Skip to main content
SpringerLink
Log in

Adapted Couple Therapy (ACT) for Pathological Gamblers: A Promising Avenue

  • Original Paper
  • Published:
Journal of Gambling Studies Aims and scope Submit manuscript

Abstract

The study of the effectiveness of treatment for pathological gambling constitutes a field that is still largely unexplored. To date, the models assessed primarily target the individual and include little or no involvement of the family circle. Yet, the deleterious effects of gambling on loved ones and especially spouses are well recognized. Further, the addition of a couple modality to individual treatment has been shown to be effective on many levels in the treatment of substances use disorders. This article therefore proposes a critical review of (1) the literature providing a better understanding of the complex interactions between the couple relationship and pathological gambling, (2) studies on the effects of couple therapies on gamblers and their partners. We then present the therapeutic model developed by our team of clinician-researchers in collaboration with actors from Québec clinical settings: Adapted Couple Therapy (ACT) for pathological gamblers. In the Québec context, this model will serve as a complement to an individual cognitive-behavioral treatment model that has been proven effective and is employed throughout the Canadian province. The assessment of couple therapies could reveal avenues of solutions to better assist pathological gamblers who tend to drop-out of treatment and relapse.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Abbott, D. A., Cramer, S. L., & Sherrets, S. D. (1995). Pathological gambling and the family: Practice implications. Families in Society, 76(4), 213–219.

    Google Scholar 

  • Beaudoin, C. M., & Cox, B. J. (1999). Characteristics of problem gambling in a Canadian context: A preliminary study using a DSM-IV-based questionnaire. Canadian Journal of Psychiatry, 44, 483–487.

    CAS  Google Scholar 

  • Bergh, C., & Kühlhorn, E. (1994). Social, psychological and physical consequences of pathological gambling in Sweden. Journal of Gambling Studies, 10(3), 275–285. doi:10.1007/BF02104968.

    Article  Google Scholar 

  • Blaszczynski, A., & Farrell, E. (1998). A case series of 44 completed gambling related suicides. Journal of Gambling Studies, 14, 93–109. doi:10.1023/A:1023016224147.

    Article  PubMed  Google Scholar 

  • Blaszczynski, A., & McConaghy, N. (1989). The medical model of pathological gambling: Current shortcomings. Journal of Gambling Behavior, 5, 42–52. doi:10.1007/BF01022136.

    Article  Google Scholar 

  • Boyd, B. F., & Bolen, G. (1970). The compulsive gambler and spouse in group psychotherapy. International Journal of Group Psychotherapy, 20, 77–90.

    PubMed  CAS  Google Scholar 

  • Christensen, A., Atkins, D. C., Berns, S., Wheeler, J., Baucom, D. H., & Simpson, L. E. (2004). Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples. Journal of Consulting and Clinical Psychology, 72, 176–191. doi:10.1037/0022-006X.72.2.176.

    Article  PubMed  Google Scholar 

  • Christensen, A., & Jacobson, N. S. (2000). Reconcilable differences. New York: Guilford Press.

    Google Scholar 

  • Ciarrocchi, J. (2002). Counseling problem gamblers: A self-regulation manual for individual and family therapy. San Diego, CA, US: Academic Press.

    Google Scholar 

  • Ciarrocchi, J., & Hohmann, A. A. (1989). The family environment of married male pathological gamblers, alcoholics, and dually addicted gamblers. Journal of Gambling Behavior, 5(4), 283–291. doi:10.1007/BF01672429.

    Article  Google Scholar 

  • Cunningham-Williams, R. M., Cottler, L. B., Compton, W. M., Spitznagel, E. L., & Ben-Abdallah, A. (2000). Problem gambling and comorbid psychiatric and substance use disorders among drug users recruited from drug treatment and community settings. Journal of Gambling Studies, 16(4), 347–376. doi:10.1023/A:1009428122460.

    Article  PubMed  CAS  Google Scholar 

  • Daughters, S. B., Lejuez, C. W., Lesieur, H. R., Strong, D. R., & Zvolensky, M. J. (2003). Towards a better understanding of gambling treatment failure: Implications of translational research. Clinical Psychology Review, 23(4), 573–586. doi:10.1016/S0272-7358(03)00037-0.

