Problematic Gambling Patterns: Approaching a Systemic View

Hammond, G. H.

doi:10.1002/j.1467-8438.1997.tb00296.x

Cited by 7 publications

(6 citation statements)

References 20 publications

(13 reference statements)

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“…Poirier-Arbour et al [63] observed an association between marital problems, depression and gambling habits in GD patients and recommended the inclusion of partners in the treatments. Bertrand et al [10] maintained that the partner has a very prominent role to play in the recovery of GD individuals, coinciding with various studies that propose specialized couple therapy treatment [64,65]. Consequently, our program includes the collaboration of a family member throughout the treatment, often the patient's partner.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

et al. 2015

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Aims: The aim of this study was to evaluate posttreatment changes of individuals with a diagnosis of gambling disorder (GD) treated with group cognitive behavioral therapy (CBT), to assess the potential moderator effect of sex on CBT outcome, and to explore the best predictors of posttreatment changes, relapse, and dropout rates. Methods: A cohort design was applied with a prospective follow-up. The sample comprised 440 patients and the CBT intervention consisted of 16 weekly outpatient group sessions and a 3-month follow-up period. Results: Patients showed significant improvements in both the level of psychopathology and the severity of the gambling behavior. High self-transcendence and the involvement of the spouse or partner in the therapy predicted a higher risk of relapse. Younger age and low education predicted a higher risk of dropout. Conclusion: Many patients with GD can be treated with strategies to improve self-control and emotional regulation, but other techniques should be incorporated to address the individual characteristics of each patient. This is particularly important in group therapy, in which the same treatment is applied to several patients simultaneously. The involvement of a family member needs to be carefully considered since it may have a negative effect on the response to treatment if not adequately managed.

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Section: Discussionmentioning

confidence: 99%

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

et al. 2015

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“…The majority of the literature on problem gambling treatment is individually focused with little emphasis on working with couples and/or families impacted by gambling (Dickson‐Swift et al., 2005; Lee, 2002). Hammond (1997) is one of the few authors to explicitly discuss the use of family therapy concepts to understand and treat problem gambling. He proposes that PG can emerge as a result of three underlying dynamics: (a) an overly competitive stance, (b) as an expression of a statement or protest, and (c) as a way of avoiding pain and distress.…”

Section: Family‐based Treatment For Problem Gamblingmentioning

confidence: 99%

“…Steinberg noted that family therapists had begun working with problem gamblers and that a family systems perspective of assessment and treatment was beginning to emerge. However, 16 years later there continues to be a lack of family therapists working with this population, and systemic‐based treatment modalities are rarely used in clinical practice despite the noted importance of developing couple and family therapy treatment interventions that are specifically designed to help families address the impact of gambling on their relationship (Castellani, 2000; Hammond, 1997; Kalischuk et al., 2006; Lee, 2002; Petry, 2005; Suissa, 2005). Recently, some family‐oriented interventions for this population have begun to emerge (Ciarrocchi, 2002; Hodgins et al., 2004; Lee, 2002).…”

Section: Family‐based Treatment For Problem Gamblingmentioning

confidence: 99%

“…In addition to problem gambling impacting couple relationships, several authors have noted that relationship dynamics can also influence the development of problem gambling (Hammond, 1997; Lee, 2002; Lorenz & Shuttlesworth, 1983; Petry, 2005). Problem gamblers often report gambling in response to marital conflict or financial concerns, and to escape from family‐related stressors.…”

Section: Antecedents and Consequences: A Recursive Loopmentioning

confidence: 99%

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Conceptualizing and Treating Problem Gambling as a Family Issue

McComb

Lee

Sprenkle

2009

J Marital Family Therapy

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Few family therapists have training in the identification, assessment, and treatment of problem gambling and its impact on couple and family relationships. The authors conceptualize problem gambling (PG) as a family issue and encourage clinicians and researchers to pay attention to the systemic antecedents and consequences of PG on family relationships. A review of the literature and clinicians' experiences regarding the impact of PG on couple and family relationships are presented and discussed. In light of the limited systemic-based treatments for PG, marriage and family therapists are urged to begin paying attention to this emerging issue that has significant couple and family ramifications.

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“…Earlier Systemic Models for PG Hammond (1997) proposed a systemic model based on Bateson's theory of relationships and particularly in his description of symmetrical systems. This model presents three concurrent planes: the beliefs and assumptions that underpin the model, the formulation of problem gambling patterns and some qualifications that augment the formulations within the model.…”

Section: Review Approachmentioning

confidence: 99%

Pathological Gambling and Couple: Towards an Integrative Systemic Model

Cunha

Relvas

2013

J Gambl Stud

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This article is a critical literature review of pathological gambling focused in the family factors, particularly in the couple dynamics. Its main goal is to develop an explicative integrative systemic model of pathological gambling, based in these couple dynamics. To achieve that aim, a bibliography search was made, using on-line data bases (e.g., EBSCO Host) and recognized books in pathological gambling subject, as well as in the systemic approach in general. This process privileged the recent works (about 70 % of the reviewed literature was published in the last decade), however, also considered some classic works (the oldest one dates back to 1970). The guiding focus of this literature search evolves according to the following steps: (1) search of general comprehension of pathological gambling (19 references), (2) search specification to the subject "pathological gambling and family" (24 references), (3) search specification to the subject "pathological gambling and couple"(11 references), (4) search of systemic information which integrates the evidence resulted in the previous steps (4 references). The developed model is constituted by different levels of systemic complexity (social context, family of origin, couple and individual) and explains the problem as a signal of perturbation in the marital subsystem vital functions (e.g., power and control) though the regularities of marital dynamics of pathological gamblers. Furthermore, it gives theoretical evidence of the systemic familiar intervention in the pathological gambling.

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Problematic Gambling Patterns: Approaching a Systemic View

Cited by 7 publications

References 20 publications

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

Conceptualizing and Treating Problem Gambling as a Family Issue

Pathological Gambling and Couple: Towards an Integrative Systemic Model

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