Evidence for a common dissociative-like reaction among addicts

A questionnaire was designed to test selected aspects of the author's General Theory of Addictions (Jacobs, 1982). Data were collected from groups of compulsive gamblers, alcoholics, and compulsive overeaters, and compared with the responses to the same questionnaire obtained from normative samples of adolescents and adults. The more inclusive term, compulsive gambler, has been used throughout, since the sample of gamblers in this study included an inpatient subgroup who had been diagnosed as pathological gamblers, as well as a subgroup of Gamblers Anonymous members who had not been clinically evaluated. Findings support the author's theoretical position that, when indulging, different kinds of addicts will tend to share a common set of dissociativelike experiences that differentiate them from nonaddicts. This has been termed a state of altered identity.     

The roots,significance, value and legislation of gambling

In this highly personal account, Reverend Moody traces his exploration for over three decades of many facets of the underlying nature of gambling in society and in human nature. He makes the case that much of the appeal of gambling comes from the excitement of playing with chance, and discusses how different types of gambling — lotteries, wagering, and continuous betting — meet a variety of needs and pose diverse levels of risk to gamblers. He notes distinctions between controlled and uncontrolled gamblers, and the tendency for controlled gamblers to play on the edge and risk loss of control. He notes difficulties in preventing the excesses that can occur to individuals who gamble. He points out the problems with legislatures legalizing gambling for ulterior purposes, such as to raise tax revenue, rather than to cater to the demand for gambling from punters. This can lead to situations where commercial gaming interests are not directed to act in the best interests of the general public because potential problems that may arise with available gambling are ignored or deemphasized. Finally, he points out the tensions amongst various interest groups who deal with gambling and notes those forums which have evolved in recent years that provide greater opportunities for dialogue among the various entities who deal with gambling and public policy issues.Gordon Moody was ordained a Minister of the Methodist Church in 1942. In recognition of his work on gambling, he was awarded the M.B.E. (Member of the Most Excellent Order of the British Empire) by the Queen in 1969. In 1980, the Open University conferred on him the Honorary Degree of Master of Arts. (See obituary, pp. 3–7). This issue is dedicated to his memory.     

Compulsive gambling in Britain

In 1968 England legalized casino gaming. Unlike their counterparts in America, legislators in the House of Lords actively debated ways to help compulsive gamblers. Parliament adopted the 48 hour rule, requiring players to wait two days before gambling, put severe restrictions on check cashing in casinos and, limited the number of slot machines to two per club. England considered, but rejected, other proposals: the method, used in France, of allowing compulsive gamblers to voluntarily put their names on a list of persons to be excluded and, complete prohibitions on casino credit. Although the legislative restrictions greatly reduced compulsive gambling among adult gamers; sadly, Parliament ignored what has become a growing source of compulsive gambling among children: the practically unlimited availability of public arcades with amusement machines paying small cash prizes.The author wishes to thank James Claber for assistance in this article.     

The treatment model of the guidance center for gamblers and their relatives in Vienna/Austria

Within 8 years, Gamblers Anonymous in Vienna evolved into a guidance center for gamblers and their relatives, with professional aid. It is a non-profit institution and the therapeutic team consists of one psychologist, one social-worker and one psychiatrist. The clients can remain anonymous, but about 90% of them reveal their identity. The treatment model integrating professional therapy and self-help is presented. The reasons we decided to base our work on an addiction model of pathological gambling are explained. All the clients consulting our center in 1990 (N=237) are described according to age, sex, types of gambling, duration of problem gambling, family status, profession, income, debts, and income/debt relationship. Finally, the treatment program of our center is presented.This article is an extension of the special issue on Gambling in Europe edited by Iver Hand, M.D.     

Parents of young gamblers

A study of gambling among juveniles in the United Kingdom reveals that their favorite form of gambling, both in terms of percent participating and amounts spent, is playing Amusement with Prizes (i.e., slot) machines. These machines are widely, freely, and legally available to persons of all ages at amusement arcades, youth clubs, cafes, sports centers, bus and railroad stations, and other public settings. Before 1980, machine gamblers were rare at Gamblers Anonymous meetings. However, since that time, their numbers have increased rapidly, currently representing about half of all new members. Of these, 50% are described as children with the remainder in their late teens or early 20s.The balance of the paper describes the difficulties faced by the parents of these youth and the recent development and objectives of a unique self-help group called Parents of Young Gamblers.Editor's Note: Since this writing, P.O.Y.G. has channeled their energies into lobbying the Home Office to take action that would recognize slot machines as gambling devices, remove them from their present easy access to children, and restrict their availability to licensed Game Clubs where only registered adult members may play. The Home Office recently has agreed to place this matter under consideration.The Reverend Gordon E. Moody, M.B.E., was Secretary of the late (British) Churches' Council on Gambling. In the United Kingdom he is Honorary Founder-Patron of Gamblers Anonymous and Chairman of the Gamblers Anonymous General Services Board. He is Founder of Gordon House (a hostel for single, homeless compulsive gamblers) and Honorary Life Member of the Society for the Study of Gambling.     

