In this article, the authors provide clinical recommendations for addressing issues frequently encountered with gamblers during the course of cognitive treatment. The main clinical topics covered are ambivalence toward abstinence, denial of the gambling problem, lying, and relapse prevention strategies. The authors begin the article with a brief review of the gambling literature, after which they present the case of a 53-year-old gambler to illustrate clinical interventions. Clinical recommendations also are offered.
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References
1.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
3.
Beck, A. T., & Steer, R. A. (1987). Beck Depression Inventory manual. New York: Psychological Corporation, Harcourt Brace Jovanovich.
4.
BecoƱa, E., Labrador, F., Echeburua, E., Ochoa, E., & Vallejo, M. A. (1995). Slot machine gambling in Spain: An important and new social problem. Journal of Gambling Studies, 11, 265-286.
5.
Jacques, C., Ladouceur, R., & Ferland, F., (2000). Impact of availability on gambling: A longitudinal study. Canadian Journal of Psychiatry,45, 810-815.
6.
Ladouceur, R., Boutin, C., Sylvain, C., & Lachance, S. (2002). Gambling: Behavior and cognitive approaches. In M. Hersen & W. Sledge (Eds.), Encyclopedia of psychotherapy (pp. 853-862). New York: Academic Press.
7.
Ladouceur, R., Gosselin, P., Laberge, M., & Blaszczynski, A. (2001). Dropouts in clinical research: Do results reported in the field of addiction reflect clinical reality? Behavior Therapist, 24, 44-46.
8.
Ladouceur, R., Sylvain, C., & Boutin, C. (2000). Pathological gambling. In M. Hersen & M. Biaggio (Eds.), Effective brief treatment for adults: A clinician's guide (pp. 303-318). New York: Academic Press.
9.
Ladouceur, R., Sylvain, C., Boutin, C., & Doucet, C. (2002). Understanding and treating the pathological gambler. New York: John Wiley.
10.
Ladouceur, R., Sylvain, C., Boutin, C., Lachance, S., Doucet, C., Leblond, J., et al. (2001). Cognitive treatment of pathological gambling. Journal of Nervous and Mental Disease, 189, 766-773.
11.
Ladouceur, R., & Walker, M. (1996). A cognitive perspective on gambling. In P. M. Salkovskis (Ed.), Trends in cognitive and behavioral therapies (pp. 89-120). New York: John Wiley.
12.
Leblond, J., Ladouceur, R., & Blaszczynski, A. (in press). Which pathological gamblers will complete treatment? A closer look at impulsivity. British Journal of Clinical Psychology, 42, 205-209.
13.
Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184-1188.
14.
Petry, N. M., & Armentano, C. (1999). Prevalence, assessment, and treatment of pathological gambling: A review. Psychiatric Services, 50, 1021-1027.
15.
Shaffer, H. J., Hall, M. N., & Vander Bilt, J. (1997). Estimating the prevalence of disordered gambling in the United States and Canada: A meta-analysis. Boston: Harvard College.
16.
Toneatto, T., & Ladouceur, R. (in press). The treatment of pathological gambling: A critical review of the literature. Psychology of Addictive Behaviors.
17.
Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: Implications for public health. American Journal of Public Health, 84, 237-241.
