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Zjawisko hazardu patologicznego i jego uwarunkowania

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PL
Hazard jest obecnie popularną i legalną formą aktywności podejmowaną przez ludzi na całym świecie. Wprowadzone w ostatnim okresie zmiany prawne dotyczące gier losowych, większa ich dostępność z racji rozpowszechnienia salonów gier sprawiły, że coraz częstsze są przypadki uzależnienia od hazardu. W tej sytuacji istnieje potrzeba lepszego poznania, czym jest hazard patologiczny. Prezentowany artykuł jest poświęcony tej tematyce. W literaturze przedmiotu najczęściej traktuje się jako synonimiczne takie określenia, jak hazard kompulsywny, hazard patologiczny, hazard problematyczny. Hazard patologiczny jest zjawiskiem złożonym. Definiując hazard, tradycyjnie zwraca się raczej uwagę na skutki ekonomiczne i społeczne, a nie na proces czy też naturę zjawiska. Klinicyści natomiast koncentrują się na negatywnych następstwach aktywności hazardowej, proponują typologie i opracowują definicje, które mogą być przydatne do bardziej adekwatnej operacjonalizacji tego konstruktu, jakim jest hazard. Krytyczna analiza literatury przedmiotu pozwoliła na wyodrębnienie czynników, które mogą warunkować rozwój patologicznego hazardu. Są to czynniki: rodzinne/genetyczne, socjodemograficzne (np. wiek, płeć, pochodzenie etniczne, rodzaj gry losowej), podmiotowe (np. osobowość, reakcje biochemiczne, procesy poznawcze, stany psychiczne) oraz religijne/duchowe.
EN
Gambling is now a popular lawful activity among people around the world. Due to recent changes of legal regulations concerning gambling, access to gambling has become more widespread and, as a result, an increase in the prevalence of pathological gambling has been noted. Therefore, an urgent need for better understanding of the phenomenon of pathological gambling among health-care specialists becomes evident. In this field, such concepts as compulsive, pathological or problem gambling are often treated synonymously. Pathological gambling is a complex phenomenon. Traditionally, the definitions of gambling have been constructed basing on the assumptions of economic or social repercussions rather than taking into account the process or phenomenon of gambling itself. However, clinicians focusing on negative consequences of the gambling behavior, developed typologies and worked out the definitions that may prove beneficial for more adequate operationalizing this concept. A critical review of the literature showed that familial/genetic, sociological/demographics (e.g. age, gender, ethnicity, forms of gambling), individual (e.g. an individual's personality, biochemistry, cognitions, and psychological states) and religion/spirituality factors may be implicated in the development and maintenance of pathological gambling.
EN
The article discusses the forms of aiding families with the pathological gambling problem that are available in Poland as well as the example of the Canadian program. Among others, the results are presented of studies conducted in 2011 and 2012 that aimed at making a diagnosis of the aid resources for the gambling problem in Poland. In the studies 801 institutions took part that conduct therapy of addictions. Among them 120 declared that they offer aid to families affected by pathological gambling. In the forms of aid individual therapy, counseling and education dominate. Less than half of the institutions have a therapeutic program worked out for pathological gamblers, and the remaining institutions conduct therapy according to programs prepared for people addicted to psychoactive substances. Addiction therapists say there is a great need of improving their qualifications in the sphere of supporting people with behavioral addiction – including pathological gambling.
EN
The article discusses the forms of aiding families with the pathological gambling problem that are available in Poland as well as the example of the Canadian program. Among others, the results are presented of studies conducted in 2011 and 2012 that aimed at making a diagnosis of the aid resources for the gambling problem in Poland. In the studies 801 institutions took part that conduct therapy of addictions. Among them 120 declared that they offer aid to families affected by pathological gambling. In the forms of aid individual therapy, counseling and education dominate. Less than half of the institutions have a therapeutic program worked out for pathological gamblers, and the remaining institutions conduct therapy according to programs prepared for people addicted to psychoactive substances. Addiction therapists say there is a great need of improving their qualifications in the sphere of supporting people with behavioral addiction – including pathological gambling.
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