Measuring costs from permitted gaming: concepts and categories in evaluating gambling's consequences

This paper addresses the methodology of cost–benefit analysis as applied to policy alternatives regarding legally sanctioned gambling in its various forms. Existing economic studies regarding the social costs of gambling are reviewed and critiqued. Distinctions are made between definitions of social costs that are defined as actions which result in negative changes in aggregate social wealth (the narrow definition), and those which also include internal nonmarket costs that are borne by individual gamblers and their immediate families and acquaintances (the broader definition). This distinction is important because of its bearing on economic policies that are primarily concerned with economic efficiency versus policies that are more paternalistic, which attempt to protect individuals from self-damage or self-destruction by restricting their ranges of choice. Whether societies choose to prohibit or severely restrict permitted gambling, or allocate substantial resources to mitigate its negative side effects, rests largely on which of these perspectives regarding social costs they find more appropriate. Finally, the issue of social protection through restrictions on the availability of gambling to the entire population, versus a strategy tailored toward identifiable problem gamblers, is discussed.     

A Comparison of Hispanic and Anglo Calls to a Gambling Help Hotline

Prevalence studies have found that problem gamblers tend to be non-Caucasians. Nevertheless, information on non-Caucasian gambling patterns and problems is virtually non-existent. Data collected during years 1992–1998 on Hispanic (N = 209) and Anglo (N = 5311) problem gamblers calling the Florida Council on Compulsive Gambling Hotline for help is examined to provide information on one such non-Caucasian group: Hispanics. A sharp difference in the number of Hispanic and Anglo callers was found during this six year period (3.8% Hispanic and 96.2% Anglo). Differences were also found in the likelihood of Hispanics calling about their own problems, having gone for previous help, and types of gambling activities. Similarities were found between the two groups regarding age, marital status, and the three most cited problems caused by gambling: problems with family, inability to pay bills and going into debt. Anglos were significantly more likely to engage in illegal activities for gambling money and problems with job. Group differences caution against using Anglo based prevention and treatment programs with Hispanics populations.     

A Twin Study of Adult Gambling Behavior

A twin study explored the possible genetic influences on gambling behavior. Male monozygotic (MZ) twins (n = 42) revealed significantly greater similarity on gambling frequency associated with high-action games than male dizygotic (DZ) twins (n = 50). The heritability estimates for involvement in these types of games among males were moderate and significant. All MZ versus DZ comparisons among males for low-action games were nonsignificant, as were MZ versus DZ comparisons among females (n = 63) for both types of games. The findings suggest that genetic influences may be important in the origins of certain types of gambling by men.     

Children of Gamblers Anonymous members

One hundred and five children of Gamblers Anonymous (GA) members and pathological gamblers in treatment were surveyed concerning behavioral, psychological, and emotional problems as well as parental use of violence. The results were compared with control groups and Jacobs' study of high school students who reported they were children of compulsive gamblers. Children of known pathological gamblers were less likely to admit to moderate or heavy use of cocaine/crack and less likely to gamble more than they could afford than either Jacobs' children of compulsive gamblers or controls. Children of pure gamblers looked more like Jacobs' controls than the self-reported children of compulsive gamblers he surveyed on several measures. Children of multiple-problem families are more likely than children of pure gamblers to smoke tobacco, get drunk, overeat, sleep worse than most people, have an unhappy present state of mind, and feel more insecure, inferior, or inadequate than most. GA and treatment children as a whole were more likely to say they had an unhappy childhood, and feel a need for success, acceptance, and approval than Jacobs' children of compulsive gamblers or his controls. Using Strauset al.'s conflict tactics scale, children of known pathological gamblers were more subject to parental violence and abuse than nationally normed samples. On most measures, the children of multiple-problem families fared worse than children of pure gamblers. However, there were no differences in the expressions of anger, hurt, sadness, depression, confusion, and other feelings between these groups concerning their parents' gambling. Treatment implications of the findings are discussed.The authors would like to thank Mary Heineman, M.S.W., and Valerie Lorenz, Ph.D., for their comments on an earlier draft of this paper.     

