Principles and Practice of Relapse Prevention

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There is now a sizable body of literature concerned with the prediction, prevention, and processes of relapse across a wide range of clinical problems. Drawing together this information for the first time, this book takes the clinician and researcher through several these common adult disorders and illustrates the ways in which relapse may be prevented with each one. An ideal resource, the book comprehensively reviews the literature, details specific clinical techniques, and reports on the experimental evaluations of these strategies.

Chapter authors, representing an international array of noted experts, discuss relapse prevention strategies for alcohol problems, smoking, obesity, and anorexia nervosa and bulimia. Separate chapters also cover such clinical problems as depression, panic disorder and agoraphobia, obsessive compulsive disorders, sexual deviance, and schizophrenia. Finally, the use of relapse prevention techniques as applied to such complaints as chronic pain, marital problems, social competence, and stuttering is addressed.

Each chapter, focusing on a specific problem, examines its nature, applicable treatment approaches, and the available research evidence on the rate of relapse. Clinical techniques are described, the outcome literature reviewed, and clinical and research recommendation presented. Whenever possible, tables are used to summarize the results of principle studies.

Providing a hands-on guide to the best available techniques for avoiding relapse and maintaining therapeutic effects for a wide array of clinical problems, this volume is an excellent resource for researchers and practitioners alike. Designed for easy reference, it also serves as a text for graduate students in clinical psychology and psychiatry.
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Editorial Reviews

From the Publisher

"This excellent work makes a major contribution by extending relapse prevention to a wide range of nonaddictive chronic clinic disorders. The contributors endeavor to integrate research and practice, and to promote and guide sorely needed long-term follow-up research. Topics covered include alcohol, smoking, obesity, eating disorders, depression, schizophrenia, panic disorder, obsessive-compulsive disorder, sexual deviance, pain, marital distress, social competance, and stuttering."
--Jon G. Allen, Ph.D. Review in Bulletin of the Menninger Clinic

"This excellent work makes a major contribution by extending relapse prevention to a wide range of nonaddictive chronic clinical disorders." --Bulletin of the Menninger Clinic

"Behavior therapy is probably the most effective psychological intervention at this time for the treatment of most addictions, agoraphobia, obsessive-compulsive disorders, depression, chronic pain, stuttering, social and marital disorders, and more. But sooner or later serious problems of relapse prevention (RP) and maintenance present themselves. Practitioners and researchers alike are increasingly aware of the need to unravel the factors that trigger off RP and the clinical procedures necessary to achieve durable maintenance. Prior to the appearance of Dr. Wilson's text, to the extent that it was available at all this material was scattered throughout the literature and there was no convenient way of making an informed appraisal of this information.

Dr. Wilson and his impressive team of coauthors systematically survey virtually every facet of RP, place these matters in perspective, point the way to future research endeavors, and outline the manner in which clinicians might avail themselves now of what is known. This book is timely, comprehensive, informative, and clearly written--in brief, an essential resource for all practitioners and researchers. In producing this unique volume, Dr. Wilson and his fellow contributors have performed a signal service to the professional community and thereby to the public at large. To the best of my knowledge, this is the only book of its kind in existence." --Cyril M. Franks, Ph.D., Professor Emeritus, Graduate School of Applied and Professional Psychology, Rutgers University

"Principles and Practice of Relapse Prevention constitutes an important addition to the literature. As cognitive-behavioral treatments are shown to be efficacious with an increasing number of disorders, issues concerning the maintenance of treatment gains and the prevention of relapse will become the focus of attention. Dr. Wilson and his colleagues have done an outstanding job of presenting the current clinical and theoretical status of this field." --Peter M. Lewinsohn, Ph.D., Oregon Research Institute

Takes the clinician and researcher through a number of common adult disorders and illustrates the ways in which relapse may be prevented in each one. Comprehensively reviews the literature, details specific clinical techniques, and reports on the experimental evaluations of these strategies. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780898628913
  • Publisher: Guilford Publications, Inc.
  • Publication date: 8/14/1992
  • Edition description: New Edition
  • Pages: 383
  • Product dimensions: 6.18 (w) x 9.18 (h) x 1.08 (d)

Meet the Author

Peter H. Wilson, Ph.D., is Associate Professor and coordinator of the Clinical Psychology Program at The Flinders University of South Australia in Adelaide. He received his degree in Psychology at The University of New South Wales and has taught at The University of Western Australia and The University of Sydney. His research interests include cognitive behavioral treatment of depression and the psychological aspects and management of tinnitus and chronic health problems.
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Table of Contents

Ch. 1 Relapse Prevention: Conceptual and Methodological Issues 1
Ch. 2 Alcohol Problems 23
Ch. 3 Smoking 43
Ch. 4 Obesity 69
Ch. 5 Anorexia Nervosa and Bulimia Nervosa 85
Ch. 6 Depression 128
Ch. 7 Schizophrenia 157
Ch. 8 Panic Disorder and Panic Disorder with Agoraphobia 191
Ch. 9 Obsessive-Compulsive Disorders 213
Ch. 10 Sexual Deviance 235
Ch. 11 Chronic Pain 255
Ch. 12 Marital Distress 290
Ch. 13 Social Competence: Interventions with Children and Parents 322
Ch. 14 Stuttering 349
Ch. 15 Directions for Future Research in Relapse Prevention 366
Index 373
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