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Relapse Prevention: A Model for Psychosis?

Published online by Cambridge University Press:  22 February 2012

Alison Beck-Sander*
Affiliation:
Forensic Services, South West London and St Georges' Mental Health NHS Trus
*
*Address for correspondence: Dr Alison Beck-Sander, Chartered Clinical Psychologist, Shaftesbury Clinic, Springfield Hospital, 61 Glenburnie Road, Tooting, London SW17 7DJ, United Kingdom.
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Abstract

Evidence suggests that there are substantial costs (in a variety of spheres: personal, social, financial, etc.) associated with psychotic relapse. Furthermore, relapse increases the likelihood of future relapses and increased costs. This paper explores the application of a model of relapse prevention (RP) outlined by Marlatt and Gordon (1985) to the field of psychosis. The original model was designed to help individuals who abuse substances to maintain control over their habit. The advantages and limitations of applying the original model to the prevention of psychotic relapse are explored in detail in the context of an amended model. One major advantage of the RP model is that it provides a framework for the coordination of treatment interventions. The complex intervention packages, which may be useful in the management of psychotic illnesses, are described. The RP framework may be used to coordinate treatments in a manner that maximises their potential and emphasises patient control.

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Type
Research Article
Copyright
Copyright © Cambridge University Press 1999

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