    Article  PubMed  Google Scholar 

  • Dickson-Swift, V. A., James, E. L., & Kippen, S. (2005). The experience of living with a problem gambler: Spouses and partners speak out. Journal of Gambling Issues, 13, 1–22.

    Google Scholar 

  • Dumka, L. E., & Roosa, M. W. (1993). Factors mediating problem drinking and mothers’ personal adjustment. Journal of Family Psychology, 7, 333–343. doi:10.1037/0893-3200.7.3.333.

    Article  Google Scholar 

  • Dumka, L. E., & Roosa, M. W. (1995). The role of stress and family relationships in mediating problem drinking and fathers’ personal adjustment. Journal of Studies on Alcohol, 56, 528–537.

    PubMed  CAS  Google Scholar 

  • el-Guebaly, N., Patten, S., Currie, S., Williams, J., Beck, C., Maxwell, C., et al. (2006). Epidemiological associations between gambling behavior, substance use mood and anxiety disorders. Journal of Gambling Studies, 22(3), 275–287.

    Article  PubMed  Google Scholar 

  • Epstein, N. B., & Baucom, D. H. (2002). Enhanced cognitive-behavioral therapy for couples: A contextual approach. Washington, DC: American Psychological Association.

  • Epstein, E. E., & McCrady, B. S. (2002). Couple therapy in the treatment of alcohol problems. In A. S. Gurman & N. S. Jacobson (Eds.), Clinical handbook of couple therapy (3rd ed., pp. 597–628). New York, USA: Guilford Press.

    Google Scholar 

  • Evans, L., & Delfabbro, P. H. (2005). Motivators for change and barriers to help-seeking in Australian problem gamblers. Journal of Gambling Studies, 21, 133–155.

    Article  PubMed  Google Scholar 

  • Fals-Stewart, W., Birchler, G. R., & Kelley, M. L. (2006). Learning sobriety together: A randomized clinical trial examining behavioral couples therapy with alcoholic female patients. Journal of Consulting and Clinical Psychology, 74, 579–591.

    Article  PubMed  Google Scholar 

  • Fals-Stewart, W., Birchler, G. R., & O’Farrell, T. J. (1996). Behavioral couples therapy for male substance-abusing clients: Effects on relationship adjustment and drug-using behavior. Journal of Consulting and Clinical Psychology, 64, 959–972.

    Article  PubMed  CAS  Google Scholar 

  • Fals-Stewart, W., Birchler, G. R., & O'Farrell, T. J. (1999). Drug-abusing patients and their intimate partners relationship stability, and substance use. Journal of Abnormal Psychology, 108, 11–23.

    Article  PubMed  CAS  Google Scholar 

  • Gottman, J. M., & DeClaire, J. (2001). The relationship cure: A five-step guide for building better connections with family, friends, and lovers. New York: Crown Publishers.

    Google Scholar 

  • Grant, J. E., Kim, S. W., & Kukowski, M. (2004). Retrospective review of treatment retention in pathological gambling. Comprehensive Psychiatry, 45(2), 83–87.

    Article  PubMed  Google Scholar 

  • Griffiths, M., Scarfe, A., & Bellringer, P. (1999). The UK national telephone gambling helpline-results on the first year of operation. Journal of Gambling Studies, 15, 83–90.

    Article  PubMed  Google Scholar 

  • Halford, W. K., & Osgarby, S. M. (1993). Alcohol abuse in clients presenting with marital problems. Journal of Family Psychology, 6, 245–254.

    Article  Google Scholar 

  • Hall, G. W., Carriero, N. J., Takushi, R. Y., Montoya, I. D., Preston, K. L., & Gorelick, D. A. (2000). Pathological gambling among cocaine-dependent outpatients. American Journal of Psychiatry, 157, 1127–1133.

    Article  PubMed  CAS  Google Scholar 

  • Harvey, P., Trudel, G., Poirier-Arbour, A., & Boyer, R. (2007). Le jeu pathologique et l’expression de la colère au sein du couple. XXIXème congrès annuel de la SQRP, Université de Sherbrooke, Sherbrooke.

  • Hodgins, D. C., & el-Guebaly, N. (2000). Natural and treatment-assisted recovery from gambling problems: A comparison of resolved and actives gamblers. Addiction, 95, 777–789.

