Exam 3 Addiction

Cultural competency

-A set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enable them to work effectively in cross-cultural situations.

Types of Gambling

-Action gambling -Escape gambling

DSM Diagnoses for process addictions

-Anorexia -Bulimia -overeating -gambling -shopping -gaming -self harm

Anorexia

-Anorexia: restricting food intake, low self-esteem, depression, perfectionist, biological similarities with OCD, thought to be genetic or brain related

Shopping addiction

-Disorder of impulse control -Not about the things, about the process of obtaining the things -Euphoria involved in the short term, but often leads to guilt and shame in the long term

Muscle Dysmorphia

-Found mostly in men, but also found in women -Compulsion to working out and feeling like they can't get big enough; men see themselves as smaller than they really are -Women often see themselves as BIGGER than they really are

Hero

-Person who is going to give legitimacy to the family -Represents someone in the family who is "good" as opposed to all of the "bad" ones in the family. -As functioning of family worsens, the hero will try harder to succeed

Gaming addiction

-Preoccupation with Internet Games -Increasing time online (Tolerance) -Failed attempts to quit or slow down (Withdrawal) -Relationship problems -Lying -NOT dealing with personal problems (using gaming as an escape) -Desire for altered reality

Lost Child

-Spends much time alone or being busy -Has learned to stay out of the whirlwind of the family -Receives little attention, either positive or negative

Mascot

-The family member who brings comedy relief into the family -lessen tension in the family via the use of comedy

Scapegoat

-Troublemaker in the family -Takes blame for all of family's problems -Often withdraws from the family and looks for belonging somewhere else -He/she gets attention in destructive ways and is often a distraction

Profile of a sex addict

-Unable to form close relationships -Unable to accept real intimacy because of shame and unworthiness -Suffering from loneliness -Have sense of leading "double" life

Action Gambling

-addicted to thrill of risk-taking as "substance of choice," much like cocaine addict. -The action itself becomes the drug -typically engage in games with other players, since part of the adrenaline rush is in the appearance or identity as a "winner." (This defines more men who gamble)

Winning phase gambling

-big win or series of wins leave gambler with unreasonable optimism -Leads to great excitement when gambling, and increasing amounts of bets

Behavioral Addiction Definition

-compulsive obsessive nature -help ease pain and provide coping -just as intense in nature as substance addictions -were more traditionally viewed as symptoms of mental illness than they were as addictions in their own right

Self-Harm

-deliberate, repetitive, impulsive, non-lethal harming of one's body -cutting, scratching, burning, pulling hair out, punching self, picking scabs -Self-harmers represent 4% of the population -Majority are women between ages of 13 and 30, but people from every age, gender, and economic group self-harm -can last 5-10 years -NOT suicidal behavior (look on slides)

Process Addictions

-eating, shopping, self-injury, sexual activity, gambling, surfing the internet, gaming -involve some kind of euphoria -most addicts suffer from multiple addictions: cross addictions, or co-occuring addictions

Sex/Love Addiction

-estimated 8% of men and 3% of women were sexually addicted -6-8% of Americans are sex addicts—approximately 16 to 22 million people -Compulsive and excessive masturbation -Simultaneous or repeated sequential affairs -Excessive use of pornography/cyber sex/phone sex -Multiple anonymous partners

Losing phase of gambling

-gamblers brag about wins, start gambling alone, think more about gambling and borrow money legally or illegally -Lying to family and friends, become irritable, restless and withdrawn -Home more unhappy, unable to pay off debts -Begin to "chase" losses, believe they must return as soon as possible to win back losses

Co-addiction

-learned, patterned behavior with reliance or dependence upon a one-sided relationship, in which individuals have difficulty maintaining healthy personal boundaries and loss of self

Desperation phase of gambling

-marked increase in time spent gambling -accompanied by remorse, blaming others and alienating family and friends -may engage in illegal acts to finance gambling -may experience hopelessness, suicidal thoughts and attempts, arrests, divorce, alcohol and/or other drug abuse, or an emotional breakdown

Gambling Addiction

-more accessible due to the proliferation of casinos and internet availability -in some form is legal in all states except Utah, Hawaii, and Tennessee -Economic cost to society thought to be about 5 billion per year -Pathological gambling can lead to criminal behavior, damage to relationships and ultimately death (they kill themselves) -1.7 to 7.3% of population thought to be pathological gamblers -7.5 million adult pathological gamblers 7.9 million American adolescent problem and pathological gamblers -teens are about three times more likely to become pathological gamblers than adults

Enabler

-often spouse of parent -The caretaker of the family -Super responsible one -Often intervenes so that others do not have to take responsibility for their actions

Overeating disorder

-overlooked cause its seen as a choice vs. addiction -binge eaters can be overweight, underweight, and normal weight

Bulimia

-purging, binging, struggle with weight, have good appetites and will binge eat, extroverts, co-occurs with drug and alc misuse a lot of time -women with the disorder are 3X more likely to to have suffered sexual abuse as a child

Escape Gambling

-seeks to blot out some discomforting feelings or emotional life crisis -action of gambling is secondary to the numbing effect of the activity -prefer more singular outlets such as slot machines, where they can avoid human contact. (This defines more women who gamble)

Types of Fam Boundaries

-they determine who participates in a given activity and who does not -Physical, emotional, and psychological -Rigid or chaotic vs. flexible boundaries

Family member roles of Addiction

1) Enabler 2) Hero 3)Scapegoat 4) Lost child 5) Mascot

Gambling Phases

1) Winning phase 2) Losing phase 3) Desperation phase