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Circumstances Surrounding the Initial Lapse to Opiate Use Following Detoxification

Published online by Cambridge University Press:  02 January 2018

Brendan P. Bradley ,
Grania Phillips ,
Lynette Green  and
Michael Gossop
Brendan P. Bradley*
Affiliation:
University of Cambridge
Grania Phillips
Affiliation:
Drug Dependence Clinical Research and Treatment Unit, The Bethlem Royal and the Maudsley Hospital, London
Lynette Green
Affiliation:
Drug Dependence Clinical Research and Treatment Unit, The Bethlem Royal and the Maudsley Hospital, London
Michael Gossop
Affiliation:
Drug Dependence Clinical Research and Treatment Unit, The Bethlem Royal and the Maudsley Hospital, London
*
∗Department of Experimental Psychology, Downing Street, Cambridge CB2 3EB
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Abstract

Seventy-eight opiate abusers were followed up after successful in-patient detoxification in order to examine renewed opiate use. The greatest number of initial lapses occurred within a week of subjects leaving in-patient treatment. Eleven categories of lapse precipitant were identified: cognitive, mood, external, withdrawal, interpersonal, leaving a protected environment, drug availability, drug-related cues, craving, priming, and social pressure. Cognitions, negative moods and external events emerged as the most commonly mentioned factors; these often occurred together, either in clusters or in a sequence. Implications of these results for models of relapse and for treatment approaches are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 3 , March 1989 , pp. 354 - 359
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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