Justify the reclassification of pathological gambling as an addictive rather than an impulse control disorder in the DSM-5.
What will be an ideal response?
Ans: Pathological gambling was classified as an impulse control disorder in the DSM-IV. However, pathological gambling shares several hallmark features of addiction, prompting its reclassification the DSM-5. Both drug addiction and gambling show tolerance and withdrawal. Gamblers need to increase the size of their bets to maintain the same level of excitement, just as those addicted to drugs need to increase the dosage to achieve the same effect. Gamblers can become irritable and anxious when they decrease or eliminate the activity. In addition, the disorders most often comorbid with gambling are substance use disorders. Finally, both gambling and drug addiction can lead to illegal activity to keep the activity or substance available.
Learning Objective: 12.6 Discuss gambling as an addictive disorder.
Cognitive Domain: Analysis
Answer Location: Gambling
Difficulty Level: Medium
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