101426: Staying in Action: The Pathological Gambler's Equivalent of the Dry Drunk

About the Course:

Alcoholics Anonymous refers to the alcoholic who has stopped drinking, but who still demonstrates alcoholic attitudes and behaviors, as a “dry drunk.” Such individuals are said to have abstinence but not sobriety and are considered at risk for relapse. Although the concept of the dry drunk has been adopted by other self-help programs, “staying in action” is an equivalent and arguably more meaningful expression to use for the understanding and treatment of many pathological gamblers. The author discusses covert gambling, mind bets, switching and fusing of addictions, procrastination, risk-taking, and power games; a repertoire of ways in which the individual can remain in a gambling mind-set while technically abstinent. This is a clinical paper, based on the author’s experience, especially in treating the more traditional, action-seeking gamblers.

Journal/Publisher:

Journal of Gambling Issues

Publication Date:

March 2005, Issue 13

Author

Dr. Richard J. Rosenthal

About the Author:

Richard J. Rosenthal, M.D., is co-director of the UCLA Gambling Studies Program. He co-authored the DSM-IV diagnostic criteria, was co-investigator on the first genetic study of gamblers, and has published articles and book chapters on the phenomenology of pathological gambling, its course, complications, and treatment. Dr. Rosenthal was a member of the National Academy of Science’s Committee on the Social and Economic Impact of Pathological Gambling. He is a Distinguished Life Fellow of the American Psychiatric Association, and in 2004 the National Council on Problem Gambling presented him with their Robert Custer Award.

Recommended For:

This course is recommended for health care professionals, especially addiction counselors, psychologists, mental health counselors, social workers, and nurses who seek knowledge about the pathological gambler’s equivalent of the dry drunk. It is appropriate for all levels of participants’ knowledge.

Course Objectives:

  1. Define the concept of “dry drunk” as it applies to pathological gamblers.

  2. Identify symptom substitutions and behavioral equivalents for recovering gamblers who are no longer actively gambling.

  3. Explain the concepts of lying, cheating, stealing, and flooding as they relate to recovering pathological gamblers.

  4. Discuss the recovering gambler’s challenges with boredom, commitment, success, and reality.

Exam Questions

All exam questions for the course are visible on this page for members of Addiction Counselor CE.

Membership is free, and you can sign up today! You'll only pay when you're ready to purchase a course.

If you're already a member, please login to see the exam questions for this and all other courses.

Exam-related Actions