Game Over is a prevention program which is actually delivered in an old slot machine venue, seized by legal authorities in Ostia, municipality of Rome, Italy.
Dr. Bo Berhard - Responsible Gambling Around the WorldHorizons RG
Dr. Bo Bernard's presentation "Responsible Gambling Around the World: A Global Scan" Presented at New Horizons in Responsible Gambling conference. January 28-30, 2013 in Vancouver BC.
This presentation was made during the National Wildlife Crime Coordination Task Force Meeting held at the source of the Nile hotel in Jinja in March 2019
Dr. Bo Berhard - Responsible Gambling Around the WorldHorizons RG
Dr. Bo Bernard's presentation "Responsible Gambling Around the World: A Global Scan" Presented at New Horizons in Responsible Gambling conference. January 28-30, 2013 in Vancouver BC.
This presentation was made during the National Wildlife Crime Coordination Task Force Meeting held at the source of the Nile hotel in Jinja in March 2019
GNU Health presentation at openSUSE conference 2018Luis Falcon
GNU Health is a social project that provides a community-based, Free/Libre Health and Hospital Information System deployed in many countries around the globe. GNU Health combines Social Medicine and Primary healthcare principles with state of the art advances in bioinformatics and precision medicine, delivering a valuable framework for governments and Public Health institutions, as well as for academic and research organizations.
In this presentation we will go through some of the existing and upcoming technologies behind GNU Health and their use in different scenarios. The GNU Health Federation to integrate large, heterogeneous health and research networks; The integration with OpenStreetMaps and the mobile application will be some of the topics.
Finally, we will present the GNU Health embedded project, a joint effort with OpenSUSE, to use GNU Health in single-board devices such as the Raspberry Pi. We will go through the many benefits that this project brings to communities around the world, delivering Freedom and Equity in Healthcare, which is our ultimate goal.
Careif Position Statement: Mental Health Human Rights and Human DignityMrBiswas
Mental Health, Human Rights and Human Dignity "Magna Carta for people living with Mental Illness".
It is often said that the true test of a decent society is the way it treats its most vulnerable citizens. However, across the world, too often, politicians, policy-makers, professionals and those with the authority and duty to protect and provide for them, fail to do so. In many countries people do not have access to basic mental health care and the treatment they require. In others, the absence of community-based mental health care means the only care available is in psychiatric institutions, which may be associated with grossly impoverished living conditions and even human rights violations, including inhuman and degrading treatment. In addition, in countries recently affected by economic depression, mental health services are under threat from the economic-reductionist debate as the engine of growth has gone into reverse.
The Political Economy of Avian Influenza: Indonesia by Paul ForsterSTEPS Centre
In February 2009, an expert meeting co-hosted by the STEPS Centre and Chatham House and funded by DFID/the World Bank was held in Hove, Sussex, UK. The meeting reviewed country-level experiences of HPAI response in Cambodia, Vietnam, Thailand and Indonesia. This is the presentation from the Indonesia work. Find out more at: http://www.steps-centre.org/ourresearch/avianflu.html
Social science helps our lives become better in many ways. Find out about them here. https://www.palgrave.com/gp/social-science-matters/10-reasons-for-social-science
Gender-Based Violence - Dan MOLDOVAN (Romania)OECD Governance
Presentation given at the OECD Gender Budgeting Experts Meeting, Vienna, Austria. 18-19 June 2018
For more information see http://www.oecd.org/gov/budgeting/gender-budgeting-experts-meeting-2018.htm
The National Center for Responsible Gaming's (NCRG) recommendations to the National Gambling Impact Study Commission, Feb. 9, 1999. The NGISC was created by federal legislation in 1996 to study the social and economic impacts of gambling in the U.S.
This presentation is about the 2nd Anniversary of National Indoor Mold Society\'s National Indoor Toxic Mold Awareness Month, We have provided toxic mold facts, the controversy in the medical community, incidences, studies, and references.
Using Data Science for Social Good: Fighting Human TraffickingAnidata
In this talk, Vincent Emanuele tells the story of how Anidata has applied data science techniques in collaboration with law enforcement to fight human trafficking.
