Abstract
Traditionally, in psychodynamic forms of treatment, the patient's relationship with the therapist is central to eliciting and exploring the patient's characteristic ways of thinking, feeling and behaving. Research has increasingly demonstrated the significance of the therapeutic relationship to the treatment outcome. Since little has been written about the therapist-patient relationship in the treatment of pathological gambling, we shall describe what we have found to be some of the common and problematic transference and countertransference reactions and interactions. Both positive and negative transferences and countertransferences will be discussed not only as obstacles to successful therapy, but as tools for understanding patients' conflicts, defenses and reasons for gambling.
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References
Custer, R.L. & Milt, H. (1985).When luck runs out. New York: Facts on File.
Derby, K. (1992). Some difficulties in the treatment of character-disordered addicts. In B.C. Wallace (Ed.),The chemically dependent: Phases of treatment and recovery (pp. 115–124). NewYork: Brunner/Mazel, Inc.
Higgins, S.T., Budney, A.J., Bickel, W.K., Hughes, J.R., Foerg, F., & Badger, G. (1993). Achieving cocaine abstinence with a behavioral approach.American Journal of Psychiatry, 150, 763–769.
Horvath, A.O. & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy.Journal of Consulting and Clinical Psychology, 61, 561–573.
Imhoff, J.E. (1991). Countertransference issues in the treatment of drug and alcohol addiction. In N.S. Miller (Ed.),Drug and Alcohol Addiction (pp. 931–946). New York: Marcel Dekker.
Jacobs, D.F. (1989). A general theory of addictions: Rationale 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 and practice (pp. 35–64). Lexington, D.C. Heath & Co.
Kaufman, E. (1989). The psychotherapy of dually diagnosed patients.Journal of Substance Abuse Treatment, 6, 9–18.
Kaufman, E.R. (1992). Countertransference and other mutually interactive aspects of psychotherapy with substance abusers.American Journal on Addictions, 1, 185–202.
Kernberg, O.F. (1984).Severe personality disorders: Psychotherapeutic strategies. New Haven: Yale University Press.
Khantzian, E., Halliday, K.S., & McAuliffe, W.E. (1990).Addiction and the vulnerable self. New York: Guilford Press.
Kohut, H. (1971).The analysis of the self. New York: International Universities Press.
Krystal, H. (1978). Self-representation and the capacity for self-care.Annual Psychoanalysis, 6, 209–246.
Rinsley, D.B. (1989).Developmental pathogenesis and treatment of borderline and narcissistic personalities. Northvale, New Jersey: Jason Aronson, Inc.
Rosenthal, R.J. (1986). The pathological gambler's system for self-deception.Journal of Gambling Behavior, 2, 108–120.
Rosenthal, R.J. & Rugle, L.J. (this issue). A psychodynamic approach to the addictive state of mind of the pathological gambler.Journal of Gambling Studies, 10, 21–42.
Rothschild, D.E. (1992). Treating the substance abuser: Psychotherapy throughout the recovery process. In B.C. Wallace (Ed.),The chemically dependent: Phases of treatment and recovery (pp. 82–91). New York: Brunner/Mazel, Inc.
Rugle, L.J. (1993). Initial thoughts on viewing pathological gambling from a physiological and intrapsychic perspective.Journal of Gambling Studies, 9, 3–16.
Shaffer, H.J. (in press). Denial, ambivalence and countertransference hate. In J.D. Levin & R. Weiss (Eds.),Alcoholism: dynamics and treatment. Northdale, New Jersey: Jason Aronson, Inc.
Steinberg, M. (1993). Couples treatment issues for recovering male compulsive gamblers and their partners.Journal of Gambling Studies, 9, 153–167.
Taber, J.I. (1983, February).Common characteristics of pathological gamblers and some interventions which seem to help. Paper presented at the 14th Annual Convention of Divisions 23 and 26 of the American Psychological Association, White Sulphur Springs, West Virginia.
Taber, J.I. & Chaplin, M.P. (1988). Group psychotherapy with pathological gamblers.Journal of Gambling Behavior, 4, 183–196.
Wurmser, L. (1992). Psychology of compulsive drug use. In B.C. Wallace (Ed.),The chemically dependent: Phases of treatment and recovery (pp. 92–114). New York: Brunner/Mazel, Inc.
Yalisove, D.L. (1992). Survey of contemporary psychoanalytically oriented clinicians on the treatment of addictions: A synthesis. In B.C. Wallace (Ed.),The chemically dependent: Phases of treatment and recovery (pp. 61–81). New York: Brunner/Mazel, Inc.
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Rugle, L.J., Rosenthal, R.J. Transference and countertransference reactions in the psychotherapy of pathological gamblers. J Gambling Stud 10, 43–65 (1994). https://doi.org/10.1007/BF02109778
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DOI: https://doi.org/10.1007/BF02109778