🖐 公務員の子どもに生まれた私 － 両親が公務員の家庭に育って│公務員総研

ギャンブルする日としない日をノートにグラフ化する。すると患者は、自分のギャンブル状態の図を目でみることができた。3回目の面接後には、ギャンブル出費の減少に患者は気づいた－ロッテリー買いは、毎日ではなく1日おきになっていた。 The patient also started to actively avoid some other gambling triggers. She purposely kept busy during the hour prior to the lottery deadline, to avoid buying lottery tickets for the next drawing. Conducting functional analyses allowed the patient to see how, despite a few wins, the overall result was always monetary loss and greater debt. A, the most effective strategy to abstain from gambling was to conduct functional analyses every time she experienced urges to gamble. Aさんは51歳女性。ハイチ出身で、25歳のときに家族と一緒にアメリカ移住。彼女は到着後すぐに結婚し、東海岸の大都市に定住し、2人の娘をもうけた。治療当時、Aさんは20年以上営業所の秘書を務めていた。 Treatment：治療 Graphing all gambling and non-gambling days together onto a sheet, the patient was able to visualize her progress. At the time of treatment, Ms. shows and advertisements, including the lottery results. She contacted the customer service at the casinos she used to visit, requesting that they stop sending her their invitations and publicity. 患者はまた、ギャンブルの引き金になるものを積極的に避けていった。オフィス近くでロッテリーを売るコンビニを利用しない、ロッテリーや他のギャンブル関連のテレビ番組や広告を見ないなど。以前利用していたカジノのカスタマーサービスに連絡し、招待状などの配達停止を求めた。またロッテリー買いやめるため、購入できる時間の締め切り1時間前あたりから自分のしごとや雑事に集中するようにした。 For Ms. The patient gradually started to feel less excited about the thoughts of winning. She also spent more time with her husband and daughters during the weekdays and attended social gatherings with them. セラピーの効果的方法は、ギャンブル欲求おこるたびに機能分析を行うこと。ロッテリー購入前に経験する心理的不安とロッテリー結果をみたときのストレス、自己嫌悪、損した金額などを自己確認させる。さらにこの機能分析によって、ギャンブル勝ちはほんの数回、全体的には大金の損失を確認できる。この方法で、ギャンブル勝ちでも患者は興奮しなくなってきた。結局、ギャンブル勝ちで情緒不安定になることも分かった。 The patient spent more time in alternative pleasant activities, such as physical exercise, going out with friends or to church, helping organize holiday festivities, and participating in other community activities. A had been working as a secretary for a business office for over 20 years. A was a year-old Haitian woman who immigrated to the United States with her family when she was 25 years old. この患者は、スポーツやストレッチ、友人との外出、教会催しの参加、祝祭日の開催ボランティア、その他の地域活動参加などに楽しみを覚えるようになった。また、夫や娘と過ごすようになり、家族での地域催しに参加したりした。 The patient was also referred to a therapy group for women who want to remain abstinent from gambling, which Ms. Eventually, even winning became an anxiety-provoking situation. She married soon after her arrival, settled in a large city on the East Coast, and had two daughters. She avoided the convenience store close to work and stopped watching gambling T. Describing her gambling activities, the patient talked about the anxiety she experienced before buying lottery tickets and the frustration, shame, and guilt she felt once the results were published and she was confronted by the amount of money lost that day. A found helpful.{/INSERTKEYS}{/PARAGRAPH} {PARAGRAPH}{INSERTKEYS}ギャンブル依存症。 治療患者。 Ms. After the third session, the patient was able to notice that she had decreased the amount of money spent on gambling and bought lottery tickets every other day rather than daily.