GNU Health presentation at openSUSE conference 2018Luis Falcon
GNU Health is a social project that provides a community-based, Free/Libre Health and Hospital Information System deployed in many countries around the globe. GNU Health combines Social Medicine and Primary healthcare principles with state of the art advances in bioinformatics and precision medicine, delivering a valuable framework for governments and Public Health institutions, as well as for academic and research organizations.
In this presentation we will go through some of the existing and upcoming technologies behind GNU Health and their use in different scenarios. The GNU Health Federation to integrate large, heterogeneous health and research networks; The integration with OpenStreetMaps and the mobile application will be some of the topics.
Finally, we will present the GNU Health embedded project, a joint effort with OpenSUSE, to use GNU Health in single-board devices such as the Raspberry Pi. We will go through the many benefits that this project brings to communities around the world, delivering Freedom and Equity in Healthcare, which is our ultimate goal.
Careif Position Statement: Mental Health Human Rights and Human DignityMrBiswas
Mental Health, Human Rights and Human Dignity "Magna Carta for people living with Mental Illness".
It is often said that the true test of a decent society is the way it treats its most vulnerable citizens. However, across the world, too often, politicians, policy-makers, professionals and those with the authority and duty to protect and provide for them, fail to do so. In many countries people do not have access to basic mental health care and the treatment they require. In others, the absence of community-based mental health care means the only care available is in psychiatric institutions, which may be associated with grossly impoverished living conditions and even human rights violations, including inhuman and degrading treatment. In addition, in countries recently affected by economic depression, mental health services are under threat from the economic-reductionist debate as the engine of growth has gone into reverse.
The Political Economy of Avian Influenza: Indonesia by Paul ForsterSTEPS Centre
In February 2009, an expert meeting co-hosted by the STEPS Centre and Chatham House and funded by DFID/the World Bank was held in Hove, Sussex, UK. The meeting reviewed country-level experiences of HPAI response in Cambodia, Vietnam, Thailand and Indonesia. This is the presentation from the Indonesia work. Find out more at: http://www.steps-centre.org/ourresearch/avianflu.html
Social science helps our lives become better in many ways. Find out about them here. https://www.palgrave.com/gp/social-science-matters/10-reasons-for-social-science
Gender-Based Violence - Dan MOLDOVAN (Romania)OECD Governance
Presentation given at the OECD Gender Budgeting Experts Meeting, Vienna, Austria. 18-19 June 2018
For more information see http://www.oecd.org/gov/budgeting/gender-budgeting-experts-meeting-2018.htm
The National Center for Responsible Gaming's (NCRG) recommendations to the National Gambling Impact Study Commission, Feb. 9, 1999. The NGISC was created by federal legislation in 1996 to study the social and economic impacts of gambling in the U.S.
This presentation is about the 2nd Anniversary of National Indoor Mold Society\'s National Indoor Toxic Mold Awareness Month, We have provided toxic mold facts, the controversy in the medical community, incidences, studies, and references.
Using Data Science for Social Good: Fighting Human TraffickingAnidata
In this talk, Vincent Emanuele tells the story of how Anidata has applied data science techniques in collaboration with law enforcement to fight human trafficking.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Game Over for mafias. Promoting legality and preventing addiction in high schools.
1. Game Over for mafias. Promoting legality and
preventing addiction in high schools.
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
2. Syndrome Model of Addictive Behaviours
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
3. ALEA (National Board and Bulletin Editorial Board)
Association for the study of gambling and risky behaviours
Progetto Orthos (Siena >430 subjects GD)
Study and Treatment of Behavioural Addictions
Centro Diurno Stella Polare (+Addictions, +diagnosis)
Addictions & Psychopathology Semi-Residential Unit
Psy+ Onlus (Gaming, Gambling, Internet, Sex)
Best Practices in Psychology, Psychotherapy and Cooperation
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
4. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Lazio regional Observatory on security and legality
IPAB – Asilo Savoia
Public Aid and
Charity Institute
“GAME OVER”
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
5. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
January 2018:
A slot / VLT room is confiscated
and closed. Owners of the venue
are arrested on charges of mafia
criminal association, usury,
money laundering.
