Children of Gamblers Anonymous members

One hundred and five children of Gamblers Anonymous (GA) members and pathological gamblers in treatment were surveyed concerning behavioral, psychological, and emotional problems as well as parental use of violence. The results were compared with control groups and Jacobs' study of high school students who reported they were children of compulsive gamblers. Children of known pathological gamblers were less likely to admit to moderate or heavy use of cocaine/crack and less likely to gamble more than they could afford than either Jacobs' children of compulsive gamblers or controls. Children of pure gamblers looked more like Jacobs' controls than the self-reported children of compulsive gamblers he surveyed on several measures. Children of multiple-problem families are more likely than children of pure gamblers to smoke tobacco, get drunk, overeat, sleep worse than most people, have an unhappy present state of mind, and feel more insecure, inferior, or inadequate than most. GA and treatment children as a whole were more likely to say they had an unhappy childhood, and feel a need for success, acceptance, and approval than Jacobs' children of compulsive gamblers or his controls. Using Strauset al.'s conflict tactics scale, children of known pathological gamblers were more subject to parental violence and abuse than nationally normed samples. On most measures, the children of multiple-problem families fared worse than children of pure gamblers. However, there were no differences in the expressions of anger, hurt, sadness, depression, confusion, and other feelings between these groups concerning their parents' gambling. Treatment implications of the findings are discussed.The authors would like to thank Mary Heineman, M.S.W., and Valerie Lorenz, Ph.D., for their comments on an earlier draft of this paper.     

Suicidal behavior among members of Gamblers Anonymous

A national sample of 500 members of Gamblers Anonymous was surveyed by mail in order to gather information on suicidal history. One hundred sixty two usable surveys were returned representing 32.4% of the original sample. Compulsive gamblers who had a history of suicidal preoccupation began gambling at an earlier age than nonsuicidal gamblers and were more likely to have stolen to support their gambling. They also tended to have addicted relatives and children more than nonsuicidal gamblers did. The data suggest that those gamblers who had been suicidal tend to be more serious gamblers than nonsuicidal respondents.     

Gamblers Anonymous and Cognitive-Behavioral Therapies for Pathological Gamblers

Numerous types of treatments for pathological gambling have been described, but two of the most common are Gamblers Anonymous (GA) and cognitive-behavioral therapy. This paper describes some outcome data associated with the two approaches. It also reviews evidence suggesting that a combined intervention may enhance therapy engagement and reduce relapse rates.     

Changing Spousal Roles and Their Effect on Recovery in Gamblers Anonymous: GamAnon,Social Support,Wives and Husbands

This paper examines changing spousal roles and their effects upon recovery in Gamblers Anonymous (GA). It is based upon a qualitative study designed to gage uniformity as well as variations in approaches to recovery in GA. Interviews were conducted with 39 GA members (26 men, 13 women; mean age 56.5 years). Though the study was based in the Toronto area, only 13 interviews involved participants from that region. Phone interviews were conducted with GA members from various regions of both Canada and the US. GamAnon, GA’s sister fellowship, has been designed for anyone affected seriously by someone’s gambling problem. In practice, GamAnon comprises mostly women––spouses of male GA members––who traditionally have taken a keen interest in the ways in which their husbands achieve and maintain abstinence from gambling. Changing spousal roles have led to fewer women joining GamAnon, as many opt instead to part with troubled spouses. As well, more women are attending GA than in the past, typically with husbands who are disinclined to join GamAnon. All of this has drastically altered how GA members pursue recovery. These changes and their implications are discussed.     

Really not god: Secularization and pragmatism in Gamblers Anonymous

The paper argues that despite maintaining the image of a twelve-step organization, the central theme of the history of Gamblers Anonymous (GA) in the United States is the increasing secularization of the program of the recovery. The paper documents the increasing secularization and pragmatism of Gamblers Anonymous, as reflected in key documents, despite the spiritual vision of its founding member. The author speculates on why Gamblers Anonymous took a secularized development path. Further research is called for.This research was supported in part by NIAAA post-doctoral grant, 2 T32 AA07240-11, at the Alcohol Research Group (ARG), Berkeley, California. I would like to thank ARG, Mary Phillips, the anonymous reviewers and editor of theJournal of Gambling Studies, Kathy Deierlein, Bob Yamashita, and anonymous members of Gamblers Anonymous. This paper is a revision of one presented at the Fifth National Conference on Gambling Behavior in Duluth, Minnesota during July, 1991.     

