Riassunto
I sondaggi rivelano, ripetutamente, come almeno il 40% degli individui che hanno avuto un quadro di gioco d’azzardo patologico (GAP) nella loro vita, non soddisfino i criteri per una diagnosi di patologia nell’anno precedente all’intervista (Hodgins et al. 1999). Questi risultati suggeriscono che una parte significativa dei giocatori patologici sono riabilitati o in fase di riabilitazione. Le strade per la riabilitazione possono essere molteplici e includono trattamenti formali centrati in maniera specifica sulla cessazione del gioco, quali programmi residenziali, trattamenti ambulatoriali di gruppo, e counseling individuale. In aggiunta, o alternativamente, gli individui possono fruire di trattamenti per questioni che riguardano altre malattie psichiatriche in cui i comportamenti associati al gioco d’azzardo sono affrontati in maniera indiretta. Le associazioni dei Giocatori Anonimi, che traggono vantaggio dal supporto tra pari, sono diventate ampiamente disponibili sul territorio. Il percorso piú frequente puó essere quello di non ricevere trattamento, ovvero l’auto-riabilitazione (Hodgins et al. 1999).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliografia
Arribas MP, Martinez JJ: Individual treatment of pathologic gamblers: case descriptions (in Spanish). Analisis y Modificacion de Conducta 17:255–269, 1991
Bannister G: Cognitive and behavior therapy in a case of compulsive gambling. Cognit Ther Res 1:223–227, 1977
Barker JC, Miller M: Aversion therapy for compulsive gambling. Lancet 1:491–492, 1966
Blaszczynski A: Overcoming Compulsive Gambling: A Self-Help Guide Using Cognitive Behavioral Techniques. London, Robinson, 1998
Blaszczynski A, McConaghy N, Frankova A: Control versus abstinence in the treatment of pathological gambling: a two to nine year follow-up. Br J Addict 86:299–306, 1991
Bujold A, Ladouceur R, Sylvain C, et al: Treatment of pathological gamblers: an experimental study. J Behav Ther Exp Psychiatry 25:275–282, 1994
Burke BL, Arkowitz H, Menchola M: The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. J Cons Clin Psychol 71:843–861, 2003
Coman GJ, Evans BJ, Burrows GD: Group counselling for problem gambling. Br J Guid Counc 30:145–158, 2002
Crockford DN, el-Guebaly N: Psychiatric comorbidity in pathological gambling: a critical review. Can J Psychiatry 43:43–50, 1998
Dickerson M, Hinchy J, Legg England S: Minimal treatments and problem gamblers: a preliminary investigation. J Gambl Stud 6:87–102, 1990
Diskin KM, Hodgins DC: Narrowing of attention and dissociation in pathological video lottery gamblers. J Gambl Stud 15:17–28, 1999
Echeburua E, Baez C, Fernandez-Montalvo J: Comparative effectiveness of three therapeutic modalities in psychological treatment of pathological gambling: long term outcome. Behavioural and Cognitive Psychotherapy 24:51–72, 1996
Echeburua E, Fernandez-Montalvo J, Baez C: Relapse prevention in the treatment of slot-machine pathological gambling: long-term outcome. Behav Ther 31:351–364, 2000
Echeburua E, Fernandez-Montalvo J, Baez C: Predictors of therapeutic failure in slot-machine pathological gamblers following behavioural treatment. Behavioural and Cognitive Psychotherapy 29:379–383, 2001
Gaboury A, Ladouceur R: Erroneous perceptions and gambling. J Soc Behav Pers 4:411–420, 1989
Gould RA, Clum GA: A meta-analysis of self-help treatment approaches. Clin Psychol Rev 13:169–186, 1993
Greenberg D, Marks I: Behavioural psychotherapy of uncommon referrals. Br J Psychiatry 141:148–153, 1982
Greenberg D, Rankin H: Compulsive gamblers in treatment. Br J Psychiatry 140:364–366, 1982
Cognitive and Behavioral Treatments 185
Griffiths MD: The role of cognitive bias and skill in fruit machine gambling. Br J Psychol 85:351–369, 1994