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
6. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Ostia
Coastal area in the
Municipality of
Rome, 30 km from
the centre
100k inhabitants
Most economic
activities related to
bathing facilities
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
7. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
1930
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
8. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
2012
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
9. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
10. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Population density:
Rome = 2230 per sq. km
Ostia = 8100 per sq. km
100k inhabitants and only 1 library
only 36% of those entitled have
contributed to the 2016 elections
Despite an acceptable Social Disease Index (probably
balanced by quite high number of services for elders,
availability of pre-school facilities and large green area per
person) Ostia is still weighted by an over average
presence of criminality, a sensible lack of cultural offers
and paucity of quality jobs.
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
11. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Crime is
spreading
Assets confiscated
and assigned to
social purposes
In this area, several
organized clans extort
entrepreneurs, run illegal
activities and launder money
in legal business, attracting
young affiliated to whom
they grant their “welfare”
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
12. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Online Crime
to date, more
than 7k illegal
gambling sites
have been
obscured by
italian police in
recent years
Last week (14 nov):
• over 200 Soldiers involved
in seizure of:
• 23 foreign companies
• 15 italian companies
• 24 buildings
• 7 vehicles
• 33 national & international
gambling web sites
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
13. Debts management, crime, legal support
Gamblers are often involved in crimes
- Financial Bankruptcy
- Illegal Loans
- Robberies, thefts, frauds, ….
and always in desperate need for money
- Different debts scattered everywhere
- Upcoming deadlines of payment
- Divorces, children living separately, …
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
14. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Unemployment, undeclared work, and the
ubiquitous presence of clans determine a general
feeling of learned helplessness; a perfect humus
for the growth of addictions and for the
recruitment of new “crime soldiers”.
in this area
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
15. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
IPAB – Asilo Savoia
Public Aid and
Charity Institute
decided to take over the
confiscated venue and
to convert its activity
for social purposes
Priority
to prevent addictions and to promote legality
among high school students in this area
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
16. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Istituto Comprensivo "Alessandro Magno"
Istituto Comprensivo Marco Ulpio Traiano
Istituto Comprensivo "W. A. Mozart"
IC Mario Calderini - Giuseppe Tuccimei
Istituto Comprensivo Giovanni Paolo II
Istituto Comprensivo Aristide Leonori
Istituto Comprensorio Alessandro Magno
IC Amendola Guttuso - succursale
Istituto Comprensivo “Via Mar Rosso”
Istituto d'Istruzione Superiore C. Urbani
Liceo Scientifico Statale Democrito
Liceo Scientifico Statale A. Labriola
High Schools target of Game Over prevention program
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
17. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
High Schools Target
Game Over
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
18. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
LIFETIME LAST YEAR
19. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
20. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
PERCEPTION OF ABILITY
21. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Game Over: aims to become a living laboratory where
students may practice different types of games and and see
directly, accompanied by experts, the diversities of
experiences produced by games of
• Agon
• Mimicry
• Ilinx
• Alea
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
22. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
STEP BY STEP:
1) Setup and Staff Training
2) MOU with High Schools and local stakeholders (Public Addiction Unit, Anti-Usury
Associations, Legality Promotion Organizations, …)
3) Introductory Meeting with High School Teachers and Directors
4) 1° meeting with students. Overview on Gambling & Crime, t0 assessment, creative play
5) 2° meeting: 4 different games + gambling “survivor” witnesses + feedback brainstorm &
survey (this meeting will take place in the slot / vlt room)
6) 3° meeting: debriefing + engagement in creative workshop that will be implemented in
following months (after school time) in the gambling venue
7) 4° meeting: after one year, a follow up will take place: consistency of awareness and
protective factors will be evaluated
The gambling venue will remain available to local associations and to informal
groups of teens who are wiling to share afterschool time in creative play
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
23. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
a) how different games activate different emotional, cognitive
and behavioural responses;
b) awareness about fun, involvement, feeling of personal
ability, impulsivity, distress & eustress, … in different games
c) changes in mood and cognitions after games
Survey will be inspired by previous similar interventions implemented in Ravenna (Italy)
by Gianni Savron – ALEA National Board Member – and will be structured in order to
compare / cumulate data, especially about:
Assessment, monitoring and follow up
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
24. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
1) Overview on Gambling & Crime + t0 assessment and a creative
(mimicry) play session
2) 3 different games + gambling “survivor” witnesses + feedback
& survey (this meeting will take place in the slot / vlt room)
3) debriefing + engagement in creative workshop that will be
implemented in following months (after school time) in the
gambling venue + satisfaction questionnaire
4) after one year, a follow up will take place: consistency of
awareness and protective factors will be evaluated
