Initial thoughts on viewing pathological gambling from a physiological and intrapsychic structural perspective
Tóm tắt
This paper is an effort to integrate the contributions of various theoretical orientations in psychology, psychiatry, and neuropsychology into a framework that facilitates the understanding and treatment of pathological gambling. It is the belief of the author that pathological gamblers in particular and perhaps addicted individuals in general lack elements in basic internal structures. Such deficits may involve a biological vulnerability as well as learned dysfunction that result in gaps in identity and ego constructs along with inadequate cognitive and emotional frameworks. Such structures make it difficult for individuals to manage many aspects of life, particularly negative affect, interpersonal relationships, intimacy, and behavioral consistency. The role of treatment begins with evaluation of existing internal structures in order to determine which are dysfunctional. Therapeutic interventions subsequently would be designed to assist patients in constructing more solid structural foundations on which they can build realistic and effective coping patterns and integrated identities. The relevance of a twelve step program in accomplishing therapeutic goals is also discussed.
Tài liệu tham khảo
Bandura, A. (1977).Social learning theory. Englewood Cliffs, New York: Prentice-Hall.
Beck, A.T., Rush, A.J., Shaw, B.P. & Emery, G. (1979).Cognitive therapy oj depression. New York: Guilford Press.
Bradshaw, J. (1990).Homecoming: Reclaiming and championing your inner child. New York: Bantam Books.
Brown, S.A. (1985). Reinforcement expectancies and alcoholism treatment outcome after a one year follow-up.Journal of Studies on Alcohol, 46, 304–308.
Burns, D.D. (1980).Feeling good: The new mood therapy. New York: Penguin Books.
Carlin, A.S. (1986). Neuropsychological consequences of drug abuse. In I. Grant & K.M. Adams (Eds.).Neuropsychological assessment of neuropsychiatric disorders (pp. 478–498). New York: Oxford University Press.
Christiansen, B.A. & Brown, S.A. (1985, August).Adolescent alcohol expectance: Further evidence of their robust natue. Paper presented at the annual meeting of the American Psychological Association. Los Angeles, California.
Cocores, J.A., Davies, R.K., Mueller, P.G. & Gold, H.S. (1987). Cocaine abuse and adult attention deficit disorder.Journal of Clinical Psychiatry, 48, 376–377.
CompCare (1976)A Day at a Time. Minneapolis, MN: CompCare Publishers.
Custer, R.L. & Custer, L.P. (1978, December).Characteristics of the recovering compulsive gambler: A survey of 150 members of Gamblers Anonymous. Paper presented at the Fourth Annual conference on Gambling, University of Nevada.
DeObaldia, R. & Parsons, O.A. (1984). Relationship of neuropsychological performance to primary alcoholism and self-reported symptoms of childhood minimal brain dysfunction.Journal of Studies on Alcohol, 45, 386–392.
Druck, A.B. (1989).Four therapeutic approaches to the borderline patient. New Jersey: Jason Aronson.
Ellis, A. (1975).The new guide to rational living. New York: Harper & Row.
Gamblers Anonymous (1989).A guide to the fourth step inventory. Los Angeles: GA Publishing Co.
Gilovich, T. (1983). Biased evaluations and persistence in gambling.Journal of Personality and Social Psychology, 44, 1110–1126.
Glen, A.M. (1979, August).Personality research on pathological gamblers. Paper presented at the American Psychological Association Annual Convention, New York. Goldstein, L., Manowitz, P., Nora, R., Swartzburg, M. & Carlton, P.L. (1985). Differential
EEG activation and pathological gambling.Biological Psychiatry,20, 1232–1234.
Graham, J.R. & Lowenfeld, B.L. (1986). Personality dimensions of the pathological gambler,Journal of Gambling Behavior, 2, 58–66.
Grant, I., Adams, K.M., Carlin, A.S., Rennick, P.M., Judd, C.L. & Schooff, K. (1970). The collaborative neuropsychological study of polydrug users.Archives of General Psychiatry, 35, 1063–1074.
Griffiths, M.D. (1990). The acquisition, development, and maintenance of fruit machine gambling in adolescents.Journal of Gambling Behavior, 6, 193–204.
Jacobs, D.F. (1989). A general theory of addictions: Rationale for and evidence supporting a new approach for understanding and treating addictive behaviors. In H.J. Shaffer, S.A. Stein, D. Gambino & T.N. Cummings (Eds.),Compulsive gambling: theory, research & practice (pp. 35–64). Lexington: D.C. Heath & Co.
