Qualitative research explores relapse in recovery, suggesting a shift to a strength-based understanding.
Background Relapse remains a central yet contested concept within addiction science, practice, and policy discourse. Traditionally conceptualized as treatment failure requiring prevention and correction, relapse continues to be framed primarily through deficit-oriented clinical models. However, recovery-oriented addiction research increasingly highlights the non-linear nature of recovery trajectories and the diverse meanings that individuals attribute to their relapse experiences within longer processes of change. In response, I propose a re-conceptualization of relapse within a strength-based and recovery-oriented framework.Method Drawing on recovery capital theory alongside empirical findings from previous qualitative research in which I explored repeated relapse among both people in recovery and addiction therapists, this paper introduces relapse capital as a theoretical extension of recovery capital.Results Relapse capital is conceptualized as a multidimensional phenomenon that may simultaneously erode and generate personal, social, and structural recovery resources. Situating relapse within relational, contextual, and developmental recovery processes allows for a more nuanced understanding that acknowledges both risks and potential learning. Although this perspective challenges deficit-focused interpretations it remains attentive to the clinical, social, and structural harms associated with substance use recurrence.Conclusions Integrating relapse capital into addiction science, pedagogy and practice may foster more compassionate and contextually grounded understandings of relapse. The framework has potential implications for research, clinical practice, service development, and policy by encouraging responses that support sustained engagement, reduce stigma, and recognize relapse as a dynamic force rather than an outcome.
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Maike Klein (2026) studied this question.
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