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Clinical Case Studies
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Psychological Treatment of Slot Machine Pathological Gambling

A Case Study

Enrique Echeburúa

University of the Basque Country, Spain

Javier Fernández-Montalvo

Public University of Navarre, Spain

In this article, treatment with stimulus control, exposure, and relapse prevention of a patient affected by pathological gambling is described. The patient, a 47-year-old woman, was suffering from this disorder for 5 years. Treatment consisted of nine individual sessions (five sessions of stimulus control and exposure and four sessions of relapse prevention) in a period of 10 weeks. At the end of 1-year follow-up, the patient was much improved, without gambling behavior or associated symptoms, as well as with a greater overall adaptation. Implications of this case for clinical research and practice are discussed.

Key Words: pathological gambling • stimulus control • exposure • relapse prevention • treatment

Clinical Case Studies, Vol. 1, No. 3, 240-253 (2002)
DOI: 10.1177/15350102001003004


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