Kagan, J. & Snidman, N. (1991). Temperamental Factors in Human Development.American Psychologist, 46, 856–862.
Kernberg, O. (1984).Severe personality disorders: Psychotherapeutic strategies. New Haven: Yale University Press.
Landouceur, R. Gaboury, A., Dumont, M. & Rochette, P. (1988). Gambling: Relationship between the frequency of wins and irrational thinking.Journal of Psychology, 122, 409–414.
Langer, E.J. (1975). The illusion of control.Journal of Personality and Social Psychology, 32, 311–328.
Mann, H.B. & Greenspan, S.I. (1976). The identification and treatment of adult brain dysfunction.American Journal of Psychiatry, 133, 1013–1017.
McCormick, R.A. (1987) Pathological gamblers: A parsimonious need state model.Journal of Gambling Behavior, 3, 257–263.
McCormick, R.A., Russo, A.M., Ramirez, L.F. & Taber, J.I. (1984). Affective disorders among pathological gamblers seeking treatment.American Journal of Psychiatry, 141, 215–218.
McCormick, R.A. & Taber, J.I. (1988). Attributional style in pathological gamblers in treatment.Journal of Abnormal Psychology, 297, 368–370.
McCormick, R.A., Taber, J.I. & Kreudelbach, N. (1989). The relationship between attributional style and post traumatic stress disorder in addicted patients.Journal of Traumatic Stress, 2, 477–487.
Monti, P.M., Abrams, D.B., Kadden, R.M. & Cooney, N.L. (1989).Treating alcohol dependence: A coping skills training guide. New York: Guilford Press.
Moravec, J.D. & Munley, P.H. (1983). Psychological test findings on pathological gamblers in treatment.The International Journal of the Addictions, 18, 1003–1009.
Parsons, O.A. & Leber, W.R. (1981). The relationship between cognitive dysfunction and brain damage in alcoholics: Causal, interactive or epiphenomenal.Alcoholism: Clinical Experimental Research, 5, 326–343.
Rinsely, D. B. (1989).Developmental pathogenesis and treatment of borderline and narcissistic personalities. New Jersey: Jason Aronson.
Rugle, L. (1991, July).Borderline personality organization in pathological gamblers. Paper presented at the Fifth National Conference on Gambling Behavior, Duluth, Minnesota.
Rugle, L. & Melamed, L. (1990, August).Neuropsychological assessment of attention deficit disorder in pathological gamblers. Paper presented at the Eighth International Conference on Gambling and Risk Taking, London, England.
Ryan, C. & Butters, N. (1986). The neuropsychology of alcoholism. In D. Wedding, A.M. Horton & J. Webster (Eds.),The neuropsychology handbook: Behavioral and clinical perspectives. New York: Springer Publishing Co.
Taber, J.I. (1983, February).Common characteristics of pathological gamblers and some interventions which seem to help. Paper present at the 14th Annual Convention of Divisions 23 and 26 of the American Psychological Association, White Sulphur Springs, West Virginia.
Taber, J.I. McCormick, R.A. & Ramirez, L.F. (1987). The prevalence and impact of major life Stressors among pathological gamblers.International Journal of Addictions, 22, 71–79.
Tarter, R.E., Alterman, A.I. & Edwards, R.I. (1985). Vulnerability to alcoholism in men: A behavior-genetic perspective.Journal of Studies on Alcohol, 46, 329–356.
Tarter, R.E., McBride, H., Buonpane, N. & Schneider, D.O. (1977). Differentiation of alcoholics: Childhood history of minimal brain dysfunction, family history and drinking pattern.Archives of General Psychiatry, 34, 761–768.
Tarter, R.E. & Ryan, C.M. (1983). Neuropsychology of Alcoholism: Etiology, phenomenology, process and outcome. In M. Galanter (Ed.),Recent developments in alcoholism (Vol. 1). New York: Plenum Press.
Thomas, A. & Chess, S. (1977).Temperament and development. New York: Bruner/Mazel.
Whitfield, C.L. (1987).Healing the child within. Deerfield Beach, Florida: Health Communications.
Wood, D., Wender, P.H. & Reimherr, F. (1983). The prevalence of attention deficit disorder, residual type or minimal brain dysfunction in a populations of male alcoholic patients.American Journal of Psychiatry, 140, 95–98.