Pathological Gambling: Psychosomatic,emotional and marital difficulties as reported by the Gambler

Two parallel self-administered surveys were distributed at three conferences of Gamblers Anonymous. One survey was for members of Gamblers Anonymous and the other was for members of GamAnon. Approximately 500 respondents completed the surveys. This article is a report of some of the data from the gamblers' survey. This survey focused on two time periods of the compulsive gambler's life—during the desperation phase of the illness (Custer, 1982) and the phase following a period of abstinence from gambling. Specific areas covered in this preliminary report focus on the psychosomatic problems encountered by the gambler, emotional difficulties, sexual estrangement, and the need for mental health services. It is anticipated that some of these needs can be met through training or therapy sessions in professional gambling treatment centers and at Gamblers Anonymous conferences.This article is a revised version of a paper presented at the Sixth National Conference on Gambling and Risk Taking, Atlantic City, New Jersey, December 1984.Robert Yaffee computer scientist, was assisted by senior research assistants: Nancy Frankel, Danny Frankel, Deborah Becker, Douglas Rosen, Leslav Giermanski, Jaime Beauchamp, and Thomas Reingold. Other research assistants included Joseph Lautner, Trudy Myers, Arvind Chawla, and John Morales. To all of these individuals, the National Foundation for Study & Treatment of Pathological Gambling acknowledges its gratitude for their contribution to this project.     

The prevalence rates of pathological gambling: A look at methods

Planning the gambling environment requires protection of the public's health, safety and welfare. Whereas most public gaming provisions and statutes address the public's fears of organized crime as well as some welfare needs, rarely do they safeguard the public's health regarding the spread of the mental disease known as pathological gambling. Measurement of the prevalence and incidence of this disease would enable policy planners to evaluate both the state's responsibility for an epidemic and the adequacy of publicly funded treatment programs. The purpose of this paper is to examine the methods which underlie three different estimates of the prevalence rate of pathological gambling and to critique them in the light of sound epidemiological procedure. In 1975, the Institute for Social Research (ISR) of the University of Michigan conducted a national survey and a survey of the state of Nevada on behalf of the U.S. Commission on a National Policy Toward Gambling. Using discriminant function analysis coupled with subjective inspection of cases in the at-risk pool, the researchers estimated rates of probable and potential pathological gamblers. In 1984 and 1985, this author surveyed residents in the Delaware Valley and the state of Ohio using the cumulative clinical signs method which also posited rates of probable and potential pathological gamblers. In 1986, researchers at the Office of Mental Health for the State of New York employed a formal screening device to survey residents and proposed a rate of probable pathological gamblers and a rate of problem — although not pathological — gamblers. All three approaches produced different estimates. The utility of prevalence and incidence rate research in this field is threatened by a lack of consensus about the proper epidemiological procedure to be employed in arriving at these estimates. There is also confusion about the distinction between a probable and a potential pathological gambler. The planning purpose, method, validity and reliability of prevalence rate research about pathological gambling are addressed in this paper.     

Video lottery gambling: Effects on pathological gamblers seeking treatment in South Dakota

Fifty-eight pathological gamblers receiving treatment for addictive illness in two South Dakota hospitals were assessed for types of gambling and grouped into three categories; 15 video lottery only (VLO), 36 video lottery mixed (VLM), and 7 not video lottery (NVL). There were 51 male and 7 female respondents, with a mean age of 38.2. We hypothesized that video lottery would be the predominant type of gambling on several dimensions: level of recent activity, most money lost on one occasion, and number of DSM-IV criteria met. Of all gamblers, 87.9% had pathological involvement with video lottery. Video lottery gambling accounted for the highest level of recent activity. In the VLM group, video lottery gambling led to greater single-occasion monetary losses. In addition, significantly more DSM-IV criteria were met in the VLM group for video lottery gambling than for other forms of gambling these subjects had engaged in. Results indicate that video lottery gambling is the predominant type of gambling behavior engaged in by gamblers seeking treatment for addictive illness in South Dakota. We propose that these findings could be associated with the availability and stimulus differences between video lottery and other gambling types.The authors would like to thank Larry Atwood, Chemical Dependency Counselor at Keystone Treatment Center in Canton, S.D., for his assistance with data collection.     

Making Minorities: Cultural Space,Stigma Transformation Frames,and the Categorical Status Claims of Deaf,Gay, and White Supremacist Activists in Late Twentieth Century America

This article compares the efforts of movement activists in three dissimilar groups to replace a stigmatized status with a valued one by portraying their groups as resembling established minorities (claims of contiguity in cultural space) and as differing from groups stigmatized as deviant (claims of distance). The most common claims assert similarity to African Americans, and frequently incorporate civil rights themes (exemplifying frame diffusion). Tactically, these minority status claims exploit both the resonance of cultural pluralism and state recognition of minorities. Strategically, minority status framing enables stigmatized groups to claim legitimacy without changing — simultaneously asserting both normality and difference.     

