Event frequency,excitement and desire to gamble,among pathological gamblers

In this study we compared gambling behaviour of 15 pathological gamblers (PG) and 15 non-problem gamblers (NPG) on two conditions of a commercially available slot machine. One condition used a commercially available two-second event frequency (games per minute), while the other condition used an experimental three-second event frequency. The payback percentage (wins relative to losses) and reward frequency (wins over number of games played) varied randomly across conditions. The results showed that PG had significantly higher measures than NPG on time spent gambling, excitement level and desire to play again in the two-second condition. In the three-second condition there were no differences in excitement level and desire to play again. The number of PG playing the maximum time (60 minutes) was reduced in the three-second version, and reward frequency contributed to reduction in time spent gambling. The results may have implications for understanding behavioural mechanisms of pathological gambling among slot machine players.     

Internet Addiction: Debating the Diagnosis

While the Internet has revolutionized the process of information gathering and communication in society, there has been mounting concern in the literature as to the effect of the medium on the individual. Researchers appear torn as to whether an individual can actually develop an addiction to the Internet. This report will review this controversy in detail, including proposed definitional criteria for problematic Internet use, explanatory theories of the manifestation of problematic Internet use, measures of problematic Internet use, and groups with a higher vulnerability of developing problematic Internet use. The report will conclude by identifying gaps in the literature, areas for future research, and implications for human service agencies and treatment providers.     

Tackling Problem Drug Use

SUMMARY

Successful 'recovery' from long-term problem drug use has depended largely upon understanding and tackling the physiological and psychological nature of drug dependence; however, drawing upon research and practice in Liverpool, England, the author questions whether this discourse is sufficient given the changing nature, context and attitudes towards drug consumption in the twenty-first century. This article emphasises the importance of incorporating structural and social factors. Drawing upon qualitative data from three separate studies, the author illustrates how stigmatisation, marginalisation, and social exclusion are significant debilitating components that have tended to be overlooked. This paper contributes new insights into the damaging impact of political rhetoric and structural discrimination that has placed many long-term drug users vulnerable to relapse. In response to these findings the author offers a new conceptual framework for practice that incorporates and promotes an understanding of the social nature and context of long-term drug dependence.     

Neurobiological Causes of Addiction

Abstract

Neurobiology and molecular genetics are contributing heavily to a new understanding of the causes of chemical dependence (“addiction”). Willful chemical abuse is a problem that continues to produce significant societal costs including accidents, medical expenses, and family suffering. Pathological chemical dependence, on the other hand, is being recognized as a true medical disease that is also devastating, but in different ways. There is strong evidence in animals and humans that chemical dependence involves a dysregulation of the pleasure pathway (the “medial forebrain bundle”), located in the mesolimbic portion of the brain. Dopamine is one of the medial forebrain bundle's major neurotransmitters. In this paper, we provide a research-based model for the causes of chemical dependence and its treatment, and integrate this information with classic Twelve Step treatment programs.     

Treatment Approaches for Child Welfare Mothers with Addiction Problems

Abstract

This paper argues that child welfare mothers with addiction problems may require specialized treatment approaches based on their gender. The prevalence of women's problems with addiction and the unique ways addictions manifest themselves in women are discussed. The literature is then used to guide a discussion on the limitations of traditional treatment approaches that have been designed for men and may be of ill service to child welfare mothers. Alternative treatments are reviewed, and suggestions for improving treatment services to child welfare mothers with addiction problems are provided.     

An Exploration of Cohesion and Recovery Outcomes in Addiction Treatment Groups

This article explores the relationship between group cohesion and recovery outcome variables in inpatient addiction treatment groups. We surveyed 104 people in group therapy using measures of cohesion, self-efficacy, social support, and coping. Length of stay in treatment has a relationship with cohesion. Significant higher order interactions were found with group cohesion (length of stay by type of addiction and length of stay by type of referral). The interaction of gender by addiction on measures of social support and self-efficacy were also significant. The latent construct of collective efficacy was confirmed using factor analysis, and we discuss collective efficacy and implications for group work with addictions.     

Methadone and Menopause: Midlife Women in Drug Treatment

ABSTRACT

As a rising number of midlife women receive methadone treatment, issues related to the menopausal transition take on increased importance. The similarity between many of the symptoms associated with opiate withdrawal, methadone and menopause (hot and cold flashes, sweats, fatigue, decreased libido, menstrual irregularity and insomnia), make it plausible these women and clinical staff attribute menopausal symptoms to other conditions of greater familiarity. The paucity of research, multiplicity of health problems and typically poor access to health care, further complicate the picture and underscore the importance of better integration of health care and social work intervention.     

Self-Sufficiency and Sobriety

Abstract

Substance abuse presents formidable challenges to a welfare reform that has employment as its primary goal. This study reviews the literature on substance abuse and women and reports what substance-abusing women on welfare perceive as unmet needs and barriers to their recovery and ability to join the workforce.     

Sexual Disorders,Paraphilias, and Gender Dysphoria

ABSTRACT

This article presents an overview of the problems associated with the prevention and management of sexual dysfunction in women and men and the paraphilias, health conditions that have a high impact on world health and development, but have been given unduly little attention. Possible improvements and solutions will be suggested and recommendations made for concerted international actions to go along with the UN Millennium Goals.     

Eye Movement Desensitization and Reprocessing in the Treatment of Traumatized Gay Men

Summary

Gay men suffering from traumatic experiences can benefit from Eye Movement Desensitization and Reprocessing treatment (EMDR). In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. Through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. EMDR can also be useful for developing internal resources and for exploration of relevant themes for the client. Further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia.