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Dr. Sally Gainsbury: Overcoming the Stigma of Problem Gambling

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Dr. Sally Gainsbury: Overcoming the Stigma of Problem Gambling

  1. 1. Dr. Sally Gainsbury Senior Lecturer, Centre for Gambling Education & Research
  2. 2. Overcoming the stigma of problem gambling Sally Gainsbury Centre for Gambling Education and Research, Southern Cross University Presentation at New Horizons in Responsible Gambling Vancouver, February 3, 2015
  3. 3. 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
  4. 4. Types of stigma Public stigma • Formed within society • Labelling, separating • Prejudice • Discrimination Felt stigma • Internalized • From public • From self-views
  5. 5. 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
  6. 6. Stigma of problem gambling • Blame • Control • Morality • Trust • Negative consequences • Shame • Embarrassment
  7. 7. 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
  8. 8. 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
  9. 9. Addressing stigma: Treatment • Therapeutic relationship • Assessment • Motivational interviewing • Cognitive therapy • Acceptance • Seeking support • Legitimacy • Resilience
  10. 10. Addressing stigma: Institutional • Enable private & anonymous treatment • Peer-support • Educate professionals • Work with service providers
  11. 11. Addressing stigma: Community • Public awareness • Education • Involving consumers
  12. 12. Addressing stigma: Community Caution to avoid creating stigma Addiction language
  13. 13. Addressing stigma: Community Caution to avoid creating stigma Stereotypes
  14. 14. Reducing stigma: Empowering gamblers
  15. 15. Acknowledgments CGER: 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
  16. 16. Thank you Dr Sally Gainsbury Senior Lecturer, Centre for Gambling Education & Research, Southern Cross University Email: sally.gainsbury@scu.edu.au Website: http://works.bepress.com/sally_gainsbury/ https://scu-au.academia.edu/SallyGainsbury @DrSalGainsbury
  17. 17. 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.
  18. 18. To provide session feedback: • Open New Horizons app • Select Agenda tile • Select this session • Select Take Survey at bottom of screen If you are unable to download app, please raise your hand for a paper version

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