Compulsive gambling and the medical model

The medical model as a conceptual and operative approach to compulsive gambling is discussed. The terms medical model and disease are defined and the practical implications of their application to compulsive gambling are explored. Special attention is given to the addictive disease concept. Finally, a variety of objections to the medical model are described, but it is concluded that the many individual and social advantages of the medical model make it the preferred conceptualization at our present state of knowledge.     

Hands: Visible and Invisible

Theoretical work in linguistics, mathematics, and physics has created changes in academic problem formulation. This meta-analysis presents the nature of the new academic environment using precepts from New Historicism to suggest connections with the New Economy. The marketplace is often the court of last appeal in conflict resolution. This can be as basic as determining a fair price for a goose in a farmers' market to the disposition of pension funds in an international merger. Economist Lawrence Summers provides insights into theory and practice. Game theory leads from John Nash's equilibrium point to modeling in economics. A University of Chicago economist discusses the application of market reforms to Chile. He worked with Chilean economists called The Chicago Boys. A call for unification, which includes economics, follows.     

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.     

Behavior Genetic Research on Gambling and Problem Gambling: A Preliminary Meta-Analysis of Available Data

A meta-analysis of family and twin studies on gambling and problem gambling was initiated in an effort to determine the probable role of genetic factors in high risk wagering. Two twin studies and 17 investigations employing the family history or family study method were included in this meta-analysis. A summation of the 19 studies produced a small but significant overall effect size (weighted = .10, unweighted = .13), with both family (weighted = .12, unweighted = .14) and twin (weighted = .06, unweighted = .05) studies achieving significant individual mean effects. Given the paucity of twin data, further analysis was confined to family studies and revealed a stronger familial effect for the sons of problem gambling fathers than for the daughters of problem gambling mothers and for more severe forms of problem gambling than for less severe forms of problem wagering, and was strongest for high severity problem gambling in males. The implications of these results are discussed.     

Minimal treatments and problem gamblers: A preliminary investigation

In view of the increasing popularity of minimal intervention treatments for problem drinking, a self-help manual for people who wish to reduce or stop gambling was prepared. Twenty-nine (ACT residents) who responded to advertisements for help with problem gambling were allocated to either of two minimal treatments, Manual (only) and Manual & Interview. On average, clients from both groups reduced the frequency of their gambling sessions, frequency of overspending, and amount spent per week in the first three months and next three months after first contact, but expenditure per session increased from three to six months, after an initial improvement. There was no evidence that a single in-depth interview added to the effectiveness of the manual.This project was funded by a grant from the Australian National University Faculties Research Fund.     

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.     

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.     

The Practice of Multimodal Approaches, the Challenge of Cross-Cultural Communication, and the Search for Responses

The development of multimodal approachespresents an opportunity for human beings to increasetheir competence in managing complexity, while at thesame time brings a challenge of cross-culturalcommunication. Some claim that two approaches have beenproposed for tackling this challenge: an approach offrameworks and an approach ofdiscourse. Some go further to contenddropping frameworks and taking up discourse. This paper argues that, if it istrue that there exist these two approaches, neither theframeworks nor the discourseapproach alone is sufficient. It is suggested thatresearchers and practitioners may be better equipped byparticipating in discourses with and among frameworks.Employing three metaphors, this paper proposes that, inthe way force-fields andconstellations require and imply each other, both frameworks anddiscourse are necessary for human beings to act as aPeircian fiber-cable in socialproblem-solving.Requests for reprints should be addressed to Zhichang Zhu, Department of Information Systems, Lincoln School of Management, Lincoln LN6 7TS, United Kingdom.     

