Acceptance and Commitment Therapy for Pathological Gamblers (Dixon & Wilson, 2014) is a treatment manual for applying acceptance and commitment therapy (ACT) to disordered gambling. Utility of the manual will be gauged over time, as empirical data on the evaluation of ACT for disordered gambling were not available at the time of publication or at the time of review. The manual, while light on theory, allows for a behavioral and ACT-consistent conceptualization of disordered gambling, although such an analysis is not explicit. The present manuscript provides a brief review and reaction to the content with a supplemental conceptualization of disordered gambling in terms of escape, negative reinforcement, and experiential avoidance.



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