接受治疗的酗酒者和赌徒俱乐部联盟中酗酒者和赌徒的个性

Lana Grbeša, M. Martinac, Marko Romić, Nikolina Palameta, Valerija Soldo
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引用次数: 1

摘要

了解病态赌徒和酗酒者的个性特征是开展高质量临床实践和心理治疗工作的必要条件,因为大多数人偶尔会玩机会游戏,属于酒精饮料的社会消费者,但只有一小部分人会出现严重的问题并上瘾。个体性格差异对行为的影响在青春期更为明显。从目前所做的研究来看,我们知道性格特征的各种组合可能会形成增加成瘾行为风险的维度。说到酗酒者的性格,我们可以在科学文献中找到许多努力,以寻找所谓的“前酗酒”或“酗酒”的性格。然而,我们还不能肯定地说,某种特征或特征,甚至是一组特征和特征代表了一个人会对酒精上瘾的确凿迹象。然而,心理诊断测试的应用结果大多表明,酗酒者更常见的人格特征是:分裂人格、受虐反应、被动性、缺乏自我组织、矛盾心理和缺乏明确的自我概念。研究表明,某些性格特征在酗酒者中更为常见,从而支持了“没有一组独特的性格特征只与酗酒者有关”的论点。我们甚至找不到一个全面的酒精中毒的定义,正如我们找不到酒精中毒的独特分类和病因学的独特方法一样。世界卫生组织通过“慢性酗酒者”的定义来定义酗酒。根据他们的说法,“慢性酗酒者是过度饮酒的人,因此对酒精产生心理或身体依赖,并表现出这种精神障碍或行为障碍,表明身体或精神健康受到损害,或与其他人的关系和经济状况受到损害”。由于实际原因,Hudolin在他的定义中指出,“上述症状必须通过经典的医学和社会诊断程序来确定。”在获得过量饮酒的数据后,不应该认为一个人患有慢性酒精中毒。”[4-5]耶利内克给酗酒下了更宽泛的定义:“对酒精饮料的任何需求都会对个人或社会造成损害,或两者兼而有之。”根据DSM-V的诊断标准,持续和反复出现的问题赌博,导致临床显着的损害或痛苦,表现为一个人在12个月内表现出以下四种(或更多):在试图减少或停止赌博时,需要越来越多的钱来赌博,以达到所需要的兴奋,不安和烦躁,反复尝试控制赌博或减少或停止赌博,但失败,经常沉迷于赌博(例如,不断思考过去的赌博经历,玩障碍或计划未来的努力,思考如何获得赌博的钱);经常在感觉不好的时候赌博(例如无助,内疚,焦虑,抑郁),经常在赌博输了钱的第二天回来拿回他的钱(“追逐”他自己的债务),撒谎隐瞒他参与赌博的程度,因为赌博危及或失去重要的关系,工作,教育或商业解决方案,依靠别人获得钱来缓解赌博造成的绝望的财务状况。到目前为止,许多研究都试图为“哪些性格特征会增加一个人成为问题赌徒的可能性”这个问题提供答案。…
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Personality of Alcoholics and Gamblers in the Union of Clubs Of Treated Alcoholics and Gamblers
IntroductionKnowing the individual personality features of pathologic gamblers and alcoholics is a necessary condition for quality clinical practice and psychotherapeutuc work, considering the fact that most people occasionally play games of chance and belong to the social consumers of alcoholic drinks, but only a smaller percent of them develop serious problems and addiction to them. The influence of individual personality differences to behaviour is much more pronounced in the period of adolescence. From the research done so far, it is known that there are various combinations of personality features that may form the dimensions which increase the risk of addictive behaviour [1].Speaking about the personality of an alcoholic, we can find many efforts in scientific literature to search for what may be called 'pre-alcoholic' or 'alcoholic' personality. However, we cannot yet surely say that a certain trait or a feature, oe even a group of traits and features represents a firm indication that someone would develop the addiction to alcohol. However, the results of application of psychodiagnostic tests mostly show that the personality features more frequently observed in alcoholics are: schyzoid character, masochistic reactions, passivity, lack of ego organization, ambivalence and lack of clear concept of self. They show that certain personality features are slightly more often observed among the alcoholics, thus supporting the thesis that there is no unique group of personality features that can be related only to alcoholics [2].We can not even find a comprehensive definition of alcoholism, just as we can not find the unique classification of alcoholism and the unique approach to etiology of it. The World Health Organisation defines alcoholism through the definition of a 'chronic alcoholic'. According to them, 'a chronic alcoholic is a person who had excessively used alcoholic drinks, thus developing a psychological or a physical dependence to alcohol, and displaying such mental disturbance or behavioral disturbances that indicate damage to physical or mental health, or damage to their relation to other people and their economical status' [3].Hudolin has, for practical reasons, in his definition, stated that 'the symptoms forementioned have to be determined by means of classical medical and social diagnostic procedures. It should not be just supposed, after acquiring the data on excessive drinking, that a person suffers from chronic alcoholism." [4-5] Jelinek has made a bit broader definition of alcoholism as "every need for alcoholic drinks that causes damage to a person, social damage, or both' [5].According to DSM-V diagnostic criteria, persistent and recurrent problematic gambling, that leads towards clinically significant damage or suffering, is manifested so that a person displays four (or more) of the following in a 12-months period: has need for gamblnig on increasingly greater sums of money to achieve the wanted excitement, uneasyness and irritability when trying to reduce or stop gambling, repeated unsuccessful efforts of gaining control over gambling or reducing or stopping gambling, is frequently preoccupied with gambling (for example, keeps thinking about the gambling experiences in the past, plays for handicap or plans the future efforts, thinks about the ways how to get money for gambling), often gambles when feeling bad (for example helpless, guilty, anxious, depressive), often comes back to get back his money the next day after he loses it gambling ('chases' his own debts), lies to hide the extent of his involvement with gambling, jeopardizes or loses an important relationship, job, educational or bussiness solution because of gambling, relies on others to obtan the money to alleviate the desperate financial situation caused by gambling [6].Many studies so far had tried to provide an answer to the question 'which are the personality traits which increase the probability that a person would become a problem gambler'. …
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来源期刊
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审稿时长
21 weeks
期刊介绍: Archives of Psychiatry Research is an international peer reviewed journal, open to scientists and clinicians dealing with all basic and clinical studies of all disciplines relating to psychiatric illness or addiction, as well as normal human behaviour, including biological, environmental, psychological, social and epidemiological factors.
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