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The Social Construction of the Pathological Gambler's Identity and Its Relationship With Social Adaptation: Narratives From Members of Italian Gambling Anonymous and Gam-Anon Family Groups

Claudia Venuleo, Tiziana Marinaci


According to a socio-constructionist perspective, pathological gamblers’ “subjectivities” emerge out of social networks and networks of meaning-making in which scientists, politicians, health services, and common people take an active part. We are interested in showing how a legitimated view (socio-cultural model) of problem gambling as a disease affects the way in which the members of Gamblers Anonymous (GA) self-groups understand and present their identity and talk about their problem and the help they have received. The work is based on a qualitative analysis of 35 in-depth, semi-structured, open-ended interviews, 25 with gamblers who attend Italian GA self-help groups and 10 with gamblers’ relatives who attend Gam-Anon family groups. The main themes arising from the interviews show how a dominant view of problem gambling as a lifelong chronic illness opens the door to reconciliation with oneself and one’s relatives. This work provides insights into the close relationship between acculturation to a pathological identity, moral reconciliation, and “social belonging” that occurs through conforming to the GA group. 

Selon un point de vue socio-constructiviste, les «subjectivités» des joueurs pathologiques émergent des réseaux sociaux et des réseaux de création de sens dans lesquels les scientifiques, les politiciens, les services de santé et les personnes ordinaires participent activement. Nous sommes intéressés à montrer comment une vision légitimée (modèle socio-culturel) du jeu problématique en tant que maladie affecte la façon dont les membres des groupes autonomes de Gamblers Anonymes (GA) comprennent et présentent leur identité et parlent de leur problème et de l'aide qu’ils ont reçu. Le travail est basé sur une analyse qualitative de 35 entrevues approfondies, semi-structurées et ouvertes, 25 avec des joueurs qui fréquentent des groupes d'entraide italiens de GA et 10 avec des parents de joueurs qui fréquentent des groupes familiaux Gam-Anon. Les principaux thèmes découlant des entrevues montrent comment une vision dominante du jeu problématique en tant que maladie chronique tout au long de la vie ouvre la voie à la réconciliation avec soi-même et avec ses proches. Ce travail donne un aperçu de la relation étroite entre l'acculturation à une identité pathologique, une réconciliation morale et une «appartenance sociale» qui se produit en se conformant au groupe GA. 

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American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Berger, P., & Luckmann T. (1966). The social construction of reality. Harmondsworth, United Kingdom: Penguin.

Binde, P. (2012). A Swedish mutual support society of problem gamblers. International Journal of Mental Health and Addiction, 10, 512–523. doi:10.1007/s11469-011-9335-4

Borrell, J., & Boulet, J. (2005). A theoretical exploration of culture and community health: Implications for prevention, research, and problem gambling. Journal of Gambling Issues, 13. doi:10.4309/jgi.2005.13.3

Bourgois, P., & Hart, L. K. (2010). Science, religion and the challenges of substance abuse treatment. Substance Use & Misuse, 45, 2395–2400. doi:10.3109/10826081003747611

Cain, C. (1991). Personal stories: Identity acquisition and self-understanding in Alcoholics Anonymous. Ethos, 19, 210–253. doi:10.1525/eth.1991.19.2.02a00040

Castellani, B. (2000). Pathological gambling: The making of a medical problem. Albany: State University of New York Press.

Charmaz, K. (2000). Experiencing chronic illness. In G. L. Albrecht, R. Fitzpatrick, & S. C. Scrimshaw (Eds.), The handbook of social studies in health and medicine (pp. 277–292). London, United Kingdom: Sage.

Conrad, P., & Barker, K. K. (2010). The social construction of illness: Key insights and policy implications. Journal of Health and Social Behavior, 51(Suppl.), S67–S79. doi:10.1177/0022146510383495

Davies, J. B. (1992). The myth of addiction. Amsterdam: Harwood Academic Publishers.

Davison, K. P., Pennebaker, J. W., & Dickerson, S. S. (2000). Who talks? The social psychology of illness support groups. American Psychologist, 55, 205–217. doi:10.1037/0003-066X.55.2.205

Dixon, D. (1991). From prohibition to regulation: Bookmaking, anti-gambling and the law. Oxford, England: Clarendon Press.

Ferentzy, P., & Skinner, W. (2003). Gamblers Anonymous: A critical review of the literature. Electronic Journal of Gambling Issues, 9. doi:10.4309/jgi.2003.9.9.

Ferentzy, P., Skinner, W., & Antze, P. (2006). Recovery in gamblers anonymous. Journal of Gambling Issues, 17. doi:10.4309/jgi.2006.17.6

Focardi, F., Gori, F., & Raspini, R. (Eds.). (2006). I gruppi di auto aiuto in Italia: Indagine conoscitiva [The self-help groups in Italy: A survey]. Pontedera, Italy: CESVOT.

Gergen, K. J. (1985). The social constructionist movement in modern psychology. American Psychologist, 40, 266–275. doi:10.1037/0003-066X.40.3.266

Gergen, K. J. (1999). An invitation to social construction. London, United Kingdom: Sage.

