Brief intervention based on Naikan therapy for a severe pathological gambler with a family history of addiction: emphasis on guilt and forgiveness

Komoto, Yoshiaki

doi:10.1186/s40405-015-0007-3

Cited by 4 publications

(6 citation statements)

References 18 publications

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“…As for men, improving emotion regulation during the intervention for gambling problem can bring a positive outcome; for women, it is essential to make intervention for coping with negative emotions derived from abuse exposure rather than to improve emotion regulation. In other words, if the desire for gambling is related to negative emotions, implementing intervention on emotion rather than making a direct intervention for gambling problem can increase the therapeutic effect [20]. For example, it is helpful to educate men about how to improve their emotion regulation and to provide them with opportunities to practice and train.…”

Section: Discussionmentioning

confidence: 99%

“…Komoto's study mentioned the background and the treatment process for a patient who had been continuously involved in gambling behaviors to reduce negative emotions and eventually became a pathological gambler [20]. The subject held bitterness toward his abusive alcoholic father and guilty feeling toward his mother, who had to work hard because of his father's incapability to support the family.…”

Section: Introductionmentioning

confidence: 99%

“…This finding indicates that subjects who were exposed to parents' emotional abuse, because of the failure to learn proper response to negative emotions that function as the individual's internal or external informants essential for adjustment, may continue to avoid the relevant stimulation, such as the situation that provokes negative emotions, unable to accept his or her own emotion, failure to regulate their emotions, and eventually manifest problem behaviors. In other words, familial abuse exposure can not only directly influence gambling problem; it can also indirectly influence this gambling problem because of inadequately acquired emotion regulation.Komoto's study mentioned the background and the treatment process for a patient who had been continuously involved in gambling behaviors to reduce negative emotions and eventually became a pathological gambler [20]. The subject held bitterness toward his abusive alcoholic father and guilty feeling toward his mother, who had to work hard because of his father's incapability to support the family.…”

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confidence: 99%

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The Effects of Abuse, Emotion Regulation and Family Member’s Gambling Problem on Problem Gamblers: Developmental Perspective

Shin¹,

Choi²,

Kim³

2017

J Addict Res Ther

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The goal of this study was to identify the moderated mediating effect of family member's gambling problem on the connection between abuse, emotion regulation and problem gambling. To this end, a research model was tested among 642 adults (men: 473, women: 169) who gambled at least once a year and had been categorized as problem gamblers based on the CPGI score (8 and above). The study results were as follows: for men, abuse was identified to have a direct effect on problem gambling and an indirect influence on problem gambling by lowering their emotion regulation. In addition, men who experienced much abuse and had a family member with a gambling problem were found to suffer with a gambling problem of higher severity. This indicates that family member's gambling problem moderates the connection between abuse and gambling problem. As for women, history of domestic abuse affected emotion regulation, but emotion regulation did not mediate the connection between abuse and gambling problem. This study has its significance as it identifies the mechanism of family member's gambling problem from the perspective of developmental psychopathology, in addition to the mechanism of emotion regulation and gambling problem on the developmental path that negative childhood experience can lead to adjustment problem in adulthood.Keywords: Abuse; Emotion regulation; Familial member's gambling problem; Problem gambling IntroductionGambling has some positive functions for individuals and society, as it serves as a medium of leisure and a source of capital in a country and local communities; however, it often plays a dysfunctional role among individuals, families, colleagues, workplaces, communities, and countries [1]. The severity of gambling problem can be seen in Diagnostic and Statistical Manual of Mental Disorders (DSM) by American Psychiatric Association (APA), and the problems that stem from dysfunctionality due to loss of self-control are defined as "disordered gambling" [2]. In the same vein, it is crucial to identify the factors influencing gambling problem. Shaffer and Korn highlighted the usefulness of a public health paradigm for gambling, while addressing the issue with a pathological model, which only focuses on individuals with gambling problem and cannot properly handle these problems that create great havoc not only for individuals but also for families and communities [3].The core targets of a public health paradigm for gambling are agents, hosts, and environment; they focus on the interplay between these components, instead of approaching the individual targets separately. In gambling, the agent is the game that determines the outcome of gambling; the host is the individual participating in gambling; and the environment is the physical, socio-cultural surroundings where the game takes place. To discuss the details of the public health paradigm for gambling, let us examine the influencing factors of gambling problem by each component as follows [4]. First, from the host's perspective, the factors that influe...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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The Effects of Abuse, Emotion Regulation and Family Member’s Gambling Problem on Problem Gamblers: Developmental Perspective

