphisms, stress responsivity, and specific addictions: selected topics. In Madras BK, Rutter JL, Colvis CM, et al, eds. Cell Biology of Addiction. Cold Spring Harbor, NY: Cold Spring Harbor Laboratory Press; 2006:63–92.
Beck AT, Wright FD, Newman CF, Liese BS. Cognitive Therapy of Substance Abuse. New York: Guilford Press; 1993.
Daley DC, Marlatt GA, Spotts CE. Relapse prevention: clinical models and intervention strategies. In Graham AW, Schultz TK, Mayo-Smith MF, et al, eds. Principles of Addiction Medicine, 3rd ed. Chevy Chase, MD: American Society of Addiction Medicine; 2003:772–785.
Mercer D, Woody GE, Luborsky L. Individual psychotherapy. In Galanter M, Kleber HD. Textbook of Substance Abuse Treatment, 3rd ed. Washington, DC: American Psychiatric Publishing; 2004:343–352.
Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. New York: Guilford Press; 2002.
McLellan AT, McKay JR. Components of successful addiction treatment. In Graham AW, Schultz TK, Mayo-Smith MF, et al, eds. Principles of Addiction Medicine, 3rd ed. Chevy Chase, MD: American Society of Addiction Medicine; 2003:429–442.
Scott CK, Dennis ML, Foss MA. Utilizing recovery management checkups to shorten the cycle of relapse, treatment reentry, and recovery. Drug Alcohol Depend 2005;78:325–338.
Regier DA, Farmer M, Rae D, et al. Comorbidity of mental disorders with alcohol and other drug abuse: results from the epidemiologic catchment area (ECA) study. JAMA 1990;264:2511–2518.
Center for Substance Abuse Treatment. Substance Abuse Treatment for Adults in the Criminal Justice System. Treatment Improvement Protocol (TIP) Series 44. DHHS Publication No. (SMA)05-4056. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2005.
Carlson HB, Hora PF, Schma WG. Special issues in treatment: drug courts. In Graham AW, Schultz TK, Mayo-Smith MF, et al, eds. Principles of Addiction Medicine, 3rd ed. Chevy Chase, MD: American Society of Addiction Medicine; 2003:445–449.
Winick BJ, Wexler DB. Therapeutic jurisprudence. In Graham AW, Schultz TK, Mayo-Smith MF, et al, eds. Principles of Addiction Medicine, 3rd ed. Chevy Chase, MD: American Society of Addiction Medicine; 2003:550–552.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Kelly, T.J., Gaither, J.M., King, L.J. (2007). Relapse. In: Lessenger, J.E., Roperd, G.F. (eds) Drug Courts. Springer, New York, NY. https://doi.org/10.1007/978-0-387-71433-2_25
Download citation
DOI: https://doi.org/10.1007/978-0-387-71433-2_25
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-71432-5
Online ISBN: 978-0-387-71433-2
eBook Packages: MedicineMedicine (R0)