Gergen, M. (1988). Narrative structures in social explanation. In C. Antaki (Ed.), Analysing everyday explanation: A casebook of methods (pp. 94–112). London, United Kingdom: Sage.

Gergen, K. J. (2001). Psychological science in a postmodern context. American psychologist, 56(10), 803-813.

Giocatori Anonimi Italia. (2007). Un nuovo inizio [A new beginning]. Milan, Italy: Author.

Giocatori Anonimi Italia. (n.d.). Retrieved from

Goffman, E. (1963). Stigma: Notes on the management of a spoiled identity. London, United Kingdom: Penguin.

Gone, J. P., & Kirmayer, L. J. (2010). On the wisdom of considering culture and context in psychopathology. In T. Millon, R. F. Krueger, & E. Simonsen (Eds.), Contemporary directions in psychopathology: Scientific foundations of the DSM-V and ICD-11 (pp. 72–96). New York, NY: Guilford.

Hammersley, R., & Reid, M. (2002). Why the pervasive myth of addiction is still believed. Addiction Research & Theory, 10, 7–30. doi:10.1080/16066350290001687

Hanninen, V., & Koski‐Jannes, A. (1999). Narratives of recovery from addictive behaviours. Addiction, 94, 1837–1848. doi:10.1046/j.1360-0443.1999.941218379.x

Hurwitz, B., Tapping, C., & Vickers, N. (2006). Life histories and narratives of addiction. In D. J. Nutt, T. W. Robbins, G. V. Stimson, M. Ince, & A. Jackson (Eds.), Drugs and the future: Brain science, addiction and society (pp. 450–485). Amsterdam, The Netherlands: Academic Press.

Keane, H. (2002). What’s wrong with addiction? Melbourne, Australia: University of Melbourne Press.

Kleinman, A., Eisenberg, L., & Good, B. (2006). Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. FOCUS: The Journal of Lifelong Learning in Psychiatry, 4, 140–149. doi:10.1176/foc.4.1.140

Linell, P. (2009). Rethinking language, mind and world dialogically: Interactional and contextual theories of sense making. Charlotte, NC: Information Age Publishing.

Luck, C. L., & Bond, M. H. (1992). Chinese lay belief about the causes and cures of psychological problems. Journal of Social and Clinical Psychology, II(2), 140–157. doi:10.1521/jscp.1992.11.2.140

Marinaci, T., & Venuleo, C. (2016). The meaning of problem gambling within group culture: Narratives collected from a Gamblers Anonymous group. In G. T. Papanikos (Ed.), Culture Abstracts First Annual International Symposium on Culture, 9–12 May 2016, Athens, Greece (p. 39). Athens, Greece: Athens Institute for Education and Research.

Marková, I., Linell, P., Grossen, M., & Salazar Orvig, A. (2007). Dialogue in focus groups: Exploring socially shared knowledge. London, United Kingdom: Equinox Publishing.

Märtsin, M. (2014). Self-regulation by signs: A social semiotic approach to identity. In S. Salvatore, A. Gennaro, & J. Valsiner (Eds.), Multicentric identities in a globalizing world (pp. ix–xx). Charlotte, NC: Information Age Publishing.

McGowan, V. (2003). Counter-story, resistance and reconciliation in online narratives of women in recovery from problem gambling. International Gambling Studies, 3, 115–131. doi:10.1080/1356347032000142234

McMillen, J. (Ed.). (1996). Gambling cultures: Studies in history and interpretation. London, England: Routledge.

McNamee, S., & Gergen, K. J. (2000). From disordering discourse to transformative dialogue. In R. A. Neimeyer & D. Raskin (Eds.), Constructions of disorder: Meaning-making frameworks for psychotherapy (pp. 333–349). Washington, DC: American Psychological Association.

Muehlenhard, C. L., & Kimes, L.A. (1999). The social construction of violence: The case of sexual and domestic violence. Personality and Social Psychology Review, 3, 234–245. doi:10.1207/s15327957pspr0303_6

Ocean, G., & Smith, G. J. (1993). Social reward, conflict, and commitment: A theoretical model of gambling behavior. Journal of Gambling Studies, 9, 321–339. doi:10.1007/BF01014625

Petry, N. M. (2003). Patterns and correlates of Gamblers Anonymous attendance in pathological gamblers seeking professional treatment. Addictive Behaviors, 28, 1049–1062. doi:10.1016/S0306-4603(02)00233-2

Petry, N. M. (2005). Gamblers Anonymous and cognitive-behavioral therapies for pathological gamblers. Journal of Gambling Studies, 21, 27–33. doi:10.1007/s10899-004-1919-5

Potenza, M. N. (2006). Should addictive disorders include non‐substance‐related conditions? Addiction, 101(Suppl. 1), 142–151. doi:10.1111/j.1360-0443.2006.01591.x

Quosh, C., & Gergen K. J. (2008). Constructing trauma and its treatment: Knowledge, power and resistance. In T. Sugiman, K. J. Gergen, W. Wagner, & Y. Yamada (Eds.), Meaning in action (pp. 97–111). Tokyo: Springer.

