Pathological gambling and switching addictions: Report of a case


The phenomenon of “switching addictions,” defined as a substitution of one chemical or behavioral addiction pattern for another, has been observed in clinical practices for some time. This case study describes a patient who, in attaining abstinence from alcohol and other drug dependence, became a pathological gambler. The complexities of personal history, medical history and psychiatric history are described as well problems in treatment.

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  1. American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders, 3rd edition revised. Washington, DC: American Psychiatric Association.

    Google Scholar 

  2. Blume, S.B. (1986). Treatment for the addictions: Alcoholism, drug dependence and compulsive gambling in a psychiatric setting.Journal of Substance Abuse Treatment, 3, 131–133.

    Google Scholar 

  3. Blume, S.B. (1988). Compulsive gambling and the medical model.Journal of Gambling Behavior, 3, 237–247.

    Google Scholar 

  4. Blume, S.B. (1989). Treatment for the addictions in a psychiatric setting.British Journal of Addiction, 84, 727–729.

    Google Scholar 

  5. 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(9), 1184–1188.

    Google Scholar 

  6. Lesieur, H.R. & Blume, S.B. (1991). Evaluation of patients treated for pathological gambling in a combined alcohol, substance abuse and pathological gambling treatment unit using the addiction severity index.British Journal of Addiction, 86, 1017–1028.

    Google Scholar 

  7. Lesieur, H.R., Blume, SB, Zoppa RM (1986). Alcoholism, drug abuse and gambling.Alcoholism: Clinical and Experimental Research, 10, 33–38.

    Google Scholar 

  8. Lesieur, H.R. & Heineman, M. (1988). Pathological gambling among youthful multiple substance abusers in a therapeutic community.British Journal of Addiction, 83, 765–771.

    Google Scholar 

  9. Orford, J. (1985).Excessive appetites: A psychological view of addictions, New York: Wiley, Chichester.

    Google Scholar 

  10. Ramirez, L.F. McCormick, R.A., Russo, A.M. & Taber, J.I. (1984). Patterns of substance abuse in pathological gamblers undergoing treatment.Addictive Behavior, 8, 425–428.

    Google Scholar 

  11. Selzer, M. (1971). The Michigan alcoholism screening test: the quest for a new diagnostic instrument.American Journal of Psychiatry, 127, 1653–1658.

    Google Scholar 

  12. Skinner, H.A. (1982). The drug abuse screening test.Addictive Behaviors, 7, 363–371.

    Google Scholar 

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Correspondence to Sheila B. Blume M.D..

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Blume, S.B. Pathological gambling and switching addictions: Report of a case. J Gambling Stud 10, 87–96 (1994).

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  • Alcohol
  • Clinical Practice
  • Medical History
  • Pathological Gambler
  • Personal History