    Article  PubMed  CAS  Google Scholar 

  • Hodgins, D. C., & el-Guebaly, N. (2004). Retrospective and prospective reports of precipitants to relapse in pathological gambling. Journal of Consulting and Clinical Psychology, 72, 72–80.

    Article  PubMed  Google Scholar 

  • Hodgins, D. C., Shead, N. W., & Makarchuk, K. (2007). Distress among concerned significant others of pathological gamblers. Journal of Nervous and Mental Disease, 195, 65–71.

    Article  PubMed  Google Scholar 

  • Jacobson, N. S., & Christensen, A. (1996). Integrative couple therapy. New York: Norton.

    Google Scholar 

  • Johns, A. L., Newcomb, M. D., Johnson, M. D., & Bradbury, T. N. (2007). Alcohol-related problems, anger, and marital satisfaction in monoethnic Latino, biethnic Latino, and European American newlywed couples. Journal of Social and Personal Relationships, 24(2), 255–275.

    Article  Google Scholar 

  • Kahler, C. W., McCrady, B. S., & Epstein, E. E. (2003). Sources of distress among women in treatment with their alcoholic partners. Journal of Substance Abuse Treatment, 24(3), 257–265.

    Article  PubMed  Google Scholar 

  • Kalischuk, R. G., Nowatzki, N., Cardwell, K., Klein, K., & Solowoniuk, J. (2006). Problem gambling and its impact on families: A literature review. International Gambling Studies, 6(1), 31–60.

    Article  Google Scholar 

  • Ladouceur, R., Gosselin, P., Laberge, M., & Blaszczynski, A. (2001). Dropouts in clinical research: do results reported reflect clinical reality? The Behavior Therapist, 24, 44–46.

    Google Scholar 

  • Ladouceur, R., Sylvain, C., & Boutin, C. (2000). Pathological gambling. In M. Hersen & M. Biaggio (Eds.), Effective brief treatment for adults: A clinician’s guide (pp. 308–318). New York: Academic Press.

    Google Scholar 

  • Ladouceur, R., Sylvain, C., Sévigny, S., Poirier, L., Brisson, L., Dias, C., et al. (2004). Caractéristiques des joueurs excessifs selon le mode de traitement. Québec: Université Laval.

    Google Scholar 

  • Ledgerwood, D. M., & Petry, N. M. (2006). What do we know about relapse in pathological gambling? Clinical Psychology Review, 26, 216–228.

    Article  PubMed  Google Scholar 

  • Lee, B. (2002). Well-being by choice not by chance: An integrative system-based couple treatment model for problem gambling. Research report submitted to Ontario Problem Gambling Research Center, April 2002.

  • Leonard, K. E., & Roberts, L. J. (1998). The effects of alcohol on the marital interactions of aggressive and nonaggressive husbands and their wives. Journal of Abnormal Psychology, 107, 602–615.

    Article  PubMed  CAS  Google Scholar 

  • Leonard, K. E., & Senchak, M. (1993). Alcohol and premarital aggression among newlywed couples. Journal of Studies on Alcohol, 11, 96–108.

    CAS  Google Scholar 

  • Lobsinger, C., & Beckett, L. (1996). Odds to break even: A practical approach to gambling awareness. Sydney: Relationships Australia Inc.

    Google Scholar 

  • Locke, T., & Newcomb, M. (2003). Childhood maltreatment, parental alcohol/drug-related problems, and global parental dysfunction. Professional Psychology-Research and Practice, 34, 73–79.

    Article  Google Scholar 

  • Lorenz, V. C. (1987). Family dynamics of pathological gamblers. In T. Galski (Ed.), The handbook of pathological gambling (pp. 71–88). Springfield, IL: Charles C. Thomas.

    Google Scholar 

  • Lorenz, V. C. (1989). An overview of pathological gambling. Baltimore: National Center for Pathological Gambling.

    Google Scholar 

  • Lorenz, V. C., & Shuttlesworth, D. (1983). The impact of pathological gambling on the spouse of the gambler. Journal of Community Psychology, 11, 67–76.

