Book Reviews

There is a lack of research investigating Pacific peoples' gambling within a New Zealand context. In this paper, data about gambling activity (rather than problem gambling) are presented from the first data collection point for a cohort of mothers who are part of the longitudinal Pacific Islands Families study. The results indicate that gambling behaviour could be influenced by cultural differences. For example, Tongans are more likely to gamble than Samoans, and those who undertake traditional gift giving customs are likely to spend more money on gambling than those who do not. This paper identifies a need for research on Pacific peoples' gambling to acknowledge ethnic-specific cultural influences on gambling practices.     

‘Risky Places?’: Mapping Gambling Machine Density and Socio-Economic Deprivation

The aims of this project were to map the location and density of gambling machines in Britain; to explore whether geographic areas with higher densities of machines exist and to examine the socio-economic characteristics of these areas relative to others. Using geospatial analysis of premises records, we identified 8861 Machine Zones which were areas with a 400 meter radius around gambling machine venue and 384 High Density Machine Zones (HDMZ) with 1 or more gambling machine per hectare. There was a significant correlation between machine density and socio-economic deprivation. HDMZs had greater levels of income deprivation, more economically inactive people and a younger age profile than other areas; 37 % of those living in HDMZs were economically inactive compared with 33 % of those in non-machine areas. HDMZs were in seaside locations but also New Towns or satellite towns to major urban areas. Area affluence explains some of this pattern; of the New Towns with HDMZs, 78 % were in New Towns with a high proportion of low income areas. We therefore concluded that the distribution of gambling machines in Great Britain, in line with other international jurisdictions, displays a significant association with areas of socio-economic deprivation. The profile of the resident population living in HDMZs mirrors the profile of those most at-risk of experiencing harm from gambling. This spatial pattern has important implications for assessing the relationship between gambling availability and gambling-related harm, and for the future development of policy, harm-prevention and treatment strategies.     

Consumption and its discontents: addiction, identity and the problems of freedom

The focus of this paper is on the notion of 'addictive consumption', conceived as a set of discourses that are embedded within wider socio-historical processes of governance and control. It examines the discursive convergences and conflicts between practices of consumption and notions of addiction, which it notes are consistently represented in terms of the oppositional categories of self-control vs. compulsion and freedom vs. determinism. These interrelations are explored with reference to the development of notions of addiction, and their relation to shifting configurations of identity, subjectivity and governance. Finally, it suggests that the notion of 'addiction' has particular valence in advanced liberal societies, where an unprecedented emphasis on the values of freedom, autonomy and choice not only encourage the conditions for its proliferation into ever wider areas of social life, but also reveal deep tensions within the ideology of consumerism itself.     

The periodic health examination in college students revisited.

The periodic health examination is a group of tasks carried out by physicians and nurses at regular intervals, but not always yearly, to determine either the risk of subsequent disease or to identify disease in its early, asymptomatic state. The Guide to Clinical Preventive Services, published in 1989 by the United States Preventive Services Task Force, sets common American standards for these procedures. The guide lists those preventive activities recommended for persons aged 19-39 years. Every patient encounter in our student health services should be considered an opportunity for preventive activities. This article offers a simple check list for office use.     

Adapting the selective periodic health exam to a college-aged population. Joint American Preventive Services Task Force. Canadian Task Force on Health Care Screening

The periodic health examination is a group of tasks carried out by physicians at regular intervals, but not always yearly. It is designed to determine either the risk of subsequent disease or to identify disease in its early, asymptomatic state. These tasks include immunizations, health promotion topics, and specific clinical screening maneuvers. This paper seeks to increase awareness of the extensive work being done by the Canadian Task Force on Health Care Screening and the Joint American Preventive Services Task Force in setting standards for the periodic health exam. The exam can be reviewed in the office and urgent-care setting or promoted in health education activities. Knowledge of the new standards for the periodic health exam can help in setting priorities for preventive activities in student health services. Implementation in the college-aged group will require cost considerations.     

