Casino Destroyer System

Casino Destroyer

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Alternative Behavior Completion Superior to Aversion Relief in Compulsive Gambling

Alternative behavior completion was evaluated in relation to an aversive procedure in compulsive gamblers rather than subjects with compulsive sexual urges, because the outcome in most gamblers could be checked with their partners independently of their self-reports. Their self-reports were obtained in interview by an assessor blind to the nature of the treatment. McConaghy, Armstrong, Blaszczynski, and Allcock in 1983 reported the outcome of 20 gamblers randomly allocated, 10 to alternative behavior completion and 10 to aversion-relief. At 1-year follow-up significantly more subjects (7 of 10) receiving the former treatment showed reduction of gambling urges and behavior than did those (1 of 10) who received aversion relief. A 2- to 9-year follow-up of these and additional gamblers was subsequently reported in 1991. Their outcome was also checked with partners when possible, as well as in interview by an assessor blind to the nature of the treatment. Again a significantly better...

Evaluation of Pathological Gamblers

A thorough evaluation of each individual's gambling problem must be conducted to determine how best to implement the therapeutic intervention. Before treatment begins, therefore, the nature and severity of the gambling problems must be evaluated. Although the South Oaks Gambling Screen (SOGS) is not made for diagnosis, this brief questionnaire developed by Henry Lesieur and Sheila Blume is a pertinent, easy to use, and widely recognized evaluative instrument. This instrument is frequently administered over the phone, before the first treatment session takes place. To date, the DSM-IV criteria for pathological gambling remain the most accepted instrument for the diagnosis of pathological gambling. Thus, to achieve a complete and comprehensive evaluation, our group developed a semistructured interview that includes the DSM-IV criteria and obtains additional information about historical gambling habits, social functioning, suicidal thoughts, concomitant excessive behaviors, and so on....

Detailed Analysis of a Gambling Session

An innovative way of assessing the gamblers' erroneous thoughts is through a detailed analysis of a gambling session. For this analysis, clients are invited to describe in detail what they were thinking about before, during, and after a gambling session. By asking gamblers what they were doing and thinking at each stage of a memorable gambling session, the therapist will gain access to the illusions and cognitive errors of clients. The following questions are examples of what the therapist may ask the client Before What were you doing when the idea of gambling popped into your head What were you thinking at that precise moment, or what were you saying to yourself Once you decided to go, what did you do What was going through your mind On your way to the casino, what were you thinking Once you arrived there, what did you do and why How did you choose your slot machine or roulette wheel Did you start gambling right away What were you thinking then During What was your first bet Why...

Cbt Treatment Strategies For Addictive Behaviors

For example, Toneatto (2002) noted that if gamblers continue to believe in their abilities to predict outcomes or to control the situation, then they are more likely to relapse and reengage in excessive gambling once the difficulties leading them to treatment subside. Similarly, when working with sex offenders addicts, it is necessary to become aware of cognitive distortions leading to them placing themselves in high-risk situations (Neidigh, 1991). Strategies used for addictive behaviors vary depending on the case conceptualization of the client and the specific addiction presented. However, there are commonalities in the use of CBT across the treatment of addictive behaviors. Stress reduction techniques, social skills training, problem solving skills, and cognitive restructuring have been useful in the treatment of pathological Internet use (Bingham & Piotrowski, 1996 Davis, 2001 Hall & Parsons, 2001), sexual addictions (Neidigh, 1991), and pathological gambling (Sharpe & Tarrier,...

Gender Roles in Economics

Swaziland has invested heavily in the development of tourism. Major ceremonies, such as the iNcwala and the Reed Dance, not only have national ritual prominence as icons of traditionalism, but they also attract tourists. Swaziland has a number of nature reserves and some five-star hotels with casinos. The latter are legacies of the apartheid era when white South Africans flocked there at weekends.