Meeting with students
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
25. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
After a brief introductory description of the project students will
be assessed with sosg-ra + info about social context and personal
hobbies. Under evaluation the possibility to use Gambling Behavior Scale for
Adolescents (new ita tool, DSM5 related)
Overview on Gambling & Crime will be open to Q&A exploration
A session of creative play (MIMICRY style) will end the 1st meeting
1. Meeting with students (at school)
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
26. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
3 different groups will turn on 3 different games
• ALEA (craps / slot guided experience)
• AGON (games with words / escape room)
• ILINX (VR experiences / “alcohol glasses” tasks)
Gambling abuse and addiction stories will be narrated
live by witnesses or by mean of docu-films
Feedback exchanges within the groups will then be followed by
data collection about mood and cognitions after games
2. Meeting with students (slot room)
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
27. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
debriefing of previous experiences (after 2 weeks)
and
Engagement in creative workshops that will be implemented
during following months (after school time)
a “satisfaction questionnaire” will be collected in this session
3. Meeting with students (at school)
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
• Comics
• Photography
• Journalism
• Musical Production
28. Creative Play
no money involved
competence, and possibly no alea
strong idea of socialization / cooperation
ancient traditions of games
games that facilitate auto-observation in context
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
29. 6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
After 1 year the groups of students involved will be invited to
participate in a 2 hours meeting to share experiences and verify
if Game Over intervention has been consistent in promoting
awareness about gambling and crime and in strengthening
protective factors.
4. Meeting with students (at school)
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
30. dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Focus on psycho-social aspects
linked to protective factors
EGO – SUSTAINABILITY
LEARNED HELPLESSNESS
LOC & CAUSAL ATTRIBUTION
31. RICERCA – FOLLOW UP
EGO – SUSTAINABILITY
Bio-Psycho-Social dimensions of vulnerability
"All happy families are
alike; each unhappy
family is unhappy in its
own way."
Lev Nikolaevic Tolstoj
Anna Karenina
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
32. RICERCA – FOLLOW UP
LEARNED HELPLESSNESS
Emotional, cognitive and motivational deficit
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
33. ALEXITHYMIA
Emotional analphabetism ?
“Yet to express such emotions, simple as they
were, the least word cost him a terrible effort.”
“Oh Doctor” he would exclaim, “how I’d like to
learn to express myself !” A. Camus,The Plague
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
34. Impulsivity
Alexithymia
Dissociation
Significantly correlates in first 140 subject
sample (Progetto Orthos) showing affective
dysregulation as the development ground for
dissociative states that help people mediate
unmanageable affective states
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
35. Existential state in which, for a specific subject,
bio-psycho-social conditions are “good enough”,
“fairly balanced”, and consent to live
a-symptomatically, or at least non-pathologically
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
EGO – SUSTAINABILITY
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
where “EGO” (poetical licence) =
“contextualized living organism”
36. SYMPTOM= BIO-PSYCHO-SOCIAL unsustainability
• Biological vulnerability (acquired or primary)
• Psychological suffering
• Social “disadvantages”
people become symptomatic at the crossroad of
unbearable bio-psycho-social conditions
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
EGO – SUSTAINABILITY
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
37. A kind of (though problematic) balance
can be regained through a regression that
often is accompanied by symptomatic
expressions, quite commonly including
addiction
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
EGO – SUSTAINABILITY
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
38. maladaptive strategy/ dysfunctional coping >>>
could end in a pathological addiction
When our bio-psycho-social resources are inadequate compared
to our or to environmental expectations and we take the road to
“doping-coping” …
addiction is close, because
“if it’s not an answer,
at least it make us forget the question”
(as goes a german saying about alcohol)
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
EGO – SUSTAINABILITY
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
39. As in every prayer (cfr.Turgenev), the thing we ask to a substance o
to our maladaptive behaviour is:
“My God, please change my life in sort that two + two
does not make four”
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
maladaptive strategy/ dysfunctional coping >>>
could end in a pathological addiction
When our bio-psycho-social resources are inadequate compared
to our or to environmental expectations and we take the road to
“doping-coping” …
EGO – SUSTAINABILITY
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
40. Everybody lives peculiar existential conditions
• Temperamental “kit” > risk factors for APP
• Environmental influences / unrepeatable experiences
• Constellation of values / family - relational schemas
• socio/economic/cultural setting
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
EGO – SUSTAINABILITY
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
Addiction: a relationship between a subject,
risk factors and a rewarding object / behaviour
41. Learned Helplessness
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
Seligman (1967, 1975, …)
Complex emotional, cognitive and motivational deficit, originating
from repeated expositions to uncontrollable negative events
42. Expected results are not linked anymore with acts or possible efforts;
the subject drawns into anhedonia and inactivity
Seligman, M.E.P. and Maier, S.F. (1967). Failure to escape traumatic shock. Journal of Experimental
Psychology, 74, 1-9 ||| Seligman, M.E.P. (1975). Helplessness: On depression, development and death.
