
The article explores the care of foreign patients with gambling disorder, focusing on the clinical case of Gani, an Albanian man with a complex history of migration and vulnerability.
Through a multifocal reflection, the linguistic, symbolic and cultural obstacles that characterize the therapeutic relationship with patients defined as “difficult” are analyzed (Moro, 2002).
Clinical work is reinterpreted as a relational process that requires humility, flexibility and the ability to listen beyond conventional codes.
The article proposes a therapeutic posture based on the acceptance of not knowing and on the construction of possible alliances even in the absence of explicit motivation and linear collaboration (Moro, 2018).