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When this goal is achieved, treatment becomes concerned with identification of more naturally-occurring rewards for abstinence (e.g., greater employment, relationship,
and social success). For example, the punchbowl
method rewards negative screens for drug use with the opportunity to draw a prize from a “punchbowl.” Most prizes have
low monetary value (e.g., $1), but the inclusion of rarer large
prizes (e.g., $50) both saves money while offering a successful inducement for abstinence.
Increases in the price level (inflation) erode the real value of money (the functional currency) and
other items with an underlying monetary nature. Low or moderate inflation may be attributed to fluctuations in real demand for
goods and services, or changes in available supplies such as during
scarcities. This approach, termed Relapse Prevention (RP) focuses on the identification and prevention of high-risk situations (e.g.,
favorite bars, friends who also use) in which a patient may be more likely to
engage in substance use.
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