The selective adaptation of the alcoholics anonymous program by Gamblers Anonymous

This paper is largely based on a year long observation study of Gamblers Anonymous and Alcoholics Anonymous meetings in northern California. The paper argues, contrary to popular assumption, that Gamblers Anonymous is significantly different from Alcoholics Anonymous. Differences, in members' consciousness for example, are discussed. The paper contends that although there is some12 step consciousness in G.A., the dominant consciousness ispage 17 consciousness. The significant differences are attributed to the selective adaptation of the Alcoholics Anonymous program. Several consequences of these differences, such as the central role of a language of the self in A.A. and not in G.A., are highlighted.This research was supported by NIAAA post-doctoral grant, 2 T32 AA07240-11, at the Alcohol Research Group, Berkeley, California. I would like to thank everyone at ARG for the wonderfully supportive and intellectually stimulating atmosphere at ARG. I would like to thank especially Mary Phillips, Ron Roizen, Kim Bloomfield, Robin Room, Mike Hilton, Laura Schmidt, John Rumbarger and David Newmark for listening patiently to the unfolding story. I would also like to thank Rachel Volberg and Richard Rosenthal, M.D. for comments on an earlier draft. Comments from the anonymous reviewers and the editor ofJournal of Gambling Studies were also quite useful. Most of all, though, I would like to thank the anonymous members of A.A. and G.A. I, however, take responsibility for the arguments advanced in the paper. This paper is a revision of one presented at theEighth International Conference on Risk and Gambling in London, England, August, 1990.     

Psychosocial Factors Related to Gambling Abstinence and Relapse in Members of Gamblers Anonymous

Problem gamblers account for almost one-third of the industry’s total revenue with the adverse effects of problem gambling including significant financial loss, legal and occupational difficulties, family problems, psychological distress and suicide. As such, it is important to understand the influential factors in gambling abstinence and relapse, which will assist in the development of relapse prevention methods in therapeutic treatment regimes. This paper reported the role of a set of seven predictors in distinguishing between abstinent and relapsed gamblers among 75 Gambling Anonymous (GA) members (55 males; 20 females; Mean age 45 years) in Southeast Queensland. The measures taken were meeting Attendance and Participation, Social Support, God Belief, Belief in a Higher Power, Working the 12-steps of Recovery, Gambling Urges and Erroneous Cognitions. Discriminant analysis revealed that the variables separating the two groups were significant, suggesting that GA members achieving abstinence could be distinguished from those who relapsed, with Attendance and Participation, and Social Support contributing the greatest influence on member’s ability to abstain from gambling. The findings suggested that GA member’s involvement in meetings, and support from family and friends had significant impact on their gambling abstinence. In contrast, increased gambling urges and erroneous cognitions increased the chance of relapse.     

Alcoholics Anonymous and Family Therapy*

Alcoholism affects the family of the alcoholic as well as the individual problem drinker. Change in drinking behavior is often brought about by change in the alcoholic's family members. There has been a natural evolution in the alcoholism field of self-help groups for mates and children of alcoholics. This development has paralleled the recent growth and development of family therapy as a major mode of psychotherapeutic intervention. Yet, crossfertilization of ideas and intervention strategies between the two fields has been slow in occurring. Arguments over whether one uses family therapy or A.A. and Al-Anon persist. This paper focuses on ways in which family therapy and the A.A. self-help groups add to, rather than detract from, one another. A note of caution about the misuse of family therapy when alcoholism is present is also provided.¹     

20 Questions of Gamblers Anonymous: A Psychometric Study with Population of Spain

The authors present a psychometric study of the questionnaire proposed by the Gamblers Anonymous organization for the self-assessment of problem gambling. The study was carried out in Spain with two samples: one of 127 problem gamblers (mean age: 41.67; sex: 78.7% men; mean duration of the problem: 5 years) and the other of 142 social gamblers (mean age: 38.46; sex: 60% men). The questionnaire was self-applied, in the presence of one of the investigators in case any doubts arose. The results indicate that it is a good screening instrument, with high reliability (Cronbach's alpha = 0.94), good covergent validity (the correlation with the SOGS questionnaire is high (r = 0.94; p < 0.001)), good factorial validity (the questionnaire's structure is unidimensional and coherent (just one factor explains more than 50% of the variance)), and its discriminative power is high (diagnostic efficacy = 98.88%). The study offers a comparative analysis of this instrument with other measures of problem gambling, emphasizing its extraordinary performance.     