Cognitive Treatment

In the next phase of therapy, clients are invited to give their definition of the concept of chance or randomness. At this point, games of skill are discussed in contrast to games of chance, as gamblers often mistakenly believe that games of chance can be influenced by the application of skills that will improve their chances of winning. This example of the illusion of control explains why people tend to bet more money as they become more familiar with a game, firmly believing that they have developed specific skills that can be used profitably. During this stage of treatment, information is provided to highlight the fact that games of chance essentially exist for business reasons, and that therefore the sole purpose of these games is to make a profit. At this point, clients may become ready to discuss their misconceptions about randomness and all the pitfalls that surround this misconception. Literature detailing the frequent misconceptions about gambling may then be provided to the...

Increasing Awareness toward the Notion of Randomness

The crucial concept of randomness, or independence between events, is addressed as a priority in the treatment. The explanation and demonstration of the fundamental concept of randomness is the heart of the treatment program. The concept of randomness is essentially that no event can influence another, which results in the absolute unpredictability of events. Because games of chance are random, the events they involve cannot be influenced, and in reality no strategy has the capacity to control the outcome of the game. The therapist will illustrate the concept of randomness by referring to the client's own gambling strategies, helping A useful way to illustrate how erroneous links can be made between unrelated events is to toss a coin. First, therapists might ask the gambler to predict whether the next toss will result in heads or tails and to explain their choice. Most gamblers will say that their choice is based on a 50 50 probability of each possible outcome, which is indeed...

Cognitive Restructuring Exercise Sheet

In the next part of treatment, clients are asked to identify their own erroneous perceptions about gambling and to write them down. This can be achieved through an additional analysis of a specific gambling session, or through a variety of methods, that is, asking gamblers to describe what they typically say to themselves when they gamble by simulating a game and having clients describe how they choose their bets or by asking them to imagine a gambling session and describing out loud what they are thinking using the thinking out loud method for gambling. During the therapy program, pathological gamblers will monitor their own verbalizations when they are thinking about gambling, when they have the urge to gamble, or when they actually gamble, if they are not able to remain abstinent. The client's tasks are to (a) to identify erroneous perceptions, (b) to evaluate and challenge the adequacy of these perceptions, (c) to replace these inadequate perceptions by adequate verbalizations,...

Behavioral Strategies and Relapse Prevention

Clients undergoing treatment for pathological gambling often struggle with many high-risk situations that may reduce their resistance to gambling. Cognitive correction will help clients to develop a more realistic perception of gambling that will help them to refrain from participating in these activities. However, social, professional, or financial difficulties may compromise their abstinence goal and put them in a state of vulnerability. Behavioral interventions can forestall many problems and raise the efficiency of a cognitive treatment. A basic relapse prevention strategy is to ask clients to list the high-risk situations that may confront them following treatment. The purpose of this exercise is to make clients aware of what triggers their desire to gamble. There are five main categories of high-risk situations (a) exposure to gambling situations, (b) financial problems, (c) emotional or relational problems, (d) lack of employment, and (e) alcohol and drug consumption. These...

Theoretical Basis

The central assumption of cognitive approaches to the treatment of pathological gambling is that individuals gamble because they maintain the unrealistic hope that they will recover their losses if they continue to gamble. It is assumed that their erroneous beliefs about gambling, the nature of predictability, and their own special skills and knowledge concerning the prediction of gambling outcomes conspire to maintain the gambling far beyond any reasonable limits. It follows that the correction of these erroneous perceptions weakens the belief that gambling losses can be recouped. Gambling takes place when an item of value, usually money, is staked on the outcome of an event that is entirely unpredictable. In gambling, the primary task of gamblers is to use available information at their disposal to try and predict the outcome of an event that is essentially unpredictable. Most gamblers behave as if the act of gambling actually involves some element of personal skill, the exercise of...