    Article  Google Scholar 

  • Lorenz, V. C., & Yaffee, R. A. (1988). Pathological gambling: Psychosomatic, emotional, and marital difficulties as reported by the spouse. Journal of Gambling Behavior, 4(1), 13–26.

    Article  Google Scholar 

  • Lorenz, V. C., & Yaffee, R. A. (1989). Pathological gamblers and their spouses: Problems in interaction. Journal of Gambling Behavior, 5(2), 113–126.

    Article  Google Scholar 

  • Maisto, S. A., McKay, J. R., & O’Farrell, T. J. (1998). Twelve-month abstinence from alcohol and long-term drinking and marital outcomes in men with severe alcohol problems. Journal of Studies on Alcohol, 59, 591–598.

    PubMed  CAS  Google Scholar 

  • Marshal, M. P. (2003). For better or for worse? The effects of alcohol use on marital functioning. Clinical Psychology Review, 23(7), 959–997.

    Article  PubMed  Google Scholar 

  • McCrady, B. S., & Epstein, E. E. (1995). Marital therapy in the treatment of alcohol problems. In N. S. Jacobson & A. S. Gurman (Eds.), Clinical handbook of clinical therapy (pp. 369–393). New York, NY: Guilford Press.

    Google Scholar 

  • McCrady, B. S., Hayaki, J., Epstein, E. E., & Hirsch, L. S. (2002). Testing hypothesized predictors of change in conjoint behavioral alcohol treatment for men. Alcoholism: Clinical and Experimental Research, 26, 463–470.

    Article  Google Scholar 

  • McGurrin, M. C. (1992). Pathological gambling: Conceptual, diagnostic and treatment issues. Sarasota, FL: Professional Resource Press.

    Google Scholar 

  • Melville, K. M., Casey, L. M., & Kavanagh, D. J. (2007). Psychological treatment dropout among pathological gamblers. Clinical Psychology Review, 27(8), 944–958.

    Article  PubMed  Google Scholar 

  • Miller, W. R., Rollnick, S., & Conforti, K. (2002). Motivational Interviewing, 2nd edn: Preparing people for change. New York (NY): Guilford Publications.

    Google Scholar 

  • Minuchin, S. (1974). Families and family therapy. Cambridge, MA, Harvard University Press.

  • Moos, R. H. (2007). Theory-based processes that promote the remission of substance use disorders. Clinical Psychology Review, 27, 537–551.

    Article  PubMed  Google Scholar 

  • Moos, R. H., & Moos, B. S. (1981). Family environment scale manual. Palo Alto, California: Consulting Psychologists Press.

    Google Scholar 

  • Mudar, P., Leonard, K. E., & Soltysinski, K. (2001). Discrepant substance use and marital functioning in newlywed couples. Journal of Consulting and Clinical Psychology, 69(1), 130–134.

    Article  PubMed  CAS  Google Scholar 

  • O’Farrell, T. J. (1993). Treating alcohol problems: Marital and family interventions. New York: Guilford Press.

    Google Scholar 

  • O’Farrell, T. J., & Birchler, G. R. (1987). Marital relationships of alcoholic, conflicted, and nonconflicted couples. Journal of Marital and Family Therapy, 13, 259–274.

    Article  Google Scholar 

  • O’Farrell, T. J., Cutter, H. S. G., Choquette, K. A., Floyd, F. J., & Bayog, R. (1992). Behavioral marital therapy for male alcoholics: Marital and drinking adjustment during the two years after treatment. Behavior Therapy, 23, 529–549.

    Article  Google Scholar 

  • O’Farrell, T. J., & Fals-Stewart, W. (2003). Alcohol Abuse. Journal of Marital and Family Therapy, 29, 121–146.

    Article  PubMed  Google Scholar 

  • O’Farrell, T. J., & Fals-Stewart, W. (2006). Behavioral couples therapy for alcoholism and drug abuse. New York (NY): Guilford Press.

    Google Scholar 

  • O’Farrell, T. J., Hooley, J., Fals-Stewart, W., & Cutter, H. S. G. (1998). Expressed emotion and relapse in alcoholic patients. Journal of Consulting and Clinical Psychology, 66, 744–752.