Hodgins DC, el-Guebaly N: Natural and treatment-assisted recovery from gambling problems: comparison of resolved and active gamblers. Addiction 95:777–789, 2000
Hodgins DC, Makarchuk K: Becoming a Winner: Defeating Problem Gambling: A Self-Help Manual for Problem Gamblers. Calgary Addiction Centre, Calgary Regional Health Authority, 2002
Hodgins DC, Leigh G, Milne R, et al: Drinking goal selection in behavioral selfmanagement treatment of chronic alcoholics. Addict Behav 22:247–255, 1997
Hodgins DC, Wynne H, Makarchuk K: Pathways to recovery from gambling problems: a general population survey. J Gambl Stud 15:93–104, 1999
Hodgins DC, Currie SR, el-Guebaly N: Motivational enhancement and self-help treatments for problem gambling. J Consult Clin Psychol 69:50–57, 2001
Hodgins DC, Currie SR, el-Guebaly N, et al: Brief motivational treatment for pathological gambling: a 24-month follow-up. Psychol Addict Behav (in press a)
Hodgins DC, Peden N, Cassidy E: The association between comorbidity and outcome in pathological gambling: a prospective follow-up of recent quitters. J Gambl Stud (in press b)
Koller KM: Treatment of poker-machine addicts by aversion therapy. Med J Aust 1:742–745, 1972
Kraft T: A short note on forty patients treated by systematic desensitization. Behav Res Ther 8:219–220, 1970
Ladouceur R, Dubé D: Erroneous perceptions in generating random sequences: identification and strength of a basic misconception in gambling behavior. Swiss Journal of Psychology 56:256–259, 1997
Ladouceur R, Mayrand M: The level of involvement and the timing of betting in roulette. J Psychol 121:169–176, 1987
Ladouceur R, Walker M: A cognitive perspective on gambling, in Trends in Cognitive and Behavioural Therapies. Edited by Salkovskis PM. New York, Wiley, 1996, pp 89–120
Ladouceur R, Sylvain C, Letarte H, et al: Cognitive treatment of pathological gamblers. Behav Res Ther 36:1111–1119, 1998
Ladouceur R, Jacques C, Giroux I, et al: Analysis of a casino’s self-exclusion program. J Gambl Stud 16:453–460, 2000
Ladouceur R, Sylvain C, Boutin C, et al: Cognitive treatment of pathological gambling. J Nerv Ment Dis 189:774–780, 2001
Langer EJ: The Psychology of Control. Beverly Hills, CA, Sage, 1983
Lesieur HR, Blume SB: Evaluation of patients treated for pathological gambling in a combined alcohol, substance abuse and pathological gambling treatment unit using the Addiction Severity Index. Br J Addict 86:1017–1028, 1991
McConaghy N, Armstrong MS, Blaszczynski A, et al: Controlled comparison of aversive therapy and imaginal desensitization in compulsive gambling. Br J Psychiatry 142:366–372, 1983
McConaghy N, Blaszczynski A, Frankova A: Comparison of imaginal desensitisation with other behavioural treatments of pathological gambling: a two-to nine-year follow-up. Br J Psychiatry 159:390–393, 1991
Miller WR, Wilbourne PL, Hettema JE: What works? a summary of alcohol treatment outcome research, in Handbook of Alcoholism Treatment Approaches: Effective Alternatives, 3rd Edition. Edited by Hester R, Miller WR. Boston, MA, Allyn & Bacon, 2003, pp 13–63
National Council on Problem Gambling and National Endowment for Financial Education: Personal Financial Strategies for the Loved Ones of Problem Gamblers. Greenwood Village, CO, National Endowment for Financial Education, 2000
National Gambling Impact Study Commission: National Gambling Impact Study Commission Final Report. Washington, DC, National Gambling Impact Study Commission, 1999
National Research Council: Pathological Gambling: A Critical Review. Washington, DC, National Academy Press, 1999
Nowatzki NR, Williams RJ: Casino self-exclusion programmes: a review of the issues. International Gambling Studies 2:3–25, 2002
