Outcomes evaluation of orthos for gamblers: impulsivity, attachment styles, alexithymia, and parental bonding
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Abstract
Pathological gambling (GAP) is considered a disorder in which the subject involved can not stop playing despite persistent and evident family, work and social problems. It is listed among the Impulse Control Disorders in the Diagnostic Manuals (DSM, ICD, PDM) because of the significant role that the impulsive trait has in the lives of the players’ personalities.
Impulsivity is a multidimensional construct denoted by the tendency to act a behavior or to make a choice without reflective mediation. An immediate act in reaction to a physical or psychic stimulus. Numerous researches testify how impulsivity is the structuring characteristic of the conduct of the gamblers. Alexithymia, from the Greek a-lex-thymos, refers to the impossibility of recognizing and expressing one’s emotional states. Most often found in psychosomatic patients, the alexithymic construct also emphasizes imaginative poverty and the consequent concreteness of thought (operative thought) of subjects who are mainly directed towards the “material” aspects of their actions, having no reflexive space for the properly psychological aspects of their behavior. The aim of this study is to evaluate the outcomes of the Orthos program over a period of 24 months in reference to specific constructs of the GAP such as: the characteristics of the game, the impulsivity, alexithymia, the dimensions of the attachment styles and the quality of the cures offered by both parents during childhood in Pathological Gamblers.
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