    Article  PubMed  CAS  Google Scholar 

  • Oei, T. P. S., & Gordon, L. M. (2008). Psychosocial factors related to gambling abstinence and relapse in members of gamblers anonymous. Journal of Gambling Studies, 24(1), 91–105.

    Article  PubMed  Google Scholar 

  • Pallesen, S., Mitsem, M., Kvale, G., Johnsen, B. H., & Molde, H. (2005). Outcome of psychological treatments of pathologicalgambling: A review and meta-analysis. Addiction, 100, 1412–1422.

    Article  PubMed  Google Scholar 

  • Petry, N. M. (2005). Pathological gambling: Etiology, comorbidity and treatments. American Psychological Association Press: Washington DC.

    Google Scholar 

  • Petry, N. M. (2007). Gambling and substance use disorders: Current status and future directions. American Journal on Addictions, 16(1), 1–9.

    Article  PubMed  Google Scholar 

  • Poirier-Arbour, A., Trudel, G., Harvey, P., and Boyer, R. (2007). Dépression et anxiété chez les joueurs et leur partenaire. Université du Québec à Montréal et Centre de recherche Fernand Séguin, présenté lors du Colloque « Les multiples facettes du jeu », Université Laval.

  • Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. American Journal of Psychiatry, 158, 1500–1505.

    Article  PubMed  CAS  Google Scholar 

  • Satir, V. (1983). Conjoint family therapy (3rd edn). Palo Alto, California: Science and Behavior Books.

    Google Scholar 

  • Satir, V., Banmen, J., Gerber, J., & Gomori, M. (1991). The Satir model: Family therapy and beyond. California: Science and Behavior Books.

    Google Scholar 

  • Satir, V., Stachowiak, J., & Taschman, H. A. (1994). Helping families change. US: Jason Aronson.

    Google Scholar 

  • Shaffer, H. J., & Korn, D. A. (2002). Epidemiology and biostatistics—gambling and related mental disorders: A public health analysis. Annual Review of Public Health, 23, 171–212.

    Article  PubMed  Google Scholar 

  • Snyder, D. K., Castellani, A. M., & Whisman, M. A. (2006). Current status and future directions in couple therapy. Annual Review of Psychology, 57, 317–344.

    Article  PubMed  Google Scholar 

  • Snyder, D. K., & Whisman, M. A. (Eds.). (2003). Treating difficult couples: Helping clients with coexisting mental and relationship disorders. New York: Guilford Press.

    Google Scholar 

  • Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38(1), 15–28.

    Article  Google Scholar 

  • Steinberg, M. A. (1993). Couples treatment issues for recovering male compulsive gamblers and their partners. Journal of Gambling Studies, 9(2), 153–167.

    Article  Google Scholar 

  • Stinchfield, R., & Winters, K. (2001). Outcome of Minnesota’s gambling treatment programs. Journal of Gambling Studies, 17, 217–245.

    Article  PubMed  CAS  Google Scholar 

  • St-Jacques, M., & Nadeau, L. (2008). Intervention auprès des couples alcooliques et toxicomanes. In J. Wright, Y. Lussier & S. Sabourin (Eds.), Manuel clinique des psychothérapies de couple (pp. 581–622). Québec: Presses de l’Université du Québec.

    Google Scholar 

  • Sylvain, C., Ladouceur, R., & Boisvert, J. M. (1997). Cognitive and behavioral treatment of pathological gambling: A controlled study. Journal of Consulting and Clinical Psychology, 65, 727–732.

    Article  PubMed  CAS  Google Scholar 

  • Toneatto, T., & Ladouceur, R. (2003). The treatment of pathological gambling: A critical review of the literature. Psychology of Addictive Behavior, 17, 284–292.

    Article  Google Scholar 

  • Toneatto, T., & Millar, G. (2004). The assessment and treatment of problem gambling: Empirical status and promising trends. Canadian Journal of Psychiatry, 49, 173–181.

    Google Scholar 

  • Tremblay, J., Bertrand, K., & Ménard, J.-M. (2005). Implication des membres de l’entourage dans le processus de réadaptation des personnes alcooliques et toxicomanes. Publié par le Comité permanent de lutte à la toxicomanie.

  • Tremblay, J. & Brisson, L. (2007). Intervention conjugale en jeu pathologique. Colloque « Les multiples facettes du jeu », Université Laval.

