The Relapse Story: its rituals and meanings

Sammanfattning: Alcohol relapse is a major problem and challenge for health care professionals working in the field of addictive disorders. Despite the array of relapse prevention methods available, alcohol misusers become caught up in a cycle of relapse which is difficult to break. What does the relapse experience mean for the client? The purpose of this study is to combine understanding of the relapse story and its sequences with the intention of improving therapy and assisting patients and their families. In this qualitative study, the chains of events in five case studies or stories were investigated and analyzed in order to uncover deeper meanings behind alcohol relapse. Internal and external validity, in this case study, were strengthened by the use of control questions and pattern-matching. Multiple-case interviews revealed important themes including control, ritual behavior, childhood trauma, and guilt. Using the relapse interview as a guide, a new conversational model or therapeutic approach is proposed where the therapist and the client together, examine, reflect over, and learn from the alcohol relapse story. Moreover, the methodology in this approach, allows the therapist to combine research with clinical treatment of the client.