Techno economic systems and excessive consumption: a political economy of ‘pathological’ gambling

This article argues that gambling is a paradigmatic form of consumption that captures the intensified logic at the heart of late modern capitalist societies. As well as a site of intensified consumption, it claims that gambling has also become the location of what has been described as a new form of ‘social pathology’ related to excess play. Drawing on Castells' (1996) notion of techno‐economic systems, it explores the ways that intersections between technology, capital and states have generated the conditions for this situation, and critiques the unequal distribution of gambling environments that result. It argues that, while the products of these systems are consumed on a global scale, the risks associated with them tend to be articulated in bio‐psychological discourses of ‘pathology’ which are typical of certain types of knowledge that have salience in neo‐liberal societies, and which work to conceal wider structural relationships. We argue that a deeper understanding of the political and cultural economy of gambling environments is necessary, and provide a synoptic overview of the conditions upon which gambling expansion is based. This perspective highlights parallels with the wider global economy of finance capital, as well as the significance of intensified consumption, of which gambling is an exemplary instance. It also reveals the existence of a geo‐political dispersal of ‘harms’, conceived as deteriorations of financial, temporal and social relationships, which disproportionately affect vulnerable social groups. From this, we urge an understanding of commercial gambling based on a critique of the wider social body of gambling environments within techno economic systems, rather than the (flawed) individual bodies within them.     

On gambling research,social science and the consequences of commercial gambling

Social, political, economic, geographic and cultural processes related to the significant growth of the gambling industries have, in recent years, been the subject of a growing body of research. This body of research has highlighted relationships between social class and gambling expenditure, as well as the design, marketing and location of gambling products and businesses. It has also demonstrated the regressive nature of much gambling revenue, illuminating the influence that large gambling businesses have had on government policy and on researchers, including research priorities, agendas and outcomes. Recently, critics have contended that although such scholarship has produced important insights about the operations and effects of gambling businesses, it is ideologically motivated and lacks scientific rigour. This response explains some basic theoretical and disciplinary concepts that such critique misunderstands, and argues for the value of social, political, economic, geographic and cultural perspectives to the broader, interdisciplinary field of gambling research.     

Local Solidarities: How the Arab Spring Protests Started

Coming as a surprise to most observers and following the self‐immolation of a street vendor in a remote town of central Tunisia, the Jasmine Revolution of 2010–2011, the first uprising of the Arab Spring, has often been seen as a success story for digital communication through widespread use of social media. We suggest that this applied to the later phase of the protests in Tunisia but not to the initial phase, which occurred in local areas in impoverished and marginalized regions with highly limited access to the Internet. The initial phase lasted a full 10 days before the protests reached major cities where social media operated. Building on Tilly's concept of trust network, we offer the concept of local solidarities as key to the beginning of the Arab Spring uprisings and as encompassing spatial proximity, shared marginalized status, and kinship, all of which combined to serve as a basis for trust and collective action.     

‘The notorious gambling class’: patterns of gambling among young people in Denmark

In this study, using a three wave qualitative longitudinal data set, we explored patterns of change in gambling behavior among a sample of young Danes. A total of 48 informants participated in all three sweeps of interviews. The overall aim was to explore the complexities and social contexts, as well as the subjective meanings that underlie gambling behavior changes. We identified four different types of gambling pathways, each illustrating different types of movement over time: intensification; reduction; stability, and those that were non-linear. Our overall finding was that transitions or oscillations in behavior are more common than a progressive linear gambling pattern, and that these changes are affected by a number of contextual factors. The implications for further research and policy are discussed.     

Gambling Harm and Crime Careers

Incarcerated populations across the world have been found to be consistently and significantly more vulnerable to problem gambling than general populations in the same countries. In an effort to gain a more specific understanding of this vulnerability the present study applied latent class analysis and criminal career theory to gambling data collected from a sample of English and Scottish, male and female prisoners (N = 1057). Theoretical links between gambling and crime were tested through three hypotheses: (1) that prisoners in the UK would have higher rates of problem gambling behaviour than the national population; (2) that if the link between gambling and crime is coincidental, gambling behaviour would be highly prevalent in an offending population, and (3) if connections between gambling behaviour and offending are co-symptomatic a mediating factor would show a strong association. The first of these was supported, the second was not supported and the third was partially supported. Latent class analysis found six gambling behaviour clusters measured by responses to the Problem Gambling Severity Index, primarily distinguished by loss chasing behaviour. Longitudinal offending data drawn from the Police National Computer database found four criminal career types, distinguished by frequency and persistence over time. A significant association was found between higher level loss chasing and high rate offending in criminal careers suggesting that impulse control may be a mediating factor for both gambling harm and criminal careers.