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| Acknowledgments | |
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| List of Worksheets | |
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| The Twenty Percent Difference | |
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| A Clinician's Experience | |
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| The Other Twenty Percent | |
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| Need for a Comprehensive Clinical Mind | |
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| The Case for a Pragmatic Approach | |
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| Countertransference and the Three Ways | |
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| The Scope of Social and Problem Gambling | |
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| Social and Recreational Gambling | |
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| Scope of Problem Gambling | |
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| Research on Causes and Treatment of Pathological Gambling | |
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| Introduction | |
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| Risk Factors | |
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| Individual Differences: Models and Research | |
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| General Personality Characteristics | |
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| Affective-Motivational Variables | |
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| Cognitive Distortions | |
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| Treatment Approaches | |
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| A Self-Regulation Model for Understanding Pathological Gambling | |
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| Advantages of Self-Regulation Theory | |
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| Self-Regulation Theory: General Features | |
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| Self-Regulation Theory: Specific Mechanisms | |
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| Risk-Taking: The Missing Ingredient in a Comprehensive Understanding of Pathological Gambling | |
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| The Downside of Egotism | |
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| The Psychological Function of Self-Esteem | |
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| Summary | |
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| Diagnosis and Assessment of Pathological Gambling | |
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| Pathological Gambling and the DSM | |
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| The Clinical Picture | |
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| DSM Criteria | |
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| Robert Custer and Stages of Gambling | |
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| Gambling Assessment Instruments | |
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| Gambling Subtypes | |
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| Problem Versus Nonproblem Gambling | |
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| Comorbidity | |
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| Personality Assessment of Pathological Gamblers | |
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| Appendix | |
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| The Lifetime NORC DSM-IV Screen for Gambling Problems | |
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| The South Oaks Gambling Screen | |
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| Overview of Clinical Interventions: A Plea for Family Involvement | |
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| Empirical Basis | |
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| Treatment Modalities | |
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| Format | |
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| Motivational Enhancement, Stages of Change, and Goal-Setting | |
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| The Context of Motivational Enhancement | |
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| Origins of Motivational Enhancement | |
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| Stages-of-Change Model | |
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| Strategies Used to Change | |
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| Motivational Enhancement Approach | |
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| Motivational Enhancement and Goal-Setting | |
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| Consequences of Gambling Checklist | |
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| Decisional Balance | |
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| Abstinence/Recovery Goal-Setting | |
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| Occupational Goal-Setting | |
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| Family Goal-Setting | |
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| Relationship Goal-Setting | |
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| Health Goal-Setting | |
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| Financial Goal-Setting | |
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| Recreational/Entertainment Goal-Setting | |
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| Spiritual/Religious/Personal Character Goal-Setting | |
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| Goals-Summary | |
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| Goal-Planning | |
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| Resolving Goal Conflicts | |
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| Abstinence Control and Relapse Prevention | |
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| Building a Fence Around Temptation | |
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| Defining Abstinence Control | |
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| Stimulus Control Assessment | |
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| Stimulus Control and Environmental Management | |
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| Summary | |
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| Gambling Triggers | |
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| Coping with Relapse: Lapse/Slip Analysis | |
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| Gambling Behavior Warning Signs | |
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| Coping with Relapse: Containing a Slip by Stopping Snowballing | |
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| Managing Urges Through Acceptance | |
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| Cravings and Self-Regulation Theory | |
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| Acceptance Rationale | |
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| Rehearsal | |
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| Implementing Acceptance and Urge Surfing | |
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| Emotion Regulation: Introduction to Urge Surfing: Rehearsal | |
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| Emotion Regulation: Acceptance--Urge Surfing | |
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| Depression, Anxiety, and Guilt: Cognitive Strategies | |
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| Anxiety Management | |
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| Managing Depression | |
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| Managing Guilt Feelings | |
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| Summary | |
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| Challenging Beliefs Leading to Negative Feelings | |
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| Changing Beliefs About Gambling: The Downside of Hope | |
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| Introduction | |
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| Application | |
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| Evaluating Client Beliefs | |
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| Challenging Gambling Beliefs | |
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| List of Beliefs About Gambling and Reasons for Gambling | |
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| Gambling Beliefs and Reasons | |
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| Gambling Timeline | |
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| Problem-Solving and Overcoming Procrastination | |
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| Introduction | |
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| Problem-Solving | |
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| Format | |
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| Description of the Current Problem | |
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| Generating Solutions | |
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| Implementing the Solution | |
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| Evaluate the Solution | |
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| Overcoming Procrastination | |
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| Summary | |
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| Problem-Solving | |
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| Changing Behavior: Procrastination Analysis | |
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| Procrastination Change | |
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| Financial and Legal Issues | |
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| Overview | |
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| Managing Financial Issues | |
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| Legal and Forensic Issues | |
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| Couples and Family Treatment | |
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| Family Scenarios | |
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| Pathological Gambling Patients and Families: Different Perspectives | |
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| Couples Therapy for Pathological Gambling | |
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| Model Overview | |
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| Working with Family Members Alone | |
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| Countertransference Issues | |
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| Spirituality, Virtue, and Character: A Model for Therapist Collaboration in Long-Term Growth | |
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| Rationale for Chapter | |
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| Religion and Spirituality: Model and Definition | |
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| Therapeutic Interface with Spirituality | |
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| Interventions for Building Character--Virtue | |
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| Truthfulness | |
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| Responsible Conscience | |
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| Humility | |
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| Justice | |
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| Courage | |
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| Temperance | |
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| Implementing Goals Assessment | |
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| Virtue Diary | |
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| References | |
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| National Council on Problem Gambling Affiliate List | |
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| Worksheets | |
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| Index | |