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Anonymous
Well penultimate means next to the last of something and recidivism means going back to your addiction; so in colloquial terms it's- "the next to the last time you fell off the wagon!"
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It basically just means the 'second to last' one. For example if i was to say, "it was the penultimate episode of the series", I'm basically saying that the episode was the second to last episode in the series.