Ratner, C. (2008). Cultural psychology and qualitative methodology: Scientific and political considerations. Culture & Psychology, 14, 259–288. doi:10.1177/1354067X08088557

Reilly, C., & Smith, N. (2013). The evolving definition of pathological gambling in the DSM-5. Washington, DC: National Center for Responsible Gaming.

Reith, G. (2007). Gambling and the contradictions of consumption: A genealogy of the “pathological” subject. American Behavioral Scientist, 51, 33–55. doi:10.1177/0002764207304856

Reith, G., & Dobbie, F. (2012). Lost in the game: Narratives of addiction and identity in recovery from problem gambling. Addiction Research and Theory, 20, 511–521. doi:10.3109/16066359.2012.672599

Rockloff, M. J., & Schofield, G. (2004). Factor analysis of barriers to treatment for problem gambling. Journal of Gambling Studies, 20, 121–127. doi:10.1023/B:JOGS.0000022305.01606.da

Rossol, J. (2001). The medicalization of deviance as an interactive achievement: The construction of compulsive gambling. Symbolic Interaction, 24, 315–341. doi:10.1525/si.2001.24.3.315

Salvatore, S. (2016). The contingent nature of psychological intervention. In G. Summut, J. Foster, S. Salvatore, & R. Andrisano-Ruggieri (Eds.), Methods of psychological intervention—Yearbook of idiographic science (Vol. 7, pp. 13–53). Charlotte, NC: Information Age Publishing.

Salvatore, S., & Zittoun, T. (2011). Outlines of a psychoanalytically informed cultural psychology. In S. Salvatore, & T. Zittoun (Eds.), Cultural psychology and psychoanalysis: Pathways to synthesis (pp. 3–46). Charlotte, NC: Information Age Publishing.

Sandelowski, M. (1991). Telling stories: Narrative approaches in qualitative research. Image: the Journal of Nursing Scholarship, 23, 161–166.

Sharf, B. F., & Vanderford, M. L. (2003). Illness narratives and the social construction of health. In T. L Thompson, R. Parrott, & J. F. Nussbaum (Eds.), The Routledge handbook of health communication (pp. 9–34). New York, NY: Routledge.

Stall, R., & Biernacki, P. (1986). Spontaneous remission from the problematic use of substances: An inductive model derived from a comparative analysis of the alcohol, opiate, tobacco, and food/obesity literatures. International Journal of the Addictions, 21, 1–23. doi:10.3109/10826088609063434

Strong, T. (2011). Approaching problem gambling with a discursive sensibility. Journal of Gambling Issues, 25, 68–87. doi:10.4309/jgi.2011.25.6

Sugiman, T., Gergen, K. J., Wagner, W., & Yamada, Y. (2008). The social turn in the science of human action. In T. Sugiman, K. J. Gergen, W. Wagner, & Y. Yamada (Eds.), Meaning in action (pp. 1–20). Tokyo: Springer.

Valsiner, J. (1986). Between groups and individuals: Psychologists' and laypersons' interpretations of correlational findings. In J. Valsiner (Ed.), The individual subject and scientific psychology (pp. 113–152). New York, NY: Plenum.

Venuleo, C., & Marinaci, T. (2017). Disorder or socially adapted behaviors? The field dependent nature of psychopathology and some implications for intervention. In S. Gordon, J. Foster, S. Salvatore, & R. Andrisano-Ruggieri (Eds.), Methods of psychological intervention—Yearbook of idiographic science (Vol. 7, pp. 99–125). Charlotte, NC: Information Age Publishing.

Venuleo, C., Rollo, S., Marinaci, T., & Calogiuri, S. (2016). Towards a cultural understanding of addictive behaviours: The image of the social environment among problem gamblers, drinkers, internet users and smokers. Addiction Research & Theory, 24, 274–287. doi:10.3109/16066359.2015.1126257

Venuleo, C., Salvatore, S., & Mossi, P. (2015). The role of cultural factors in differentiating pathological gamblers of a southern region of Italy. Journal of Gambling Studies, 3, 1353–1376. doi:10.1007/s10899-014-9476-z

Waldorf, D., & Biernacki, P. (1981). The natural recovery from opiate addiction: Some preliminary findings. Journal of Drug Issues, 11, 61–76. doi:10.1177/002204268101100104

Ward, J., & Winstanley, D. (2003). The absent presence: Negative space within discourse and the construction of minority sexual identity in the workplace. Human Relations, 56, 1255–1280. doi:10.1177/00187267035610005

Weinberg, D. (2002). On the embodiment of addiction. Body and Society, 8, 1–19. doi:10.1177/1357034X02008004001

Wittgenstein, L. (1953). Philosophical investigations/Philosophische Untersuchungen (G. E. M. Anscombe, Trans.). Oxford, United Kingdom: Basic Blackwell.

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