Okuda Mayumi, Balán Iván, Petry Nancy M, Oquendo Maria, Blanco Carlos
New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA.
Am J Psychiatry. 2009 Dec;166(12):1325-30. doi: 10.1176/appi.ajp.2009.08081235.
Pathological gambling is a common disorder with severe consequences for patients and their families. This case study describes cognitive-behavioral therapy (CBT) for pathological gambling and its general principles and provides an example of a modification of CBT techniques in the treatment of a 51-year-old immigrant Afro-Caribbean woman. The case depicts the contribution of beliefs, especially those that are part of a cultural system, to the perpetuation of a patient's disorder; the influence of family members' attitudes, moved by their cultural beliefs and values, in shaping the patient's behavior; and the consideration of these issues in guiding specific interventions, such as challenging irrational thoughts or helping patients devise strategies to change their behavior in a culturally congruent manner.
病理性赌博是一种常见的疾病，会给患者及其家庭带来严重后果。本案例研究描述了针对病理性赌博的认知行为疗法（CBT）及其一般原则，并提供了一个在治疗一名51岁的非洲加勒比裔移民女性时对CBT技术进行调整的示例。该案例描述了信念，尤其是那些作为文化系统一部分的信念，对患者疾病持续存在的影响；家庭成员受其文化信仰和价值观影响的态度对塑造患者行为的作用；以及在指导具体干预措施时对这些问题的考量，例如挑战非理性思维或帮助患者制定以文化相符方式改变其行为的策略。
