Problem and Pathological Gambling
von: James P. Whelan, Timothy A. Steenbergh, Andrew W. Meyers
Hogrefe Publishing, 2007
ISBN: 9781616763121
Sprache: Englisch
124 Seiten, Download: 1028 KB
Format: PDF, auch als Online-Lesen
| About the Authors, Preface and Table of Contents | 3 | ||
| 1 Description of Problem and Pathological Gambling | 12 | ||
| 1.1 Terminology | 12 | ||
| 1.1.1 Gambling as Recreation | 12 | ||
| 1.1.2 Continuum of Gambling-Related Harm | 13 | ||
| 1.2 Definitions | 15 | ||
| 1.2.1 Pathological Gambling | 15 | ||
| 1.2.2 Problem Gambling | 17 | ||
| 1.3 Epidemiology | 18 | ||
| 1.3.1 Vulnerable Populations | 18 | ||
| 1.3.2 Types of Gambling and Gambling Problems | 20 | ||
| 1.3.3 Impact of Gambling Availability | 20 | ||
| 1.3.4 Demographic Correlates | 21 | ||
| 1.4 Course and Prognosis | 22 | ||
| 1.4.1 Negative Effects | 23 | ||
| 1.4.2 Natural Recovery | 23 | ||
| 1.5 Differential Diagnosis | 24 | ||
| 1.6 Comorbidity | 24 | ||
| 1.6.1 Substance Use Disorders | 24 | ||
| 1.6.2 Mood Disorders | 25 | ||
| 1.6.3 Anxiety Disorders | 26 | ||
| 1.6.4 Axis II Disorders | 26 | ||
| 1.7 Diagnostic Procedures and Documentation | 26 | ||
| 1.7.1 Diagnostic Interview for Gambling Severity (DIGS) | 26 | ||
| 1.7.2 South Oaks Gambling Screen (SOGS) | 27 | ||
| 1.7.3 Lie/Bet Questionnaire | 27 | ||
| 1.7.4 Gambling Timeline Follow-Back (G-TLFB) | 27 | ||
| 1.7.5 Addiction Severity Index – Gambling Subscale (ASI-G) | 28 | ||
| 1.7.6 Gamblers Belief Questionnaire (GBQ) | 29 | ||
| 1.7.7 Gamblers Self-Efficacy Questionnaire (GSEQ) | 29 | ||
| 2 Theories and Models | 31 | ||
| 2.1 Gambling as an Addictive Behavior | 31 | ||
| 2.2 Learning Theories | 33 | ||
| 2.3 Cognitive Theories | 35 | ||
| 2.4 Biological Theories | 38 | ||
| 2.4.1 Family and Genetic Studies | 38 | ||
| 2.4 2. Neurotransmitter and Neuroanatomical Theories | 39 | ||
| 2.5 Disease Model | 40 | ||
| 2.6 An Integrated Model of Problem Gambling | 41 | ||
| 2.7 Guided Self-Change | 42 | ||
| . .1 Harm Reduction | 43 | ||
| . . Rapid Change Response | 43 | ||
| . .3 Self-Change | 44 | ||
| . . Motivational Approach | 45 | ||
| 3 Diagnosis and Treatment Indications | 46 | ||
| 3.1 Diagnostic Assessment | 46 | ||
| 3.2 Treatment Indications | 46 | ||
| 3.3 Clinical Assessment | 47 | ||
| 3.3.1 Gambling Behavior | 48 | ||
| 3.3.2 Assessment of Possible Treatment Mediators | 48 | ||
| 3.3.3 Systemic Factors | 50 | ||
| 3.3.4 Comorbid Psychopathology | 51 | ||
| 3. Treatments | 52 | ||
| 4 Treatment | 54 | ||
| 4.1 Method of Treatment | 54 | ||
| .1.1 Basic Principles | 54 | ||
| .1. Phase 1: Running Start Assessment | 58 | ||
| .1.3 Phase : Motivational Feedback | 60 | ||
| .1. Phase 3: Triggers and Consequences | 63 | ||
| .1. Phase : Options and Action Plan | 64 | ||
| .1.6 Phase : Relapse Prevention | 66 | ||
| .1. Follow-Up | 67 | ||
| 4.2 Mechanisms of Action | 68 | ||
| 4.3 Efficacy and Diagnosis | 69 | ||
| 4.4 Variations and Combination Methods | 70 | ||
| 4.5 Problems in Carrying Out Treatment | 72 | ||
| 4.6 Multicultural Issues | 73 | ||
| 5 Case Vignette | 75 | ||
| 5.1 Phase 1: Running Start Assessment | 75 | ||
| 5.2 Phase 2: Motivation and Feedback | 79 | ||
| 5.3 Phase 3: Functional Analysis of Gambling | 87 | ||
| 5.4 Phase 4: Implementation of Alternative Behaviors | 89 | ||
| 5.5 Phase 5 : Relapse Prevention | 90 | ||
| 5.6 Six Month Follow-up | 91 | ||
| 6 Further Reading | 93 | ||
| References | 94 | ||
| Appendices: Tools and Resources | 102 | ||
| Appendix 1: Instructions for Completing the Gambling Timeline Follow-Back | 103 | ||
| Gambling Calendar | 103 | ||
| Helpful Hints | 103 | ||
| Information to Record on the Calendar | 104 | ||
| Example Week | 104 | ||
| Appendix 2: Gamblers’ Beliefs Questionnaire (GBQ) | 105 | ||
| Appendix 3: Gambling Self-Efficacy Questionnaire | 108 | ||
| Appendix 4: Goal Statement | 109 | ||
| Appendix 5: Exercise 1 – Mount Recovery | 111 | ||
| Appendix 6: Exercise – Making a Decision About Your Gambling | 113 | ||
| Thinking About Your Gambling | 113 | ||
| The Decision to Change Exercise – Part 1 | 113 | ||
| The Decision to Change Exercise – Part | 114 | ||
| Weighing the Positives and Negatives | 115 | ||
| Draw Your Own Change Scale | 116 | ||
| Appendix 7: Exercise 3 – Understanding Your Gambling Problem | 117 | ||
| Understanding Your Gambling | 117 | ||
| Triggers | 118 | ||
| Consequences | 119 | ||
| Appendix 8: Exercise – Dealing With Your Gambling Problem | 120 | ||
| Options to Excessive Gambling | 120 | ||
| Comparing Options | 121 | ||
| Options Form | 122 | ||
| Appendix 9: Exercise – Relapse Prevention | 124 | ||
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