Empirical Studies

Although the prevalence estimates of pathological gambling range between 1 and 2 of the population, the number of gamblers who will seek professional treatment is only a small percentage of the population. Relatively few effective interventions have been developed and validated. Most published papers dealing with the treatment of pathological gamblers have either been uncontrolled case studies, or consisted of small samples, thus making it difficult to reach any conclusions about the efficacy of the interventions in question. Their most useful function might be as a source of valuable hypotheses concerning treatment efficacy that can then be evaluated more rigorously. This article is based on studies that have employed a randomization procedure to allocate gamblers to treatment and control groups. A review of the literature reveals that few studies appear to

Computer Modeling Of Liquid Properties

This technique is named after Monte Carlo, a town in southern France which is famous for its gambling and casinos. The reason for this peculiar name is the fact that the movement of the molecules in the box is largely determined by a random selection process, just as the winner in a roulette game is selected. Initially, one starts with an arbitrary arrangement of the molecules in the box. The overall interaction energy is then calculated from a knowledge of the positions of all the molecules and their intermolecular pair potentials. One of the molecules is then randomly selected and moved to a new location and the overall interaction energy is recalculated. If the energy decreases, the move is definitely allowed, but if it increases, the probability of the move being allowed depends on the magnitude of the energy change compared to the thermal energy. When the increase in energy is much greater than RT, the move is highly unlikely and will probably be rejected, but if it is on the...

Cultural And Environmental Influences On Handedness

It should not be surprising that a technological and constructed environment created by a species in which 9 of 10 individuals are right-handed should have a bias toward use of the right hand. Most tools and equipment, furniture, traffic patterns in stores and museums, and even formal seating arrangements are structured for the convenience of the right-handed majority. Everyday implements, such as scissors, gear shifts, ice cream scoops, rulers, can openers, pencil sharpeners, and even the location of the winding stem on wrist watches, are biased toward right-handed usage. Sporting gear such as fishing reels and rifles, musical instruments such as violins, guitars, and banjos, common machinery, including voting machines, slot machines, time card punches, and also candy and soft drink dispensers are designed with a bias that facilitates right-handed operation. Even the direction in which screws are threaded favors the righthander on the power (forward) movement, a tendency that carries...

Applications And Exclusions

As opposed to the post hoc evidence of resulting harm, a 1985 study by McConaghy and colleagues comparing alternative behavior completion with covert sensitization aversive therapy provided prospective evidence that the two procedures had positive rather than negative effects on the psychological state of most subjects treated. Their state and trait anxiety as assessed by the Spielberger scale was significantly lower at the year follow-up than prior to treatment. Further prospective evidence concerning aversive therapies was provided in the 2- to 9-year follow-up of compulsive gamblers treated either with alternative behavior completion de-sensitization or aversive procedures including electrical shock. Subjects' mean state and trait anxiety, neuroti-cism, psychoticism, and depression scores prior to treatment were in the psychiatrically ill range. At follow-up the scores of those who showed cessation or control of gambling were in the range of the healthy population. The scores of...

Deborah Slalom and E Thomas Dowd

Keywords gambling, pathological gambling, high-risk behavior Gambling has always existed in one form or another however, since 1980, it has taken on a life of its own. It can be found in almost every area of life ranging from charitable bingo games to state lotteries to casinos and, now, online gambling. In fact, gross gambling revenues have increased from 10.4 billion in 1982 to 47.6 billion in 1996. This is greater than the combined revenue from movies, recorded music, cruise ships, sports, and live entertainment (Bondolfi & Ladouceur, 2001 Christiansen, 1998). With the ease of accessibility to a wide variety of gambling techniques, this has led to an increasing health problem known as pathological gambling. First recognized in the Diagnostic and Statistical Manual of Mental Disorders in 1980, pathological gambling is characterized by maladaptive cognitions and behaviors such as an overpreoccupation with gambling, using gambling as a way of escaping problems, lying to conceal...

Empirical Support Of Cbt For Addictive Behaviors

While clinicians are presently using CBT interventions for the treatment of addictive behaviors, few treatment programs exist and controlled studies are scarce. This is particularly true of sexual addictions and pathological Internet use, as no controlled studies were available as of this writing. Despite the lack of literature on a number of addictive behaviors, research on pathological gambling is emerging. Sharpe and Tarrier (1992) offered a case study of a 23-year-old self-referred gambler. The treatment program focused on increasing awareness of the cognitive errors associated with gambling, teaching self-control, identifying replacement behaviors, and changing the relationships between cognitive distortions and physiological arousal and gambling. The investigators used relaxation training, imaginal and in vivo exposure, and cognitive restructuring as primary modalities. Following treatment the client showed a significant decrease in frequency and intensity of gambling impulses....

