Counseling Problem Gamblers: A Self-Regulation Manual for Individual and Family Therapy

Ciarrocchi, Joseph W.

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Table of contents
  • Contentsvii
  • Acknowledgmentsxiii
  • List of Worksheetsxv
  • Chapter 1. The Twenty Percent Difference1
  • A Clinician’s Experience2
  • The Other Twenty Percent2
  • Need for a Comprehensive Clinical Mind4
  • The Case for a Pragmatic Approach5
  • Countertransference and the Three Ways6
  • Chapter 2. The Scope of Social and Problem Gambling9
  • Social and Recreational Gambling10
  • Scope of Problem Gambling15
  • Chapter 3. Research on Causes and Treatment of Pathological Gambling25
  • Introduction26
  • Risk Factors26
  • Individual Differences: Models and Research31
  • General Personality Characteristics34
  • Affective–Motivational Variables36
  • Cognitive Distortions38
  • Treatment Approaches43
  • Chapter 4. A Self-Regulation Model for Understanding Pathological Gambling51
  • Advantages of Self-Regulation Theory52
  • Self-Regulation Theory: General Features53
  • Self-Regulation Theory: Specific Mechanisms55
  • Risk-Taking: The Missing Ingredient in a Comprehensive Understanding of Pathological Gambling60
  • The Downside of Egotism61
  • The Psychological Function of Self-Esteem62
  • Summary63
  • Chapter 5. Diagnosis and Assessment of Pathological Gambling67
  • Pathological Gambling and the DSM68
  • The Clinical Picture69
  • DSM Criteria72
  • Robert Custer and Stages of Gambling78
  • Gambling Assessment Instruments79
  • Gambling Subtypes82
  • Problem Versus Nonproblem Gambling84
  • Comorbidity85
  • Personality Assessment of Pathological Gamblers86
  • Appendix95
  • Chapter 6. Overview of Clinical Interventions: A Plea for Family Involvement105
  • Empirical Basis106
  • Treatment Modalities106
  • Format108
  • Chapter 7. Motivational Enhancement, Stages of Change, and Goal-Setting109
  • The Context of Motivational Enhancement110
  • Origins of Motivational Enhancement111
  • Stages-of-Change Model112
  • Strategies Used to Change116
  • Motivational Enhancement Approach116
  • Motivational Enhancement and Goal-Setting124
  • Chapter 8. Abstinence Control and Relapse Prevention143
  • Building a Fence Around Temptation144
  • Defining Abstinence Control145
  • Stimulus Control Assessment147
  • Stimulus Control and Environmental Management149
  • Summary154
  • Chapter 9. Managing Urges Through Acceptance159
  • Cravings and Self-Regulation Theory160
  • Acceptance Rationale161
  • Rehearsal163
  • Implementing Acceptance and Urge Surfing165
  • Chapter 10. Depression, Anxiety, and Guilt: Cognitive Strategies169
  • Anxiety Management170
  • Managing Depression173
  • Managing Guilt Feelings176
  • Summary180
  • Chapter 11. Changing Beliefs About Gambling: The Downside of Hope183
  • Introduction184
  • Application184
  • Evaluating Client Beliefs185
  • Challenging Gambling Beliefs186
  • Chapter 12. Problem-Solving and Overcoming Procrastination195
  • Introduction196
  • Problem-Solving196
  • Format197
  • Description of the Current Problem197
  • Generating Solutions199
  • Implementing the Solution201
  • Evaluate the Solution201
  • Overcoming Procrastination202
  • Summary206
  • Chapter 13. Financial and Legal Issues213
  • Overview214
  • Managing Financial Issues214
  • Legal and Forensic Issues219
  • Chapter 14. Couples and Family Treatment225
  • Family Scenarios226
  • Pathological Gambling Patients and Families: Different Perspectives227
  • Couples Therapy for Pathological Gambling232
  • Model Overview234
  • Working with Family Members Alone240
  • Countertransference Issues245
  • Chapter 15. Spirituality, Virtue, and Character: A Model for Therapist Collaboration in Long-Term Gr247
  • Rationale for Chapter248
  • Religion and Spirituality: Model and Definition250
  • Therapeutic Interface with Spirituality254
  • Interventions for Building Character–Virtue266
  • References277
  • Appendix A. National Council on Problem Gambling Affiliate List293
  • Appendix B. Worksheets301
  • Index339
Book details
  • Vendor Elsevier S & T
  • SKU 9780121746537
  • ISBN-13 9780080490823
  • Author Ciarrocchi, Joseph W.
  • Category Psychology
  • Subject Counseling

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Over the past decade, legal wagering has expanded rapidly in North America. In 1998 alone, people lost 50 billion dollars in legal betting and it is estimated that illegal wagering is twice that amount. A recent government report, based on the broadest population survey, concludes that the lifetime and pathological gamblers in the U.S. range between 4 and 10 million persons and is growing. If we include the families affected by problem gambling then the potential impact is indeed prodigious. Virtually no community in the U.S. and Canada is left untouched by entertainment or problem gambling. Treating problem gambling has evolved from a small group of practitioners in the 1980's working in specialty impatient units into an international enterprise that affects the caseload of many mental health professionals. Owing to its quiet origins, problem gambling treatment strategies are not well known throughout the clinical community. Consequently the average clinician is him/herself "learning as they go." This approach does not benefit either client or therapist. As the book's first chapter makes clear, problem gambling differs significantly from substance abuse, its nearest clinical relative. Not attending to these differences leads to poor results and clinical failure. This book is the one essential tool needed by clinicians treating or likely to treat problem gambling. Written by a clinician with wide experience, it is intended for the general clinician treating or likely to treat problem gambling desiring a comprehensive, yet user-friendly guide.

Key Features
* Assessment and treatment of problem gambling and those affected by it is discussed
* Includes diagnostic instruments developed by the author
* An integrative approach is taken with a special focus on cultural concerns and clinical applications for women and minorities
* Integration of spirituality in treatment is covered