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Pathological Gambling: Interventions for the Family
Gambling continuing education social worker CEUs

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What is a commonly held belief among compulsive gamblers?
2. What are four categories of enabling?
3. What are four methods for ‘raising bottom?’
4. How effective are interventions?
5. What is one complication unique to teens regarding gambling?
6. What are the five stages of quitting?
7. What are three simple guidelines to avoiding relapse and staying stopped?

Answers:
A.  Interventions are generally between thirty and fifty percent effective.
B.  Four methods for ‘raising bottom’ are no more bailouts, continued emotional support, deciding when to bail out, and knowing what to expect. 
C.  The five stages of quitting are pre contemplation, contemplation, commitment and action, maintenance and relapse. 
D.  Four categories of enabling are covering up and covering for the gambler, attempting to control the gambler’s behavior, bailing him out, and cooperating with him.
E.  Three simple guidelines to avoiding relapse and staying stopped are using support systems, watching company, and watching where they go
F.  Compulsive gamblers may believe money is both the solution to and the cause of all of the problems in their lives.
G.  One complication unique to teens regarding gambling is lack of responsibility. 

Course Content Manual Questions The Answer to Question 8 is found in Section 8 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
8. What are three types of disorders that are commonly comorbid with pathological gambling disorder?
9. According to Klein, what percentage of teens have a gambling problem?
10. According to Orford, what is the biggest challenge to the development of a comprehensive understanding of addiction?
11. What may be more important than financial gain in the positive incentive learning component of gambling addiction?
12. What are two secondary amplifying processes related to gambling addiction?
13. What is meant by the circularity between the variables of involvement and choice/control?
14. According to Dickerson’s research, what is the relationship between alcohol and self-control in pathological gambling?
15. What did Schellink’s study reveal about rates of player persistence in problem gamblers?
16. According to Oxford, what proportion of pathological gamblers and other addicts are able to make medium term changes regardless of treatment options chosen?
17. How is pathologically gambling a "pure" and a "hidden" addiction?

Answers
A.  Gamblers often put emphasis upon the excitement associated with gambling, and it has been suggested that emotional regulation may be more important than financial gain for understanding excessive gambling.
B. According to Klein, 4 to 6 percent of adolescents have a gambling problem.
C.  A relatively small consumption of alcohol (2-3standard drinks) may have a very significant effect on the gambling per se and on the associated cognitive and personality processes as they relate to self-control.
D.  Schellink’s study showed average duration of play at any one location of problem players was 189 minutes compared to 85 minutes for regular players despite each group having a similar frequency of sessions per week.
E.  Pathological gambling is “pure” because it does not change the brain chemistry by introducing other substances like drugs or alcohol do. It is “hidden” because unlike injecting heroin, gambling is generally a socially acceptable behavior.
F.  20-30% of gamblers and other addicts are able to make medium term changes regardless of treatment options chosen.
G.  The biggest challenge to the development of a comprehensive understanding of addiction comes from those forms which are not drugs and which have therefore been marginalized in the past,  such as gambling, eating, and sex.
H.  The more a person gambles the greater the opportunity to lose control and the more a person experiences impaired control the more they gamble.
I.  Two processes are acquired emotional regulation cycles and the consequences of conflict.
J.   Three types of disorders are substance abuse, mood, and anxiety disorders.


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