Originally Posted by
Frank Kneeland
Still waiting for a response to: Did you understand what I was saying about GA being both effective and not based on truth at the same time???
In the meantime I thought I would elaborate on why the disease model of addiction treatment has show some efficacy. First the greatest error one can make when looking at problem gambling is thinking it is one illness with a single cure. Problem gambling is a spectrum of problems with a wide range of severity and an even greater spectrum of causes and as such has no one single cure.
The disease model has proven effective in breaking the guilt/punishment cycle of gamblers that fall into a broad category of self destructive behaviors. The more they gamble the more guilty they feel. The more guilty they feel the more they want to punish themselves. The more they want to punish themselves the more they gamble...and so on. By convincing these people that their gambling problem is outside their control and that they have "a disease" it lessens the cognitive dissonance and eases their guilt, and with it their desire to punish themselves.
Unfortunately it is a two edged sword, because by convincing them that their gambling is outside their control they will also be more prone to relapse and if they do relapse it may serve to increase the severity.
You have convinced them, "It's not your fault you can't control it". If they believe you and feel better about themselves, they are also admitting that they can't control it, and shortly their belief will become reality.