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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
Syndrome Model of Addictive Behaviours
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
RICERCA – FOLLOW UP
LEARNED HELPLESSNESS
Emotional, cognitive and motivational deficit
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
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
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
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”
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
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
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
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
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
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
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
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
dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
From "learned helplessness" to "learned hopefullness"
45dr. Claudio Dalpiaz - Psychologist, Psychotherapist – Psy+ President – ProgettoOrthosArea South Coordinator – www.psyplus.org
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
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
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
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

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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

  1. 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
  2. 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)
  3. 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
  4. 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
  5. FOR THOSE REASONS, IPAB DECIDED TO SETUP AN INNOVATIVE PROGRAM IN WHICH EXPLORATION OF GAMES AND CREATIVE PLAY HAS A KEY ROLE
  6. WE HAVE TO DEAL WITH PSYCHOSOCIAL DIADVANTAGES