Shin¹,

Choi²,

Kim³

2017

J Addict Res Ther

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“…Non-judgmental approaches toward gambling problems, among counselors, are crucial to help gamblers overcome their stigma and facilitate their recovery. There is a need to develop treatment methods that specifically address shame and stigma, help the gamblers re-establish their sense of self-worth and support their need to rebuild their identity, to reconstitute their primary relationships, and to learn functioning coping and problem-solving strategies (Komoto, 2015). As the problems affect the whole family, the strategies need to be designed to also meet the needs of significant others.…”

Section: Implications For Support and Treatmentmentioning

confidence: 99%

The Zone and the Shame: Narratives of Gambling Problems in Japan

Samuelsson

Törrönen

Hwang

et al. 2022

CGS

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Japan has one of the highest rates of severe gambling problems in the world. However, the gambling forms that cause the most harm—pachinko and pachislot—are not recognized as gambling in the key legislation. They are understood as entertainment. On the basis of two group interviews with those who have experienced problems with gambling, this study explores how they have dealt with the shame, guilt, and stigma of pachinko-related gambling problems. The narrative analysis shows that the participants carry self-stigma as a result of self-reproach and others’ condemnation of their behavior. Feelings of shame, guilt, and fear of being stigmatized have distinctly hindered the process of seeking help. The participants describe how their gambling, which they had attempted to limit, had led to isolation from normal life. The isolation and the failures to control the gambling increased their feelings of shame and destructive behavior. Considering the characteristics of the zone, the loss of self, and the shame, guilt and stigma of failing to control excessive pachinko gambling, it is unreasonable to place the main responsibility on the individual gambler. To reduce gambling harms in Japan and the stigma associated with pachinko and pachislot problems, these gambling forms need to be acknowledged as public health concerns and categorized as gambling in the legislation.

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“…Moreover, they experience these losses more intensely, and it causes their gambling cravings to increase even more (Hodgins et al, 2009;Velicer et al, 1984). Because people struggling with addiction tend to have ambivalent thoughts and feelings about their addictive behaviours (Goldberg, 1981) , protective and safe interventions are important-specifically those that prevent this ambivalence (Komoto, 2015).…”

Section: From a Problem-focused Intervention To A Motivation-linked I...mentioning

confidence: 99%

Development and Evaluation of a Modified Gambling Motivation Scale (Japanese Version)

Komoto¹,

Kaneko²,

Nobayashi³

2022

JGI

Self Cite

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As currently configured, the MGMS does not directly translate into a clinical intervention strategy. To increase the value of this scale, we propose restructuring it into a new scale based on identity development theory, with four factors that each correspond to a clinical grouping according to type of gambler: Identity for Achievement (recreational gamblers), Identity for Diffusion (problem gamblers), Moratorium (pathological gamblers), and Occupational Identity (professional gamblers). We also investigated the reliability and validity of both the four-and six-factor structures of its Japanese version (J-MGMS) in the seven-point Likert format and the dichotomous (yes/no) format. Study 1 validated J-MGMS by comparing it to MGMS with 26 participants. Study 2 evaluated the score structure of the J-MGMS with 160 participants. A Wilcoxon signed-rank test found no significant difference between the MGMS and J-MGMS, while confirmatory factor analysis indicated a better fit for the four-factor dichotomous format of the J-MGMS than for others. We also identified associations between amotivation and gambling problem scores with a linear regression model. Our findings indicate that the four-factor dichotomous format can be more convenient than the current sixfactor structure for assessing gamblers' identity and clinical grouping.

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Brief intervention based on Naikan therapy for a severe pathological gambler with a family history of addiction: emphasis on guilt and forgiveness

Cited by 4 publications

References 18 publications

The Effects of Abuse, Emotion Regulation and Family Member’s Gambling Problem on Problem Gamblers: Developmental Perspective

The Effects of Abuse, Emotion Regulation and Family Member’s Gambling Problem on Problem Gamblers: Developmental Perspective

The Zone and the Shame: Narratives of Gambling Problems in Japan

Development and Evaluation of a Modified Gambling Motivation Scale (Japanese Version)

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