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Impulse Control > Compulsive Gambling > Flashcards

Compulsive Gambling Flashcards

1
Q

Compulsive Gambling

A

A chronic and progressive failure

to resist the impulse to gamble

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2
Q

Gambling

A
  • Majority of Americans participate in some form of gambling

- Gambling origins in religious rituals

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3
Q

Social Gamblers

A
  1. No self-value is tied to winning or losing
  2. Other aspects of life are important and
    rewarding
  3. A “big win” is rarely experienced
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4
Q

Pathological Gambling

A 
1. 1st introduced as diagnosable mental
disorder in 1980 (DSM-III)
2. Classified as a disorder of impulse
control
3. Definition: a chronic and progressive
failure to resist impulse to gamble
4. Synonymous with compulsive gambling 
5. Intoxicication=winning
•“The Action”
• Stimulation-Euphoria
• Pain and Stress Relieving
• Tranquilizing
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5
Q

Withdrawl

A 
-Losing
• Stress & Tension
• Inadequacy & Unimportance
• Loss of Self-Esteem
• Loss of Control
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6
Q

Characteristics of Pathological Gamblers

A

A. Workaholic-like
B. Risk Takers
1. Attracted to stimulating situations
2. Boredom not tolerated

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7
Q

Demographics & Incidence

A

Average onset from gambling to loss of control: 5 years

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8
Q

Winning Phase

A
  1. Gambling begins with small bets, usually in adolescence; mostly male
  2. Gambler’s luck is replaced by skillful betting
  3. Winning leads to more and more excitement
  4. Gambler’s play more frequent and for higher stakes
  5. Pathological gambler begins to believe he is an exceptional better
  6. Big win occurs
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9
Q

Losing Phase

A
  1. Begins to gamble alone
  2. Amount bet escalates
  3. Losing streak develops
  4. “Chase”
  5. Irrational optimism
  6. Legal borrowing
  7. Impairment in social & occupational
    functioning
  8. Major debt, partial confession & bail out
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10
Q

Desperation Phase

A
  1. More bailouts
  2. All of losing phase is worse
  3. State of panic
  4. Psychiatric signs
  5. Crash
  6. Depression
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11
Q

Underregulation- Standards

A

Failure to set time and access limits

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12
Q

Underregulation - Strength

A
  1. Negative affect

2. Unlimited access

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13
Q

Underregulation - Reduction of Monitoring

A
  1. Attention is systematically directed to immediate cues
    a. Attention kept away from anything that would facilitate monitoring
  2. Disinhibition
  3. Transcendence failure
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14
Q

Psychological Inertia

A

Development of automatic behaviors

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15
Q

Misregulation - Irrational or Faulty Beliefs

A

the belief that one can predict future chance events from knowing the outcome of past ones, because future and past outcomes must add up to a definite score

  1. Gamblers view chance outcomes as partially controllable
  2. Gamblers fallacy - misperception of chance events
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16
Q

Spiraling distress

A
  1. Money Problems
  2. History of “big win”
  3. Chasing
  4. Financial ruin
17
Q

Addiction Model

A
  1. Dependence on the “action” of gambling

2. Similarities to dependence on mood altering drugs

18
Q

Tolerance

A

needs to gamble with increasing amounts of

money

19
Q

Withdrawl

A
  • is restless or irritable when attempting to cut down or stop gambling
  • gambles as a way of escaping from problems or a dysphoric mood
20
Q

Larger amounts

A

After losing money gambling, often

returns another day to get even-”chasing”

21
Q

Impaired control

A

has repeated unsuccessful efforts to control, cut back or stop gambling

22
Q

Time spent

A

Is preoccupied with gambling

23
Q

Neglect of activites

A

has jeopardized or lost a significant relationship, job or career opportunity because of gambling

24
Q

Continued use despite problems

A
  • Lies to family members or others to conceal the extent of gambling
  • Has committed illegal acts to finance gambling
  • Relies on others to provide money to relieve a desperate financial situation caused by gambling
25
Q

Advantages of the medical disease

model

A
  1. Common signs and symptoms to establish diagnosis
  2. Lifts great burden of guilt
  3. Encourages development of resources for help to families and education of health professionals
  4. Encourages research
  5. Provides framework for enlightened public policy
  6. Provides a framework for treatment - Gamblers Anonymous, Naltrexone

Impulse Control (16 decks)

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