Cheilanthes Coriacea

Cheilanthesparryi (after Parry) snuggles in crevices in assorted substrates in the hillsides and mountains of the southwestern states that border Mexico and indeed in Mexico as well. We first found it outside of Las Vegas, where the odds of finding the fern were about equal to the odds of winning in glitztown. (We were there for the botanizing.) This is a truly fleece-covered, cottony species that captures the eye of the xeric enthusiast with 8-in. (20-cm) puffballs of bipinnate, lanceolate blades. It has not been successfully maintained in the Greater Seattle area, but should be tried in an assortment of exposures in Zones 8 and 9 to introduce it into the civilized world of cultivated ferns.

Relapse Prevention

Relapse prevention is a major theme throughout therapy When clients have successfully modified their cognitive errors and gambling behaviors, the therapist introduces a relapse prevention strategy. First, the therapist asks clients to describe what a relapse would mean to them, and then to outline the events, thoughts, or situations that could trigger such a relapse. A discussion about past relapses can be helpful. The therapist employs other strategies to prevent relapse such as a gradual tapering-off of therapy or increasing time between consultations. This tapering-off strategy encourages clients to perform their cognitive exercises after the end of the therapy, to use available resources, and to promote the idea of participating in self-help groups such as Gamblers Anonymous. Finally, the therapist outlines what clients can do in emergency situations, or when they experience the overwhelming urge to gamble. They are instructed to (a) stay calm, (b) remember their commitment, (c)...

Australia

In 1983, these researchers compared the efficacy of ID for pathological gambling to electric aversion therapy. ID consisted of inducing a relaxed state in the presence of several imaginal gambling-related episodes. Electric aversion therapy consisted of delivering an aversive stimulus to inhibit the excitation produced by undesired gambling stimuli and interrupt the compulsion to gamble, which otherwise would be acted on. The key findings were a significant difference in the number of ID participants attaining cessation or a marked reduction of their gambling and urges, compared to participants in the electric aversion condition. They further conducted an additional trial to evaluate the efficacy of ID. Twenty pathological gamblers were randomly allocated to ID and imaginal relaxation, a treatment similar to ID but that does not instruct the individual to visualize gambling situations but rather being in the presence of relaxing situations. Results indicated no differences at either...

Alcoholics Anonymous

An anomalous organization with no dues, formal membership, or budget, it has millions of attendees and a meeting can be found in most countries around the world almost anytime. AA has served as the model for numerous other self-help (or 12-step or mutual support) groups involving addicts, overeaters, gamblers, and others. An outgrowth of an evangelical group, AA early dropped references to God in order not to alienate prospective affiliates, and substituted Higher power as that to which one should surrender. In socialist Poland, even that allusion was deleted. Other striking adaptations have occurred in different cultural contexts. Far from protecting anonymity, many Mexican AA groups share meals and other social services with poor and ill neighbors. In France, some forgo anonymity, finding a sense of liberation in declaring their freedom from alcohol. It is not surprising that AA has become the object of many interesting studies special contributions of anthropologists to that...

Components Of Food

Sciously substituted for another, while retaining the same underlying meaning. Eating chocolate or strawberries and whipped cream may be viewed in a sinful way as a reward of badness for good behavior (as a dessert after having eaten the meal of brussels sprouts), or as a violation of an unwritten moral code that elevates these foods into a nonessential, potentially dangerous, risky (ie, exciting) food, and hence strongly desired. Thus, eating these foods is perceived on some level as a violation of social morals and revolt against hedonic repression, which may be manifested by sexual arousal. Another nonfood example of this repressed hedonic affective overflow is the Las Vegas effect of gambling, being perceived as a naughty thing to do, and hence becoming imbued with components of sexual arousal. Likewise, sinful foods may come to be endowed with other perceived sinful qualities, and this would include sexual arousal.

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