The family environment of married male pathological gamblers,alcoholics, and dually addicted gamblers

The family environments of married pathological gamblers, alcoholics, and alcoholic gamblers were measured with the Family Environment Scale (FES), a measure of 10 characteristics of family life. The total sample consists of 193 hospitalized patients, which includes 73 male alcoholics, 53 female alcoholics, and 67 male pathological gamblers, of whom 34 were alcoholics and 33 were not. All four treatment groups had a significantly lower degree of cohesion than normal controls. Male alcoholic gamblers reported significantly more conflict and less personal independence than controls, while male gamblers (nonalcoholics) reported less independence and intellectual-cultural orientation. Male alcoholics (nongamblers) reported more conflict, less independence, intellectual-cultural orientation, and active-recreational orientation than normals. Female alcoholics (nongamblers) also reported less intellectual-cultural orientation and active-recreational orientation than normals. Except for one comparison, treatment groups did not differ from each other. The implications of these findings for models of addiction are discussed as well as their contribution to understanding family issues for pathological gamblers.     

Dropouts and continuers in Gamblers Anonymous: Part 3: Some possible specific reasons for dropout

This is the third part of a study of dropouts from Gamblers Anonymous, the overall design, aims and rationale of which are outlined in part one. Dropouts who had attended more than one meeting were asked about many specific aspects of their experience in Gamblers Anonymous. These reports are compared with similarly obtained reports from a group of continuing attendees who had not gambled for more than one year in an attempt to explore the viability of many specific hypotheses as to the possible factors in dropout.     

Family life cycle and labour force behaviour of married women

A sociologist analyzed 1984 data on 18-49 year old Canadian women married to their 1st husband to examine the effect of certain variables on the probability that they work at 3 different stages of the family life cycle. The older the woman the less likely she would be working at each state. Age was most significant at stage 1 (married with no children) (p.05) and less significant at stage 3 (married with 1 or more children and expected no more) (p.1). Neither age nor marriage age determined wife's labor force participation at stage 2 (married with 1 or more children and expected more). Marriage age was positively related to labor force participation at stage 1 (p.1). At all stages, the more education a woman had the more likely she worked. This effect was significant at stage 3 (p.1). Place of birth had a significant negative effect on employment at stage 3 (p.05). Canadian-born women with children had a tendency not to work or not seek work (stages 2 and 3), but those with no children either worked or were seeking work. The age of the youngest child had no significant effect on labor force participation. The more children a woman in stage 3 had the more likely she did not work (p.1), but those in stage 2 were more likely to work even though the number of children did not strongly influence labor force participation. Husband's income had a small effect on labor force participation of wives at all stages, but it was significant at stages 1 and 3 (p.1). Husbands were more likely to have a favorable attitude toward employment of wives at stages 1 and 3, but it was only significant at stage 3 (p.05). Women at stage 2 preferred to combine work, often part time, and motherhood. This study suggests that labor force participation of mothers will most likely continue to grow.     

Efficacy of a Self-Help Treatment for At-Risk and Pathological Gamblers

Available evidence suggests that self-help treatments may reduce problem gambling severity but inconsistencies of results across clinical trials leave the extent of their benefits unclear. Moreover, no self-help treatment has yet been validated within a French Canadian setting. The current study therefore assesses the efficacy of a French language self-help treatment including three motivational telephone interviews spread over an 11-week period and a cognitive-behavioral self-help workbook. At-risk and pathological gamblers were randomly assigned to the treatment group (n = 31) or the waiting list (n = 31). Relative to the waiting list, the treatment group showed a statistically significant reduction in the number of DSM-5 gambling disorder criteria met, gambling habits, and gambling consequences at Week 11. Perceived self-efficacy and life satisfaction also significantly improved after 11 weeks for the treatment group, but not for the waiting list group. At Week 11, 13% of participants had dropped out of the study. All significant changes reported for the treatment group were maintained throughout 1, 6 and 12-month follow-ups. Results support the efficacy of the self-help treatment to reduce problem gambling severity, gambling behaviour and to improve overall functioning among a sample of French Canadian problem gamblers over short, medium and long term. Findings from this study lend support to the appropriateness of self-help treatments for problem gamblers and help clarify inconsistencies found in the literature. The low dropout rate is discussed with respect to the advantages of the self-help format. Clinical and methodological implications of the results are put forth.     

