'Gamblers Anonymous' ('GA') is
Twelve Step program for
problem gamblers. The only requirement for GA membership is a desire to stop gambling.
GA began in Los Angeles in 1957. As of 2005 there were over 1000 GA chapters in the United States and other meetings in the
United Kingdom,
Spain,
New Zealand,
Australia,
Brazil,
Israel,
Kenya,
Uganda,
Korea and
Japan.
[1] Problem gambling is estimated to occur in 1.6% of the adult population in the United States. Aside from financial insecurity, it has been shown to cause
dysfunctional familes, legal problems, employment difficulties, psychological distress and higher rates of suicide and attempted suicide. Less than 10% of those with gambling problems seek treatment for the syndrome. GA has auxiliary groups, 'Gam-Anon' and 'Gam-A-Teen' for spouses and children of problem gamblers.
Effectivness
GA has a list of twenty questions that can be used to self-diagnose compulsive gambling. The results from their instrument have correlated strongly with other tests that screen for compulsive gambling (e.g. the Total Sensation Seeking Scale, Boredom Susceptibility, Experience Seeking, South Oaks Gambling Screen, and Disinhibition subscales).
[2][3]
Some studies have shown that less than 8% of those who initially attended GA remained in the program and abstinent from gambling for over a year.
[4] These results improve somewhat if members are involved in additional therapy, or if one or more of their family members are involved in Gam-Anon or Gam-A-Teen (
Twelve Step programs analogous to
Al-Anon/Alateen).
[5][6][7]
Compared to problem gamblers who do not attend GA, GA members tend have more severe gambling problems, are older, have higher incomes, are less likely to be single, have more years of gambling problems, have larger debts, have more serious family conflicts, and less serious substance abuse problems.
[8] GA may not be as effective for those who have not had significant gambling problems. GA has been found to be helpful at preventing "relapses" (inability to remain abstinent from gambling), but not as helpful in dealing with them after they occur.
[9]
Gamblers who are able to moderate their activity are not likely to continue attending GA meetings. GA members who stopped attending meetings were more likely to consider the sharing at the meetings "meaningless" and were more critical of GA literature. Those who felt particularly elated at their first GA meetings were less likely to continue than those who had a more balanced first impression. GA, therefore, may be most suitable for severe problem gamblers who do not have compounding issues.
Although the likelihood of attending GA is the same for males and females,
[10] GA has been characterized as a predominately male fellowship, though the number of female members is increasing and there is an increasing sensitivity within GA to women's attitudes. Still, it has been argued that the atmosphere in GA meetings may not be hospitable enough for women.
GA's lack of appeal towards females has been attributed to GA's lack of focus on the principles of spirituality in other Twelve Step programs, like Alcoholics Anonymous (AA), though a casual link has not been shown. GA is often described as more secularized than AA.
[11] GA spends much of it's time and energy counseling members on how to deal with financial and legal problems. Additionally, GA supports "pressure groups" where members take each other to task and encourage them to "get honest" with people in their lives and get their affairs in order.
Among problem gamblers, it has been found that women are more focused on interpersonal issues, and that social issues were more likely to cause them to "relapse." Males more frequently discuss "external concerns" such as jobs and legal problems, and are more likely to relapse because of substance abuse. Therefore, it does seem plausible that GA's downplaying of spiritual, interpersonal, and psychemotional issues, inhibits it's effectiveness for women.
[12][13]
Literature
Gamblers Anonymous has several approved books used as standard literature in the group, these most popular five.
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Sharing recovery through Gamblers Anonymous, Gamblers Anonymous, , , Gamblers Anonymous, 1984,
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A new beginning, Gamblers Anonymous, , , Gamblers Anonymous, 1989,
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One day at a time, Gamblers Anonymous, , , Hazelden, 1994,
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Living with the compulsive gambler, Gamblers Anonymous, , , Gam-Anon, between 1996 and 2003,
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Gamblers Anonymous, Gamblers Anonymous, , , Gamblers Anonymous International Service Office, 1993,
External links
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GamblersAnonymous.org
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Gamblers Anonymous in Australia
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Gamblers Anonymous in the United Kingdom
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Gamblers Anonymous in Jordan
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Gamblers Anonymous in Hungary
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Gam-Anon and Gam-A-Teen
References
1. Gamblers Anonymous and Cognitive-Behavioral Therapies for Pathological Gamblers, , Nancy M., Petry, Journal of Gambling Studies, 2005
2. The relationship between dissociative-like experiences and sensation seeking among social and problem gamblers, , Nadia B., Kuley, Journal of Gambling Studies, 1988
3. 20 Questions of Gamblers Anonymous: A Psychometric Study with Population of Spain, , Maria Prieto, Ursua, Journal of Gambling Studies, 1998
4. An outcome study of Gamblers Anonymous, , RM, Stewart, The British journal of psychiatry: the journal of mental science, 1988
5. Prevalence, Assessment, and Treatment of Pathological Gambling: A Review, , Nancy M., Petry, Psychiatric Services, 1999
6. Does spousal participation in Gamblers Anonymous benefit compulsive gamblers?, , EE, Johnson, Psychological reports, 1992
7. Family environment and length of recovery for married male members of Gamblers Anonymous and female members of GamAnon, , Joseph W., Ciarrocchi, Journal of Gambling Studies, 1993
8. Patterns and correlates of Gamblers Anonymous attendance in pathological gamblers seeking professional treatment, , Nancy M., Petry, Addictive behaviors, 2003
9. Dropouts and continuers in Gamblers Anonymous: Part four. Evaluation and summary, , R.I.F., Brown, Journal of Gambling Studies, 1987
10. Sex Differences in the Treatment Needs and Outcomes of Problem Gamblers, , Beth R., Crisp, Research on Social Work Practice, 2000
11. Really not god: Secularization and pragmatism in Gamblers Anonymous, , Basil R., Browne, Journal of Gambling Studies, 1994
12. Gamblers Anonymous: A critical review of the literature, , Peter, Ferentzy, eGambling, 2005
13. Delabeling and relabeling in Gamblers Anonymous: Problems with transferring the Alcoholics Anonymous paradigm, , Frederick W., Preston, Journal of Gambling Studies, 1985