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Flashcards in Compulsive Gambling Deck (25)
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1

Compulsive Gambling

A chronic and progressive failure
to resist the impulse to gamble

2

Gambling

-Majority of Americans participate in some form of gambling
-Gambling origins in religious rituals

3

Social Gamblers

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

4

Pathological Gambling

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

5

Withdrawl

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

6

Characteristics of Pathological Gamblers

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

7

Demographics & Incidence

Average onset from gambling to loss of control: 5 years

8

Winning Phase

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

9

Losing Phase

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

10

Desperation Phase

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

11

Underregulation- Standards

Failure to set time and access limits

12

Underregulation - Strength

1. Negative affect
2. Unlimited access

13

Underregulation - Reduction of Monitoring

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

14

Psychological Inertia

Development of automatic behaviors

15

Misregulation - Irrational or Faulty Beliefs

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

16

Spiraling distress

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

17

Addiction Model

1. Dependence on the “action” of gambling
2. Similarities to dependence on mood altering drugs

18

Tolerance

needs to gamble with increasing amounts of
money

19

Withdrawl

-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

Larger amounts

After losing money gambling, often
returns another day to get even-”chasing”

21

Impaired control

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

22

Time spent

Is preoccupied with gambling

23

Neglect of activites

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

24

Continued use despite problems

- 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

Advantages of the medical disease
model

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