Relapse, Relapse Prevention SpringerLink

Posted by on Jul 28, 2020 in Sober living | 0 comments

Relapse, Relapse Prevention SpringerLink

Additionally, lab-based studies will be needed to capture dynamic processes involving cognitive/neurocognitive influences on lapse-related phenomena. Self-efficacy (SE), the perceived ability to enact a given behavior in a specified context [26], is a principal the abstinence violation effect refers to determinant of health behavior according to social-cognitive theories. Although SE is proposed as a fluctuating and dynamic construct [26], most studies rely on static measures of SE, preventing evaluation of within-person changes over time or contexts [43]. The RP model has been studied among individuals with both AUD and DUD (especially Cocaine Use Disorder, e.g., Carroll, Rounsaville, & Gawin, 1991); with the largest effect sizes identified in the treatment of AUD (Irvin, Bowers, Dunn, & Wang, 1999). In sum, the RP framework emphasizes high-risk contexts, coping responses, self-efficacy, affect, expectancies and the AVE as primary relapse antecedents. I have lost all that time,” which can trigger a self-destructive mindset and potentially lead to further relapse. Administrative discharge due to substance use is not a necessary practice even within abstinence-focused treatment (Futterman, Lorente, & Silverman, 2004), and is likely linked to the assumption that continued use indicates lack of readiness for treatment, and that abstinence is the sole marker of treatment success. The current review highlights a notable gap in research empirically evaluating the effectiveness of nonabstinence approaches for DUD treatment. The RP model views relapse not as a failure, but as part of the recovery process and an opportunity for learning. Cognitive Dissonance The term relapse may be used to describe a prolonged return to substance use, whereas lapsemay be used to describe discrete, circumscribed… In sum, research suggests that achieving and sustaining moderate substance use after treatment is feasible for between one-quarter to one-half of individuals with AUD when defining moderation as nonhazardous drinking. While there is evidence that a subset of individuals who use drugs engage in low-frequency, non-dependent drug use, there is insufficient research on this population to determine the proportion for whom moderation is a feasible treatment goal. However, among individuals with severe SUD and high-risk drug or alcohol use, the urgency of reducing substance-related harms presents a compelling argument for engaging these individuals in harm reduction-oriented treatment and interventions. In the 1980s and 1990s, the HIV/AIDS epidemic prompted recognition of the role of drug use in disease transmission, generating new urgency around the adoption of a public health-focused approach to researching and treating drug use problems (Sobell & Sobell, 1995). The realization that HIV had been spreading widely among people who injected drugs in the mid-1980s led to the first syringe services programs (SSPs) in the U.S. (Des Jarlais, 2017). Cognitive Behavioral Therapy in Cannabis Use Disorder Efforts to evaluate the validity [119] and predictive validity [120] of the taxonomy failed to generate supportive data. It was noted that in focusing on Marlatt’s relapse taxonomy the RREP did not comprehensive evaluation of the full RP model [121]. Nevertheless, these studies were useful in identifying limitations and qualifications of the RP taxonomy and generated valuable suggestions [121]. Gillian Steckler is a research assistant for Dr Katie Witkiewitz at Washington State University Vancouver where she also attended and received a bachelor of science degree in psychology. By implementing certain strategies, people can develop resilience, self-compassion, and adaptive coping skills to counteract the effects of the AVE and maintain lifelong sobriety. 2. Established treatment models compatible with nonabstinence goals At Bedrock, we use evidence-based approaches such as cognitive-behavioral therapy (CBT) to help our clients develop coping skills and enhance resilience in the face of setbacks. There is less research examining the extent to which moderation/controlled use goals...

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Peacock Pair in the Pomegranate Tree Ketubah

Posted by on Nov 19, 2018 in Ketubah Art, News, Papercuts, Visual Art | 0 comments

Peacock Pair in the Pomegranate Tree Ketubah

There was magic afoot when I was able to share the tradition of the goldene pave (the golden peacock), as a symbol of Yiddish culture after learning how deeply connected the bride felt to her own tradition’s veneration of the beauty of the same bird. The three of us worked closely on every aspect of the papercut design you see above in order to bring their desire for a vivid setting of their words to life. Tucked into the center of the document is the Sanskrit, translated into English and circling the...

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Where There is Love Marriage Document

Posted by on Nov 19, 2018 in Ketubah Art, News, Papercuts, Visual Art | 0 comments

Where There is Love Marriage Document

A marriage that honors the traditions of Judaism and Greek culture led this couple to incorporate both Greek and Hebrew in the design of this elaborate papercut document. The line, “Where there is love, there is life” appears in the text and has been pulled out to create the design on either side of the text lozenge.  Surrounded by papercut olive branches and a traditional key pattern, the text is centered and floats above a painted background that simulates deep space and the imagery with which we have become familiar by way of the Hubble satellite and others.  Color was most important to the bride and groom, and touches of gold sparkle through the piece. The entire work is cut from one sheet of white paper with the Greek and Hebrew words painted gold on the...

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Israeli Wildflowers Glass Mosaic

Posted by on Oct 8, 2018 in Currently Available, News, Visual Art | 0 comments

Israeli Wildflowers Glass Mosaic

Branching out into glass mosaic is a natural extension of the glass work I’ve done as wall art in the past.  This 16″ X 20″ piece is all hand cut and mounted, with one glass fusion poppy. The artwork represents endangered wildflowers of Israel.  The piece is finished in glass on the sides and is ready to hang.  Inquire about...

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White on White Lattice Ketubah

Posted by on Oct 8, 2018 in Ketubah Art, News, Visual Art | 0 comments

White on White Lattice Ketubah

While papercutting is a largely universal folk art form, and while Jewish tradition has a rich history of ritual papercuts, the shifting of this craft into 21st Century Jewish expression is extraordinary in its appeal. Based on the clarity of this couple, decisions about the colors, shapes, and overall treatment of the ketubah came together very quickly.  The entire piece is hand-cut from a very sturdy water color paper (which reminded my throughout the cutting that it used to be a tree!), and the background paper is just slightly more off-white, creating the most subtle contrast.  Contrast is more strongly enhanced by raising up the front paper from the back paper by cutting the thinnest slivers of acid-free board and gluing them to the ‘struts’ to elevate the cut surface! The intentional drawing of the eye towards the text is done by subtly cutting the inner rectangle’s lines just a hair thinner than those on the outside, and making the spaces just a bit smaller. The intention is not to call attention to this, but to bring the eye to the text in the most natural...

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