Susan Krauss Whitbourne Ph.D..
Abstract: Almost everyone has gambled at some point in life, but as many as 3.5% may have a form of gambling disorder. Psychology’s understanding of gambling disorder continues to evolve. Up until recently, people who we might call compulsive gamblers were regarded as having a disorder of “impulse control.” Psychiatry’s diagnostic manual, the DSM-IV-TR (link is external), placed compulsive gambling, called “pathological gambling,” in the section of disorders that also included kleptomania, pyromania, and trichotillomania (compulsive hair-pulling). In their revamping of all psychological disorders, in light of new conceptualizations, DSM-5 places “gambling disorder” in a new category of “Non-Substance-Related-Disorders.” Rather than being more similar to people with compulsive behaviors, then, people with gambling disorder now are viewed as more similar to people who have a substance disorder.