Neuronal And Psychological Underpinnings Of Pathological Gambling

Like in the case of drugs, gambling hijacks reward circuits in a brain which is not prepared to receive such intense stimulation. Dopamine is normally released in response to reward and uncertainty in order to allow animals to stay alive in their environment – where rewards are relatively unpredictable. In this case, behavior is regulated by environmental feedbacks, leading animals to persevere or to give up. In contrast, drugs provide a direct, intense pharmacological stimulation of the dopamine system that operates independently of environmental feedbacks, and hence causes “motivational runaways”. With respect to gambling, the confined environment experienced by gamblers favors the emergence of excitatory conditioned cues, so that positive feedbacks take over negative feedbacks. Although drugs and gambling may act differently, their abnormal activation of reward circuitry generates an underestimation of negative consequences and promotes the development of addictive/compulsive behavior. In Parkinson’s and Huntington’s disease, dopamine-related therapies may disrupt these feedbacks on dopamine signalling, potentially leading to various addictions, including pathological gambling. The goal of this Research Topic is to further our understanding of the neurobiological mechanisms underlying the development of pathological gambling. This eBook contains a cross-disciplinary collection of research and review articles, ranging in scope from animal behavioral models to human imaging studies.

This book provides an overview of the state of the art in research on and treatment of gambling disorder. As a behavioral addiction, gambling disorder is of increasing relevance to the field of mental health. Research conducted in the last decade has yielded valuable new insights into the characteristics and etiology of gambling disorder, as well as effective treatment strategies. The different chapters of this book present detailed information on the general concept of addiction as applied to gambling, the clinical characteristics, epidemiology and comorbidities of gambling disorder, as well as typical cognitive distortions found in patients with gambling disorder. In addition, the book includes chapters discussing animal models and the genetic and neurobiological underpinnings of the disorder. Further, it is examining treatment options including pharmacological and psychological intervention methods, as well as innovative new treatment approaches. The book also discusses relevant similarities to and differences with substance-related disorders and other behavioral addictions. Lastly, it examines gambling behavior from a cultural perspective, considers possible prevention strategies and outlines future perspectives in the field.

This international survey addresses gaps in the knowledge base on problem gambling, emphasizing evidence-based best practices for working with this diverse and notably resistant client population. A detailed introduction offers current findings on behavioral, affective, and neurological manifestations of disordered gambling, with prevalent types of resultant psychological, financial, and social harm. The book’s conceptual discussion examines clinical and sub-clinical presentations as well as the complex interplay of psychological and social factors that create barriers to seeking help. And on the practical side, up-to-date chapters detail widely-used and newer treatment options for compulsive gambling with the best chances of reducing treatment non-compliance and post-treatment relapses, including: · Psychoeducation. · Motivational interviewing. · Cognitive behavioral therapy. · Metacognitive and mindfulness approaches. · Acceptance and Commitment Therapy. · Dialectical Behavior Therapy. · Schema therapy. · Pharmacology. · Relapse Prevention. Evidence-Based Treatments for Problem Gambling is a ready source of insights, data, and strategies for counselors working in problem gambling treatment centers, and for psychologists and counselors operating in public or private practice who see individuals with problem gambling as a primary or comorbid presentation. Researchers, lecturers, and treatment clinic managers will find this presentation both informative and immediately useful.

Not everyone who experiments with substance use or risky behavior becomes addicted, and many who are addicted have been able to recover. This authoritative book, now revised and updated, has given tens of thousands of professionals and students a state-of-the-art framework for understanding the journey both into and out of addiction. From Carlo C. DiClemente, codeveloper of the transtheoretical model (TTM), the book identifies the stages and processes involved in initiating, modifying, maintaining, or stopping any pattern of behavior. Grounded in extensive research, and illustrated with vivid case examples, the book shows how using the TTM can help overcome obstacles to change and make treatment and prevention more effective. New to This Edition *Incorporates 15 years of research advances, contemporary prevention and treatment approaches, and the ongoing development of the TTM. *Chapter on current developments in intervention research. *Expanded discussions of neuroscience; self-regulation; behavioral economics; self-help, mutual help, and spirituality; motivational issues; "process addictions" (gambling and sex addiction); and more. *Deeper coverage of risk and protective factors across adolescent and young adult development.

"Not everyone who experiments with substance use or risky behavior becomes addicted, and many who are addicted have been able to recover. This authoritative book, now revised and updated, has given tens of thousands of professionals and students a state-of-the-art framework for understanding the journey both into and out of addiction. From Carlo C. DiClemente, codeveloper of the transtheoretical model (TTM), the book identifies the stages and processes involved in initiating, modifying, maintaining, or stopping any pattern of behavior. Grounded in extensive research, and illustrated with vivid case examples, the book shows how using the TTM can help overcome obstacles to change and make treatment and prevention more effective. Key words/Subject Areas: addictions, alcoholism, problem drinking, substance abuse, substance use disorders, addictive behaviors, chemical dependency, drugs, nicotine, dependence, treatments, interventions, prevention, recovery, stages of change, processes, transtheoretical model, TTM, addiction research, motivational interviewing, behavior change, behavioural change, texts Audience: Practitioners and graduate students in clinical psychology, clinical social work, psychiatric nursing, substance abuse counseling, and psychiatry"--

Gambling disorder is a behavioural addiction that represents the clinical extreme of a spectrum of gambling-related harm. What insights can neuroscientific and neuropsychological methods provide to help understand this condition and improve existing programs for treatment and prevention? This volume describes recent research using an array of contemporary tools including structural and functional brain imaging, and neurocognitive assessment. These analyses consider brain activity and psychological functioning in people with gambling disorder under resting conditions, due to tasks of reward processing and inhibitory control, and as a function of important sources of individual differences including depression and impulsivity. This volume also synthesizes contemporary research using animal models to examine decision-making under uncertainty from a behavioural neuroscience perspective, as well as synthesizing evidence from pharmacological treatments for gambling disorders. These findings complement research to understand substance use disorders and other emerging forms of behavioural addiction. This volume contains contributions from many of the leading research groups in this exciting field. The chapters in this book were originally published as a special issue of International Gambling Studies.

"The key to escape addiction is to deconstruct the intense pleasure memories linked to it and to create new memories of happiness with others. This book presents helpful tools to accomplish this mission. The goal is to motivate patients to change their operating mode, give hope to their families and improve the work of those taking care of them"--