Psychosemantics of “One-China” Conception: Fourth-Dimensional Resolution of Taiwan–Mainland Political Deadlock

The political conflicts between Taiwan and the Mainland have progressed, for over 50 years, from the historical hot civil war for the exclusive ownership of one China's territorial sovereignty to the contemporary cold rhetoric circularity around the geopolitical symbolism of the one-China principle. In the process, the United States has been intimately entangled in the disputes in terms of 3 alignment stages--from an unambiguous pro-Taiwan before the 1970s, the ambiguous neutrality in the early 1970s, to the contemporary pro-Mainland China. Despite the fact that during the past 3 decades the United States honored the arms sales and the Taiwan Relations Act commitments in Taiwan's favor, and simultaneously conferred the 3 Nos and 3 communiqués in Mainland China's favor, the cross-Strait tensions have persisted without the prospect of a definitive foreseeable resolution. Further, because of the lack of explicit conception of one China, the United States has to constantly resist the opposing persuasions of the 2 sides, and therefore must continue to rely on the ambiguous dual deterrence strategy for maintaining the dynamics balance over the Taiwan Strait. For such endeavors, the Clinton 4 frameworks and the Bush 5 Taiwan policies have proven to be very effective, but mostly to the extent of assuming a passive role in preventing military confrontations.     

A quantitative theory of preferences: Some results on transition functions

We investigate a general theory of combining individual preferences into collective choice. The preferences are treated quantitatively, by means of preference functions (a,b), where 0(a,b) expresses the degree of preference of a to b. A transition function is a function (x,y) which computes (a,c) from (a,b) and (b,c), namely (a,c)=((a,b),(b,c)). We prove that given certain (reasonable) conditions on how individual preferences are aggregated, there is only one transition function that satisfies these conditions, namely the function (x,y)=x·y (multiplication of odds). We also formulate a property of transition functions called invariance, and prove that there is no invariant transition function; this impossibility theorem shows limitations of the quantitative method.Research supported in part by the National Science Foundation.     

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.     

Muddying the Waters Does Not Have to Entail Erosion: Ecological Feminist Concerns with Purity

Ecofeminists call attention to the associations that have been made between woman and nature, which can operate as a source of both subjugation and resistance, exploitation, and inspiration. This paper expands upon feminist critiques of purity by phrasing these concerns in an ecological feminist perspective. This theoretical exercise of problematizing the ideal of purity sheds light upon the intersections of human and nonhuman oppression. Preservationist work has tended to employ the logic of purity by focusing on protection of the purity of the wild regions of the earth from the polluting forces of humanity. However, such approaches retain the troublesome nature/culture dualism. The author illustrates how attempts to fragment and radically separate people from the environment can prove to be highly dangerous. She connects the theoretical resistance to purity to the important activist work that is being done to expose environmental racism. Finally, she discusses how muddying the waters and resisting the logic of purity can offer a promising approach to pressing problems revolving around the intersections of human and nonhuman oppression.     

Structure and process in interpersonal “distancing”

The present paper focuses on awho-why-where-when-how-what-whom structural model of interpersonal distancing. The term distancing denotes either approach or avoidance movement along an intimacy-immediacy dimension. This dimension itself is defined as an integration across proxemic, kinesic, paralinguistic, and linguistic interpersonal modalities. Parallels are drawn between the concepts of intimacy disequilibrium and cognitive dissonance; the latter deals with attitude-behavior discrepancies and the former with attraction-approach discrepancies. A compensatory model is expanded acrosswho's partners as well as across his sensory modalities, and the concept of intimacy overload is offered as a clarifying tool for the social refractoriness and information overload explanations appearing in various aspects of the literature.Paper presented at the Symposium on Some New Approaches for Studying and Measuring Interpersonal Communication, 82d Annual Meeting of the American Psychological Association, New Orleans, September 1974.The author gratefully acknowledges the assistance of Department 1229, Bell Laboratories, Murray Hill, New Jersey, in the writing of this paper. Much of the work was supported by NSF Grant 2852A at Wayne State University.     

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.     

Social Defenses Against Organizational Learning

It is argued that for organizational learning to occur maladaptive social defenses within the organization have to be altered. The origins of the concept of social defenses are traced through the work of Jaques and Menzies. A new concept of system domain, and related concepts of system domain fabric, and system domain defenses, are proposed in order to account for the difficulties in sustaining organizational change in organizations that share a similar primary task. Organizational learning is defined as occurring when there is co-evolution of organizational container and contained. The article distills variables from three successful consultancy/action research projects which are characteristic of organizations that are learning, and it is hypothesized that the creation of organizational awareness is necessary for organizational learning to occur.     

