The medical model of pathological gambling: Current shortcomings
The medical model of pathological gambling: Current shortcomings
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病态赌博的医学模式：目前的缺陷
DOI：
10.1007/bf01022136
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发表时间：
1989
期刊：
影响因子：
--
通讯作者：
N. Mcconaghy
中科院分区：
文献类型：
--
作者：
A. Blaszczynski;N. Mcconaghy
偶尔赌博、定期赌博和病态赌博作为一个连续体在人群中分布。未能找到病理性赌博的明确特征，削弱了针对这种情况的医学模型，以及该模型对治疗的影响，涉及到将受控赌博作为可接受的目标的可能性，以及社会操纵的有效性，如限制赌博渠道。病态赌徒和非病态赌徒之间的赌博行为模式的差异并没有得到一致的证明，尽管存在一些支持赌博成瘾和酒精之间的关系的支持，但这可能是由其他因素造成的，而不是容易上瘾的个性。虽然研究结果支持人格变量和病态赌博之间的关系，但与这种行为相关的单一人格类型的概念似乎不太可能。然而，最近有证据表明病态赌徒和对照组之间的生理差异，如果建立，将为医学模型提供强有力的支持，特别是允许生理和社会学因素相互作用导致赌博行为空间分布的模型。
Occasional, regular and pathological gambling are distributed in the population as a continuum. Failure to find categorical features of pathological gambling weakens the medical model for this condition, and the implications of this model concerning treatment, both in relation to the possibility of controlled gambling as an acceptable goal, and as to the effectiveness of social manipulations, such as restrictions of gambling outlets. Differences in gambling behavior patterns between pathological and nonpathological gamblers has not been consistently demonstrated and though some support exists for a relationship between “addiction” to gambling and alcohol, this could be accounted for by other factors than an addiction-prone personality. While findings support a relationship between personality variables and pathological gambling, the concept of a single personality type associated with the behavior seems unlikely. Nevertheless, evidence of physiological differences between pathological gamblers and controls has recently been reported and if established would provide strong support for a medical model, particularly one which allows for an interaction of physiological and sociological factors resulting in dimensional distribution of gambling behaviors.