NDLI: Decision-making throughout the whole process of relapse: a qualitative analysis of problem drinkers' accounts of recent episodes

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Decision-making throughout the whole process of relapse: a qualitative analysis of problem drinkers' accounts of recent episodes

Content Provider	Scilit
Author	Takeda, Yuko Roper, Louise Duff, Simon Booth, Peter G.
Copyright Year	2013
Description	Background & Aims: Models of relapse have usually focused on the antecedents to a drinking session. This qualitative study examined themes within the whole process of relapse in alcohol use (including four phases: before, during, ending and following a drinking session). Methods: Fifteen clients from a UK alcohol treatment clinic received a semi-structured interview, and in-depth accounts of their most recent relapse experiences were obtained. Interview transcripts were analysed using thematic analysis. Results: Participants made sense of their relapse as being caused by circumstantial and compelling triggers, over which they perceived having little control. However, less readily identified, the whole process of relapse was underpinned by a sequence of ordinary decisions. Participants selected options in beverage choice, purchasing and drinking behaviour, which minimised anticipated negative outcomes of a relapse. Their continued drinking was reinforced by primary and secondary gains, and beliefs of uncontrollability. Participants were able to stop drinking, without assistance, when they had enough. Negative consequences of relapse were delayed and less serious than drinkers anticipated. Sharing their accounts with supportive others gave them a sense of consolation. Conclusions: Reflecting on the whole process of relapse and building up drinkers' sense of control may be important components of relapse prevention.
Related Links	http://www.tandfonline.com/doi/pdf/10.3109/14659891.2012.721446
Ending Page	428
Page Count	12
Starting Page	417
ISSN	14659891
e-ISSN	14759942
DOI	10.3109/14659891.2012.721446
Journal	Journal of Substance Use
Issue Number	5
Volume Number	18
Language	English
Publisher	Informa UK Limited
Publisher Date	2013-06-11
Access Restriction	Open
Subject Keyword	Journal: Journal of Substance Use Substance Abuse Alcohol Relapse Qualitative Study Decision-making Problem Drinkers
Content Type	Text
Resource Type	Article
Subject	Medicine Health (social science)

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