A process-based analysis of the pathways model of problem gambling through clinical case formulations

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Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_5BA0E4F838E1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A process-based analysis of the pathways model of problem gambling through clinical case formulations
Journal
International Gambling Studies
Author(s)
Bonnaire Céline, Billieux Joël
ISSN
1445-9795
1479-4276
Publication state
Published
Issued date
2022
Peer-reviewed
Oui
Volume
2
Number
2
Pages
222-246
Language
english
Abstract
Blaszczynski and Nower conceptualized in 2002 an integrative Pathways Model leading to gambling disorder by postulating three subtypes of individuals with problem gambling characterized by common and specific characteristics (sociodemographic features, comorbidities, psychological factors). Here we propose a clinical illustration that fits each subtype. For each pathway, we (1) describe a corresponding clinical case, (2) propose a symptom-based clinical description, and (3) elaborate a process-based case formulation to explain the development and maintenance of the problematic gambling behavior. We argue that the clinical work with patients benefited from this two-level approach (symptoms vs. psychological processes) combined with a more holistic approach that takes into account intrapersonal (e.g. personality), interpersonal (e.g. family functioning), and environmental variables (e.g. life events). Crucially, our approach not only considers psychopathological dimensions (e.g. symptoms, diagnostic criteria), but it also views as central individual differences (personality traits) and cognitive and affective processes postulated to mediate relationships between biopsychosocial antecedents and psychopathological symptoms. In the current paper, we aim to demonstrate how the Pathways Model can be used as a framework to embrace a holistic perspective that promotes individualized and process-centered psychological interventions for individuals with gambling problems
Keywords
Gambling, Gambling Disorder, Case Analysis, Psychological Process, Pathways Model, Problem gambling
Open Access
Yes
Create date
02/08/2022 12:43
Last modification date
21/11/2022 8:27
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