Fong Timothy W
Dr. Fong is the Assistant Clinical Professor of Psychiatry and Biobehavioral Sciences, Co-Director, UCLA Gambling Studies Program, UCLA Neuropsychiatric Institute and Hospital, Los Angeles, California.
Psychiatry (Edgmont). 2005 May;2(5):32-9.
Several types of psychotherapy are currently used to treat pathological gamblers. These include Gambler's Anonymous, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and family therapy. Research into which types of psychotherapy are the most effective for pathological gambling is limited but is a growing area of study. Group therapy, namely Gambler's Anonymous, provides peer support and structure. Cognitive behavior therapy aims to identify and correct cognitive distortions about gambling. Psychodynamic psychotherapy can help recovering gamblers address core conflicts and hidden psychological meanings of gambling. Family therapy is helpful by providing support and education and eliminating enabling behaviors. To date, no single type of psychotherapy has emerged as the most effective form of treatment. As in other addictive disorders, treatment retention of pathological gamblers is highly variable. Understanding the types of psychotherapy that are available for pathological gamblers, as well their underlying principles, will assist clinicians in managing this complex behavioral disorder.
目前有几种心理疗法用于治疗病态赌徒。这些疗法包括匿名戒酒会式的嗜赌者互诫会、认知行为疗法、行为疗法、心理动力疗法和家庭疗法。关于哪种心理疗法对病态赌博最有效的研究有限，但却是一个不断发展的研究领域。团体治疗，即嗜赌者互诫会，提供同伴支持和组织架构。认知行为疗法旨在识别和纠正关于赌博的认知扭曲。心理动力心理疗法可以帮助正在康复的赌徒解决核心冲突以及赌博背后隐藏的心理意义。家庭疗法通过提供支持和教育以及消除助长行为而有所帮助。迄今为止，尚未有一种心理疗法成为最有效的治疗形式。与其他成瘾性障碍一样，病态赌徒的治疗留存率差异很大。了解可用于病态赌徒的心理疗法类型及其基本原理，将有助于临床医生管理这种复杂的行为障碍。