Touristic authenticity,touristic angst,and modern reality

The tourist has become the symbol of a peculiarly modern type of inauthenticity. This paper explores the criticisms that have been directed at the reality experiences of the tourist. In so doing, the following inexhaustive typology of touristic realities is developed: 1) the first-order or true tourist, 2) the second-order or Angst-ridden tourist, 3( the third-order or anthropological tourist, and 4) the fourth-order or spiritual tourist. Each of these types represents a progressively more intense search for reality through travel. Each is, however, criticized for participating in its own form of inauthenticity.After exploring the reality experiences and criticisms of each of these travellers, the paper turns the tables on the cultured despisers of tourism to argue that perhaps the lowly first-order tourist is not so inauthentic after all. True, this traveller may not be having a real heroic adventure, but such is not the goal. Rather, the reality experienced by the first-order tourist is a pleasurable liberation from the normal concerns of everyday life which simultaneously reaffirms commitment to that reality. Quite frequently the first-order tourist is less concerned about having a real experience in the visited place than in experiencing family and friendship relationships-relationships completely ignored by the anti-touristic tourists in their search for authenticity in someone else's reality.The author would like to thank Peter L. Berger, Harry C. Bredemeier, Warren I. Susman, and M. Kathy Kenyon for their comments and suggestions on earlier versions of this paper. This research was supported in part by NIMH grant no. 5 T32 NH14660.     

Queering Identities: The Roles of Integrity and Belonging in Becoming Ourselves

This article presents a picture of the complexities and contradictions in the daily lives of people in the Seacoast area of New Hampshire who identify as, or are identified as, lesbian, gay, bisexual, transgender queer, questioning, and allied people (LGBTQQA). In this study, the author uses a grounded theory approach to focus on the Create Our Destiny conference. Clear patterns emerged, such as the importance of coming out, labels, and gender identity. A common theme underlying these areas was the tension people experienced between seeking a sense of belonging and maintaining their personal sense of integrity. This study shows that people in the Seacoast want to be fully and wholly themselves, or as the author represents their interests, to strive toward singularity. The author argues that striving towards singularity requires people to grapple with their unexamined codes and principles, such as those pertaining to compulsory heterosexuality and gender duality, by increasing and valuing self-awareness and reflexivity.     

The coming revolution of biotechnology: A critique of Buttel

Frederick Buttel was one of the pioneers in studying the social impacts of biotechnology, claiming originally that it will involve profound changes in social structure. Recently Buttel turned around his argument proposing that, rather than revolutionary, biotechnology is more a substitutionist technological form to be applied to declining sectors of the economy than an epoch-making technology. This paper provides both external and internal critiques of Buttel's new position based on the concept of the third technological revolution, looking at the impact of new technologies as a global and interrelated phenomenon, and not on an individual case-by-case basis. The concluding section suggests the necessity of bringing into the analysis those living in the Third World: 60% of this population lives from agriculture and will be affected by the deployment of agricultural biotechnologies, whether through substitutionism or through totally new products.     

Addiction to fruit machines: A preliminary study among young males

Although most sources treat gambling as an adult phenomenon, adolescent gambling is more widespread than is generally recognized, and in some cases may even be pathological. This paper outlines a preliminary study of eight adolescents addicted to playing and gambling on coin-in-the-slot machines (more commonly known as fruit machines). Factors involved in the onset of fruit machine playing are examined along with their alternative gambling activities and associated problems. The role of skill and excitement components in persistent playing are also discussed.The author would like to thank the United Kingdom Economic and Social Research Council for funding this work through a research studentship.     

“FOB” and “Whitewashed”: Identity and Internalized Racism Among Second Generation Asian Americans

An analysis of 184 in-depth interviews with grown children of Korean and Vietnamese immigrants finds that the racial beliefs, meanings, and stereotypes of the mainstream society shape how they think about coethnics, generate local identities, and deflect stigma from themselves. We examine the terms FOB (Fresh Off the Boat) and whitewashed that were commonly deployed to denigrate coethnic others as too ethnic or too assimilated while casting those at the bicultural middle as the normals. We describe how this system of intraethnic othering serves as a basis for sub-ethnic identities, intraethnic social boundaries, and the monitoring and control of social behavior. We draw on the concept of internalized racial oppression in framing our findings.