Some treatment approaches for family members who jeopardize the compulsive gambler's recovery

Interpersonal conflict is the most frequent reason for the compulsive gambler's relapse. Family members often contribute to these relapses because of their own needs or shortcomings. Some case samples are cited, and treatment suggestions are made to help these family members participate in the recovery process.     

Motives and Methods of Under-Age Casino Gamblers

Numerous studies have documented that under-age gambling is quite common. The present study employs interviews of 48 university students who gambled under-age to determine the motives and methods associated with casino gambling by minors. The information gathered in these interviews indicates that access to casinos is easily attained, that the risk of exposure once gambling is minimal, and the motivations of under-age gamblers differ in important ways from that of adults, as access to alcohol, accompanying parents, and the desire to experience the “forbidden fruit” of casino gambling are commonly mentioned motivations by under-age gamblers.

Correlates of male and female juvenile offender abuse experiences

This paper reports the results of developing and evaluating a classification of 315 arrested youth processed at the Hillsborough County Juvenile Assessment Center from September 1, 1994 to January 31, 1998. Youth were characterized as physically or sexually abused if they reported abuse or if they had been referred to juvenile court for abuse. Stepwise logistic regression analysis revealed that family problems, friends' substance use, and delinquency involvement (marginally significantly related) were associated with both physical abuse and sexual victimization. In addition, physical abuse was associated with psychological problems and sexual victimization with being female, being older, and own substance use. The research implications of these results are discussed.     

Cognitive Characteristics of Strategic and Non-strategic Gamblers

Participation in strategic and non-strategic games is mostly explained in the literature by gender: men gamble on strategic games, while women gamble on non-strategic games. However, little is known about the underlying cognitive factors that could also distinguish strategic and non-strategic gamblers. We suggest that cognitive style and need for cognition also explain participation in gambling subtypes. From a dual-process perspective, cognitive style is the tendency to reject or accept the fast, automatic answer that comes immediately in response to a problem. Individuals that preferentially reject the automatic response use an analytic style, which suggest processing information in a slow way, with deep treatment. The intuitive style supposes a reliance on fast, automatic answers. The need for cognition provides a motivation to engage in effortful activities. One hundred and forty-nine gamblers (53 strategic and 96 non-strategic) answered the Cognitive Reflection Test, Need For Cognition Scale, and socio-demographic questions. A logistic regression was conducted to evaluate the influence of gender, cognitive style and need for cognition on participation in strategic and non-strategic games. Our results show that a model with both gender and cognitive variables is more accurate than a model with gender alone. Analytic (vs. intuitive) style, high (vs. low) need for cognition and being male (vs. female) are characteristics of strategic gamblers (vs. non-strategic gamblers). This study highlights the importance of considering the cognitive characteristics of strategic and non-strategic gamblers in order to develop preventive campaigns and treatments that fit the best profiles for gamblers.     

Evaluation of high and equal status male and female touchers

Henley's theory of touch and status was explored in a study where male or female subjects spoke to a male or female interviewer with equal or higher status who either touched or did not touch them. Men were relatively less favorable toward equal status and female interviewers who touched them. Status and sex of the touching interviewer did not influence reactions of women. Female interviewers who touched were evaluated more favorably when they had high rather than equal status. Evaluations of touching male interviewers were not moderated by status. Ratings of interviewer status were not influenced by interviewer touch. This finding contrasts with results from studies showing that higher status was ascribed by observers to people initiating touch in photographs and videotapes. It will be necessary in future research to determine the conditions under which touchers can achieve status in the eyes of people they touch.The authors express appreciation to Bruno M. Kappes for his helpful suggestions on the study and to Susan Johnson for her assistance with graphics.     

Genital chlamydial infection in female and male college students

A review of more than 1,000 medical records of the University of South Florida students screened for gonorrhea, Chlamydia trachomatis, and syphilis during a period of 1 year in 1986-1987 showed genital chlamydial infection to be the most prevalent of these sexually transmitted diseases (STDs). Among normal asymptomatic female students with no known recent STD contact, 6.9% had a positive chlamydial enzyme immunoassay. Female students with vaginal symptoms had a greater tendency to be positive, and 47.8% of those with a recent STD contact tested positive for chlamydia. Males with a clinical diagnosis of nonspecific urethritis had a 50% probability of having a positive chlamydia test. Data from this study clearly support a need for a screening policy and educational program on the campus to improve control of chlamydial infection.