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A pathological or a compulsive gambler?

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  • 1Behavior Therapy Unit, Prince of Wales Hospital, High St., 2031, Randwick, N.S.W., Australia.

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This study presents a behavior completion model and imaginal desensitization therapy for compulsive gambling. A case study shows successful treatment of compulsive gambling using this therapy, leading to cessation.

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Area of Science:

  • Psychology
  • Behavioral Science
  • Clinical Psychology

Background:

  • Compulsive gambling is a significant behavioral issue causing distress.
  • Existing treatments for compulsive gambling have varying success rates.
  • A behavior completion model offers a new framework for understanding and treating compulsive behaviors.

Purpose of the Study:

  • To outline the development of a behavior completion model for compulsive behaviors.
  • To describe imaginal desensitization therapy based on this model.
  • To report a case study of compulsive gambling treated with imaginal desensitization therapy.

Main Methods:

  • Development of a behavior completion model.
  • Application of imaginal desensitization therapy.
  • Case study of a 65-year-old woman with compulsive slot machine gambling.

Main Results:

  • The patient regained control over gambling after one week of imaginal desensitization.
  • Following an inheritance, the patient ceased slot machine gambling entirely without further treatment.
  • The patient developed new interests and activities, indicating improved well-being.

Conclusions:

  • Imaginal desensitization therapy, based on the behavior completion model, can be effective for compulsive gambling.
  • While controlled gambling was an initial outcome, complete cessation was ultimately achieved.
  • The behavior completion model provides a valuable framework for understanding and treating compulsive behaviors.