Oakley-Browne MA, Adams P, Mobberley PM: Interventions for pathological gambling. Cochrane Database Syst Rev (2):CD001521, 2000
Petry NM: Pathological gamblers, with and without substance use disorders, discount delayed rewards at high rates. J Abnorm Psychol 110:482–487, 2001
Petry NM: Psychosocial treatments for pathological gambling: current status and future directions. Psychiatr Ann 32:192–196, 2002
Petry NM: Patterns and correlates of Gamblers Anonymous attendance in pathological gamblers seeking professional treatment. Addict Behav 28:1049–1062, 2003
Petry NM, Pietrzak RH: Comorbidity of substance use and gambling disorders, in Dual Diagnosis and Treatment: Substance Abuse and Comorbid Disorders, 2nd Edition. Edited by Kranzler HR, Tinsley J. New York, Marcel Dekker, in press
Preston FW, Smith RW: Delabeling and relabeling in Gamblers Anonymous: problems with transferring the Alcoholics Anonymous paradigm. Journal of Gambling Behavior 1:97–105, 1985
Productivity Commission: Australia’s Gambling Industries (Report No 10). Canberra, AusInfo, 1999
Robson E, Edwards J, Smith G, et al: Gambling decisions: an early intervention program for problem gamblers. J Gambl Stud 18:235–255, 2002
Rosecrance J: Active gamblers as peer counselors. Int J Addict 23:751–766, 1988
Russo AM, Taber JI, McCormick RA, et al: An outcome study of an inpatient treatment program for pathological gamblers. Hosp Community Psychiatry 35:823–827, 1984
Sharpe L: A reformulated cognitive-behavioral model of problem gambling: a biopsychosocial perspective. Clin Psychol Rev 22:1–25, 2002
Sharpe L, Tarrier N: A cognitive-behavioural treatment approach for problem gambling. Journal of Cognitive Psychotherapy 6:193–203, 1992
Sharpe L, Tarrier N: Towards a cognitive-behavioural theory of problem gambling. Br J Psychiatry 162:407–412, 1993
Stewart RM, Brown RIF: An outcome study of Gamblers Anonymous. Br J Psychiatry 152:284–288, 1988
Stinchfield R, Winters K: Effectiveness of Six State-Supported Compulsive Gambling Treatment Programs in Minnesota. Minneapolis, Compulsive Gambling Program, Mental Health Division, Minnesota Department of Human Services, 1996
Sylvain C, Ladouceur R: Correction cognitive et habitudes de jeu chez les joueurs de poker video. Can J Behav Sci 24:479–489, 1992
Sylvain C, Ladouceur R, Boisvert JM: Cognitive and behavioral treatment of pathological gambling: a controlled study. J Consult Clin Psychol 65:727–732, 1997
Taber JI, Chaplin MP: Group psychotherapy with pathological gamblers. Journal of Gambling Behavior 4:183–196, 1988
Taber JI, McCormick RA, Ramirez LR: The prevalence and impact of major stressors among pathological gamblers. Am J Psychiatry 146:1618–1619, 1987
Toneatto T: Cognitive therapy for problem gambling. Cognitive and Behavioral Practice 9:191–199, 2002
Toneatto T, Sobell LC: Pathological gambling treated with cognitive behavior therapy: a case report. Addict Behav 15:497–501, 1990
Turner DN, Saunders D: Medical relabeling in Gamblers Anonymous: the construction of an ideal member. Small Group Research 21:59–78, 1990
Walker M: The Psychology of Gambling (International Series in Experimental Social Psychology). New York, Pergamon, 1992
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Italia
About this chapter
Cite this chapter
Hodgins, D.C., Petry, N.M. (2010). Terapie cognitive e comportamentali. In: Clerici, M. (eds) Il gioco d’azzardo patologico. Springer, Milano. https://doi.org/10.1007/978-88-470-1538-8_12
Download citation
DOI: https://doi.org/10.1007/978-88-470-1538-8_12
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-1537-1
Online ISBN: 978-88-470-1538-8
eBook Packages: MedicineMedicine (R0)