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High-Risk<br />
Situation<br />
A Cognitive-Behavioral Model of<br />
the h RRelapse l P Process (Marlatt) (M l )<br />
CCoping i IIncreased d DDecreased d<br />
Response<br />
Self-Efficacy Probability of<br />
Relapse<br />
Decreased<br />
Self Self-Efficacy Efficacy<br />
________________ Initial<br />
No Coping<br />
Response Positive Outcome<br />
Expectancies<br />
(for initial effects<br />
of substance)<br />
Abstinence<br />
Violation<br />
Effect<br />
Dissonance<br />
Substance Conflict<br />
Use and<br />
Self-Attribution<br />
(guilt and<br />
perceived loss of<br />
control)<br />
Increased<br />
Probabilityy<br />
of<br />
Relapse<br />
From Marlatt & Gordon, 1985 71
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