Gamblers Anonymous (GA) is a twelve-step program A twelve-step program is a set of guiding principles outlining a course of action for recovery from addiction, compulsion, or other behavioral problems. Originally proposed by Alcoholics Anonymous as a method of recovery from alcoholism, the Twelve Steps were first published in the book, Alcoholics Anonymous: The Story of How More Than One Hundred for problem gamblers Problem gambling is an urge to gamble despite harmful negative consequences or a desire to stop. Problem gambling often is defined by whether harm is experienced by the gambler or others, rather than by the gambler's behavior. Severe problem gambling may be diagnosed as clinical pathological gambling if the gambler meets certain criteria. Although. GA began in Los Angeles Los Angeles is the second most populous city in the United States, the most populous city in the state of California and the western United States, with a population of 3.83 million within its administrative limits on a land area of 498.3 square miles (1,290.6 km2). The urban area of Los Angeles extends beyond the administrative city limits with a on September 13, 1957. As of 2005 there were over 1000 GA meetings in the United States and meetings established in the United Kingdom, Spain Spain (pronounced /ˈspeɪn/ spayn; Spanish: España, pronounced [esˈpaɲa] ( listen)), officially the Kingdom of Spain (Spanish: Reino de España), is a country and member state of the European Union located in southwestern Europe on the Iberian Peninsula.[note 6] Its mainland is bordered to the south and east by the Mediterranean Sea except for, New Zealand New Zealand is an island country in the south-western Pacific Ocean comprising two main landmasses , and numerous smaller islands, most notably Stewart Island/Rakiura and the Chatham Islands. The indigenous Māori language name for New Zealand is Aotearoa, commonly translated as The Land of the Long White Cloud. The Realm of New Zealand also, Australia For at least 40,000 years before European settlement in the late 18th century, Australia was inhabited by indigenous Australians, who belonged to one or more of the roughly 250 language groups. After sporadic visits by fishermen from the immediate north and discovery by Dutch explorers in 1606, Australia's eastern half was claimed by Britain in 177, Brazil Brazil (pronounced /brəˈzɪl/ ; Portuguese: Brasil, IPA: [bɾaˈziw]), officially the Federative Republic of Brazil (Portuguese: República Federativa do Brasil, listen (help·info)), is the largest country in South America. It is the world's fifth largest country, both by geographical area and by population. It is the only Portuguese-speaking, Israel Israel , officially the State of Israel (Hebrew: מְדִינַת יִשְׂרָאֵל (help·info), Medīnat Yisrā'el; Arabic: دَوْلَةُ إِسْرَائِيلَ‎, Dawlat Isrā'īl), is a parliamentary republic in the Middle East located on the eastern shore of the Mediterranean Sea. It borders Lebanon in the north, Syria in the, Kenya The Republic of Kenya is a country in East Africa. Lying along the Indian Ocean to its southeast and at the equator, Kenya is bordered by Somalia to the northeast, Ethiopia to the north, Sudan to the northwest, Uganda to the west and Tanzania to the south. Lake Victoria is to the southwest and is shared between Kenya, Uganda and Tanzania. Kenya, Uganda The Republic of Uganda is a landlocked country in East Africa. It is bordered on the east by Kenya, on the north by Sudan, on the west by the Democratic Republic of the Congo, on the southwest by Rwanda, and on the south by Tanzania. The southern part of the country includes a substantial portion of Lake Victoria, which is also bordered by Kenya, Korea Korea (Korean: 한국 Hanguk [hanɡuːk] or 조선 Joseon [tɕosʌn] – South and North Korea, respectively ) is a territory of East Asia that was formerly unified under one state, but now divided into two separate states and a region in northeastern Asia. Located on the Korean Peninsula, it is bordered by China to the northwest, Russia to the and Japan Japan is an island country in East Asia. Located in the Pacific Ocean, it lies to the east of the Sea of Japan, China, North Korea, South Korea and Russia, stretching from the Sea of Okhotsk in the north to the East China Sea and Taiwan in the south. The characters that make up Japan's name mean "sun-origin", which is why Japan is.[1] The only requirement for GA membership is a desire to stop gambling. Aside from financial insecurity, problem gambling has been shown to cause dysfunctional families A dysfunctional family is a family in which conflict, misbehavior, and often abuse on the part of individual members occur continually and regularly, leading other members to accommodate such actions. Children sometimes grow up in such families with the understanding that such an arrangement is normal. Dysfunctional families are primarily a result, legal problems, employment difficulties, psychological distress and higher rates of suicide Suicide is the act of a human being intentionally causing his or her own death. Suicide is often committed out of despair, or attributed to some underlying mental disorder which includes depression, bipolar disorder, schizophrenia, alcoholism and drug abuse. Financial difficulties, interpersonal relationships and other undesirable situations play 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.[2] In the USA only you can find a meeting or talk to a live GA volunteer by calling 888-GA-HELPS(4357)

Contents

Incidence rate and evaluation

Problem gambling is estimated to occur in 1.6% of the adult population in the United States.[2] 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).[3][4]

Effectiveness

See also: Twelve-step program: Effectiveness A twelve-step program is a set of guiding principles outlining a course of action for recovery from addiction, compulsion, or other behavioral problems. Originally proposed by Alcoholics Anonymous as a method of recovery from alcoholism, the Twelve Steps were first published in the book, Alcoholics Anonymous: The Story of How More Than One Hundred

Compared to problem gamblers who do not attend GA, GA members tend to 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.[2] GA may not be as effective for those who have not had significant gambling problems. GA is effective to prevent "relapses" (inability to remain abstinent from gambling), but not as effective when helping members deal with the consequences of their relapse.[5]

GA spends much of its time and energy counseling members on how to deal with financial and legal problems. GA supports "pressure relief 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. 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.[6]

Criticism

Attrition

Less than 8% of those who initially attend GA remain in the program and abstinent from gambling for over a year.[7] Program participation and abstinence increase 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.[8][9][10]

Gender bias

Although the likelihood of attending GA is the same for males and females,[11] GA has been characterized as a predominately male fellowship. The number of female members, however, is increasing and there is an increasing sensitivity within GA to women's attitudes. Still, the atmosphere in GA meetings may not be hospitable enough for women.[6] 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 Alcoholics Anonymous is an international mutual aid movement claiming more than 2 million members and declaring its "primary purpose is to stay sober and help other alcoholics achieve sobriety". AA was founded in 1935 by Bill Wilson and Dr. Bob Smith (Bill W. and Dr. Bob) in Akron, Ohio. Along with other early members, Wilson and Smith (AA). A causal link, however, has not been shown. GA is often described as more secularized than AA.[12]

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 psychoemotional issues, inhibits its effectiveness for women.[6][13]

Literature

Gamblers Anonymous has several approved books used as standard literature in the group, these most popular five.

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