A pathways model of problem and pathological gambling
Top Cited Papers
- 25 April 2002
- Vol. 97 (5) , 487-499
- https://doi.org/10.1046/j.1360-0443.2002.00015.x
Abstract
At the moment, there is no single conceptual theoretical model of gambling that adequately accounts for the multiple biological, psychological and ecological variables contributing to the development of pathological gambling. Advances in this area are hampered by imprecise definitions of pathological gambling, failure to distinguish between gambling problems and problem gamblers and a tendency to assume that pathological gamblers form one, homogeneous population with similar psychological principles applying equally to all members of the class. The purpose of this paper is to advance a pathways model that integrates the complex array of biological, personality, developmental, cognitive, learning theory and ecological determinants of problem and pathological gambling. It is proposed that three distinct subgroups of gamblers manifesting impaired control over their behaviour can be identified. These groups include (a) behaviourally conditioned problem gamblers, (b) emotionally vulnerable problem gamblers and (c) antisocial, impulsivist problem gamblers. The implications for clinical management are discussed.Keywords
This publication has 69 references indexed in Scilit:
- Clinical features of pathological gambling in an addictions treatment cohort.Psychology of Addictive Behaviors, 2001
- Altered dopamine function in pathological gamblingPsychological Medicine, 1997
- Toward the development of an adolescent gambling problem severity scaleJournal of Gambling Studies, 1993
- Initial thoughts on viewing pathological gambling from a physiological and intrapsychic structural perspectiveJournal of Gambling Studies, 1993
- Pathological gambling: A review of the literature (prepared for the American Psychiatric Association task force on DSM-IV committee on disorders of impulse control not elsewhere classified)Journal of Gambling Studies, 1991
- Evidence for a common dissociative-like reaction among addictsJournal of Gambling Studies, 1988
- Personality profiles of hospitalized pathological gamblers: The California Personality InventoryJournal of Clinical Psychology, 1987
- Compulsive gambling and the medical modelJournal of Gambling Studies, 1987
- A general theory of addictions: A new theoretical modelJournal of Gambling Studies, 1986
- Plasma endorphin levels in pathological gamblingJournal of Gambling Studies, 1986