  • Welte, J., Barnes, G., Wieczorek, W., Tidwell, M.-C., & Parker, J. (2001). Alcohol and gambling pathology among U.S. adults: Prevalence, demographic patterns and comorbidity. Journal of Studies on Alcohol and Drugs, 62 (5), 706–712.

    CAS  Google Scholar 

  • Whisman, M. A., Uebelacker, L. A., & Bruce, M. L. (2006). Longitudinal association between marital dissatisfaction and alcohol use disorders in a community sample. Journal of Family Psychology, 20(1), 164–167.

    Article  PubMed  Google Scholar 

  • Wildman, R. (1989). Pathological gambling: Marital-familial factors, implications, and treatments. Journal of Gambling Behavior, 5, 293–301.

    Article  Google Scholar 

  • Wilsnack, S. C., Klassen, A. D., Schur, B. E., & Wilsnack, R. W. (1991). Predicting onset and chronicity of women’s problem drinking: A 5-year longitudinal analysis. American Journal of Public Health, 81, 305–318.

    Article  PubMed  CAS  Google Scholar 

  • Winters, J., Fals-Stewart, W., O’Farrell, T. J., Birchler, G. R., & Kelley, M. L. (2002). Behavioral couples therapy for female substance-abusing patients: Effects on substance use and relationship adjustment. Journal of Consulting and Clinical Psychology, 70, 344–355.

    Article  PubMed  Google Scholar 

  • Wright, J., Lussier, Y., & Sabourin, S. (2008a). Manuel clinique des psychothérapies de couple. Québec: Presses de l’Université du Québec.

    Google Scholar 

  • Wright, J., Mondor, J., Sabourin, S., & Pinsof, W. (2008b). Le statut empirique de la thérapie conjugale. In J. Wright, Y. Lussier & S. Sabourin (Eds.), Manuel clinique des psychothérapies de couple. (chapitre 17). Sainte-Foy (QC): Presses de l’Université du Québec.

    Google Scholar 

  • Wright, J., Sabourin, S., Lussier, Y., & Poitras-Wright, H. (2008c). La psychothérapie de couple d’orientation cognitivo-comportementale. In J. Wright, S. Sabourin & Y. Lussier (Eds.), Manuel clinique des psychothérapies de couple (chapitre 4). Sainte-Foy (Québec): Presses de l’Université du Québec.

    Google Scholar 

  • Wright, J., Sabourin, S., Mondor, J., Mcduff, P., & Mamodhousen, S. (2007). The clinical representativeness of couple therapy outcome research. Family Process, 46(3), 301–316.

    Article  PubMed  Google Scholar 

  • Zweben, A. (1986). Problem drinking and marital adjustment. Journal of Studies on Alcohol, 47(2), 167–172.

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

Jean-Marc Ménard (Domrémy MCQ addiction center) and Chrystian Roussel (Maison Jean Lapointe) for their collaboration in the development of the Adapted Couple Therapy (ACT) for pathological gamblers.

Author information

Authors and Affiliations

  1. Département des Sciences de la santé Communautaire, Service de Toxicomanie, Université de Sherbrooke, Campus de Longueuil, 1111, rue St-Charles Ouest, Tour Ouest, Bureau 500, Longueuil, QC, Canada, J4K 5G4

    Karine Bertrand & Magali Dufour

  2. Département de Psychologie, Université de Montréal, C.P. 6128, Succursale Centre-Ville, Montreal, QC, Canada, H3C 3J7

    John Wright

  3. École de Criminologie, Université de Montréal, 3150, rue Jean-Brillant, Pavillon Lionel-Groulx Bureau 4137, Montreal, QC, Canada, H3T 1N8

    Benoît Lasnier

Authors
  1. Karine Bertrand
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Magali Dufour
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. John Wright
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Benoît Lasnier
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Karine Bertrand.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bertrand, K., Dufour, M., Wright, J. et al. Adapted Couple Therapy (ACT) for Pathological Gamblers: A Promising Avenue. J Gambl Stud 24, 393–409 (2008). https://doi.org/10.1007/s10899-008-9100-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10899-008-9100-1

Keywords

Search

Navigation