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Note that these script ideas were pulled from a UN training on cognitive behavioral therapy that is available online. Before any substance use even occurs, clinicians can talk to clients https://ecosoberhouse.com/ about the AVE and the cognitive distortions that can accompany it. This preparation can empower a client to avoid relapse altogether or to lessen the impact of relapse if it occurs.
Abstinence self-efficacy is a cognitive resource rooted in Bandura's (1997) self-efficacy theory involving the confidence in one's ability to effectively engage in behaviors for maintaining ongoing abstinence.
RehabCenter.net is intended for educational purposes only and is not designed to provide medical advice of any kind. Any information found on RehabCenter.net should never be used to diagnose a disease or health problem, and in no way replaces or substitutes professional care. In the case of a suspected health problem, please contact your healthcare provider. Taking you through the lapse abstinence violation effect step-by-step to understand how you could prevent it in the future. Believing the lapse is due to unchangeable factors like a lack of willpower or an inability to stop using. Family members of addicts should be provided an opportunity to come together to share their experiences, discuss problems, provide encouragement, and learn to cope more effectively with various concerns.
2The term “reliability” refers to the ability of a test or method to provide stable results (e.g., when different patients are compared or different investigators rate the same patient). The term “predictive validity” refers to the ability of a test or method to predict a certain outcome (e.g., relapse risk) accurately. Although RP has been applied with some success to various addictive behaviors, the effects of RP-based approaches are greatest in the treatment of alcoholism or multiple drug use (Irvin et al. 1999). Therapists also can enhance self-efficacy by providing clients with feedback concerning their performance on other new tasks, even those that appear unrelated to alcohol use.
A person may experience a particularly stressful emotional event in their lives and may turn to alcohol and/or drugs to cope with these negative emotions. An abstinence violation can also occur in individuals with low self-efficacy, since they do not feel very confident in their ability to carry out their goal of abstinence. Another approach to preventing relapse and promoting behavioral change is the use of efficacy-enhancement procedures—that is, strategies designed to increase a client’s sense of mastery and of being able to handle difficult situations without lapsing. One of the most important efficacy-enhancing strategies employed in RP is the emphasis on collaboration between the client and therapist instead of a more typical “top down” doctor-patient relationship. In the RP model, the client is encouraged to adopt the role of colleague and to become an objective observer of his or her own behavior.
Positive expectancies regarding alcohol’s effects often are based on myths or placebo effects of alcohol (i.e., effects that occur because the drinker expects them to, not because alcohol causes the appropriate physiological changes). Subsequently, the therapist can address each expectancy, using cognitive restructuring and education about research findings. The therapist also can use examples from the client’s own experience to dispel myths and encourage the client to consider both the immediate and the delayed consequences of drinking. Effect highlights the distinction between a lapse and relapse. Put simply, the AVE occurs when a client perceives no intermediary step between a lapse and a relapse. Treatment in this component involves describing the AVE, and working with the client to learn alternative coping skills for when a lapse occurs, such that a relapse is prevented.