Aims To describe, in the context of DSM-V, how a focus on addiction and compulsion is emerging in the consideration of pathological gambling (PG). Methods A systematic literature review of evidence for the proposed re-classification of PG as an addiction. Results Findings include: 1. Phenomenological models of addiction highlighting a motivational shift from impulsivity to compulsivity associated with a protracted withdrawal syndrome and blurring of the ego-syntonic/ego-dystonic dichotomy; 2. Common neurotransmitter (dopamine, serotonin) contributions to PG and substance use disorders (SUDs); 3. Neuroimaging support for shared neurocircuitries between “behavioral” and substance addictions and differences between obsessive-compulsive disorder (OCD), impulse control disorders (ICDs) and SUDs; 4. Genetic findings more closely related to endophenotypic constructs like compulsivity and impulsivity than to psychiatric disorders; 5. Psychological measures such as harm avoidance identifying a closer association between SUDs and PG than with OCD; 6. Community and pharmaco-therapeutic trials data supporting a closer association between SUDs and PG than with OCD. Adapted behavioral therapies, such as exposure therapy appear applicable to OCD, PG, or SUDs, suggesting some commonalities across disorders. Conclusions PG shares more similarities with SUDs than with OCD. Similar to the investigation of impulsivity, studies of compulsivity hold promising insights concerning the course, differential diagnosis and treatment of PG, SUDs, and OCD.

Although problem gambling is becoming more prevalent, research shows that many problem gamblers do not seek help. Online social support forums have become an increasingly popular option for receiving support for problem gambling. Few researchers have explored how participants within these forums interact, or what is supportive about participation in online communities. Melding netnography (ethnographic approaches online), discourse analysis, and ethnomethodology, we analyzed the discursive interactions of self-identified problem gamblers on an online forum. We report on the characteristics of this unique setting, the common discourses that members used, and how they discursively accomplished various interactional tasks, including constructing identities, and negotiating membership, legitimacy, and support. We conclude with recommendations for practitioners and researchers interested in better understanding people trying to overcome problem gambling and other behavioral concerns.

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Debates about EBs (gambling, Internet use, shopping, working, exercising, eating, video game playing and sex) have gained momentum among researchers, clinicians, and the media. Controversy exists in the scientific literature about whether EBs are primary psychiatric disorders and, if so, where they fit into current and emerging diagnostic classification systems. The lack of consensus and associated confusion was the impetus for this systematic review.The key search terms were: abuse/misuse, dependence, addiction, impulse control, compulsivity, pathological, and excessive, in combination with: buying/shopping, work, gaming/video games, exercise, Internet, sex, eating, and gambling. 361 articles were analyzed according to their conceptualization. In total, 47% adopted an addiction conceptualization, 9% adopted an impulse control conceptualization, and 2% an obsessive compulsive spectrum conceptualization. Alternative or blended conceptualizations were utilized by 27% and 16% did not specify a particular conceptualization. The findings were also broken down by excessive behaviour. Almost half of the articles were review articles (49%), 34% were empirical articles, and the remaining 17% were commentaries.There was a general lack of agreement regarding conceptualization and a lack of consistency in nomenclature, definitions, and use of language. The addiction conceptualization was most prevalent consistent with the common use of the term behavioural addiction, and in line with proposed changes to the DSM-5.

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We present "A Galveston Declaration," which is intended as a statement of values shared by family therapists and the broader community of collaborative practitioners. In the preface, the authors describe the process by which they created this declaration, as well as its purpose. The authors declare that family therapy is experiencing another significant transformation, not unlike a previous historical shift from first-to second-order family systems therapies. The authors propose a statement of shared values, thematized within four categories: (1) pluralism, (2) flux, (3) opening space, and (4) responsibility. The authors invite colleagues and peers to sign on to support or otherwise respond to the declaration.

The purpose of this ethnographic study was to examine employed mothers' social support network composition in relation to their orientation to worker ideology. A reanalysis of data from two longitudinal, interview studies was conducted. Ecomaps were developed to depict women's social support network composition, revealing five types of support sources: household family, nonhousehold family, friends and neighbors, workplace, and formal services. A typology of diverse, restricted, and mixed networks, reflecting patterns in availability, consistency, and types of support sources, was identified and analyzed in relation to women's orientation to worker ideology. Women with innovator or conformist orientations to worker ideology tended to have mixed or diverse networks. Women with a conformist orientation did not utilize formal services but tended to have a supportive workplace. Most of the women who transitioned into an innovator orientation had available, consistent support, most notably from household family.

For over 20 years, family therapist Karl Tomm has been engaging families and couples with a therapeutic intervention he calls Internalized Other Interviewing (IOI). The IOI (cf. Emmerson-Whyte, 2010; Hurley, 2006) entails interviewing clients, from the personal experiences of partners and family members as an internalized other. The IOI is based on the idea that through dialogues over time, one can internalize a sense of one's conversational partner responsiveness in reliably anticipated ways. Anyone who has thought in a conversation with a family member or partner, "Oh there s/he goes again," or anticipates next words before they leave the other's mouth, has a sense of what we are calling an internalized other. For Tomm, the internalized anticipations partners and family members may have offers entry points into new dialogues with therapeutic potential-particularly, when their actual dialogues get stuck in dispreferred patterns.