Seishin Igaku Volume 56, Issue 7 (July 2014)

Drive Model-based Treatment Model of Pathological Gambling Yasunobu KOMOTO 1 , Taku SATO 1,2 1Kurihama Medical and Addiction Center, Yokosuka, Japan 2Naruse Mental Clinic Keyword: Pathological gambling , Addiction model , Drive model , Abstinence , Naikan therapy pp.625-635
Published Date 2014/7/15
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 The existing addiction model has a number of limitations. Thus, in the present paper, a drive model to treat pathological gambling is introduced. In this model, gambling impulse control disorder is believed to result from one's faulty belief that gambling will fulfill various desires (i.e., desires for fame, money, and escapism). Therefore, in the main early-stage intervention, clients are encouraged to explore alternative methods of fulfilling desires. This paper discusses the characteristics of 19 cases in which drive model-based interventions were employed. Such intervention methods function to heighten the client's motivations for recovery without generating any restricting rehabilitation factors, such as feelings of shame and denial. Furthermore, this model is believed to have high accessibility and continuity, since clients are not pressured to stop gambling. In addition, this paper outlines the drive model-based medical strategy for the treatment of pathological gambling.

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56巻7号 (2014年7月)
電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院