Psychology

Relapse and Setbacks

Concept

Relapse is the return to a problematic behaviour after a period of abstinence or reduced use. In recovery communities it is usually framed not as failure but as a common part of the change process.

What relapse is

Relapse is the return to a problematic behaviour after a period of abstinence or reduced use. Recovery communities generally frame relapse not as failure but as a common part of the change process.

What is known

In addiction research generally, lapses are common and recovery is non-linear. For PPU specifically, relapse is described extensively in community reports but has been less studied in controlled research. Community members emphasize that recovering quickly from a lapse matters more than never lapsing.

Practical angle

Planning for setbacks in advance — deciding ahead of time what to do after a lapse — is generally more useful than assuming lapses will not happen. A lapse does not erase prior progress. See self-regulation and behaviour change.

What the research shows

Relapse is a well-studied phenomenon in addiction research, where lapses are common and recovery is often non-linear. For PPU specifically, relapse is described extensively in community reports but less studied in controlled research.

Community observation

Community members widely report that setbacks are common, that recovery is rarely linear, and that recovering quickly from a lapse matters more than never lapsing.

Practical implications

What we know

  • Setbacks are common in behaviour change and recovery.
  • Recovery is typically non-linear.

What we don't know

  • Reliable relapse rates and predictors specific to PPU.
  • Which relapse-prevention techniques work best for PPU.

What is debated

  • Whether abstinence or harm reduction is the more appropriate goal (and whether that affects how 'relapse' is defined).

Related research

Limitations