Counseling Problem Gamblers -  Joseph W. Ciarrocchi

Counseling Problem Gamblers (eBook)

A Self-Regulation Manual for Individual and Family Therapy
eBook Download: PDF
2001 | 1. Auflage
340 Seiten
Elsevier Science (Verlag)
978-0-08-049082-3 (ISBN)
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54,95 inkl. MwSt
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Over the past decade, legal wagering has expanded rapidly in North America. In 1998 alone, people lost 50 billion dollars in legal betting and it is estimated that illegal wagering is twice that amount. A recent government report, based on the broadest population survey, concludes that the lifetime and pathological gamblers in the U.S. range between 4 and 10 million persons and is growing. If we include the families affected by problem gambling then the potential impact is indeed prodigious. Virtually no community in the U.S. and Canada is left untouched by entertainment or problem gambling. Treating problem gambling has evolved from a small group of practitioners in the 1980's working in specialty impatient units into an international enterprise that affects the caseload of many mental health professionals. Owing to its quiet origins, problem gambling treatment strategies are not well known throughout the clinical community. Consequently the average clinician is him/herself learning as they go. This approach does not benefit either client or therapist. As the book's first chapter makes clear, problem gambling differs significantly from substance abuse, its nearest clinical relative. Not attending to these differences leads to poor results and clinical failure. This book is the one essential tool needed by clinicians treating or likely to treat problem gambling. Written by a clinician with wide experience, it is intended for the general clinician treating or likely to treat problem gambling desiring a comprehensive, yet user-friendly guide.

Key Features
* Assessment and treatment of problem gambling and those affected by it is discussed
* Includes diagnostic instruments developed by the author
* An integrative approach is taken with a special focus on cultural concerns and clinical applications for women and minorities
* Integration of spirituality in treatment is covered
Over the past decade, legal wagering has expanded rapidly in North America. In 1998 alone, people lost 50 billion dollars in legal betting and it is estimated that illegal wagering is twice that amount. A recent government report, based on the broadest population survey, concludes that the lifetime and pathological gamblers in the U.S. range between 4 and 10 million persons and is growing. If we include the families affected by problem gambling then the potential impact is indeed prodigious. Virtually no community in the U.S. and Canada is left untouched by entertainment or problem gambling. Treating problem gambling has evolved from a small group of practitioners in the 1980's working in specialty impatient units into an international enterprise that affects the caseload of many mental health professionals. Owing to its quiet origins, problem gambling treatment strategies are not well known throughout the clinical community. Consequently the average clinician is him/herself "e;learning as they go."e; This approach does not benefit either client or therapist. As the book's first chapter makes clear, problem gambling differs significantly from substance abuse, its nearest clinical relative. Not attending to these differences leads to poor results and clinical failure. This book is the one essential tool needed by clinicians treating or likely to treat problem gambling. Written by a clinician with wide experience, it is intended for the general clinician treating or likely to treat problem gambling desiring a comprehensive, yet user-friendly guide. Assessment and treatment of problem gambling and those affected by it is discussed Includes diagnostic instruments developed by the author An integrative approach is taken with a special focus on cultural concerns and clinical applications for women and minorities Integration of spirituality in treatment is covered

Front Cover 1
Counseling Problem Gamblers 4
Copyright Page 5
Contents 8
Acknowledgments 14
List of Worksheets 16
Chapter 1. The Twenty Percent Difference 18
A Clinician’s Experience 19
The Other Twenty Percent 19
Need for a Comprehensive Clinical Mind 21
The Case for a Pragmatic Approach 22
Countertransference and the Three Ways 23
Chapter 2. The Scope of Social and Problem Gambling 26
Social and Recreational Gambling 27
Scope of Problem Gambling 32
Chapter 3. Research on Causes and Treatment of Pathological Gambling 42
Introduction 43
Risk Factors 43
Individual Differences: Models and Research 48
General Personality Characteristics 51
Affective–Motivational Variables 53
Cognitive Distortions 55
Treatment Approaches 60
Chapter 4. A Self-Regulation Model for Understanding Pathological Gambling 68
Advantages of Self-Regulation Theory 69
Self-Regulation Theory: General Features 70
Self-Regulation Theory: Specific Mechanisms 72
Risk-Taking: The Missing Ingredient in a Comprehensive Understanding of Pathological Gambling 77
The Downside of Egotism 78
The Psychological Function of Self-Esteem 79
Summary 80
Chapter 5. Diagnosis and Assessment of Pathological Gambling 84
Pathological Gambling and the DSM 85
The Clinical Picture 86
DSM Criteria 89
Robert Custer and Stages of Gambling 95
Gambling Assessment Instruments 96
Gambling Subtypes 99
Problem Versus Nonproblem Gambling 101
Comorbidity 102
Personality Assessment of Pathological Gamblers 103
Appendix 112
Chapter 6. Overview of Clinical Interventions: A Plea for Family Involvement 122
Empirical Basis 123
Treatment Modalities 123
Format 125
Chapter 7. Motivational Enhancement, Stages of Change, and Goal-Setting 126
The Context of Motivational Enhancement 127
Origins of Motivational Enhancement 128
Stages-of-Change Model 129
Strategies Used to Change 133
Motivational Enhancement Approach 133
Motivational Enhancement and Goal-Setting 141
Chapter 8. Abstinence Control and Relapse Prevention 160
Building a Fence Around Temptation 161
Defining Abstinence Control 162
Stimulus Control Assessment 164
Stimulus Control and Environmental Management 166
Summary 171
Chapter 9. Managing Urges Through Acceptance 176
Cravings and Self-Regulation Theory 177
Acceptance Rationale 178
Rehearsal 180
Implementing Acceptance and Urge Surfing 182
Chapter 10. Depression, Anxiety, and Guilt: Cognitive Strategies 186
Anxiety Management 187
Managing Depression 190
Managing Guilt Feelings 193
Summary 197
Chapter 11. Changing Beliefs About Gambling: The Downside of Hope 200
Introduction 201
Application 201
Evaluating Client Beliefs 202
Challenging Gambling Beliefs 203
Chapter 12. Problem-Solving and Overcoming Procrastination 212
Introduction 213
Problem-Solving 213
Format 214
Description of the Current Problem 214
Generating Solutions 216
Implementing the Solution 218
Evaluate the Solution 218
Overcoming Procrastination 219
Summary 223
Chapter 13. Financial and Legal Issues 230
Overview 231
Managing Financial Issues 231
Legal and Forensic Issues 236
Chapter 14. Couples and Family Treatment 242
Family Scenarios 243
Pathological Gambling Patients and Families: Different Perspectives 244
Couples Therapy for Pathological Gambling 249
Model Overview 251
Working with Family Members Alone 257
Countertransference Issues 262
Chapter 15. Spirituality, Virtue, and Character: A Model for Therapist Collaboration in Long-Term Growth 264
Rationale for Chapter 265
Religion and Spirituality: Model and Definition 267
Therapeutic Interface with Spirituality 271
Interventions for Building Character–Virtue 283
References 294
Appendix A. National Council on Problem Gambling Affiliate List 310
Appendix B. Worksheets 318
Index 356

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