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Dr. Sally Gainsbury
Senior Lecturer, Centre for Gambling Education & Research
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
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 stigma
Public 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
Addressing stigma: Community
• Public awareness
• Education
• Involving consumers
Addressing stigma: Community
Caution to avoid creating stigma
Addiction language
Addressing stigma: Community
Caution to avoid creating stigma
Stereotypes
Reducing stigma: Empowering
gamblers
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
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
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.
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Dr. Sally Gainsbury: Overcoming the Stigma of Problem Gambling

  • 1.
  • 2.
  • 3. Dr. Sally Gainsbury Senior Lecturer, Centre for Gambling Education & Research
  • 4. 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
  • 5. 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
  • 6. Types of stigma Public stigma • Formed within society • Labelling, separating • Prejudice • Discrimination Felt stigma • Internalized • From public • From self-views
  • 7. 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
  • 8.
  • 9. Stigma of problem gambling • Blame • Control • Morality • Trust • Negative consequences • Shame • Embarrassment
  • 10. 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
  • 11. 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
  • 12. Addressing stigma: Treatment • Therapeutic relationship • Assessment • Motivational interviewing • Cognitive therapy • Acceptance • Seeking support • Legitimacy • Resilience
  • 13. Addressing stigma: Institutional • Enable private & anonymous treatment • Peer-support • Educate professionals • Work with service providers
  • 14. Addressing stigma: Community • Public awareness • Education • Involving consumers
  • 15. Addressing stigma: Community Caution to avoid creating stigma Addiction language
  • 16. Addressing stigma: Community Caution to avoid creating stigma Stereotypes
  • 18. 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
  • 19. 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
  • 20. 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.
  • 21. 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