dr. sally gainsbury: overcoming the stigma of problem gambling
TRANSCRIPT
Overcoming the stigma of problem gambling
Sally GainsburyCentre for Gambling Education and Research, Southern Cross University
Presentation at New Horizons in Responsible Gambling
Vancouver, February 3, 2015
What is stigma?
“A social process by which an attribute, behaviour, or reputation causes an individual to be discredited by society”
(Goffman, 1963)
• Stereotype
• Judgment
• Labelling
• Negativity
• Damaging
• Devaluing
• Moral failure
• Not normal
Types of stigmaPublic stigma
• Formed within society
• Labelling, separating
• Prejudice
• Discrimination
Felt stigma
• Internalized
• From public
• From self-views
Consequences of stigma
• Discrimination
• Avoidance of help-seeking
• Employment, housing, assistance suffer
• Family, friendships and relationships disrupted
• Social isolation
• Low self-esteem
• Low self-efficacy
Reactions depend on self view
Stigma of problem gambling
• Blame
• Control
• Morality
• Trust
• Negative consequences
• Shame
• Embarrassment
Stigma as a barrier to help-seeking• Fear of judgment, discrimination
• Shame
• Delay in help-seeking (formal & informal)
•Problem recognition
•Willing to discuss problems
Denial
•Decision to seek help
•Confidence in help
Fear•Seek help
•Treatment compliance
Shame
Stigma: Treatment and recovery
• Less successful recovery
• Reduced treatment compliance
• Secrecy
• Lower quality of life
• Lack of support
• Internalised shame
• Reduced self-efficacy & confidence
• Lack of motivation
Addressing stigma: Treatment
• Therapeutic relationship
• Assessment
• Motivational interviewing
• Cognitive therapy
• Acceptance
• Seeking support
• Legitimacy
• Resilience
Addressing stigma: Institutional
• Enable private & anonymous treatment
• Peer-support
• Educate professionals
• Work with service providers
AcknowledgmentsCGER: Nerilee Hing & Alex Russell
The views expressed in this presentation are solely those of the author. The information, views and references material in this presentation are provided solely on the basis that the audience will be responsible for making their own assessment of the information provided
Thank you
Dr Sally GainsburySenior Lecturer, Centre for Gambling Education & Research,
Southern Cross University
Email: [email protected]
Website: http://works.bepress.com/sally_gainsbury/
https://scu-au.academia.edu/SallyGainsbury
@DrSalGainsbury
References• Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7),
614.
• Hing, N., Holdsworth, L., Tiyce, M., & Breen, H. (2014). Stigma and problem gambling: current knowledge and future research directions. International Gambling Studies, 14(1), 64-81.
• Horch, J. D., & Hodgins, D. C. (2008). Public stigma of disordered gambling: Social distance, dangerousness, and familiarity. Journal of Social and Clinical Psychology, 27(5), 505-528.
• Luoma, J. B., Twohig, M. P., Waltz, T., Hayes, S. C., Roget, N., Padilla, M., & Fisher, G. (2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive behaviors, 32(7), 1331-1346.
• Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20(8), 529-539.