San Francisco – W.H.Freeman
• promotes typical cognitive biases:
• illusion of control
• gambler’s fallacy (seeing patterns in random sequences)
• magical thinking
• erroneous beliefs
• irrational faith in one’s abilities (as natural counterpoint…)
Learned Helplessness
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
43. Learned helplessness
Vs
Mastery
Until school age:
overestimation
of self
high
expectations
of success
high
frustration
tolerance
effort =
prowess
Successes are attributed to ability, failures to lack of commitment
or special difficulties of task.
Self-confidence, proactive behaviour, leadership
Successes are attributed to the commitment
or to easiness of task, failures to poor skills.
Anxiety facing obstacles, fatalism, anhedonia
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
44. dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
45. From "learned helplessness" to "learned hopefullness"
45dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
46. re-own awareness of disturbing emotional & socio-relational issues
empowerment /re-owning self-efficacy trough step by step approach
from external help/ external influence (flimsy)
to self-help / internal locus of control (realistic – substantial)
re-own personal responsibility, relational needs awareness,
pleasure/unpleasure balance, possibility of social/responsible gaming and
acceptance of own “daimon” (Hillman)
Reinforce individual power to choose fostering competences &
knowledge but also active-citizenship political emancipation
From "learned helplessness" to "learned hopefullness"
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
47. dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
48. dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
49. Thank You All !
Claudio Dalpiaz
c.dalpiaz@psyplus.org
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
6th International Conference on
Pathological Gambling and
Behavioural Addictions
WARSAW
19-20 Nov
2018
Editor's Notes
HAPPY 2 BE HERE IN POLAND AGAIN AND WOULD LIKE TO THANK THE ORGANIZATION FOR GIVING US THIS POSSIBILITY TO GATHER AND EXCHANGE BEST PRACTICES FROM SO MANY DIFFERENT COUNTRIES
L’interazione con l’oggetto di dipendenza causa “gradevoli” modificazioni nello stato d’animo di chi presenta vulnerabilità biopsicosociale – (evitamento, eccitazione, …)
da -10 a 0 ||| da 0 a 10 (getting high)
I’M WORKING WITH ADDICTIONS SINCE 1997 AND AFTER 10 YEARS I STARTED TO FOCUS ON GAMBLING AND BEHAVIOURAL ADDICTION IN GENERAL, DOING THE BEST IN ORDER TO DESERVE THE HONOR TO COLLABORATE IN THOSE CONTEXTS
QUITE RECENTLY, I’VE BEEN ASKED TO SUPERVISE A NEW PREVENTION PROGRAM, WHICH AS WE’LL SEE, IS A GAMBLE ITSELF. IPAB IS RUNNING THE PROGRAM WITH THE COLLABORATION OF ROME TRIBUNAL AND THE PATRONAGE OF LAZIO REGIONAL OBSERVATORY ON SECURITY AND LEGALITY
FOR THOSE REASONS, IPAB DECIDED TO SETUP AN INNOVATIVE PROGRAM IN WHICH EXPLORATION OF GAMES AND CREATIVE PLAY HAS A KEY ROLE