The medical model of pathological gambling: Current shortcomings

Occasional, regular and pathological gambling are distributed in the population as a continuum. Failure to find categorical features of pathological gambling weakens the medical model for this condition, and the implications of this model concerning treatment, both in relation to the possibility of controlled gambling as an acceptable goal, and as to the effectiveness of social manipulations, such as restrictions of gambling outlets. Differences in gambling behavior patterns between pathological and nonpathological gamblers has not been consistently demonstrated and though some support exists for a relationship between addiction to gambling and alcohol, this could be accounted for by other factors than an addiction-prone personality. While findings support a relationship between personality variables and pathological gambling, the concept of a single personality type associated with the behavior seems unlikely. Nevertheless, evidence of physiological differences between pathological gamblers and controls has recently been reported and if established would provide strong support for a medical model, particularly one which allows for an interaction of physiological and sociological factors resulting in dimensional distribution of gambling behaviors.     

Gambling swindles and victims

This article focuses on clever confidence schemes designed for gambling swindles. Victims of these schemes are sought out for their character and investment potential by con men working together. The big con schemes involve considerable planning and time in order to beat a carefully selected, wealthy victim; perhaps in a simulated casino setting. In contrast, the short con scheme may be carried out by a team or mob using a suburban street corner, or at a traveling carnival. Gaffed (rigged) game equipment may be used along with proven methods, and a well-rehearsed story or pitch by the operators.Until his recent retirement, Robert J. Snyder served as a career law enforcement officer for one of the largest policing agencies in the United States. The focus of his career was on gaming and gambling, especially carnival games and confidence schemes.Mr. Snyder also participates in training law enforcement officers and in providing expert witness testimony for court proceed ings on carnival and gambling confidence schemes. He currently heads Bob Snyder and Associates, Inc., a consulting firm based in Los Angeles, specializing in Gaming/Gambling issues for governmental agencies and private industry.     

Social Class,Cultural Repertoires,and Popular Culture: The Case of Film

This research examines two different conceptions of the relationship between social class and familiarity with popular culture in the United States. Specifically, it focuses on differences between members of the upper-middle class and members of the lower-middle class in terms of their film viewing practices. The data for this analysis was obtained from a survey of 364 individuals randomly selected from two neighborhoods in a medium-sized city, one predominantly upper-middle class and the other predominantly lower-middle class. Members of the upper-middle class view more art films, as well as more classic films and blockbuster films, than members of the lower-middle class. These differences are largely attributable to the fact that members of the upper-middle class view more films both in theaters and on videocassettes than members of the lower-middle class. Moreover, these differences are reduced, but not entirely eliminated, by the fact that members of the lower-middle class view more films on television than members of the upper-middle class. Finally, these differences in the film-viewing practices of the members of these two social classes, as identified by their neighborhood of residence, obtain even controlling for a series of demographic and socioeconomic background variables.     

Perceptions of the Extent of Problem Gambling Within New Casino Communities

Several recent studies using objective measures have found that the rate of pathological gambling in the U.S. is less than 5%. To determine the general population's perception of the prevalence of pathological gambling, a survey was conducted in seven communities where casinos have recently opened. Of the 1631 respondents who provided an estimate, the mean response was that 16% of the community residents were problem gamblers, more than three times the rate found by studies using specific diagnostic criteria. A regression equation found several demographic and attitudinal items are associated with higher prevalence estimates. In addition, the data support a close to home hypothesis that respondents who have relatives who have experienced problems with gambling will tend to perceive higher rates of problem gambling in the community.     

Smart money

Rick was an ambitious entrepreneur beginning the first of several businesses at age 16. He amassed a fortune by age 35. Between the ages of 42 and 50, his gambling rampage liquidated his assets, he lost his business and license to practice in his field, and he ended up in debt of over $1 million. Today at age 53 he is starting a new career in counseling and working with compulsive gamblers.     

Treating Problem Gamblers: Working towards Empirically Supported Treatment

There is an urgent need for mental health professionals to develop effective treatments for pathological gambling. A scientific meeting was held in Quebec City in June 2002 where 13 specialists in the treatment of gamblers pursued the objectives of making the State of the art statement concerning the procedures and the methodology to be used in future treatment outcome studies. This paper introduces this special issue of the Journal of Gambling Studies and identifies some of the key issues that confront clinicians and researchers interested in evidence based treatment for gambling related disorders.     

Wilhelm Reich in the alternative therapies and clinical social work

This paper raises questions concerning the use of Wilhelm Reich's discoveries in the alternative therapies as they impinge on clinical social work. Clinical social workers use Reich's theoretical concepts and treatment techniques that come to them second-hand from the alternative therapies. Social work graduate schools appear not to recommend him to students. Reich's theoretical and treatment concepts concerning body or muscular armor and its three-layered structure are discussed. Red and black fascism is related to the secondary layer in discussion of the sociopolitical character. Questions related to orgonomic counseling for social workers are raised and recommendations made for social work to open channels of communication with the American College of Orgonomy.